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This chapter is about how police officers in China enforce anti-prostitution laws. These regulations outlaw the exchange of sex for money or other material goods in all of its forms, and for all individuals who engage in it. Yet in practice, police enforcement primarily targets low-tier sex workers. Of the array of possible sanctions, these women are more likely incarcerated than fined, and they are placed in institutions with a rehabilitative mission that, in practice, is not met. In addition, law enforcement officials often engage in illegal and abusive practices when arresting sex workers. Clients are not completely immune from punishment, but they are less likely to be arrested than are the women they solicit. The major exception to that pattern involves high-profile men whose actions have crossed the Chinese Communist Party (CCP). Their cases are taken out of the hands of street-level police officers and into the world of elite politics, with prostitution charges used to help secure their downfall.
This chapter shows how human sciences researchers in Puerto Rico faced pressure to abandon earlier traditions and embrace the methods and biomedical enterprise of the United States empire’s scientific modernity. Drawing on the history of mental testing and inmate assessment as well as designs for a new penitentiary, the chapter contends that while mid twentieth-century US-American social science engaged in intense processes of othering that aligned with imperial expansion, Puerto Rican social scientists combined US-American psychometrics with older Spanish ethnographic traditions that powerfully resurfaced in the 1940s. These diagnostic and descriptive tools revealed that incarcerated people required discipline, tutelage, and treatment, but that they also had redemptive potential regardless of social difference. Social scientists put mental test results into dialogue with ethnographic narratives of convicts to forge what to them were forward-looking treatment programs, illustrating how racialized racelessness and intersubjective exchanges transformed Puerto Rican corrections for a time. The result was a blended, “creole” nationalist science with decolonial aspirations, although one that was colonial-populist in practice.
Objective: This study aimed to assess and comparatively analyse two menus from a Young Offenders Institution (YOI). One menu from 2019, and one from 2022, with the objective of identifying any improvements in meeting dietary guidelines. Design: Cross-sectional and comparative analysis. Setting: United Kingdom, a YOI in Northern England. Participants: YOI Menus. Results: Analysis of 30 dietary components identified that 25 exceeded the dietary guidelines (P < 0.05) for the 2022 menu, with five failing to meet the guidelines (P < 0.05). When compared to the 2019 menu, the 2022 menu showed improvements in saturated fat, sodium, and vitamin D. Despite the improvement, vitamin D levels remained below dietary guidelines (P < 0.01). Salt and energy content were reduced in the 2022 menu (P < 0.05); however, they were still above the dietary guidelines (P < 0.01). Free sugars were significantly above dietary guidelines for both menus, with no significant change between the 2019 and 2022 menu (P = 0.12). Conclusion: The 2022 menu has demonstrated progress in alignment with meeting dietary guidelines, particularly in reducing calories, fat, saturated fat, salt, sodium, and chloride, as well as increasing vitamin D. Despite improvements, calories, free sugars, salt, saturated fat, sodium, and chloride are still exceeding dietary guidelines, posing as potential health risks.
The arrival of COVID-19 added potentially deadly consequences to incarceration. In response, jurisprudence developed allowing for some to be spared the deprivation of their liberty. However, there is insufficient empirical evidence that this avoidance of incarceration occurred in practice in Ontario. Using fieldwork methods conducted in Ontario criminal courts coupled with data from Statistics Canada, we investigate if a change in the use of incarceration during the COVID-19 pandemic occurred, and if friction emerged between those who may and may not espouse this new outlook. We find a notable and persistent decrease in the use of incarceration, that this was welcomed by many court actors but also that a fatigue with such leniency grew among others. We discuss what this fatigue might signify for the potential longevity of this more exceptional use of incarceration and more largely what this can signify about changes in Canada’s criminal justice system.
Incarceration is a significant social determinant of health, contributing to high morbidity, mortality, and racialized health inequities. However, incarceration status is largely invisible to health services research due to inadequate clinical electronic health record (EHR) capture. This study aims to develop, train, and validate natural language processing (NLP) techniques to more effectively identify incarceration status in the EHR.
Methods:
The study population consisted of adult patients (≥ 18 y.o.) who presented to the emergency department between June 2013 and August 2021. The EHR database was filtered for notes for specific incarceration-related terms, and then a random selection of 1,000 notes was annotated for incarceration and further stratified into specific statuses of prior history, recent, and current incarceration. For NLP model development, 80% of the notes were used to train the Longformer-based and RoBERTa algorithms. The remaining 20% of the notes underwent analysis with GPT-4.
Results:
There were 849 unique patients across 989 visits in the 1000 annotated notes. Manual annotation revealed that 559 of 1000 notes (55.9%) contained evidence of incarceration history. ICD-10 code (sensitivity: 4.8%, specificity: 99.1%, F1-score: 0.09) demonstrated inferior performance to RoBERTa NLP (sensitivity: 78.6%, specificity: 73.3%, F1-score: 0.79), Longformer NLP (sensitivity: 94.6%, specificity: 87.5%, F1-score: 0.93), and GPT-4 (sensitivity: 100%, specificity: 61.1%, F1-score: 0.86).
Conclusions:
Our advanced NLP models demonstrate a high degree of accuracy in identifying incarceration status from clinical notes. Further research is needed to explore their scaled implementation in population health initiatives and assess their potential to mitigate health disparities through tailored system interventions.
This chapter traces the emergence of African American confinement literature in the contemporary African American literary tradition over the past six decades, paying careful attention to the subfield’s examination of racialized and gendered confinement in spaces that include but also extend beyond the carceral geographies of jail and prison. Highlighting the centrality of the literary work of former political prisoner and prison abolitionist Angela Y. Davis to the origins and development of this subfield, this chapter demonstrates how works of African American confinement literature fundamentally eclipse the narrow categorization of “prison writing.” These works explore confinement as both a complicated metaphor for and a recurring lived experience within socially and psychically constricting systems of anti-Black racism, gendered social control, racialized economic exploitation, political repression, and incarceration. In sum, authors of contemporary African American confinement literature draw compelling parallels between the confining racist and sexist institutions and practices from previous eras – such as slavery, the convict lease system, chain gang camps, peonage, lynching, and Jim Crow – and those that persist in the contemporary US carceral state, including racial profiling, state violence, prisoner abuse, policing, and the prison-industrial complex.
This article describes a new type of medical-legal partnership (MLP) that targets the health and justice concerns of people enmeshed in the U.S criminal justice system: a partnership between clinicians who care for people with criminal system involvement and public defenders. This partnership offers an opportunity to not only improve patient health outcomes but also to facilitate less punitive court dispositions, such as jointly advocating for community-based rehabilitation and treatment rather than incarceration.
Chapter 5 deals extensively with tutelle in the late nineteenth century by concentrating on the working lives of minors, mostly as apprentices and domestics. Minors performed a wide variety of tasks, some of them gender-specific. Young girls did mostly household and domestic tasks; boys became apprentices and learned artisanal crafts. Of the artisanal crafts, carpentry was the most popular, but masons, blacksmiths, tailors, seamstresses, and grain pounders took wards as apprentices. In the 1880s and 1890s, the state confided minors to institutions including Catholic missions, though not always to serve as apprentices. Case studies detail the ways in which their labor was exploited and how they responded to coercion and abuse. They reveal considerable delinquency and misery, which sometimes led to incarceration. The relationship between minors and their guardians in work settings was often characterized by discord, even violence. The chapter explores abuses in tutelle including the hiring out of minors without informing French authorities and the refusal of guardians to compensate minors for their labor when warranted. The chapter analyzes complaints lodged by guardians about minors and the ways in which minors exercised agency. It ends with an exploration of sexual exploitation and prostitution.
The effect of individual governmental drug policies and regulations has, in many cases, been the main driving force behind the direction the opioid epidemic has taken in the United States and many countries around the world. Unfortunately these policies have sometimes had dramatically different effects than were initially intended. Changes in policy which allowed for increased availability of opioid medications had the unintended consequence of widespread opioid addiction and overdose deaths. Policies which aimed to crack down on the diversion of these medications from legitimate medical use resulted in the spike in heroin use as those people who were now addicted to opioids had to turn elsewhere. As demand for heroin surged, so too did manufacturing and sales, and as law enforcement targeted illicit heroin trafficking, cartels turned to the more potent and easier to hide synthetic opioids such as fentanyl and carfentanil. It seems that every governmental policy change or new regulation intended to stop the opioid epidemic is met with a creative solution by the people profiting to keep the opioid trade open.
Choosing an appropriate electronic data capture system (EDC) is a critical decision for all randomized controlled trials (RCT). In this paper, we document our process for developing and implementing an EDC for a multisite RCT evaluating the efficacy and implementation of an enhanced primary care model for individuals with opioid use disorder who are returning to the community from incarceration.
Methods:
Informed by the Knowledge-to-Action conceptual framework and user-centered design principles, we used Claris Filemaker software to design and implement CRICIT, a novel EDC that could meet the varied needs of the many stakeholders involved in our study.
Results:
CRICIT was deployed in May 2021 and has been continuously iterated and adapted since. CRICIT’s features include extensive participant tracking capabilities, site-specific adaptability, integrated randomization protocols, and the ability to generate both site-specific and study-wide summary reports.
Conclusions:
CRICIT is highly customizable, adaptable, and secure. Its implementation has enhanced the quality of the study’s data, increased fidelity to a complicated research protocol, and reduced research staff’s administrative burden. CRICIT and similar systems have the potential to streamline research activities and contribute to the efficient collection and utilization of clinical research data.
This last chapter discusses two of Wordsworth’s last poems, written when he was seventy-five – poems about old, poor men in their last days, approaching death. Written in 1846, these poems echo the sea poems of the mid-1830s in that they depict people who have been left lonely and isolated, in this case by the death of loved ones. Wordsworth shows extreme old age as a time of alienation, even when the aged person lives where he has always lived. His family having died, he has no one with whom to practise the daily rituals and routines that renew love and secure identity. Memory and recollection do not suffice to restore the missing presence; the self cannot sustain itself by enshrining the spirit of the past. Expressing this bleak view about the limitations of memorialisation, the poems are in dialogue with Wordsworth’s past work: they depict the aged like the sailor of ‘Composed by the Sea Shore’ and the heroine of ‘The Somnambulist’, but unlike the Wordsworth of The Prelude. They are also in dialogue with a large and noisy public campaign, in which the life, and the death, of the elderly poor was a controversial topic.
We investigate the labour market effects of incarcerating children. Using linked administrative data to track outcomes for English schoolchildren, we estimate an econometric model of transitions between education, custody, employment and NEET (not in employment, education or training), along with earnings for those starting work. We allow outcomes to vary according to the individual’s state in the preceding spell and, by controlling for personal characteristics and unobserved heterogeneity, interpret such variation as capturing causal impacts. For males, the main effect of incarceration is a reduction of more than 10% in the probability of employment. For females, there is no overall impact on employment but, for those entering work, wages are reduced by 25%. These negative impacts suggest roles for policy in deterring delinquency, finding alternatives to custody, rehabilitating those incarcerated and supporting resettlement on release. Appropriate labour market policy may differ by gender, with males needing help to overcome employer discrimination and females needing encouragement to achieve better-paid work.
The end of the Civil War brought freedom to 3.9 million formerly enslaved people. Yet, almost immediately following the war, Southern states started to incarcerate freedpeople at unprecedented rates in an effort to reinstate racial hierarchies in the post-Emancipation era. Not before long, Southern states introduced new carceral institutions, most notably the convict-lease system, under which prisoners were leased out as laborers to private contractors for the duration of their sentence. The emergence of convict leasing has often been portrayed as a programmatic attempt by the Southern whites to find an alternative to antebellum chattel slavery.1 Paying special attention to the sequencing of political events during Reconstruction, I revisit this story by highlighting the role that state capacity and public finance played in the introduction of the policy. As conviction numbers swelled after Emancipation, the carceral capacity of Southern penitentiaries was quickly overwhelmed, prompting Reconstruction legislatures and governors to search for alternatives to conventional imprisonment. I argue that convict leasing emerged from these capacity challenges as a cost-effective solution that initially enjoyed broad bipartisan support. Over time, leasing grew more profitable, both for the state governments and the lessees, and abolition efforts were stalled for decades, even when the system became increasingly abusive. Using a range of archival materials, I illustrate these carceral developments in an in-depth case study of the origins of convict leasing in Georgia.
Edited by
Masum Khwaja, Imperial College of Science, Technology and Medicine, London,Peter Tyrer, Imperial College of Science, Technology and Medicine, London
Violence is more common in prisons than in the community. Mental disorders are over-represented in this population, and are associated with an even higher risk of perpetrating or becoming a victim of prison violence. Violence in this environment has unique characteristics, strongly influenced by gangs and an illicit economy. This chapter reviews the causes and management of prison violence, and the role of the mental health clinician in the assessment and management of violence in prison relating to mental disorder. The early impact of COVID-19 on prison violence is described.
Edyta M. Bojanowska reflects on the significance of Chekhov’s arduous mid-career journey to Russia’s penal colony in the North Pacific, both in terms of the genre-bending book of documentary scholarship that the voyage yielded and in the significant reconsideration of empire, colonization, corporal punishment, and incarceration that Chekhov’s work on the island informed.
A director who has facilitated Shakespeare programmes in prisons for fifteen years in conversation with a former prisoner who served eighteen years and who participated in four of those programmes. The authors explore the ways in which performative Shakespeare programmes fill a niche otherwise unoccupied in the prison system – a recreational programme that offers opportunities for collaboration, growth and the development of empathic and communication skills that are not constrained by a deficit-based and outcome-oriented pedagogy. The programme offers models of camaraderie and support that are not ‘in opposition to’ other groups, and promotes collaborative over individual achievement. The development of intrinsic motivation is a key component in functioning as a free citizen, but is actively discouraged by the correctional system. Prison Shakespeare programmes develop these skills in addition to offering a practical critique to the model of ‘toughness’ promoted by the prisoners’ own cultural milieu. The chapter speaks to the value of recreation for its own sake, and how it can be a vital component in both education and rehabilitation precisely because it does not set out to do either.
African American Literature in Transition, 1980–1990 tracks Black expressive culture in the 1980s as novelists, poets, dramatists, filmmakers, and performers grappled with the contradictory legacies of the civil rights era, and the start of culture wars and policy machinations that would come to characterize the 1990s. The volume is necessarily interdisciplinary and critically promiscuous in its methodologies and objects of study as it reconsiders conventional temporal, spatial, and moral understandings of how African American letters emerged immediately after the movement James Baldwin describes as the 'latest slave rebellion.' As such, the question of the state of America's democratic project as refracted through the literature of the shaping presence of African Americans is one of the guiding concerns of this volume preoccupied with a moment in American literary history still burdened by the legacies of the 1960s, while imagining the contours of an African Americanist future in the new millennium.