Conditions of Confinement in U.S. Carceral Facilities During COVID-19: Individuals Speak-Incarcerated During the COVID-19 Epidemic.

Nicole Cassarino, Harika Dabbara, Carla B Monteiro, Arthur Bembury, Leslie Credle, Uma Grandhi, Ankita Patil, Samantha White, Monik C Jim��nez
Author Information
  1. Nicole Cassarino: Tufts University School of Medicine, Boston, Massachusetts, USA.
  2. Harika Dabbara: Brigham & Women's Hospital, Department of Medicine, Division of Women's Health, Boston, Massachusetts, USA.
  3. Carla B Monteiro: Brigham Health Bridge Clinic, Boston, Massachusetts, USA.
  4. Arthur Bembury: Partakers Organization-College Behind Bars, Auburndale, Massachusetts, USA.
  5. Leslie Credle: National Council for Incarcerated and Formerly Incarcerated Women and Girls, Roxbury, Massachusetts, USA.
  6. Uma Grandhi: University of California Santa Cruz, Santa Cruz, California, USA. ORCID
  7. Ankita Patil: Brigham & Women's Hospital, Department of Medicine, Division of Women's Health, Boston, Massachusetts, USA.
  8. Samantha White: Duke University School of Medicine, Durham, North Carolina, USA.
  9. Monik C Jim��nez: Brigham & Women's Hospital, Department of Medicine, Division of Women's Health, Boston, Massachusetts, USA.

Abstract

Objectives: We aimed to describe conditions of confinement among people incarcerated in the United States during the coronavirus disease 2019 (COVID-19) pandemic using a community-science data collection approach.
Methods: We developed a web-based survey with community partners to collect information on confinement conditions (COVID-19 safety, basic needs, support). Formerly incarcerated adults released after March 1, 2020, or nonincarcerated adults in communication with an incarcerated person (proxy) were recruited through social media from July 25, 2020 to March 27, 2021. Descriptive statistics were estimated in aggregate and separately by proxy or formerly incarcerated status. Responses between proxy and formerly incarcerated respondents were compared using Chi-square or Fisher's exact tests based on ��=0.05.
Results: Of 378 responses, 94% were by proxy, and 76% reflected state prison conditions. Participants reported inability to physically distance (���6 ft at all times; 92%), inadequate access to soap (89%), water (46%), toilet paper (49%), and showers (68%) for incarcerated people. Among those receiving prepandemic mental health care, 75% reported reduced care for incarcerated people. Responses were consistent between formerly incarcerated and proxy respondents, although responses by formerly incarcerated people were limited.
Conclusions: Our findings suggest that a web-based community-science data collection approach through nonincarcerated community members is feasible; however, recruitment of recently released individuals may require additional resources. Our data obtained primarily through individuals in communication with an incarcerated person suggest COVID-19 safety and basic needs were not sufficiently addressed within some carceral settings in 2020-2021. The perspectives of incarcerated individuals should be leveraged in assessing crisis-response strategies.

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