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TechnoratiDetained and Dismissed
Women’s Struggles to Obtain Health Care in United States Immigration Detention
I. Summary
II. Methodology
III. Background
The Immigration Detention System
Medical Care in Detention
Healthcare Standards
Monitoring and Enforcement of the Standards
A Mounting Critique of Immigration Detention Health Care
IV. Findings: Overarching Problems in the Medical System
Affecting Women’s Care
Delays & Denials of Testing and Treatment
Obstacles to Obtaining Medical Care
Information
Gatekeepers
Distortions in the Doctor-Patient Relationship
Providers’ Narrow Approach to Care
Confidentiality & Privacy
Language & Consent
Detrimental and Unnecessary Use of Restraints and Strip
Searches
Discontinuity of Care
Records
Referrals and Discharge Planning
Lack of Effective Remedies
V. Findings: Specific Women’s Health Concerns
Routine Gynecological Care
Pap Smears
Hormonal Contraception and Gynecology Appointments
Sanitary Pads
Mammography and Breast Health
Pregnancy
Prenatal and Postnatal Care
Abortion
Nursing Mothers
Services for Survivors of Sexual and Gender-Based
Violence
Mental Health Care
VI. Legal Standards
International Legal Standards
The Right to Health
The Right to Non-Discrimination
The Rights of Individuals Deprived of their Liberty
Defining a standard of care
Domestic Legal Standards
VII. Recommendations
Acknowledgments