Prisons and Health in the Age of Mass Incarceration

A comprehensive examination of the connection between mass incarceration and health

In an age when over two million people are incarcerated in the United States alone, the wide-reaching impact of prisons in our society is impossible to deny, and the paradoxical relationship between prisons and health has never been more controversial. Prisons are charged at the same time with being punitive and therapeutic, with denying freedom and administering treatment, with confining and rehabilitating. And they are not living up to the charge.

Prisons and Health in the Age of Mass Incarceration examines the connection between prisons and health. Based on a decade of empirical research, this book explores the consequences of incarceration on inmates themselves; on the families they leave behind; on the larger communities to which they return; and, ultimately, on entire health care systems at the state and national level. Jason Schnittker, Michael Massoglia, and Christopher Uggen demonstrate that the relationship between incarceration and health is sustained by a combination of social, cultural, and legal forces, and by a failure to recognize that prisons are now squarely in the business of providing care. With an eye to the history that led us to this point, the book investigates these connections and shows how prisons undermine health and well-being.

An evenhanded and comprehensive analysis, this groundbreaking volume demonstrates that the prison system produces unintended and far-reaching consequences for the health of our nation and points the way for a fairer and more effective justice system.

Jason Schnittker is Professor of Sociology at the University of Pennsylvania. He is interested in the social, biological, cultural, and institutional determinants of health, and is the author of Unnerved: Anxiety, Social Change, and the Transformation of Modern Mental Health and The Diagnostic
System: Why the Classification of Psychiatric Disorders Is Necessary, Difficult, and Never Settled.

Michael Massoglia is Professor of Sociology at the University of Wisconsin-Madison. His work focuses on the social consequences of the expansion of the penal system, the relationship between the use of legal controls and demographic change in the United States, and patterns and consequences of
criminal behavior over the life course.

Christopher Uggen is Regents Professor and Distinguished McKnight Professor of Sociology and Law at the University of Minnesota and a Fellow of the American Society of Criminology. He studies crime, law, and justice, firm in the belief that sound research can help build a more just and peaceful
world. He is co-author of Locked Out: Felon Disenfranchisement and American Democracy.

Chapter 1: The Institutional Setting of Prisons and Health
Chapter 2: The Uncertain Legal Mandate of Prison Health Care
Chapter 3: The Effects of Incarceration on the Health of People in Prison
Chapter 4: The Effects of Incarceration on Health after Release
Chapter 5: The Effects of Incarceration on Communities
Chapter 6: The Effects of Incarceration on Healthcare Systems
Chapter 7: The Policy Challenges of Incarceration and Health
Chapter 8: The Collision of Prisons and Health