Search Results (87)

Background: Despite the general interest in WPV against healthcare workers, there is evidence that this topic has comparatively fewer studies conducted in the context of community settings than in hospital settings. Given the current general transition of care from hospital to community, this study aims to analyze whether community settings present different characteristics in comparison with hospital settings on this topic in Italy. Methods: A retrospective observational study was conducted from 2020 to 2024 on aggressions reported by HCWs in hospitals and community settings belonging to a Local Health Authority of Turin in Piedmont. For physical and non-physical aggressions, a monthly time trend series was constructed. A Mantel–Haenszel fixed-effect meta-analysis was performed to obtain the odds ratio (OR) in two settings. Variables relative to aggressions included the gender of victims, their professional category (medical doctors, nurses, other HCWs), the type and gender of perpetrators (relative, patient, or unknown person), age groups of perpetrators (under 30, 30–49, ≥50), the nature of aggression (physical, non-physical), recidivism, involvement of law enforcement, and time of occurrence (morning, afternoon, or evening/night). Events within hospitals were further classified into emergency department, psychiatric ward, and other wards, while events within community settings were classified as drug addiction service units (serDs), long-term care (including specialist outpatient services, home services, and nursing homes) (LTC), mental health centres, and penitentiary assistance. Results: The results highlighted that fewer WPV incidents were reported in community settings than in hospital settings, even though reported incidents showed a more pronounced increase over time. Differences were observed in a few characteristics of WPV (age classes of aggressors, recidivism, time of aggression, profession of the assaulted worker, and specific location). Only the gender of the assaulted (female workers) (OR = 3.11, 95% CI: 1.27–7.61; p = 0.013; OR = 0.32, 95% CI: 0.13–0.79; p = 0.013 for non-physical and physical violence, respectively, compared to male workers) was identified as a specific risk factor for community settings. Conclusions: Modern health systems are experiencing a transition from hospital-centred to community-centred care settings. This study suggested that WPV is a significant concern, even outside the hospital. Community-based services often involve direct interaction with frail and chronically ill patients and their caregivers, as well as care delivery in diverse and sometimes less controlled environments, which may influence exposure to aggressive behaviours. The identification of setting-specific risk patterns in both hospital and community contexts provides valuable insights into workplace violence and may support the planning and implementation of targeted interventions aimed at mitigating the frequency and burden of WPV. Full article

Drug-resistant tuberculosis (DR-TB) represents a major public health threat, particularly in the prisons of Latin America and the Caribbean, where rates are up to 40 times higher than those observed in the general population. These facilities act as community amplifiers due to overcrowding, poor ventilation, diagnostic delays, and treatment discontinuity. This study offers a critical reflection on the magnitude, determinants, and implications of DR-TB in regional penitentiary contexts. A reflective analytical review was conducted in PubMed, Scopus, Web of Science, SciELO, and LILACS, complemented by WHO and PAHO reports, prioritising studies from 2019 to 2024. The findings reveal MDR-TB and pre-extensively drug-resistant (pre-XDR) outbreaks in Peru, Paraguay, and the Dominican Republic, as well as community transmission linked to prisons in Brazil and Colombia. Persistent gaps remain in systematic screening, drug susceptibility testing coverage, and post-release follow-up. Scientific production continues to be uneven and predominantly biomedical, with limited consideration of social and human rights determinants. DR-TB in prisons reflects the structural deficiencies of health and justice systems; its control requires intersectoral policies, genomic surveillance, and strategies that ensure early diagnosis, treatment continuity, and dignified detention conditions. Full article

Background: Personality traits, particularly those belonging to the Dark Triad (Machiavellianism, narcissism, and psychopathy), may influence violent behavior and adaptation to the prison environment. Methods: The study included 250 male inmates from Bucharest-Jilava Penitentiary, aged between 20 and 67 years. The Emotional Stability Scale (IPIP), the Buss–Perry Aggression Questionnaire, and the Short Dark Triad Scale (SD3) were administered. Statistical analyses included Pearson correlations, multiple linear regressions, and binary logistic regressions. Results: Emotional stability was negatively correlated with aggression (r = −0.48, p < 0.01). Psychopathy significantly predicted physical aggression (t = 11.96, p < 0.001) and anger (t = 9.53, p < 0.001), whereas Machiavellianism predicted verbal aggression (t = 3.14, p = 0.002) and hostility (t = 4.73, p < 0.001). Higher levels of physical aggression were associated with a lower likelihood of participation in educational activities (Exp(B) = 0.93, p = 0.032). Conclusions: The influence of Dark Triad traits on aggression is differentiated, with psychopathy exerting the strongest effect. Low emotional stability increases vulnerability to hostile behaviors. These findings support the need for multidimensional psychological assessments and tailored intervention programs designed to enhance violent offenders’ engagement in educational activities aimed at impulse control and empathy development within the prison environment. Full article

Under the Eighth Amendment, prisons are legally mandated to provide constitutionally adequate standards of medical care to the incarcerated. But how do we make sense of a carceral structure in which the very delivery of medical care results in preventable death? This article offers a carceral case study of how prison medical care during the era of mass incarceration generates racialized mortality at the Louisiana State Penitentiary, also known as Angola Prison. By analyzing caselaw documents drawn from the docket of Lewis v. Cain, an ongoing lawsuit alleging inadequate medical care at Angola, this article seeks to address the limits of pursuing relief from prison conditions through legal interventions and reforms that are always yet to arrive. Rather than examining prison medical care and preventable death as problems to be reformed, this project aims to develop theoretical insight into how Angola Prison enacts “medical violence” against its captive population. This refers to the use of prison healthcare capacities to harm rather than affirm the lives of the incarcerated. As this case study argues, medical violence operates through organized abandonment, disregard, and carceral extraction, which together extend the life of the prison through the deaths of its captive population. Full article

Objectives: This cross-sectional observational and epidemiological study aimed to collect data on the oral health conditions of the prison population in Rio de Janeiro, Brazil. Methods: The Penitentiary Moniz Sodré, part of the Penitentiary Complex of Bangu, houses 1385 male inmates of different nationalities. They were divided into groups according to age: Group 1, prisoners aged 18 to 27 years; Group 2, from 28 to 37 years; Group 3, from 38 to 47 years; and Group 4, from 48 and older. A survey was performed, and the Decayed, Missing, Filled Teeth (DMFT) index was applied. A statistical analysis was conducted, considering a p-value of less than 0.05 as significant. Then, multiple linear regression was implemented to verify correlations among the studied parameters, to adjust for confounders, and to examine predictors of DMFT scores. Results: The average age was 26.95 ± 6.72 years, with 57.7% smokers (n = 720) and 7.7% (n = 96) former smokers. Lung diseases were also relatively common (20.9%). The most frequently reported oral issue was bleeding on probing (37.7%, n = 470), with 100% presenting visible dental plaque and 71.3% dental calculus. Oral hygiene habits showed moderate adherence, with 20.1% brushing their teeth at least once daily and 20.3% flossing; however, only 10.3% reported using fluoride mouthwash. The average DMFT score progressively increased across age groups: Group 1 (age: 18–27): 6.89; Group 2 (age: 28–37): 10.87; Group 3 (age: 38–47): 16; and Group 4 (age ≥ 48): 22.5 (p < 0.0001). Decayed (D) teeth scores showed a moderate increase: Group 1: 2.94 ± 2.74; Group 2: 3.38 ± 2.65; Group 3: 3.11 ± 2.56; Group 4: 3.75 ± 3.1 (p = 0.0029). Missing (M) teeth scores demonstrated a significant increase with age, from 2.74 (±2.84) in group 1 to 18.12 (±7.71) in group 4 (p < 0.0001), whereas Filled (F) teeth scores were highest in group 3 (mean 1.92 ± 4.13), followed by a decline in the oldest group (mean 0.62 ± 1.18) (p < 0.0001). These findings indicate a strong age-related increase in the total DMFT score, primarily driven by the number of missing teeth. Conclusions: High levels of caries and its sequelae exist, demonstrating a correlation with age, as well as a low level of previous periodontal treatment or intervention. As the treatments performed did not manage to reduce the incidence of caries and periodontal diseases, a high number of extractions were observed in patients in confinement. Full article

Occupational therapy (OT) advocates for rehabilitation and social reintegration within prison systems, yet its integration must consider the ethical and institutional constraints of incarceration. This paper critically examines the Spanish penitentiary system to explore the tensions between the punitive logic of imprisonment and the rehabilitative values of OT. The aim is to assess whether the current institutional structure enables socio-health professionals—particularly occupational therapists—to act coherently with their humanistic and ethical principles. A detailed documentary review was conducted using the Triangular Method of Ontologically Grounded Personalism (Sgreccia), which integrates biological/situational, anthropological, and ethical dimensions. Legislative documents, institutional reports, and academic literature were systematically analyzed to identify ethical challenges affecting professional practice within Spanish prisons. Findings reveal a paradoxical reality: Spain maintains one of the lowest crime rates in the EU yet exhibits a high incarceration rate, reflecting a punitive penal culture. The prison population, mostly adult males convicted of property and public health offenses, experiences significant occupational deprivation, mental illness, and social vulnerability. Ethical dilemmas include dual loyalty, loss of autonomy, and institutional priorities that undermine person-centered rehabilitation. The study underscores profound ethical tensions limiting OT practice in prisons. Addressing these challenges requires institutional and professional transformation toward more participatory and dignity-centered correctional models. Future research should incorporate empirical and qualitative approaches to design ethical frameworks that promote occupational justice and sustainable reintegration. Full article

This article critiques penal philosophy and practice in contemporary society through the lens of historical–ecclesial tradition. The article opens with a discussion of the penitential rituals in the first Christian monasteries and the eventual adoption of some of these rituals in the earliest state penitentiaries in the U.S. It is argued that a nonviolent and coherent penal ideology was advocated from the inception of Christian monasticism and subsequently maintained over the centuries due to three paradigmatic values and commitments. These values and commitments, which form the basis of the critique, are a theological metanarrative, a moral ontology, and a belief in sin as an existential fact. These tenets are used to interrogate the traditional justifications of punishment that have guided government policy throughout modern history, in the U.S. and abroad. Full article

Gender-based violence (GBV) and traffic offenses pose significant public health challenges and contribute to widespread social issues globally. This study examines the sociodemographic and psychological profiles of individuals who commit traffic offenses and GBV, focusing on three alternative penal programs: TASEVAL (for traffic offenses), PRIA-MA, and reGENER@r (both for GBV). The study involved 54 participants distributed across these programs, using various psychometric tests to assess their profiles. Participants across the three programs (TASEVAL, PRIA-MA, and reGENER@R) were comparable in age (mean range 39.13–40.69 years) and nationality, with roughly half having prior contact with the justice system. Educational levels varied, with TASEVAL participants mainly completing secondary education (43.8%), PRIA-MA participants primary education (43.8%), and reGENER@R participants post-secondary education (59.1%). Employment status differed slightly, with TASEVAL and reGENER@R participants mainly employed (62.5% and 63.6%, respectively), while most PRIA-MA participants were unemployed (56.3%). Family characteristics varied across groups. In TASEVAL, having a partner and no children predominated (62.5% and 31.3%); in PRIA-MA, not having a partner and having two children predominated (62.5% and 37.5%); and, in reGENER@R, not having a partner and having one child predominated (59.1% and 31.8%). No significant differences were observed in sociodemographic variables. Regarding psychological characteristics, results across all groups indicate a marked presence of psychopathological symptoms and difficulties in emotional intelligence domains, with a significant correlation between psychological traits and coping strategies. These findings highlight the importance of tailoring alternative penal measures to the specific characteristics of each group to enhance effectiveness and reduce recidivism. Full article

Background/Objectives: When a relationship ends due to abuse, a favorable attitude toward reconciliation may become a risk factor. The objective of this study was to develop and validate an instrument to measure the attitude toward returning to an ex-partner. Methods: A pilot study was conducted to evaluate the dimensionality and psychometric quality of the items. The main study involved 55 women who had been victims of gender violence. Results: Following item analysis and assessments of reliability (α = 0.93) and validity, a unidimensional 16-item scale was developed. The instrument, named the “Attitude Toward Returning to an Ex-partner Scale” (ATRES), allows for the identification of predispositions to return to a relationship in which serious abuse has occurred. Moreover, the findings revealed that a heightened perception of danger, along with forgiveness directed toward oneself, the other person, and the situation, was associated with a less favorable attitude toward reconciliation. Conversely, high religiosity predisposed individuals to rekindle the relationship. Conclusions: The scale could serve to facilitate interventions, mainly in situations where restoring the relationship can be a risk. The assessment of the predisposition to forgive the ex-partner—namely, the individual who perpetrated the abuse—as well as the victim’s attitude toward re-engaging in the relationship, constitute important considerations for preventing revictimization. The ATRES is the first self-report measure designed to assist researchers and professionals in the precise assessment of specific beliefs and myths underlying the reinstatement of a relationship. Full article

Background/Objectives: Despite legal frameworks acknowledging the need to protect the rights of female prisoners, penitentiary systems often neglect gender-specific needs, particularly for foreign women. Among them, Muslim women face distinct challenges linked to cultural and religious practices, which are frequently unmet in prison contexts. This review aims to explore the academic literature on the experiences of Muslim women in detention. Methods: A systematic review was conducted using three major bibliographic databases—Scopus, PubMed, and Web of Science—covering the period from 2010 to 2024. Inclusion criteria focused on peer-reviewed studies examining the condition of Muslim women in prison. Of the initial pool, only four articles met the criteria and were included in the final analysis. Results: The review reveals a marked scarcity of research on Muslim women in prison at both national and international levels. This gap may be due to their limited representation or cultural factors that hinder open discourse. The selected studies highlight key issues, including restricted access to services, limited ability to practice religion, and language and cultural barriers. These challenges contribute to increased psychological vulnerability, which is often underestimated in prison settings. Conclusions: There is an urgent need for targeted research and culturally competent training for prison staff to adequately support Muslim women in detention. Greater academic and institutional attention is essential to develop inclusive policies that consider the intersection of gender, religion, and migration, particularly in the post-release reintegration process. Full article

This study examines the exercise of religious freedom within the Polish penitentiary system, focusing on the intersection of legal frameworks, religious pluralism, and secularization. While Poland’s Constitution and penal legislation guarantee inmates the right to practice their faith, the practical implementation of this right faces systemic challenges. This research draws on legal analysis, demographic data, and existing empirical studies to assess how pastoral care operates in prisons. The findings reveal that although the prison system is formally open to various denominations, access to non-Catholic chaplaincy is often limited and misaligned with the evolving religious composition of the inmate population, especially following increased immigration. The number of chaplains and volunteers remains low relative to the needs of inmates, and pastoral services vary widely across regions. Despite these issues, religious involvement is shown to support rehabilitation by fostering moral development and reducing recidivism. This study concludes that a more inclusive, pluralistic, and flexible approach to prison ministry—one that accounts for both declining religiosity and growing diversity—is essential. Chaplaincy must adapt not only as a provider of religious rites but also as a facilitator of ethical reflection, emotional support, and reintegration into a secular and pluralistic society. Full article

The article seeks to read the contribution of religious practices in prison education within the broader framework of spirituality as a search for meaning in life. It argues that religious engagement can foster cognitive and emotional development, providing inmates with a sense of purpose, community, and resilience that supports their reintegration into society. In light of an exceptional and extremely significant experience with APAC in Brazil’s police-free prison model, the authors aim to highlight the nexus between spirituality and re-education in contexts of deprivation and restriction of personal liberty. Indeed, the APAC (Association for the Protection and Assistance of the Convicted) model, central to this study, emphasizes nonviolent coexistence, responsibility, and spiritual care as part of its rehabilitative framework, with a significant reduction in recidivism rates and costs compared to traditional prisons. The model’s approach, grounded in a collective sense of responsibility and spirituality, aligns with Viktor Frankl’s and Paulo Freire’s theories on meaning and liberation, illustrating how spirituality can transform prison environments and promote social justice. The study concludes that spirituality in prisons not only aids individual redemption but also calls for structural changes to support reintegration, marking a shift towards a more human-centered penitentiary system. Full article

Objective: To describe the characteristics and outcomes of using the Oldfry technology application in older adults, analyzing changes in frailty and fall risk after its implementation. Design and Methods: Observational, analytical, prospective, cross-sectional, and multicenter study conducted in residential centers in Plana Baja (Castellón, Spain). A total of 156 older adults over 65 years old participated, selected based on specific criteria and voluntary consent. Sociodemographic, anthropometric, and clinical variables were collected, including fall history, sensory problems, medication use, and standardized cognitive, nutritional, and functional assessment scales. The study was approved by the Ethics Committee of Universitat Jaume I. Results: The sample included 156 individuals (median age: 84 years). Women showed greater functional dependence (Barthel scale) and cognitive impairment (Pfeiffer scale). The Oldfry device detected frailty with statistically significant differences. A direct relationship was found between greater functional dependence and higher fall risk, as well as between higher comorbidity and increased fall risk. An adequate nutritional status was associated with a lower fall risk. Conclusion: The use of Oldfry is crucial for assessing frailty and fall risk in older adults. Factors such as functionality, comorbidities, and nutritional status directly influence fall prevention, highlighting the importance of technological tools in monitoring these risks. Full article

The criminological approach to relapse is based, on the one hand, on the theories that explain the risk of relapse, including the risk level assessment tools, and on the other hand, on the rehabilitation theories—the Risk-Need-Responsivity (RNR) Model and The Good Live Model (GLM), which explain the mechanisms of reducing the risk of relapse in the assisted desistance paradigm. The objectives of this study focus on identifying the predictors of relapse in correlation with relapse inhibitors that combine a number of personal, psycho-emotional factors with psychopathological, socio-economic, and cultural accents. The method used is that of the case study from the perspective of clinical criminology, referring to forensic psychiatry through specific techniques and working procedures of some institutions in the correctional system—territorial structures of probation (TSP) in cooperation with the penitentiary system. The results of the study focus on the impact of standardized programs on the reduction in the risk of relapse after prison (RRR) and on personal and socio-familial factors involved in post-executional surveillance and post-criminal assistance. In conclusion, the current study highlights the need to corroborate the clinical or subjective assessment of relapse risk with the actual or objective assessment, which also includes the risk of violence in the framework of community monitoring from the perspective of community or social psychiatry. Full article