Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.




Supermax


Book Description

This book examines the rise and proliferation of 'Supermaxes', large prisons dedicated to holding prisoners in prolonged and strict solitary confinement, in the United States since the late 1980s. Drawing on unique access to two Supermax prisons and on in-depth interviews with prison officials, prison architects, current and former prisoners, mental health professionals, penal, legal, and human rights experts, it provides a holistic view of the theory, practice and consequences of these prisons. Given the historic uses of solitary confinement, the book also traces continuities and discontinuities in its use on both sides of the Atlantic over the last two centuries. It argues that rather than being an entirely 'new' form of imprisonment, Supermax prisons draw on principles of architecture, surveillance and control which were set out in the early 19th century but which are now enhanced by the most advanced technologies available to current day prison planners and administrators. It asks why a form of confinement which had been discredited in the past is now proposed as the best solution for dealing with 'difficult', 'dangerous' or 'disruptive' prisoners, and assesses the true costs of Supermax confinement.




Hell Is a Very Small Place


Book Description

“An unforgettable look at the peculiar horrors and humiliations involved in solitary confinement” from the prisoners who have survived it (New York Review of Books). On any given day, the United States holds more than eighty-thousand people in solitary confinement, a punishment that—beyond fifteen days—has been denounced as a form of cruel and degrading treatment by the UN Special Rapporteur on Torture. Now, in a book that will add a startling new dimension to the debates around human rights and prison reform, former and current prisoners describe the devastating effects of isolation on their minds and bodies, the solidarity expressed between individuals who live side by side for years without ever meeting one another face to face, the ever-present specters of madness and suicide, and the struggle to maintain hope and humanity. As Chelsea Manning wrote from her own solitary confinement cell, “The personal accounts by prisoners are some of the most disturbing that I have ever read.” These firsthand accounts are supplemented by the writing of noted experts, exploring the psychological, legal, ethical, and political dimensions of solitary confinement. “Do we really think it makes sense to lock so many people alone in tiny cells for twenty-three hours a day, for months, sometimes for years at a time? That is not going to make us safer. That’s not going to make us stronger.” —President Barack Obama “Elegant but harrowing.” —San Francisco Chronicle “A potent cry of anguish from men and women buried way down in the hole.” —Kirkus Reviews







Solitary Confinement


Book Description

Solitary confinement is used for a variety of different reasons in many prison systems all over the world, despite the fact that research shows that these practices have widespread and pronounced negative health effects. Besides the death penalty, solitary confinement is arguably the most punitive and dangerous intervention available to state authorities in democratic nations. This broad and interdisciplinary book draws together research and personal experience from neuroscientists, high level prison officials, social and political scientists, medical doctors, lawyers, and former prisoners and their families from different countries in order to address the effects and practices of prolonged solitary confinement and to strengthen the movement for its reform and eventual abolition.




Health and Incarceration


Book Description

Over the past four decades, the rate of incarceration in the United States has skyrocketed to unprecedented heights, both historically and in comparison to that of other developed nations. At far higher rates than the general population, those in or entering U.S. jails and prisons are prone to many health problems. This is a problem not just for them, but also for the communities from which they come and to which, in nearly all cases, they will return. Health and Incarceration is the summary of a workshop jointly sponsored by the National Academy of Sciences(NAS) Committee on Law and Justice and the Institute of Medicine(IOM) Board on Health and Select Populations in December 2012. Academics, practitioners, state officials, and nongovernmental organization representatives from the fields of healthcare, prisoner advocacy, and corrections reviewed what is known about these health issues and what appear to be the best opportunities to improve healthcare for those who are now or will be incarcerated. The workshop was designed as a roundtable with brief presentations from 16 experts and time for group discussion. Health and Incarceration reviews what is known about the health of incarcerated individuals, the healthcare they receive, and effects of incarceration on public health. This report identifies opportunities to improve healthcare for these populations and provides a platform for visions of how the world of incarceration health can be a better place.




Solitary


Book Description

“When I testify in court, I am often asked: ‘What is the damage of long-term solitary confinement?’ . . . Many prisoners emerge from prison after years in solitary with very serious psychiatric symptoms even though outwardly they may appear emotionally stable. The damage from isolation is dreadfully real.” —Terry Allen Kupers Imagine spending nearly twenty-four hours a day alone, confined to an eight-by-ten-foot windowless cell. This is the reality of approximately one hundred thousand inmates in solitary confinement in the United States today. Terry Allen Kupers, one of the nation’s foremost experts on the mental health effects of solitary confinement, tells the powerful stories of the inmates he has interviewed while investigating prison conditions during the past forty years. Touring supermax security prisons as a forensic psychiatrist, Kupers has met prisoners who have been viciously beaten or raped, subdued with immobilizing gas, or ignored in the face of urgent medical and psychiatric needs. Kupers criticizes the physical and psychological abuse of prisoners and then offers rehabilitative alternatives to supermax isolation. Solitary is a must-read for anyone interested in understanding the true damage that solitary confinement inflicts on individuals living in isolation as well as on our society as a whole.




Reassessing Solitary Confinement


Book Description




The Marion Experiment


Book Description

Taking readers into the darkness of solitary confinement, this searing collection of convict experiences, academic research, and policy recommendations shines a light on the proliferation of supermax (super-maximum-security) prisons and the detrimental effects of long-term high-security confinement on prisoners and their families. Stephen C. Richards, an ex-convict who served time in nine federal prisons before earning his PhD in criminology, argues the supermax prison era began in 1983 at USP Marion in southern Illinois, where the first “control units” were built by the Federal Bureau of Prisons. The Marion Experiment, written from a convict criminology perspective, offers an introduction to long-term solitary confinement and supermax prisons, followed by a series of first-person accounts by prisoners—some of whom are scholars—previously or currently incarcerated in high-security facilities, including some of the roughest prisons in the western world. Scholars also address the widespread “Marionization” of solitary confinement; its impact on female, adolescent, and mentally ill prisoners and families; and international perspectives on imprisonment. As a bold step toward rethinking supermax prisons, Richards presents the most comprehensive view of the topic to date to raise awareness of the negative aspects of long-term solitary confinement and the need to reevaluate how prisoners are housed and treated.




The Discovery of the Asylum


Book Description

This is a masterful effort to recognize and place the prison and asylums in their social contexts. Rothman shows that the complexity of their history can be unraveled and usefully interpreted. By identifying the salient influences that converged in the tumultuous 1820s and 1830s that led to a particular ideology in the development of prisons and asylums, Rothman provides a compelling argument that is historically informed and socially instructive. He weaves a comprehensive story that sets forth and portrays a series of interrelated events, influences, and circumstances that are shown to be connected to the development of prisons and asylums. Rothman demonstrates that meaningful historical interpretation must be based upon not one but a series of historical events and circumstances, their connections and ultimate consequences. Thus, the history of prisons and asylums in the youthful United States is revealed to be complex but not so complex that it cannot be disentangled, described, understood, and applied.This reissue of a classic study addresses a core concern of social historians and criminal justice professionals: Why in the early nineteenth century did a single generation of Americans resort for the first time to institutional care for its convicts, mentally ill, juvenile delinquents, orphans, and adult poor? Rothman's compelling analysis links this phenomenon to a desperate effort by democratic society to instill a new social order as it perceived the loosening of family, church, and community bonds. As debate persists on the wisdom and effectiveness of these inherited solutions, The Discovery of the Asylum offers a fascinating reflection on our past as well as a source of inspiration for a new century of students and professionals in criminal justice, corrections, social history, and law enforcement.