So why am I bringing this up, given that ShrinkRap really isn't a political blog? It's because of this aside comment I saw in the news release:
Let me say ahead ahead of time that I have no connection with this situation whatsoever and I don't know for sure where these guys are being held. I'm using this situation as a hypothetical for discussion purposes.
The Federal government has its own detention centers and prison facilities located throughout the United States and its possessions. In addition to this, they contract with a number of state and local facilities to house pretrial detainees and others in their custody who may be transitioning through the region on the way to or from various court appearances. When it comes to "undisclosed locations" you can take your pick.
The reason I'm bringing this up is because, regardless of the purpose of detention, these folks need medical and mental health care. Someone has to be under contract to give it to them. This raises some interesting ethical issues. If you're being held as a 'person of interest', a 'material witness', or as a visa violator you don't have the rights and protections afforded to a pretrial detainee or even a convicted criminal. For example, there is no testimonial privilege for someone who is not charged with a crime. Early on in the life of this blog (long before I had a logo, even before we had a Duck) I wrote about the US Patriot Act and implications for correctional healthcare providers. Situations like this make this a very real possibility that correctional workers have to face, both locally and nationally. Here are the issues I foresee we'll have to figure out:
- informed consent for treatment
- setting of evaluation/presence of investigators
- cooperation or participation in interrogation
- obligation to report torture/improper interrogation techniques
These are the kind of situations that the National Commission for Correctional Healthcare standards do not address, nor could they possibly predict. For those of you in free society, you've got more to think about now. And you thought HIPAA compliance was tough to figure out.
Disclaimer: The opinions expressed in this blog are my own, expressed while off-duty, and do not represent those of my employer or the state government. Please don't send me to Guantanamo.