LIFESTYLE IN
PRISONS
HEALTH PROMOTION ASSIGNMENT
INDEX
A.
B.
C.
Descriptions of goals:............................................................................... 6
D.
E.
Conclusions.................................................................................................... 14
References:.................................................................................................... 15
Annexes......................................................................................................... 16
Personal Assignments...................................................................................... 19
Maria Malgorzata Wasylkowska (196816 PIV).....................................................20
Laura Garriga Plaza (220725 PIV).....................................................................22
Irina Elena Micu (220718 PIV) ..........................................................................25
Ciprian Marius Rotariu (220723 PIV)..................................................................26
low-income
and
minority
neighborhoods.
They
concentrate
Health Issue:
Regarding health and health promotion prisons pose special considerations due
to the nature of their unique environment. Possibilities and options are limited
for work alternatives and many inmates may have both medical and social
conditions that increase their risk of unhealthy lifestyle.
As prisons good health is very important to general public health, and as
prisons are not closed-off worlds, the health of prisoners is becoming a public
health priority of concern to society in general (Public Health, 2005)l; it seems
2
Health need:
According to the WHO definition of the health need is the objectively determined
deficiencies in health that require health care, from promotion to palliation. 1
According to the professional view point is understood as health needs, the
need for health care, recognized by health professionals and the benefits of it
through counseling and the prevention, management, specific treatment;
By other way the scientific view understand too the biological, anthropometric or
psychological factors, expert opinion or the passage of time;
The perception of this needs could change between the personal perspective of
the own person's needs, and the professional point of view. For this reason is
important to work with the prisoners in that case, to know what they feel that
they need, and what the professionals of the health recommended to arrive to a
perfect intervention and with the best results.
Health Promotion:
As we know, health promotion is the process of enabling people to increase
control over and to improve, their health. To reach a state of complete physical,
mental and social well-being, a group must be able to identify and to realize
aspirations, to satisfy needs, and to change or cope with environment.
The WHO European Health in Prisons Project after 10 years: Persistent Barriers and
Achievements; Am J. Public Health 2005 October, 95(10)
The Probation Service is on any given day of the year responsible for about
14ooo people, including approximately 4300 in prisons and jails and about 9700
in various forms of supervision. Convicted persons are normally placed in an
open prison. There occur, however, some cases where inmates are placed in a
closed prison. The Service has 36 custody places, 5 closed, 8 opened prisons
and Copenhagen Prisons, which is a common name for three prisons.
In 2013 The Prison Service had an average capacity of 4126 places, divided
between 909 in closed prisons, 1358 in opened prisons and 1859 people under
arrest.
On a specific date, 10th December 2013, 95% of imprisoned were men,65% of
sentenced inmates were between 20 and 39 years old, 89%were serving
sentences of longer than 4 months, 82% of sentenced prisoners were Danish
citizens, 26% had no-Danish ethnic background.
11, 5%inmates have not completed any education or training at all and this
includes basic schooling. In this group most of prisoners are under 24 years old
it is them who have the poorest educational background; the figure for
inmates older than 35 is 8%. One out of four states that they have completed
5
C. Descriptions of goals:
Our principal goal is to create new practical applications by using models as
the mainly empowerment and the educational model too. We are going to
explain this along the assignment.
Our goal through the empowerment model is give to the prisoners the tools to
learn how to live by their own and sustain themselves, developing their own
skills. But at the same time we hope that they develop to another skills like
socialize, work in groups, to be responsible, independent, optimistic and also to
learn how to cook all that is going to be use for the first goal about grow as a
person.
About the Educational model we want to get with that a new form to give
information about what healthy means and how it affects to our life, but what is
more, how to have a healthy life in prison. We are going to develop that through
the food and the P.A., learning how to take care of the body preventing obesity
and Sedentary.
We are making a link between how the food affects to the Physical Health but
we are thinking too in the mental health as an important issue relationed with
the food and P.A.
That kind of methods that we are planning involve the necessity of be healthy
and learn how to continue being healthy and having habits to develop outside
too.
When we talk about have new habits in and outside of the prison we are making
a relation with the empowerment model because we need the people choosing
that live style as a choice not as an obligation to continue it.
learning techniques allow people to examine their own values and beliefs and
explore the extent to which factors such as past socialization as well as social
location affect the choices they make.
To reach a state of complete physical, mental and social well-being, a group in
our case- must be able to identify and to realize aspirations, to satisfy needs
and to change or cope with the environment prison, in our case.
The concept that we are using educational and self-empowerment.
Educational to provide information and create well informed people
Self-empowerment to empower choice and foster person growth.
The empowerment model is not the only one that we can use. Another one is
the educational model which can help us to teach prisoners to discover many
ways for training their body, their mind and their social skills. A good method for
giving them this information is using a teacher, a coach or a psychologist.
The examples are the best way to teach someone how to act. A person who
was in the same situation and succeeded to maintain a good health using H.F.,
making physical exercises is the most powerful motivation for making a change.
Health education is one of the instruments of social change. If the prisoners
adopt a H.L. in prisons they will also promote it outside, when they will get out.
We think that this will be a good thing for community, because a H.L. eliminates
the stress and the recidivism rate is lower. The prisoners also can be an
example for the peoples from outside, because the most often situation in
prisons including violence. Adopting a H.L. is a big step in changing the life of a
prisoner.
For all this to be possible is necessary to hold a good collaboration between
institutions The most important institutions which can help in producing a big
change in a prisoner life are The Church, the Municipality, the Hospital, the
School and the NGOs
Statistikberetning
2013,I:
statistikberetninger-1365.aspx
Kriminalforsorgen
http://www.kriminalforsorgen.dk/rlige-
10
Personal goals related to H.F. and P.A. written in the individual plan,
so a prisoner could consider it as a contract and by signing get a better
motivation and take responsibility for his/hers actions - f.eg. I will go for
a walk every day despite the weather or I will eat a fruit a day, etc.
Rewards for those, who eat H.F. or do P.A. in form of f.eg. Longer
family visit time;
11
12
Creating a small farm with animals, which can give some product
hens (eggs), nanny goats (milk);
Making one day of the week day without sugar or fruit day and the
like promoting that idea by advertising on the walls, by loudspeakers,
serving on that day particular kind of food(without sugar or fruit salad,
etc.);
The principal consequences that we are predicted and that we expect are give
to the prisoners better Health and Physical condition preventing the obesity and
the sedentary.
At the same time they are developing and working in their mental health,
improving social skills, all that through the develop of a better self-motivation to
do all these things.
And finally that kind of activities come to improve daily life, giving to the
prisoners a better life quality, both in the prison as outside because they are
getting and changing their habits / behaviors regarding healthy eating and
making P.A.
By that way it can help to increase their self-esteem, self-confidence; and we
hope that it will help them to continue this kind of lifestyle afterwards when they
are free, so it will prevent recidivism, lowering the number of recidivists and that
they will come back to the society as more aware and developed people.
After explain all our program and ours proposed activities we need to be clear
in that:
We are working with persons and sometime we dont get all what we want
because
13
The people is unpredictable but we have expectations and of course all the new
projects needs to be tested.
[1] Self-empowerment and empowerment of the groups
Conclusions
The main motto of our project is Prisoners are entitled to the same
level of medical care and social security as well as people from the
community.
First of all, with our project we want to give the prisoners the tools to
learn how to live healthy by their own and sustain themselves, developing their
own skills. But at the same time we hope that they develop other skills like
socialize, work in groups, to be responsible, independent, optimistic and also to
learn how to cook all that is going to be use for the first goal about grow as a
person.
Using the methods that we presented we want to get a new form to give
information about what healthy means and how it affects to our life, but what is
more, how to have a healthy life in prison.
The principal consequences that we are predicted and that we expect
are to give the prisoners better Health using healthy food and Physical condition
preventing the obesity and the sedentary.
And finally, that kind of activities will come to improve daily life, giving to
the prisoners a better life quality, both in the prison and outside because they
are getting and changing their habits / behaviors regarding healthy eating and
making physical activities.
14
References:
Expert Committee on Health Statistics. Fourteenth Report. Geneva, World
Health Organization, 1971 (WHO Technical Report Series No. 472, pp 21-22).
3.
training
request.2nd
revised
edition
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449422/
4.
Statistikberetning
2013,I:
Kriminalforsorgen
http://www.kriminalforsorgen.dk/rlige-statistikberetninger-1365.aspx
15
Annexes
16
Annex 1
Visit in Hobros custody
One of our group members (Maria) has visited a prison in Hobro, where
inmates are remanded in custody until their trial. We are fully aware of that this
place might be different from other, bigger prisons in the country and that the
prisons environment may differ from the conditions the detainees are under.
We believe though, that it gives anyhow the impression of Denmark`s inmates`
general situation. There is a short description of the visit:
On Thursday, 23rd Oct. 2014 I had the chance to visit Hobros custody, where I
participated in the Danish lessons and thus had possibility to see the place and
talk both to the personnel and the prisoners. I will present below my
observations related to the assignments subject.
Prisoners live mainly in 1 persons cells 5 square meter of size. They can visit
each other 1 by 1 from 16.00 to 21.00 in their cells.
Inmates get 1 hour walk and this is optional, i.e. they can choose self if they will
participate in it or not. Walking places are relatively small, surrounded by walls
and covered with a metal net. Prisoners can also use custodys well equipped
fitness center - 3 times a week 1 hour at a time.
Inmates prepare breakfast for themselves in their cells and get prepared meal 2
times a day. Food comes from outside in frozen boxes, a prisoner who is
responsible for making food unfreezes it, warms up and delivers to the others in
their cells. There is possibility to buy different products 2 times a week from a
local merchant who charges a lot more (that is what my interviewees told me)
than in his shop outside.
Internet
is
available
in
one
place
education
room
via
KUP
3.
4.
5.
Doctor comes 1 a week and deals with patients; there is also places,
where a nurse is employed full time;
18
Personal Assignments
19
relevant
to
developing
personal
skills,
supportive
system
20
departments
for
alcohol/drugs addicted
H.F.:
Dk
Pl
The food is delivered in frozen boxes Meals
cooked
at
the
place;
and warmed up
nutritionist employed by institution
The food prices in the shop are high. In The prices in the prison shop are
principle all products also fresh high/limited assortment available
vegetables/fruit are available
Possibility of cooking for themselves in Possibility in opened prisons, selfopened
prison,
required
available
P.A.:
Right to walk outside 1 hour/day
1 hour walk/day
Right to use a gym 1 hour 3 times a Gym only in opened prisons
week
My observation is that the Danish prisoners are given more possibilities to be
involved in decision-making processes regarding everyday situations, which is
essential for authentic participation in development of any kind.
References:
WHO, February 2006: What is the evidence on the effectiveness of
empowerment to improve health? Health Evidence Network
development of prison health systems and their links with public health systems
and on technical issues related to communicable diseases (especially
HIV/AIDS, hepatitis and tuberculosis), illicit drug use (including substitution
therapy and harm reduction) and mental health.
Enjoyment of the highest attainable standard of physical and mental health is a
fundamental human right. Prisoners should therefore have the same standard
of medical care as people living in the community. (Moscow Declaration, 2003)
By
other
way
WHO/Europe
provides
technical
assistance
and
"The Contract Section has its own greenhouse Where They grow
vegetables in summer and their own little workshop Where They make candles
and repair bicycles"
While in S. we can see that there are some programs with orchards in the
prisons, like the new model has been launched in Lledoners (A Catalonia's
prison). Its being tested as a model of peaceful coexistence based prison and
responsibility, where inmates undertake to enter into a scheme of life without
22
drugs and violence, and the lifestyle is defined by three words: accountability,
participation and sharing.
This Model its relation on the experience of the Nordic countries and aims to
improve the social climate, the relationship between the internal and the officer
and prevent recidivism. The prisoner is committed to participating in a scheme
of life without drugs and violence and instead takes on a whole set of
responsibilities "normalize life in prison."
References:
Agrupacin de los cuerpos de la Administracin de Instituciones Penitenciarias
(Corps
grouping
the
Administration
of
Prisons)
Statistics
From
https://www.acaip.es/areas/informacion-general/estadisticas
World Health Organization: Regional Offiice for Europe (2014) . WHO Health in
Prisons
Programme
(HIPP).
From
http://www.euro.who.int/en/health-
topics/health-determinants/prisons-and-health/who-health-in-prisonsprogramme-hipp
23
http://www.qcea.org/wp-content/uploads/2011/04/rprt-wip2-denmark-en-
feb-2007.pdf
Herraiz, Pepe (2014) La primera zafra del huerto teraputico del Centro Penitenciario
Las Palmas I. Las Palmas actualidad.
From http://laspalmasactualidad.com/la-
primera-zafra-del-huerto-terapeutico-del-centro-penitenciario-las-palmas-i/
Country: Romania
Healthy lifestyle in Romanian prison... Every time when I talk about this
subject I feel a bit disappointed. From my experience with inmates and also,
when I visited the prisons I discovered a lot of problems like: poor housing
conditions, unhealthy food, the inmates are sedentary, they don't have their own
space, they are living with other 15 maybe 20 peoples in the same room.
After a long documentation, I observed a big difference between point of
view about health in Danish prisons and point of view about health in Romanian
prisons.
Danish prisoners are getting more facilities which can give them the
chance to have a healthy life. I read about the possibility to use a fitness center.
Making a comparison, this is impossible in Romanian prisons and I think it is a
bad thing for inmates. They have a sedentary lifestyle which can lead to obesity
or the occurrence of many diseases and, to have a fitness center would be a
chance for many inmates to change something. If they learn in prison to have a
physical active program, they can also promote it outside.
Other things that caught my attention are the living and hygiene
conditions. In Denmark, prisoners live mainly in 1 persons cells 5 square meter
of size. In Romania, as I said before, the inmates share a room with other 20
peoples. They are allowed to take shower once per day and they have to use a
communal toilet. In my opinion, all this conditions can affect both the mental and
physical health.
There are also some commune things. The prison has a doctor for
inmates, there are also: a psychologist, a priest and more teachers who try to
help the prisoners.
In conclusion, I think that Danish prisons offer to inmates the opportunity
to have a healthy life, even if they are not in freedom with their families. On the
other side, the Romanian prisons don't give to the prisoners the chance to have
a normal life, with normal things which can determine a healthy life.
25
and
26
celebrate mass ,he comes once a week; the adviser comes after a person is
arrested and talk with them about economical, personal situation; the doctor,
comes once a week and deals with patients ,there is also a nurse who is
employed full time; the prisoners can participate in Danish lessons,
mathematics, English or social studies lessons because teachers inmates are
offered education. The prisoners live mainly in one person`s cells five square
meter of size, they can visit each other one by one from 16:00 to 21:00 in their
cells, prisoners can also use custody`s well equipped fitness center.
27