
Contents
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Developing a study design to investigate the health impacts of solitary confinement Developing a study design to investigate the health impacts of solitary confinement
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Applying a harms-to-benefits patient-safety framework to assess solitary confinement Applying a harms-to-benefits patient-safety framework to assess solitary confinement
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The harms-to-benefits framework and evaluation of solitary confinement: Pre-clinical testing The harms-to-benefits framework and evaluation of solitary confinement: Pre-clinical testing
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Harms-to-benefits framework and evaluation of solitary confinement: Phase 1 testing Harms-to-benefits framework and evaluation of solitary confinement: Phase 1 testing
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The harms-to-benefits framework and evaluation of solitary confinement: Beyond phase 1 testing The harms-to-benefits framework and evaluation of solitary confinement: Beyond phase 1 testing
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Conclusion Conclusion
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Bibliography Bibliography
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9 First Do No Harm: Applying the Harms-to-Benefits Patient Safety Framework to Solitary Confinement
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Published:December 2019
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Abstract
This chapter explores the scientific, practical, and ethical limitations of studying the physical health effects of solitary confinement. First, the authors describe the strategies that can be used to conduct such research and the limitations inherent in each. Because of these limitations, they then argue for using a harm/benefit analysis (commonly employed by the medical profession to assess the health impact of any intervention) to determine whether the use of solitary confinement is harmful to physical health. Use of that method leads to the conclusion that solitary confinement is harmful, and that the costs to health far outweigh the potential benefits of its use. The authors also describe how in such a situation the medical profession’s response should be to “do no harm,” and they recommend against use of a practice that presents serious health risks to those exposed to it. Indeed, using this approach, many correctional systems have already eliminated the use of solitary confinement for some populations (e.g., juveniles, the mentally ill) based on the determination that its mental health risks outweigh any potential benefits (e.g., prevention of future violence).
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