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
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... protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report: George J. Annas, Department of Health Law, Bioethics and Human Rights, Boston University School of Public Health ...
... Protection of Prisoners Involved in Research, was to explore whether the conclusions reached in 1976 by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research remain appropriate today. The ...
... human subject protection is deficient. The Committee was surprised and disappointed to find that there were no systematic data sources on the quantity and quality of prisoner research in the United States. Committee members searched the ...
... human subject research unless it is funded by a few federal agencies, or the ... protection. Subpart C also only applies to narrowly defined “prisoners,” not ... human subject protection, as is currently the case. The Committee boldly ...
... Protection of Human Subjects of Biomedical and Behavioral Research National Commission on Correctional Health Care National Institute of Corrections National Institutes of Health National Institute of Justice New Freedom Commission on ...
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 |