Ethical Considerations for Research Involving PrisonersIn 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. |
From inside the book
Results 1-5 of 55
... Review Board Centers for Disease Control and Prevention California Department of Correction and Rehabilitation ... IRB IOM JPI LRRB National xvi Acronyms.
... IRB IOM JPI LRRB National Commission NCCHC NIC NIH NIJ NFCMH OHRP ORE OSI PHI PRSA QA QI RA SACHRP SAMHSA SSA TB TQI ... institutional review board Institute of Medicine Justice Policy Institute local research review board The National ...
... review by an institutional review board (IRB), informed consent by subjects, analysis of risks and benefits, protecting privacy, plus further requirements for approval of proposed research. Additional subparts of 45 C.F.R. Part 46 ...
... review of current research revealed that most research involving prisoners is taking place outside the purview of Subpart C, and many prisoner studies are being conducted without IRB review. There is no ethically defensible reason to ...
... IRB is a critical step, but it is not sufficient. Research involving prisoners must be monitored throughout the ... review boards that review and approve research involving prisoners should establish an onsite, ongoing monitoring ...
Contents
1 | |
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 |