U.S. Prison populations are expanding at an explosive rate and many more men and women are dying in prison, often with little attention given to their unique psychological, palliative, and spiritual care needs. This paper describes the development of an innovative hospice program at a major federal prison hospital designed to meet those needs: an inmate-staffed, hospice volunteer program. A brief history of the program's start-up and development, data on the initial six month pilot program and evaluation, a set of program standards and guidelines, and recommendations for further development are presented as a model for future hospice programs in prison medical facilities.
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Fleet Maull (1991) studied this question.