Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: We agree with Drs Sinclair and Porter-Williamson
that hospice programs are an important and integral part of the correctional
health care delivery system. A comprehensive correctional hospice program
is available within the Texas Department of Criminal Justice (TDCJ) health
care system for offenders with terminal illnesses. Hospice services, which
are available at 3 prison units, focus on palliative care and support provided
by an interdisciplinary team consisting of a physician, registered nurse,
social worker, and chaplain. Additionally, prisoner volunteers are an important
component of hospice care, providing crucial support and assistance to terminally
ill fellow inmates. The TDCJ hospice program is based on the same standards
of care as those applied in the noncorrectional setting, although some modifications
are required because of security issues. All offenders who enter the hospice
program are also referred for early release consideration.
Raimer BG, Stobo JD. Health Care Delivery in the Texas Prison System—Reply. JAMA. 2004;292(18):2212-2213. doi:10.1001/jama.292.18.2212-c