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[F1.1700] Research Involving Prisoners

For studies involving prisoners, or for studies recruiting subjects at risk of becoming involuntarily confined/ detained in a penal institution or other type of incarceration during the research (i.e., subjects with substance abuse history), check mark the "Prisoners" attribute in the Subject Demographics section of your E-IRB application, and complete the questions as prompted under the Prisoners subsection. There are special federal regulations which govern research involving prisoners enrolled as subjects. Subpart C of 45 Code of Federal Regulation (CFR) 46 applies whenever any human subject is a prisoner.

A prisoner is defined as:
"An individual involuntarily confined in a penal institution, including persons: (1) sentenced under a criminal or civil statue; (2) detained pending arraignment, trial, or sentencing; and (3) detained in other facilities (e.g., for drug detoxification or treatment of alcoholism) under statutes or commitment procedures providing such alternatives to criminal prosecution or incarceration in a penal institution [45 CFR 46.303(c)]. Note: Probation and parole are usually NOT considered as incarceration.

If it is unclear if a person is deemed a “prisoner,” contact the Office of Research Integrity (ORI) at 859-257-9428 for help in making a determination.

In order for the IRB to approve a study where prisoners are recruited, or to issue approval for a subject to continue participation when (s)he has become a prisoner during the course of the research, there are seven conditions that must be met, and the research must fit into one of four categories. In order for the IRB to consider approval for prisoner participation in your study, you must complete the Prisoner subsection of the E-IRB application.

Note: If you will receive or are seeking Department of Health and Human Services (HHS) funding for this study, a certification letter must be submitted to the Office for Human Research Protections (OHRP). The research cannot be initiated until OHRP issues approval. The Office of Research Integrity (ORI) will prepare and submit the certification letter to OHRP. The IRB will forward OHRP & IRB approval materials to the Principal Investigator. Contact ORI at 859-257-9428 for more information.

Specific DHHS epidemiology research may be eligible for a waiver.  See Section 3 of the Prisoners subsection in the E-IRB application, or contact ORI at 859-257–9428 for further information.

Please note, under the Kentucky Administrative Regulation (501 KAR 3:090(14)) applicable to county jails (not federal prisons), inmates are not permitted to participate in medical research (i.e., drug, device, biologic clinical trials). This state law does not apply to inmates of federal prisons. For assistance with applying state law to your research, contact ORI at 859-257-9428 or the Office of Legal Counsel at 859-257-2936 (or via email) and ask to be connected with a research attorney for additional information.

According to the Commission of the KY Department of Corrections (DOC), in KY, prisoners may be housed in community corrections centers if they have the proper custody. If an offender with a monitoring device is serving home incarceration, they are an inmate, and their home is an extension of their incarceration. However, if the offender is on parole with a monitoring device, they are not considered an inmate. Be aware that residential treatment programs may house BOTH individuals who are completing substance abuse programs that remain under state custody, considered as prisoners, as well as parolees completing treatment.

Sample Language for Informed Consent (F1.1725)

Use the following elements for treatment protocols in which prisoners may be in the subject pool.

WHAT WILL YOU BE ASKED TO DO?

If you are a prisoner, you will be asked to agree to all assessments and tests described above, contingent upon the prison transporting you to the study site for each of the scheduled tasks. The study doctor will send this research protocol to your prison health care providers so they can be fully informed about assisting with your treatment in the prison.

If you are a prisoner, the study doctor will be in close communication with your health care providers in the prison to make sure that your symptoms are carefully monitored. Prison health care providers will be encouraged to communicate regularly with the study doctor to consult on your care.

If you are a prisoner, the study doctor will ask your prison healthcare providers to draw blood more frequently than once a week, if indicated.

If you are a prisoner and are transferred to another prison, the study doctor will discuss your participation in this study and its treatment and monitoring requirements with the new prison health care providers.

DO YOU HAVE TO TAKE PART IN THE STUDY?

If you are a prisoner, your decision to participate or not to participate will in no way benefit or hurt your status with the prison system, the Department of Corrections, or the parole board.

WHAT WILL IT COST YOU TO PARTICIPATE?

If you are a prisoner, the Federal Bureau of Prisons or other correctional facility where you are housed will be responsible for any routine medical care you receive.

WHO WILL SEE THE INFORMATION THAT YOU GIVE?

If you are a prisoner, all of your treatment records from the University of Kentucky will be shared with the physicians and the warden at the prison to ensure that the prison physicians/officials are kept informed of the treatment you are receiving. Also, all of your medical records from the prison will be shared with your physicians at the University of Kentucky to help with diagnosis and treatment planning.

WHAT HAPPENS IF YOU GET HURT OR SICK DURING THE STUDY?

If you are a prisoner and are unable to contact the study doctor directly, you should report any negative side effects or illness due to participating in this study to your prison health care providers.

If you are a prisoner and believe you have gotten sick because of the study, contact your prison health care providers so they can discuss your symptoms with the study doctor.

If you are a prisoner, the correctional facility where you are housed will be informed about this study, providing medical care that results from research-related harm.

WHAT IF YOU HAVE QUESTIONS, SUGGESTIONS, CONCERNS, OR COMPLAINTS?

If you are a prisoner, you will only be allowed to contact the persons listed above through the prison physicians, officials, or other health care providers. If you are released from prison, you will be referred to a physician in the area in which you will be living, and this physician will be provided with a copy of your treatment record. If you are transferred to another prison facility, the study doctor will discuss your medical condition with the doctors in charge of your care in the new facility prior to your transfer.

DHHS Research Involving Prisoners Decision Tree [T23.0000]

Research Involving Prisoner Decision Tree from From page 206 of Institutional Review Board (IRB) Reference Book: Protecting the People Who Volunteer to Participate in Research.
Russell-Einhorn, M. K., & Pugilisi, T. (Eds.). (2011). Institutional Review Board (IRB) Reference Book: Protecting the People who Volunteer to Participate in Research [Digitized]. p.206, PricewaterhouseCoopers. (Original work published 2001)