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Emerging Innovations to Optimize Women’s Health, Wellness, and Empowerment in Prison

The second in a three-part series by Amend aimed at identifying strategies to support and empower people incarcerated in the California Department of Corrections and Rehabilitation (CDCR)’s women’s prisons to improve their health and wellness, this report draws from international examples to present approaches that other prison systems have deployed. The report describes each practice, its connection to health impacts, and actionable steps for implementation in California.

AUTHORS:

Key Recommendations

  1. Develop a gender-informed organizing framework to guide changes in women’s prisons.
  2. Introduce medical self-management programs at women’s facilities [such as the peer-facilitated Chronic Disease Self-Management Programs (CDSMP)].
  3. Develop and launch a formal, stakeholder-driven, trauma-informed approach to identifying and applying gender-responsive healthcare practices.
  4. Build a gender-responsive, well-trained workforce that maintains emotional and physical safety while allowing individualized, calculated risks necessary to maximize rehabilitative outcomes.
  5. Implement a data-driven, trauma-informed and stakeholder-responsive assessment of use of force in CDCR’s women’s prisons.
  6. Expand and professionalize programs that can be both therapeutic and vocational – such as gardening programs – in women’s facilities.
  7. Expand access to programs that facilitate connection, collaboration, agency, and trust between women and staff.
  8. Maximize body scanner use to minimize search-related trauma and protect visiting opportunities.
  9. Establish gender-responsive resource and activity teams to reduce isolation and support trauma-informed care for the highest-risk, highest-need individuals in women’s prisons.
  10. Build women’s empowerment through rehabilitative programs that integrate family connections, parental identity, and caregiving.
  11. Build autonomy by giving women more control over everyday decision-making, food cultivation, and nutritional choices.
  12. Establish a structured, resident-led progression system to promote agency, accountability, and positive culture in women’s prisons.

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