Ethical Considerations for Research Involving PrisonersCommittee on Ethical Considerations for Revisions to DHHS Regulations for Protection of Prisoners Involved in Research, Board on Health Sciences Policy, Institute of Medicine National Academies Press, 22. jan. 2007 - 20 sider In the past 30 years, the population of prisoners in the United States has expanded almost 5-fold, correctional facilities are increasingly overcrowded, and more of the country's disadvantaged populations—racial minorities, women, people with mental illness, and people with communicable diseases such as HIV/AIDS, hepatitis C, and tuberculosis—are under correctional supervision. Because prisoners face restrictions on liberty and autonomy, have limited privacy, and often receive inadequate health care, they require specific protections when involved in research, particularly in today's correctional settings. Given these issues, the Department of Health and Human Services' Office for Human Research Protections commissioned the Institute of Medicine to review the ethical considerations regarding research involving prisoners. The resulting analysis contained in this book, Ethical Considerations for Research Involving Prisoners, emphasizes five broad actions to provide prisoners involved in research with critically important protections: • expand the definition of "prisoner"; • ensure universally and consistently applied standards of protection; • shift from a category-based to a risk-benefit approach to research review; • update the ethical framework to include collaborative responsibility; and • enhance systematic oversight of research involving prisoners. |
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... incarcerated in American prisons today. Prisoners are particularly vulnerable to exploitation not only because of their low socioeconomic status, but also due to the realties of prison life. Although conditions are widely variable ...
... incarceration, or detained pending arraignment, trial, or sentencing (45 C.F.R § 46.303[c]). The present regulation's emphasis on custodial detention is too narrow. Of the nearly 7 million persons under adult correctional supervision in ...
... incarcerated or subject to restraints on liberty in connection with community-based alternatives to incarceration). Recommendation: Apply a risk-benefit framework to research review. The Department of Health and Human Services should ...
... incarcerated populations (e.g., repetitive sexual assaults). Studies of this nature could only proceed, however, with a federal-level review. The protocol must be submitted to a national, specially convened panel of experts, who, in a ...
... incarceration, including reduction of recidivism and successful introduction back into the community. Perhaps unavoidably, the criminal justice system inflicts some harm on those it punishes. As ethical people, we strive to develop and ...
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1 Introduction | 21 |
Changing Demographics Health Issues and the Current Research Environment | 29 |
3 Federal Regulatory Landscape | 73 |
4 Defining Prisoners and Correctional Settings | 101 |
5 The Ethical Framework for Research Involving Prisoners | 113 |
6 Systems of Oversight Safeguards and Protections | 137 |
Appendixes | 175 |
B The National Commissions Deliberations and Findings | 191 |
C Report of the SACHRP Subcommittee and Human Subjects Protections | 199 |
Public Welfare Part 46 Protection of Human Subjects | 205 |
E Committee Expert Advisor Liaison Panel and Staff Biographies | 239 |
Index | 253 |