Author Affiliations: The Dartmouth Institute of Health Policy and Clinical Practice.
Dartmouth-Hitchcock Medical Center.
J Forensic Nurs. 2022;18(3):E18-E25. doi: 10.1097/JFN.0000000000000400. Epub 2022 Jun 11.
Traumatic brain injury (TBI) is one of the leading causes of death and long-term disability among young adults worldwide and in the United States. TBIs are often associated with a high prevalence of morbidity, mortality, and other behavioral and cognitive problems. Several studies have shown that women living with TBIs have significantly higher odds of committing criminal acts, yet the impact of TBI on incarcerated women remains an underresearched area. By contrast, the effect of TBI on men is more prevalent in current literature, particularly relating to sports-related injuries. Given that an estimate of 80% of incarcerated women are mothers, we conducted a literature review in two phases focused on TBI in incarcerated mothers. The initial search of TBI in incarcerated mothers returned no results, so we proceeded in two phases. Phase 1 searched maternal outcomes of TBI, using the terms "maternal health" and "traumatic brain injury," whereas Phase 2 searched "traumatic brain injury" and "incarcerated women." Because so little information is available regarding TBI in incarcerated mothers, we used what we could find in these two phases to highlight the scarcity of knowledge about this population. This brief report addresses the knowledge gap that exists for incarcerated mothers living with TBI to encourage regular TBI screening to raise awareness and advocate for accommodated care. Correctional forensic nurses are perfectly placed to do TBI screening and to provide continuous rehabilitation after release to prevent reoffending.
创伤性脑损伤(TBI)是全球和美国年轻人死亡和长期残疾的主要原因之一。TBI 通常与较高的发病率、死亡率以及其他行为和认知问题相关。有几项研究表明,患有 TBI 的女性犯罪的可能性明显更高,但 TBI 对被监禁女性的影响仍然是一个研究不足的领域。相比之下,TBI 对男性的影响在当前文献中更为普遍,特别是与运动相关的损伤有关。鉴于估计有 80%的被监禁女性是母亲,我们进行了两次重点关注被监禁母亲 TBI 的文献回顾。最初对被监禁母亲 TBI 的搜索没有结果,因此我们分两个阶段进行。第一阶段使用“产妇健康”和“创伤性脑损伤”这两个术语搜索 TBI 的产妇结果,第二阶段搜索“创伤性脑损伤”和“被监禁妇女”。由于关于被监禁母亲 TBI 的信息非常有限,我们在这两个阶段中使用了我们能找到的信息来突出这个人群的知识匮乏。本简要报告旨在解决存在的 TBI 被监禁母亲的知识空白问题,以鼓励进行常规 TBI 筛查,提高认识并倡导提供适应的护理。矫正法医护士非常适合进行 TBI 筛查,并在释放后提供持续康复服务,以防止再次犯罪。