Evidence map›Paper›PMID 37072359›Full record

SynthesisBMJ open2023

Evaluation of the US detention standards to protect the health and dignity of migrants: a systematic review of national health standards.

Lauren Tejkl, David Tellez, Dana McLaughlin, Jordan Savold, Cyndy Vasquez, Orit Abrahim, Paul Spiegel

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lauren TejklJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
David TellezJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Dana McLaughlinJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jordan SavoldJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Cyndy VasquezJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Orit AbrahimJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Paul SpiegelJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA pbspiegel@jhu.edu.ORCID 0000-0002-6158-6661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe US government detains hundreds of thousands of migrants across a network of facilities each year. This research aims to evaluate the completeness of standards across US detention agencies to protect the health and dignity of migrants.

designFive documents from three US agencies were examined in a systematic review: Immigration and Customs Enforcement (ICE; 3), Customs and Border Protection (CBP; 1) and Office of Refugee Resettlement (ORR; 1). Standards within five public health categories (health, hygiene, shelter, food and nutrition, protection) were extracted from each document and coded by subcategory and area. Areas were classified as critical, essential or supportive. Standards were measured for specificity, measurability, attainability, relevancy and timeliness (SMART), resulting in a sufficiency score (0%-100%). Average sufficiency scores were calculated for areas and agencies.

results711 standards were extracted within 5 categories, 12 subcategories and 56 areas. 284 standards of the 711 standards were included in multiple (2-7) areas, resulting in 1173 standards counted as many times as each was included. On average, 85.4% of standards were specific, 87.1% measurable, 96.6% attainable and 74.9% time-bound. All standards were considered relevant. CBP standards were the least sufficient across all other SMART components, when compared with ICE and ORR.

conclusionsThere are disparate detention standards based on agencies' mandates and type of facility contracts. Migrants should be ensured of their public health rights and services in all spaces they occupy, and for any length of time regardless of who manages the facility. As long as detention remains a policy, the US should develop comprehensive, consistent and complementary standards for all detention facilities or pursue alternatives to detention.

Indexed as

Transients and MigrantsEmigration and ImmigrationHealth Services AccessibilityHuman RightsHumansRespectETHICS (see Medical Ethics)Health policyHEALTH SERVICES ADMINISTRATION & MANAGEMENTOrganisation of health servicesProtocols & guidelines

Identifiers

PMID37072359
PMCPMC10124238

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.