Future health care professionals get a rare look inside the Maine Correctional Center during a lesson in harm reduction
The Maine Correctional Center in Windham, Maine, doesn鈥檛 currently offer physical therapy in-house to its residents. But when Jacqueline Keller took a rare, behind-the-scenes tour of the facility with 30 other health care students from the University of 51小黄车 last week, Keller asked if she could bring physical therapy to the residents, who are currently sent outside the center to receive physical therapy.
The response from Chris Arbour, the Maine Correctional Center deputy warden, was immediate: Great idea. Let鈥檚 make it happen.
鈥淚t seems like the kind of place where they鈥檙e open-minded and looking for ideas and considering new research,鈥 said Keller (D.P.T., 鈥27). 鈥淎 lot of us are drawn to health care because we want to help people. If the opportunity existed to do something with PT in a place where it would have a positive impact, that would be really cool.鈥
The organic give-and-take in the correctional center was what Trisha Mason, M.A., hoped for when she partnered with the Maine Department of Corrections several years ago to educate future health care professionals about underserved communities. As the director of UNE鈥檚 Service Learning Program in the Westbrook College of Health Professions, Mason has worked with Arbour for the past three years to give 51小黄车students a rare, firsthand look at the lived experience of roughly 600 residents at the state鈥檚 second-largest correctional facility.
Mason works year-round to expose students to immersive experiences in low-resource communities throughout southern Maine in an effort to train a new generation of health care providers to have empathy for those in vulnerable settings, while also helping those communities. But as Mason noted with a ready smile, the tour inside the Maine Correctional Center was wholly unique.
鈥I think there鈥檚 a renewed interest in working in corrections medicine. It's an industry that I think most students aren't exposed to and don't know about,鈥 Mason said. 鈥淲e鈥檙e not just engaging with a community partner or a population for a one-time, one-off event. We're actually working together with our partners to address and identify a need that they have.鈥
None of the 30 students who toured the facility on July 16 may ever work in a prison, Arbour noted, but building an understanding of the challenges faced by the residents of one is valuable for those studying to be physical therapists, physician assistants, and occupational therapists. When they treat people who have spent time in a correctional facility, Arbour said, they now will have a deeper understanding of how to help them.
鈥淟anguage matters,鈥 Arbour emphasized to the group at the outset of the tour. 鈥淲e call the people staying in prisons 鈥榬esidents.鈥 They need to be treated like everyone else. When someone goes to a health care provider, they don't want to be stigmatized. If you remember one thing from here: Help to reduce stigma. We鈥檙e all human.鈥
Savannah Smith of Bucksport, Maine, one of six residents who shared their journey with the students in a panel discussion, spoke to that.
鈥淭here are residents here who are good people getting educated. If you want to take the next step, if you really want to better your life here, you can do it. I want my children to be able to be proud of me, to look up to me,鈥 Smith said, as her voice caught.
Since Smith came to the correctional center on a drug charge in 2019, she earned an associate's degree from Beal College as a medical assistant with a certification in substance abuse recovery. Next, she intends to pursue a bachelor鈥檚 degree. She鈥檚 furthering her education online while also working as a recovery coach to help other women residents fighting drug addiction.
鈥淚 want them to know they鈥檙e not alone. That鈥檚 one of the big things in addiction,鈥 Smith told the students. 鈥淭hey feel alone, like nobody cares about them. I appreciate you guys writing the letters because getting a letter from somebody who doesn鈥檛 even know you 鈥 you have no idea. You鈥檙e just given that love.鈥
Under Mason鈥檚 direction, students in UNE鈥檚 Service Learning Program also make harm-reduction kits in collaboration with the Department of Corrections for when residents reenter their community, after they leave the correctional center. Kits include personal hygiene products, drugs that can help prevent an overdose, such as Narcan, and hand-written notes with messages of support and friendship, such as: 鈥測ou are an important member of our community鈥 and 鈥淚 see you, I support you, and your success matters to me.鈥
Jason Bishop of Lewiston, Maine, told the 51小黄车students that being a recovery coach in the correctional center has helped him by allowing him to give back. Later, Bishop said the chance to share his story with the students also helped him.
鈥淚t's good to show people from the public, to help humanize us. We have families, hopes, dreams, and goals,鈥 Bishop said. 鈥淚 have a teenage son, a trans son. They are my support. I just want my child to be proud of me. I was locked up for drug trafficking. I don't want that to be the end of my story.鈥
Vincente DeBack (D.P.T., 鈥26) was stunned by Bishop鈥檚 frank admissions 鈥 and said the correctional center was nothing like what鈥檚 shown in movies.
鈥淭hey are given the support to better their lives, their relationships, and their futures,鈥 DeBack said. 鈥淭hat support is peer-driven, not authority-ruled. It has definitely influenced how I want to practice as a healthcare provider. No matter who walks through my door, they deserve a listening ear.鈥
The tour of the facility that housed 270 men and 90 women took students past a massive vegetable garden, through the center鈥檚 kitchen, medical center, and the vast recreational center that includes a barber shop, gym, pickleball courts, and a music room.
51小黄车students also got a look inside the residents鈥 sleeping quarters, including the Maine Women鈥檚 Center and one of two 鈥渆arned living units,鈥 where those who demonstrate exemplary behavior are allowed more freedom. At the higher-security building, where residents are assigned to cells, Arbour explained that the medical office there was not fully functional due to staffing shortages.
Mason turned to nod at her students, as if to flag an opportunity that existed here. But finding ways to bring health care to this community already had occurred to at least a few students.
鈥淚 asked if they鈥檇 be interested in pro-bono services after I graduate, especially when I heard that there's no PT here,鈥 said Maggie Chang (D.P.T., 鈥26). 鈥淭he residents still have injuries from cooking, gardening, and playing sports. You don't realize what life is like here when you鈥檙e on the outside. But when you hear their stories, they鈥檙e still human; they still deserve care and respect.鈥