Blog – Emre Umar | Correctional Healthcare

Narcan in Schools

On February 1, 2019

The opioid crisis in America known no age boundaries. As a result, schools have taken the step of making anti-overdose drugs available to school nurses around the country, hoping to prevent deaths from overdose among opioid using teens. As recently as 2014, 76 teens died of prescritohn opioid overdoses alone.

The National Asociation of School Nurses has called for “the safe and effective management of opioid pain reliever (OPR)-related overdose in schools be incorporated into the school emergency preparedness and response plan.” The 2013 Partnership Attitude Tracking Study (PATS) stated almost one in four teens reported abusing or misusing a prescription drug at least once in his or her lifetime.

In 2015, New York joined Vermont, Massachusetts, and Delaware in allowing public school nurses to add naloxone to their inventory. Other states with similar policies include

Also through the use of materials dedicated to the prevention of usage, schools and school nursing staffs can hopefully save students from the dangers of opioid abuse.

Russian Prison Body Art

By Emre Umar

On January 24, 2019

In Uncategorized

Although tattooing in prison is a worldwide phenomenon, perhaps nowhere was it more important than Russia, or to be more accurate, the Soviet Union.

In ancient Greece and Rome, tattoos were used to mark criminals. This was also done in 19th century Russia, against the will of the prisoners. However, over time they evolved to be an in-group marking, and one of honor at that.

The important of the tattooing peaked in the Soviet era, in the 1950s, where the consequences for having body art that was considered unearned were severe, up to and including death. Examples of meanings (from Wikipedia):

Cross – The traditional “thieves’ cross” is usually tattooed on the chest. This was very common.
Ships – With full sails it can indicate someone that has fled from custody, a gulnoy or gulat, or that a wearer is a nomadic thief who travels to steal.
Dragons – Indicate a “shark” or someone who has stolen state or collectively owned property.^[

Although the heyday of Russian/Soviet prison tattooing and art is past, its influence lives on today and is a part of pop culture in the country.

Servant Leadership Theory

By Emre Umar

On November 30, 2018

In Emre Umar's Healthcare Blog

The concept of servant leadership began as an ideal described by Robert Greenleaf many decades ago. Servant leaders are known to put the needs of their team before their own, nurturing them and helping them reach their potential above all else.

Over the decades, the theory has been evaluated, tested empirically, and refined. The concept of servant leadership can be applied to some of the most well-known management theories and often times have a significant impact on organizational performance. Future research can take these ideas and apply them to find out if the evidence suggests they are true.

The servant leader may have the ability to affect organizations in a significant manner that improves individual, group, and organizational performance, and also makes those associated with the organization better than they were before. If that is the case it could revolutionize the way organizations are managed in the future.

Transactional Leadership Theory

By Emre Umar

On November 2, 2018

In Emre Umar's Healthcare Blog

The transactional leadership theory started in the mid-20th century by Max Weber, the German sociologist and economist who did a great deal of work on bureaucracy. Transactional leaders respect authority and structure, managing people within a set framework within an organization they adhere to. Today it is largely contrasted with transformational theory, which is seen as a more proactive, less punitive style of management.

One strength of it is promoting performance via rewards, which is a positive trait of transactional leadership because it recognizes good effort and performance and can positively reinforce the good behavior.

A second strength is that transactional leadership is effective to help retain the status quo. Bass and Avolio partially describe transactional leadership as “leadership that supports the status quo through mutual leader and follower self-interests across three dimensions: contingent reward, active management-by-exception, and passive management-by-exception.” While status quo maintenance may not always be a positive trait for a company, in times when the existing state of affairs is in a positive state, the ability to continue that harmony is seen as a benefit.

A third strength is the standardization of expectations for all employees. If a rather rigid set of standards have been culturally and organizationally established by the leader, employees know what is expected and know that if they do not perform up to a certain level there will be a set of escalating consequences administered.

A Brief History of Classical Management

By Emre Umar

On October 3, 2018

In Emre Umar's Healthcare Blog

The practice of management goes back to 3000 b.c., to the first government organizations developed by the Sumerians and Egyptians, but a formal study of management is relatively recent. The early study of management as we know it began with what is now called the classical perspective.

The classical perspective on management emerged during the nineteenth and early twentieth centuries. The factory system that began to appear in the 1800s posed challenges that earlier organizations had not encountered. Problems arose in tooling the plants, organizing managerial structure, training employees (many of them non-English-speaking immigrants), scheduling complex manufacturing operations, and dealing with increased labor dissatisfaction and resulting strikes. Between 1880 and 1920, the number of professional managers in the United States grew from 161,000 to over 1 million.

These professional managers began developing and testing solutions to the mounting challenges of organizing, coordinating, and controlling large numbers of people and increasing worker productivity. Thus began the evolution of modern management from the classical perspective.

A Former Inmate’s Popular YouTube Channel

By Emre Umar

On August 15, 2018

In Emre Umar's Healthcare Blog

An interesting look at prison via the thoughts of someone who spent time in federal prison for a bank robbery. Big Herc is a former inmate with a popular YouTube channel where he speaks about his experiences in prison and also tries to keep people from ever ending up there like he did.

In this episode, he discusses the opiate crisis in a correctional facility through the lens of the inmate.

Prison in the Movies: The Shawshank Redemption

By Emre Umar

On December 13, 2017

In Emre Umar's Healthcare Blog

An all-time great “if it’s on, I’m watching it” movie, the Shawshank Redemption was not a massive success at the box office. Based on a novella by Stephen King, it made a modest $58 million upon release. But it became such a highly regarded film once it found a larger audience via cable and home video that it’s now ranked first all-time on the IMDB 250, their list of greatest films.

The conditions in the fictional Shawshank, if truly indicative of the time period, are considered far below current correctional standards. But they most likely color people’s impressions of what incarceration continues to be like today. The prison where the movie was filmed, Ohio State Reformatory, was built in the late 19th century and was ordered closed in 1986 due to its overcrowded, often inhumane living conditions. It actually remained in operation until 1990, when its replacement facility was finally completed. It is still used today for movie, TV, and music video shoots.

Many people believe the movie’s enduring popularity is because of its compelling narrative of maintaining hope in even the darkest of circumstances. Andy never gives up his fight even though most people around him believe he is foolish for doing so. The perseverance he had to (SPOILER ALERT) slowly chip away at a wall to allow his escape required great mental fortitude (and some luck). Andy rebels against a system designed to remove any will and freedom of action, and in the end he is rewarded.

The Beginnings of the NCCHC

By Emre Umar

On August 2, 2017

In Emre Umar's Healthcare Blog

The National Commission on Correctional Health Care is the main organization setting the standards to which providers of health care in correctional facilities adhere. But before the NCCHC, there was a project led by the American Medical Association to improve the level of care provided in jails and prisons. Seeing it as woefully inadequate, the AMA took the first steps to creating their Jail Program in 1971.

By 1976, they had a developed program, and began accrediting sites who met their strict standards as the first correctional health care accreditation program. By 1979, the program was in 23 states. As the AMA program grew and because it’s own independant entity, those involved realized it was time to spin it off. In 1983, the NCCHC was formed as a non-profit organization to keep the mission of the AMA Jail Program alive, which it has done up to the present day.

Prison on Tv: Oz

On September 16, 2016

In Emre Umar's Healthcare Blog

As far as prison television shows go, Oz is certainly one of the most dramatic and dark. It features sexual assault, violence, corruption, abuse of power and intensely dramatic scenes of insanity and random killings.

Shows like these can paint prison life in a much darker light than it exists in reality. It seems as though almost every episode of Oz featured a new death of a character, often in a brutal way, huge outbursts of violence, and horrid instances of sexual assault.

On Correctional Medical Care’s website, we’ve written about the prevalence of violence in prison. In short, prisons across the United States do indeed have issues with spouts of seemingly random violent attacks. There are stabbings, coordinated group attacks and gang violence, all occurring almost universally in maximum security prisons across the nation.

But shows like Oz do, still, take liberties with the truth when it comes to depicting prison on television. The levels of violence are not nearly at the level that Oz portrayed during its run. As I stated above, Oz featured regular stabbings, beatings, sexual assaults and corruption. In reality, none of these are regular occurrences.

According to a member of PrisonTalk.com who spent time in a maximum security facility, the actions seen in Oz are, for the most part, overblown.

“Oz is glamorized. It is also over the top. Don’t get me wrong, a lot of the things happen in prison. Not as often as in the show. It is a lot more ‘boring’ than the show actually.”

Most of the realism from shows like Oz actually come from the positive aspects of prison–the programming and therapeutic classes that are offered to many prisoners including pet therapy, GED classes (and sometimes higher education) and even theatre groups. All of these exist inside of prisons to help inmates cope with their stay in prison.

While incarceration will more than likely not be an enjoyable experience for an inmate, watching TV shows like Oz can paint an inaccurate–and terrifying–picture of what prison life is really like. Real prisons do have violence, do have planned assaults, and do have their own problems; prison life isn’t designed to be easygoing and carefree, but depicting life as an inmate as plagued with constant random beatings and sexual assaults is a far cry from reality.

Prison on TV: Prison Break

On August 2, 2016

In Emre Umar's Healthcare Blog

It doesn’t take a particularly long time to scour the web for stories of escapes from prison. There’s the famous story of the men who (may or may not have actually) escaped from infamous Alcatraz island prison by patching together a makeshift liferaft from rain jackets. Notorious Mexican drug cartel kingpin “El Chapo” Guzman escaped from prison not once, but twice, through both a shower tunnel and a laundry cart. And then there is, of course, the famous case of Lincoln Burrows, who escaped from Fox River State Penitentiary by tunneling his way out, avoiding execution entirely.

If you’re not overly familiar with the name Lincoln Burrows, his escape, or Fox River State Penitentiary, that may be because they’re all fictional, having been portrayed on the Fox hit “Prison Break.”

As far as prison television shows go, Prison Break is an interesting one, given that large portions of the show take place outside of a prison. Despite this, it’s still worth examining to determine how realistic the scenarios presented on the show are, from incarceration to breaking out of a prison.

The escape presented on the Fox drama wasn’t necessarily completely unrealistic–tunneling out of prison is a method that has been used in cases such as the El Chapo escape above and numerous others in similar vein. However prison escapes as a whole are fairly uncommon, and the events leading up to the escape pulled by Burrows aren’t as realistic as viewers may have assumed.

In modern times, it’s harder to break out of prison than it ever has been in the past. It doesn’t take much to understand why: as we advance as a society, so do our technologies. With the advent of closed-circuit monitoring and a better understanding of how escapes have happened in the past, prison escapes have been becoming less and less common as time goes on. According to Slate, the roughly 2,500 successful escapes from prison in 2008 are about one sixth as common as they were in 1993, even with a considerably larger prison population.

Even before the escape, though, some dubious actions take place that bring into question how realistic Prison Break is. To start, Lincoln Burrows is able to escape thanks to his brother, Michael Scofield, who is imprisoned with him. While there are no laws or stringently followed rules surrounding imprisoning siblings together, Burrows’ standing as a death-row inmate brought up on charges of killing the Vice-President may have merited isolation from anyone with whom he could conspire to escape.

Upon his arrival, Michael is able to help get his brother out of solitary confinement on death row and into the team of inmates who perform maintenance on things that include repairs–which would allow Burrows access to tools and potential alone time he could (and eventually would) use to facilitate his escape. Removing a prisoner from solitary confinement, particularly one who is facing execution, to give him rights to work around the prison is a bit of a stretch.

However, as with most prison-based television shows, there are doses of reality. The prison experience is often marred by systemic and difficult to control bouts of violence. Inconsistencies, including the frequency of conjugal visits and the bouts of inexplicable luck that the brothers on Prison Break face have been pointed out in the past (not to mention the tattoo that Michael sports, which would have cost in the realm of $20,000 and could not be done quickly). While Prison Break may not be a perfectly accurate television show about prison life, it does give an interesting look behind bars, as it was filmed in a real-life (now closed) correctional facility.