Prison Hospice seeks to implement the principles of palliative care in a variety of health care settings in correctional facilities. Restrictions of this environment can present hospice caregivers with difficult barriers to care.

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Grace Before Dying

Grace Before Dying is a photographic exhibition by Lori Waselchuk about hospice in prisons.

"Lori Waselchuk's vision finds the humane in the broadest landscape or interior view while her passion provides us all with the chance to experience it in close—so close—and deeply." ~ Roy Flukinger, Senior Research Curator at the Harry Ransom Center

Grace Before Dying charts the extraordinary breakthrough in humanity that has helped transform one of the most dangerous maximum security prisons in the United States, Louisiana's notorious Angola prison, into one of the least violent. Poignant quotes from the incarcerated hospice volunteers and patients accompany the searing photographs set in a carefully built sequence that charts the development of a culture of caring and compassion that challenges stereotypes of incarcerated people, and provides an intimate perspectives on what long-term and life sentences signify for those inside.

http://www.gracebeforedying.org/

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  • DOCUMENTARY TELLS ABOUT PRISON-BASED HOSPICE PROGRAM

    With nearly 2.5 million men and women behind bars and a large
    percentage of them serving long-term sentences, end-of-life concerns in
    the correctional setting are rapidly becoming a critical issue.

    An award-winning filmmaker at the University of Illinois at Chicago is
    working on a feature-length documentary aimed at sparking dialogue on
    this looming problem facing U.S. prisons.

    Edgar Barens, visiting media specialist with UIC's Jane Addams Center
    for Social Policy and Research, says "Prison Terminal" breaks through
    the walls of one of America's oldest maximum-security prisons to tell
    of the final months in the life of a terminally ill prisoner and the
    trained hospice volunteers -- they themselves prisoners -- who care for
    him.

    Shot over a six-month period inside the Iowa state penitentiary, the
    film draws attention to the fragility as well as the holistic benefits
    of a prison-based, prisoner-staffed, hospice program and provides an
    account of how the hospice experience can touch the forsaken lives of
    the incarcerated.

    "'Prison Terminal' brings to light the deeply redemptive effects
    hospice has on the prisoner volunteers as they guide their ailing
    friend through a dignified death, surrounded by friends and family,"
    Barens said.

    "Prison Terminal" is one of several projects currently underway at the
    Jane Addams Center for Social Policy and Research, which is directed by
    Creasie Finney Hairston, dean of the Jane Addams College of Social
    Work
    . The center's mission is to bring together the resources of
    academic institutions, community and advocacy groups to advance
    social-welfare policies and programs that meet the needs of urban
    communities, poor families, and the incarcerated.

    For more information about the film or to view the trailer, go to
    http://www.prisonterminal.com

    The film, currently in post-production, is scheduled for distribution
    by fall. Prior to "Prison Terminal," one of Barens' most significant
    films was "A Sentence of Their Own," a documentary on the impact
    incarceration has on families.
  • I can give you a contact that you might explore this with. We will be featuring a prison hospice in an upcoming issue of Hospice Volunteer News.
  • Michigan, especially, the upper peninsula, has many prisons. I approached our prison system a few years ago regarding hospice volunteers and was met with great interest by the new prison medical director. However, the facility I was working for at the time did not want to pursue this. Any suggestions how I could do this on my own?
  • Your work with prisoners sounds great, Irene. Regarding prison hospice, you might be interested in viewing (if you haven't viewed them already) my prison hospice Forum comment and video that were posted on this HCF website before you joined.
  • =====================

    The California Correctional Medical Facility State Penitentiary for Men in Vacaville California, houses 30 angels behind bars.

    These angels are state accredited hospice volunteers serving their fellow inmates in the medical facility hospice with the Pastoral Care Service Program [PCS], co-ordinated and implemented by Chaplain Kieth Knouf, .

    This 17 bed hospice, dedicated to the memory of Robert Evans Alexander in the spring of 1993, was the first of what are now 58 prison hospice programs in the USA.

    Robert Alexander and his wife Nancy Jaicks Alexander, former staff to the late pioneering thanatologist Elisabeth Kubler-Ross M.D., began volunteering their services to inmates with AIDS in 1985.

    Recognizing the need for support and the desire of inmates to activate the heart, Jaicks trained the first core of volunteers to serve the dying in 1991..

    As the first volunteer for inmates with AIDS in 1983, I returned this month after 15 years, as Jaick’s guest , to teach a class in touch awareness to this amazing group.

    The skill of positioning pillows and towels or other soft props as a means of comforting painful and uncomfortable symptomology, was received with full attention.
    .

    What a blessing to speak to a group who clearly understand the need to explore compassion as a path for a peaceful existence. How glorious to see human beings so willing to touch the heart fully, serve so passionately and forgive so deeply.

    The tour of the hospice facility touched me in many ways as well, from the way that the cultural spiritual beliefs of the inmates are encouraged and honored to the flower pots lined up outside the hospice where inmates can plant a seed before they die

    I experienced true testimony to the hope and spirit that has been created in a place where some might imagine extreme darkness.

    I left feeling humbled that I have the opportunity to be present as a witness to such profound healing, and excited that I will return in July with Nancy Jaicks Alexander, July 24th, to offer a full day Everflowing workshop in advanced vigil care, to these angels behind bars.

    Blessings and Gratitude

    Irene Smith www.everflowing.org
    The hosting account for www.everflowing.org expired.
  • Some good sources of information on Prison Hospice are:

    National Hospice Prison Association (NHPA) promotes hospice care for terminally ill prisoners. Their purpose is to assist corrections and hospice professionals in their continuing efforts to develop high quality patient care procedures and management programs. They provide a network for the exchange of information between corrections facilities, community hospices, and other concerned agencies about existing programs, best practices, and new developments in the prison hospice field.

    The National Hospice Document Repository (NHDR) contains some documents on Prison Hospice from NHPA that are accessible through the NHDR Document Index. To access them, click here.
This reply was deleted.

Who Cares About Dying Prisoners?

                  Each year, more than 3,000 men and women die in prisons. It is estimated that 20% of America’s prison population will be elderly by 2025. Many will eventually need quality end-of-life care. Some people will ask, “So what? Did these prisoners treat their victims with dignity? Why be concerned about their death journeys?” One response is that people are more than the worst things they ever did. Another is that society should be held to a higher standard of treating prisoners…

Read more…
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Surviving Hospice: A Chaplain's Journey into the Big Business of Dying Plus: How To Find a Trustworthy Hospice 

This narrative is an insider’s look into the hijacking of hospice by private equity and professional investors and the subsequent harm to patients, their families, and to the interdisciplinary clinical teams. It was released by a NYC publisher on October 31, 2023. For sale on Amazon.

The author, a hospice chaplain, tells end-of-life stories of her patients who were harmed by financially-motivated policies. This is a book for anyone who is embarking on making a choice about a hospice for their loved one, working chaplains, those in training, and those interested in what dying is like with a hospice who places patients as their primary stakeholders.

Maryclaire's experience working for an owner who sold to a private equity firm helped her to realize that the reputation and viability of hospice is in jeopardy. Her goal is to alert all who love hospice to rid it of professional investors.

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"When I first found out that Maryclaire Torinus was writing this book, I immediately contacted her because in my 25+ years supporting hospice volunteers, I have seen a gradual decline in the quality of care volunteers are permitted to provide the dying and their families. There are a variety of reasons for this that I describe in the Foreward of this book. Maryclaire provides invaluable insights that everyone should know, along with solutions to help others make the right choice in choosing a hospice."

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