CCWORK protocol: a longitudinal study of Canadian Correctional Workers' Well-being, Organizations, Roles and Knowledge.

INTRODUCTION: Knowledge about the factors that contribute to the correctional officer's (CO) mental health and well-being, or best practices for improving the mental health and well-being of COs, have been hampered by the dearth of rigorous longitudinal studies. In the current protocol, we share the approach used in the Canadian Correctional Workers' Well-being, Organizations, Roles and Knowledge study (CCWORK), designed to investigate several determinants of health and well-being among COs working in Canada's federal prison system. METHODS AND ANALYSIS: CCWORK is a multiyear longitudinal cohort design (2018-2023, with a 5-year renewal) to study 500 COs working in 43 Canadian federal prisons. We use quantitative and qualitative data collection instruments (ie, surveys, interviews and clinical assessments) to assess participants' mental health, correctional work experiences, correctional training experiences, views and perceptions of prison and prisoners, and career aspirations. Our baseline instruments comprise two surveys, one interview and a clinical assessment, which we administer when participants are still recruits in training. Our follow-up instruments refer to a survey, an interview and a clinical assessment, which are conducted yearly when participants have become COs, that is, in annual 'waves'. ETHICS AND DISSEMINATION: CCWORK has received approval from the Research Ethics Board of the Memorial University of Newfoundland (File No. 20190481). Participation is voluntary, and we will keep all responses confidential. We will disseminate our research findings through presentations, meetings and publications (e.g., journal articles and reports). Among CCWORK's expected scientific contributions, we highlight a detailed view of the operational, organizational and environmental stressors impacting CO mental health and well-being, and recommendations to prison administrators for improving CO well-being.

Back to nature? Attention restoration theory and the restorative effects of nature contact in prison.

This paper considers the potential for elements of custodial environments to have a restorative effect on those who are incarcerated within them. Considering the applicability and practicality of using Attention Restoration Theory (ART) to frame experience in a custodial context, it interprets results of a survey of prisoners at a large medium-security prison for men in the United Kingdom. It reflects on prisoners' experiences in relation to elements of the environment in which they reside; specifically, outdoor green spaces and green views in the form of whole-wall photographic images of the natural environment. In an otherwise stressful context, such elements were self-reported to enable restorative effects, and to increase feelings of calm, and the ability to reflect. It finds that the potential benefits differed between environmental elements, and that compatibility with prisoners' own needs was a key issue. It concludes with suggestions about the potential utility of ART-informed design of custodial landscapes. The paper also reflects on the methodological challenges of using ART to understand the experience of prisoners.

Turning over a new leaf: The health-enabling capacities of nature contact in prison.

In this paper we explore the potential applicability of evidence of health-enabling effects of elements of the built environment - particularly access to nature - deriving from research in healthcare facilities to evidence-based design in the custodial context. Drawing on comparative qualitative research conducted in the UK and the Nordic region, we argue that although available data lack direct comparability, there is evidence that access to nature generates the same health-enabling effects in custody as are recognised in healthcare facilities. Reflecting on the differing political contexts of imprisonment in the two study areas, we conclude by advocating further research both to better understand health-enabling elements of the custodial built environment, and to better enable robust findings from healthcare facilities to be applied in custodial contexts.

HIV/AIDS in Russia: determinants of regional prevalence.

BACKGROUND: The motivation for this paper is to inform the selection of future policy directions for tackling HIV/AIDS in Russia. The Russian Federation has more people living with HIV/AIDS than any other country in Europe, and nearly 70% of the known infections in Eastern Europe and Central Asia. The epidemic is particularly young, with 80% of those infected aged less than thirty, and no Russian region has escaped the detection of infections. However, measures to address the epidemic in Russia have been hampered by late recognition of the scale of the problem, poor data on HIV prevalence, potentially counterproductive narcotics legislation, and competing health priorities. An additional complication has been the relative lack of research into the spatial heterogeneity of the Russian HIV/AIDS epidemic, investigating the variety of prevalence rates in the constituent regions and questioning assumptions about the links between the epidemic and the circumstances of post-Soviet transformation. In the light of these recent developments, this paper presents research into the determinants of regional HIV prevalence levels in Russia. RESULTS: Statistical empirical research on HIV and other infectious diseases has identified a variety of factors that influence the spread and development of these diseases. In our empirical analysis of determinants of HIV prevalence in Russia at the regional level, we identify factors that are statistically related to the level of HIV prevalence in Russian regions, and obtain some indication of the relative importance of these factors. We estimate an empirical model that includes factors which describe economic and socio-cultural characteristics. CONCLUSION: Our analysis statistically identifies four main factors that influence HIV prevalence in Russian regions. Given the different nature of the factors that we identify to be of importance, we conclude that successful HIV intervention policies will need to be multidisciplinary in nature. Finally, we stress that further research is needed to obtain a better understanding of the statistical relations that we have identified; our empirical findings can serve as an important guide in these future research efforts, as they indicate which processes play an important role in regional HIV/AIDS prevalence rates in contemporary Russia.