Bioethics in Correctional and Custodial Health

Catalog description

Healthcare access in correctional facilities is a federal mandate. Yet, what is required by that mandate, and the U.S. Constitution and case law on which it is based, is vague. While the Eighth Amendment prohibits cruel and unusual punishment and case law prohibits deliberate indifference, what these require of correctional institutions and healthcare team members is unclear. Correctional facilities themselves are a microcosm of need, risk, limited trust, conflicts, social bias, and limited resources. Ethical issues and decisions are faced daily by patients, front line clinical staff, hospital systems, families, local, state, and federal governments. Correctional health is a uniquely diverse field of medicine. The staff can be independent contractors, employed by for profit agencies, hospital system staff, or directly employed by the correctional facility. Clinical teams typically include nursing, social work, behavioral health and independent medical providers. Team members may be employed by different organizations and reporting structures may be complex and obscure. Limitations in facilities, treatment options, transportation, and staffing further complicate the provision of care. The types of questions this course will address are: How is access to care for those in confinement determined? What health issues should be addressed by correctional organizations? Who provides the care and how is it paid for? Do correctional health care providers have the same obligations to their patients that other health care providers have? What rules and regulations do and should apply to care for incarcerated or detained individuals? What ethical obligations do agencies, health systems, and governments have to persons in custody and their families? What is the health impact on the surrounding community? Offered as BETH 351 and BETH 451 . Counts as a Moral & Ethical Reasoning course. Prereq: BETH 271 or PHIL 271 .