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Sara.Till

The program has two primary targets: incarcerated offenders and the public. It was founded, first and foremost, as a way to treat prisoners in the Rhode Island Adult Correctional Institution. The goal of providing these offenders with basic health care, treatment, and interventions remains at the forefront. Such projects include management of LGBQT youth in correctional facilities, HIV/AIDs prevention/treatment, and substance abuse clinics. More than anything, the program targets inmates who suffer from mismanaged health problem-- often times leading to their incarceration. The secondary goal of the Center is to provide the public and policy makers with their findings, and showcase how human health and imprisonment are linked. This dual-prong approach allows for treatment of both the immediate issue and the causative agent.

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Sara.Till

The program does not appear to have any length or requirements for members of its faculty. As a medical center, obviously those providing patient care need to be licensed medical professionals; however, there does not seem to be a written time commitment or contract for these individuals. Much of the Center's work revolves around on-going studies focusing on providing basic health care and interventions to incarcerated populations. This research is then presented by the Center in several ways: panel discussions, peer-reviewed articles, lobbying of policy makers, documentary films, interviews, ect.  

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Sara.Till

The foundation originally began through a five-year federal grant. Primarily, the foundation receives continued funding from federal grants. The majority of these appear to come from the National Institute of Health and are considered research grants; the prison populations serve as a fantastic resource for observing long-term treatments and disease progression, including methadone usage. Funding also comes from the state level, as RI sees the benefit of continually treating offenders, as their health problems become public health problems upon release. Additionally, there appears to be some private donation and funding as well.

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Sara.Till

As mentioned previously, the program began as an elaboration on the clinical work down by Brown's Warren Alpert Medical School. The school and its associated teaching hospitals have been providing care for incarcerated populations in Rhode Island since the early 1990's. The Center is located in Miriam and serves inmate populations in Rhode Island's state prison, ACI (Adult Correctional Institution). It has been used to model similar fledgling projects in San Diego, Philadelphia, and Maryland.

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Sara.Till

The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health

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Sara.Till

One of the co-founders and current director, Dr. Josiah Rich, began the foundation after realizing the possibilities of treating patients with difficult, life-long diseases in a closed environment. After receiving a 5-year grant in 2002, and inspiration from a recurring patient named Charles Long, Rich began providing basic health care to prisoners in Rhode Island-- specifically focusing on addiction treatments. The foundation began when Dr. Rich and colleague Scott Allen, MD, turned results from this grant into a full-fledged advocacy center. They built on the long-standing tradition of Brown's Warren Alpert Medical School to work in Rhode Island correctional facilities; the inmate population provided an ample source for teaching young physicians, as well as large population well-suited for long-term research studies. While it began as an 5-year study into addiction and incarceration, the Center for Prisoner Health and Human Rights, based in Miriam, has substance abuse rehabilitation clinics, treats HIV/AIDs patients, and studies/treats lifelong infectious diseases such as tuberculosis. 

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Sara.Till

The Center for Prisoner Health and Human Rights believes that failings within public health systems indirectly contributed to the high incarceration rates in America. The program seeks to advocate and educate in order to better the health and human rights of incarcerated populations. It appears to be focusing on educating the public, law/policy makers, and students about issues facing prison populations. It also seeks to address health care issues within the prison systems itself, as many offenders struggle with issues tied to mental health (drug and alcohol abuse, sexual abuse, mental illness, ect.); limited treatment options and prison conditions can often compound these issues, creating a vicious cycle for incarcerated individuals.