Magazine article Corrections Today

Conference Workshops Explore a Variety of Correctional Issues

Magazine article Corrections Today

Conference Workshops Explore a Variety of Correctional Issues

Article excerpt

Attendees of the 1998 ACA Winter Conference in San Antonio were treated to a plethora of workshops and seminars on topics from health care to the death penalty. Below are highlights from a few of those workshops.

Managed Care and Preventive Medicine

The most effective way to improve the quality of health care in prisons while reducing costs is to manage health care delivery, including the implementation of preventive medicine, education and the careful management of off-site visits, according to presenters at the "Managed Care and Preventive Medicine in Corrections" workshop.

"As we look at health care in corrections, we realize that you not only have to treat the ill, but you have to prevent them from getting ill in the first place," said Herbert A. Rosefield, assistant director of health services for the North Carolina Division of Prisons. "If we do that, we will automatically reduce costs."

Ernest R. Williams, M.D., medical director of Correctional Medical Services for the Orange County Corrections Division, outlined the obstacles to providing preventive care, including lack of training of correctional health care staff; doubts about the effectiveness of preventive medicine; skepticism about patient commitment; limited reimbursement from insurance companies; and conflicting professional involvement.

Punishment vs. Rehabilitation

In the second of two widely anticipated debates, Joseph D. Lehman, secretary of the Washington Department of Corrections, and Terry L. …

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