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Article

Justin Berk, Ann Ding, and Josiah Rich

Since 1976, incarcerated individuals in the United States have an established right to healthcare. This has created a national system charged with addressing the unique challenges of healthcare delivery in jails and prisons. As incarcerated populations are often excluded from large research studies, evidence-based practices must often be extrapolated from community data. There is a wide variation in care delivery across institutions nationwide. Challenges in correctional settings include a “dual loyalty” to patients’ health and facility security and the toxic effects of disciplinary practices including solitary confinement, violence, communicable disease control, an aging population, discharge planning for community reentry, and a high prevalence of substance use disorder and mental health disease. Although incarceration may offer a unique opportunity to address chronic health issues of a difficult-to-reach population, the net health effects in the United States seem to be mostly negative. Mass incarceration in the United States has led to significant health consequences at the individual, family, and community levels and has exacerbated health, socioeconomic, and racial disparities. As most incarcerated individuals return to the community, healthcare delivery during incarceration plays a substantial role in the health of communities at all levels.

Article

Positive criminology is an innovative perspective that underlies existing theories and models emphasizing the positive forces that influence and assist individuals at risk and offenders in their recovery process. The theories and models included in positive criminology (e.g., peacemaking criminology, social acceptance, crime desistance, restorative justice) are not new; its novelty lies in their inclusion in a unique and distinct conceptualization. This has led to a shift in discourse and research in criminology, which goes beyond focusing on risk and criminogenic factors while focusing on the positive factors and strengths that help individuals to rehabilitate and successfully integrate into the community. Studies and practices developed over the past decade have confirmed and reinforced the assumptions of the positive criminology perspective. Despite its specific limitations, positive criminology provides a promising platform for further developments and innovations in research in theory (e.g., positive victimology, spiritual criminology) and in practice (e.g., restorative justice, problem-solving courts, community policing).