March 16: Jails, Prisons and Correctional Health (Faculty: Alda, Ari)

11:30 - Cars from CHCC to Rikers
 
PLEASE BRING YOUR MONTEFIORE IDs

12:30 – 5:00 Riker’s Island 19-19 Hazen St., East Elmhurst, N.Y. 11370

Ross MacDonald, MD: 
Deputy Medical Director of the Bureau of Correctional Health Services, NY City Department of Health  718-579-1511; rmacdonald@health.nyc.gov

Readings:

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For many residents, Riker’s Island is the high point of  the month. You will get a first hand feel for what it is like to be in jail, and will learn about correctional health care and its impact on public health.  We will finish the day with a stop at a restaurant in Astoria, to unwind and talk about Riker’s. 

We will be traveling in cars, just to the Queen’s side of the Riker’s Island Bridge, where a DOH van will pick us up and take us the rest of the way.

Bring your hospital ID’s and driver's license – you will need this identification to get in.

No electronic devices (cell phones, pagers, etc). Either leave them at home or we’ll lock them in our cars.   

Please wear comfortable, conservative, somewhat professional-looking clothing and comfortable shoes (no jeans or potentially provocative clothing).  I have been doing prison visits for 25 years now, and we will be doing a lot of walking.
 

Riker’s Island:  So many of our patients or their family members have been incarcerated, and it is critical for us to have some sense of what jails and prisons are like.  I believe that imprisonment has a powerful biopsychosocial impact on patients and their families, affecting health, and impeding health care. Along with illiteracy, having spent time in jail is something that our patients are reluctant to tell us about.  They are ashamed of these things, and fear that we will think less of them, and treat them differently if we know. On the other hand, patients expect us to be old and worldly-wise (beyond our years and life circumstances), e.g., to know about what being in jail is like.

 The correctional system reflects social disparities and injustice in our society -- Riker's is not a prison, where individuals convicted of crimes serve their sentences.  It is a jail, for individuals who have been arrested and accused of crimes (most often substance-related), but cannot afford the few dollars needed to make bail.

Riker's is immense.  Until the fall of the Soviet Union, Riker's had the distinction of being "the largest jail in the world outside the Gulag." Now it is simply the largest jail in the world.

The thousands imprisoned at Rikers are the poor and disenfranchised of our inner city.  And their health care is the health care of our community.

 For many years Montefiore provided the medical care at Rikers. Currently, the NYC Department of Health closely oversees medical care that is delivered at Rikers by a private prison health company.               

We will be meeting with Ross MacDonald, a social med grad, who is now Deputy Medical Director of the Bureau of Correctional Health Services

 

Please see Noga Shalev’s article on public v private health care at Riker’s.

 

Some questions I would like you to think about and ask the staff at Riker’s:

  1. What are the public health effects of the high rates of incarceration in the United States?
  2. What about the impact on a community like the South Bronx?
  3. Do you have patients whose physical or mental health or health care have been impacted by incarceration?
  4. What health services are available at Rikers Island?  How are inmates evaluated?  What are the most important health problems that need to be addressed?  Are there measures to ensure quality of care?  Do patients receive appropriate mental health treatment or treatment for addiction?
  5. How does the charge of the Department of Corrections conflict with that of the Department of Health?
  6. What are the barriers to health care post-incarceration?
  7. What are possible models to engage individuals in care following incarceration?
  8. How can CHCC get involved in the care of individuals following incarceration?
  9. What can/should be done to reduce rates of incarceration and to prevent re-incarceration?

 

Directions to Rikers from Montefiore via RFK/Triboro Bridge:

Start: 111 E 210th St Bronx, NY 10467   End: 1919 Hazen St East Elmhurst, NY  Time: 22 minutes   Distance: 12.34 miles

  1. Go WEST on E 210TH ST toward STEUBEN AVE
  2. Turn RIGHT onto KOSSUTH AVE.
  3. Turn SLIGHT RIGHT onto DEKALB AVE. 
  4. Turn RIGHT onto E GUN HILL RD. 
  5. Merge onto BRONX RIVER PKWY S toward SOUND VIEW PK.        
  6. Take the E 177 ST exit- EXIT 5- toward I-895 S / SHERIDAN EXPWY / TRIBORO BR. 
  7. Turn SLIGHT RIGHT onto E 177TH ST. 
  8. At light, go STRAIGHT, then Bear RIGHT and Merge onto I-895S /SHERIDAN EXPY to TRIBORO BR .
  9. Go over TRIBORO BR., to Queens, and continue STRAIGHT onto the GRAND CENTRAL PKWY E for a short distance
  10. Take the ASTORIA BLVD EAST exit- EXIT 5- toward MARINE AIR TERM / 82 ST.  
  11. Stay STRAIGHT to go onto ASTORIA BLVD S. (GC Pkwy eastbound is on your left)
  12. Turn SLIGHT LEFT onto 23RD AVE . (GC Pkwy  eastbound is on your left)
  13. 23RD AVE becomes GRAND CENTRAL PKWY Service Road . (GC Pkwy eastbound is on your left)
  14. Turn LEFT onto 82ND ST, and go over the GRAND CENTRAL PKWY
  15. 82ND ST becomes DITMARS BLVD
  16. Turn LEFT onto ASTORIA BLVD N / GRAND CENTRAL PKWY (GC Pkwy westbound is on your left).
  17. Turn LEFT onto 80th ST – continue on 80th ST
  18. Continue on 80th ST, through intersection with 21st ST
  19. after passing intersection with 21st AVE, road will as road begins to curve to the left -- you should stay to your RIGHT, curve/turn to the RIGHT to stay on 80th ST
  20. Turn LEFT on 19th AVE
  21. Turn RIGHT onto Hazen ST.
  22. Turn RIGHT into Parking Area just before the RIKERS ISLAND BRIDGE.
  23. Park your car and walk to the trailers at the RIKERS ISLAND BRIDGE side of the parking lot

End at Hazen St & 19th Ave      Flushing, NY 11370, US

 

Directions to Rikers from CHCC

7.4 miles, 17 minutes





1.
Head west on E 161st St toward Concourse Village E
About 1 min


2.
Slight right toward Macombs Dam Bridge
About 1 min


3.
Turn left onto Macombs Dam Bridge
About 1 min


4.
Turn left toward I-87 S


5.
Take the Interstate 87 S/Major Deegan Expressway ramp to Triboro Bridge Queens


6.
Merge onto I-87 S
About 2 mins


7.
Take the exit onto I-278 W toward Triboro Bridge/Manhattan Queens
Partial toll road
About 5 mins


8.
Take the exit toward 31 St/Astoria Blvd/Interstate 278 Alternative


9.
Slight left onto Grnd Cntrl Parkway Entrance Eb/Hoyt Ave S/Truck I-278
Continue to follow Truck I-278
About 2 mins


10.
Turn left onto Steinway St
About 3 mins


11.
Turn right onto 20th Ave
About 1 min


12.
Turn left onto Hazen St
Destination will be on the right
About 1 min


19-19 Hazen St, East Elmhurst, NY 11370

 

Directions to Rikers from Montefiore via Whitestone Bridge:

Start: 111 E 210th St Bronx, NY 10467   End: 1919 Hazen St East Elmhurst, NY 1370  Via Whitestone Bridge  Time:27 minutes  Distance:14.91 miles

  1. Start out going WEST on E 210TH ST toward STEUBEN AVE
  2. Turn RIGHT onto KOSSUTH AVE
  3. Turn SLIGHT RIGHT onto DEKALB AVE
  4. Turn RIGHT onto E GUN HILL RD
  5. Merge onto BRONX RIVER PKWY S toward SOUND VIEW PK
  6. Take the PELHAM PKWY exit- EXIT 7E
  7. Turn SLIGHT RIGHT onto US-1 N / BRONX AND PELHAM PKWY E. Continue to follow BRONX AND PELHAM PKWY E
  8. Take the HUTCHINSON PKWY SOUTH ramp toward WHITESTONE BR / QUEENS. 
  9. Merge onto HUTCHINSON RIVER PKWY S (Portions toll). 
  10. HUTCHINSON RIVER PKWY S becomes I-678 S 
  11. Merge onto GRAND CENTRAL PKWY W via EXIT 13 toward LA GUARDIA AIRPORT/TRIBORO BR 
  12. Take EXIT 5 toward MARINE AIR TERM / 82 ST / TERMINAL A
  13. Stay STRAIGHT to go onto ASTORIA BLVD N / GRAND CENTRAL PKWY. Continue to follow ASTORIA BLVD N
  14. Turn LEFT onto 80th ST – continue on 80th ST
  15. Continue on 80th ST, through intersection with 21st ST
  16. after passing intersection with 21st AVE, road will as road begins to curve to the left -- you should stay to your RIGHT, curve/turn to the RIGHT to stay on 80th ST
  17. Turn LEFT on 19th AVE
  18. Turn RIGHT onto Hazen ST.
  19. Turn RIGHT into Parking Area just before the RIKERS ISLAND BRIDGE.
  20. Park your car and walk to the trailers at the RIKERS ISLAND BRIDGE side of the parking lot

End at Hazen St & 19th Ave, Flushing, NY 11370, US

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