DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 DETAINEE’S BEHAVIOR ASPECTS IN LEGAL MEDICINE EXPERTISE’S REQUEST FOR SENTENCE INTERRUPTION BASED ON MEDICAL CONDITIONS Cristian P. Gherman, PhD, University of Medicine and Pharmacy ”Victor Babeș”, Timișoara; Dan Perju- Dumbravă, Prof., MD, PhD, Institute of Legal Medicine, ClujNapoca; Ovidiu Chirobanu, Assist. Prof., MD, “Iuliu Haţieganu” University of Medicine and Pharmacy Abstract: The Romanian prison system is overcrowded, i.e. the number of prisoners significantly exceeds detention capabilities. Under these circumstances it is difficult to ensure lawful compliance relating detainees‟ civil rights. Prisoners are guaranteed the benefit of healthcare. The growing number of inmates in a faulty system reflects in a low perception in the quality of prison life and a deterioration of prisoners – staff relationship. The number of inmates raising health problems is likely to increase and thus more medical-related sentence interruption requests are to be expected. The frequency of cases where inmates actually decline to be submitted to medical examination suggests an multi-factorial motivation for interruption request on medical reasons. Investigation of the co-factors which, along medical status, influence the inmate patient‟s attitude and timing of expertise request is important for establishing measures needed for an efficient channeling of resources to inmates who need to treat their medical conditions. Keywords: prison, inmates, healthcare, legal medicine, sentence disruption 1.Introduction This research aims to address the lesser debated issue of sentence interruption based on medical grounds, provided that the inmate-patients‘ medical condition is certified following legal medicine expertise procedures. 1.1 Legal aspects (according with Romania’s laws) -According to articles 589 and 592 of the Revised Romanian Criminal Procedure Code (RRCPC), interruption or postponement of an executory sentence can be granted under the following circumstances: 276 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 a) ―when it is found, based on a legal medicine expertise, that the convict suffers from a disease that cannot be treated in the sanitary network of the National Administration of Penitentiaries (NAP) or under permanent surveillance in public health system‘s secure units‖, but only when ―the court rules that interruption or postponement of sentence execution does not pose threats to public order‖. In this situation, the execution of the sentence is postponed or interrupted for a determined period of time. b) ―when a female convict is pregnant or has a child younger than one year old. In such cases, the penalty‘s execution is postponed until the termination of the cause which determined initial postponement‖. A legal medicine expertise in view of sentence postponement or interruption can be requested by either the prosecutor or the convict (art. 589/3 RRCPC), or by the penitentiary administration (art. 589, letter a - RRCPC). It is reviewed by a supervisory judge, which submits the case to the court. According to article 589/4, the application may be withdrawn by the person which made the request 1. Postponement or interruption of a sentence cannot be requested when the convict has harmed himself or self inflicted a medical condition or if the convict refused medical treatment or legal-medicine expertise. Law 459/2001 mentions that the commission conducting a legal medicine expertise in view of sentence postponement or interruption must include a forensic physician, a medical representative of the NAP and a certain number of specialist physicians (art. 71/1) and states the mandatory conditions needed to be met in conducting the expertise (art. 129/1)2. 1.2. Backgrounds & aims - Inmate patients can lawfully request medical expertise to determine whether their medical condition can be properly addressed within the penitentiary healthcare system, enabling them to serve their sentence, or needs to be treated in the public healthcare system, justifying sentence postponement or interruption requests (The Revised Romanian Criminal Procedure Code). This assessment is the attribute of the medical expertise 1 The Revised Romanian Criminal Procedure Code - adopted by Law no. 135/2010 published in the Official Gazette of Romania no. 486 - July 15, 2010, into force since February 1, 2014, updated by GEO no. 3/2014 (Official Gazette 98/2014) and Law no. 255/2013 (Official Gazette 515/2013) – Available from URL: http://legeaz.net/noul-codprocedura-penala-ncpp 2 Law no. 459/2001 (published in the Official Gazette of Romania, Part I, no. 418/27.07.2001) approving Government Emergency Ordinance no. 1/2000 (published in the Official Gazette of Romania, Part I, no. 22 / 21.01.2000) regarding the organization and functioning of Legal Medicine Institutions and Law no. 271/2004 (published in the Official Gazette of Romania, Part I no. 616 / 07.07.2004) approving Government Emergency Ordinance no. 57/2001 (published in the Official Gazette of Romania, Part I no. 531 / 31.08.2001) amending and supplementing Government Emergency Ordinance no. 1/2000 277 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 commission, which, based on patient examination and case documentation, concludes whether the inmates‘ medical condition require special treatments that cannot be provided in the penitentiary care network (Law no. 459/2001). According to data revealed by the annual reports on the activity of the Legal Medicine Network, the number of expertises conducted in view of sentence interruption was 753 in 2012 and 909 in 2013, significantly lower than the 2000 figures (6287 requests) which peak this category. A downward trend in the number of such requests is obvious. While in 2000 the expertise commission forwarded recommendations of interruption for various medical treatments in public health units in 26.6% of the cases, only 5.4% of the 2012 requests and 5.5% of the 2013 requests benefited favorable recommendations. On the other hand, in 20% of the cases handled in 2012 by the "Mina Minovici" National Institute of Legal Medicine (NILM), the convicts withdrew their application after the court ruled in favor of forensic expertises to be conducted in view of sentence interruption 3. The law guarantees healthcare benefits for every person executing a custodial sentence 4,5. However, calls for public healthcare under the provision that certain diseases cannot be treated in the NAP sanitary network are perceived by some detainees as a way of counteracting the negative perceptions of incarceration6. This kind of attitude is highly inconvenient as it results in unnecessary prolongation of legal procedures in cases of genuinely ill patients and contributes to out-burning of the limited medical staff in the penitentiary system. Last but not least, significant mobilization of medical and security personnel in compliance to NAP regulations on inmate transportation and medical expertise comes with a cost. Motivation for such study is based on sheer necessity, supported by the data revealed by the annual NAP review indicating a marked increase in the nationwide number of inmates from 26,212 in 2008 to 33,434 in 2013 7. A low perception in the quality of prison life and a deterioration of prisoners – staff relationship, was observed when prison system is overcrowded, i.e. the number of prisoners significantly exceeds detention 3 Report on the activity of the Legal Medicine network in 2013 - Available from URL: www.legmed.ro Ministry of Justice and Health Joint Order no. 429/2012 - on providing medical care to inmates in the custody of the National Administration of Penitentiaries, chapter II, articles 8-10 5 Law no. 254/19.07.2013 concerning the execution of sentences and custodial measures ordered by the court following criminal trials (published in the Official Gazette of Romania, Part I no. 514 of 14 August 2013 6 Feron JM, Tan LH, Pestiaux D, Lorant V. High and variable use of primary care in prison. A qualitative study to understand help-seeking behavior - Int J Prison Health. September 2008; 4 (3): 146-55 7 NAP 2013 activity review – Available from URL: www.anp.gov.ro 4 278 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 capabilities8. Inmates are a vulnerable population group which may be subjected to inequalities in terms of granting health and social care, and this aspect requires particular attention9. There are opinions that the model approach to chronic diseases who works in the community healthsystem could be adopted in the prison system 10. Prisoners with health problems are a future problem for communities where they return after liberation11. In order with this, the separation between prisons and communities lead to a consequence of «unjointed» approach for patients with repeated convictions12. Consequently, the number of inmates raising health problems is likely to increase and thus more illness-related sentence interruption requests are to be expected. However, the number of cases when inmates actually refuse to submit to medical examination is rather significant (20% of the 2012 NILM cases) and this suggests that the motivation behind legal expertise requests is multi-factorial. Investigation of the co-factors besides medical status which influence the inmate patients‘ tactics, as well as the timing of the expertise requests, provide valuable information in pursuing an efficient management of the limited resources available, channeling them towards inmates whose ―real‖ medical condition may require special treatment. 2.Material (patients) and methods - Given the goal of this proposed study, certain legal requirements were to be met. Formal applications were forwarded to relevant NAP bodies and written approvals to conduct a trial study and to submit inmates in the Aiud and Gherla Penitentiaries, as well as inmates undergoing medical treatments in the Penitentiary Hospital in Dej, to a study-developed questionnaire, were obtained. Due to practical limitations, the present study was conducted only in the Dej Penitentiary Hospital. The unit has a total of 142 beds and provides a monthly turnover of 200 patients13. Under these auspices, the study included a 8 Molleman T, van Ginneken EF. A Multilevel Analysis of the Relationship Between Cell Sharing, Prisoner Staff Relationships, and Prisoners' Perceptions of Prison Quality - Int J Offender Ther Comp Criminol. 2014 March 11 9 Shaw D, Elger B. Improving public health by respecting autonomy: Using social science research to enfranchise vulnerable prison populations - - Prev Med. 2015 February 21 10 Wang EA, Aminawung JA, Ferguson W, Trestman R, Wagner EH, Bova CJ - A tool for tracking and assessing chronic illness care in prison (ACIC-P). Correct Health Care. 2014 Oct 11 Committee on Causes and Consequences of High Rates of Incarceration; Committee on Law and Justice; Division of Behavioral and Social Sciences and Education; National Research Council; Board on the Health of Select Populations; Institute of Medicine. Health and Incarceration: A Workshop Summary. Editors - Washington (DC): National Academies Press (US); 2013 Aug. 12 Butler B. Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. Perspect Health Inf Manag. 2014 Jan 1 13 NAP 2013 activity review – Available from URL: www.anp.gov.ro 279 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 significant number of male patients covering a wide range of pathological conditions. As patientinmates are admitted to this unit from virtually all the Romanian counties, they presented a diversity and fluctuation that didn‘t allow sampling based on sociometric criteria. Documentation implied the design and implementation of a questionnaire admitting single or multiple answers which were grouped into two categories of questions, as follows: 1. General information - age, residence area, education level, medical history and nature of the disease which led to the current admission. 2. Data relevant for the forensic expertise request in pursuit of sentence postponement or interruption based on medical grounds: the period of time to be executed, knowledge regarding the conditions needed in order to apply for the expertise, time served before applying the first examination request, how many times has one made similar applications, other than medical reasons for the request, if one knew prisoners who asked for forensic expertise in a similar situation, if someone considered he was influenced by his peers in pursuing this line of action, if one ever benefited of sentence interruption on medical grounds, if following a previous request one later on denounced the action and the reasons why. During 14 visits at Dej Penitentiary Hospital scheduled in 2014, a number of 369 patients were interviewed: 85 in June, 166 in July, 40 in August and 78 in September 2014. Prior to delivering the questionnaire, verbal agreements were obtained for all inmate-patients. It was clearly brought to their attention that they can withdraw from the procedure any time they wanted, without need of a motivation. In order to potentiate honest answers, no information regarding the identity of the subjects was recorded. Answers were taken down following each question, in the presence of a security guard and a member of the medical staff. Medical records included in their sentence interruption medical expertise request files were made available by the Penitentiary Hospital Administration. 3.Results - Data processing resulted in the following demographical information: of the 369 inmate-patients, 85 were in the 18-35 years age group, 160 were aged 36-50 years, 104 were aged 51-65 years and 20 were over 65 years old; in terms of residence, 158 were from rural areas and 211 from urban areas; concerning the educational level, 46 had no education (analphabets), 92 attended primary school (4 classes), 136 secondary school (8 classes), 81 completed high school studies (12 classes) and 14 had university degrees. To highlight the issues involved, interviewed inmate-patients who had previous sentence interruption medical expertise requests (196, group I) were separated from those who didn‘t (173, group II). 280 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 3.1 Data processing revealed a large number of pathological conditions. Records were classified into the following categories of disease: respiratory, cardiovascular, digestive, tumor (benign or malignant), neurological or neuropsychological, other (ophthalmic, orthopedic, dermatological, urological etc.). A large number of inmate-patients presented multiple pathological conditions. Group I patients presented a significantly higher number of cardiovascular (87), respiratory (111), digestive (143) and tumor (50) pathologies, while neuronal conditions were more frequent in group II patients. 82 (41.8%) group I and 96 (55.5%) group II patients declared their medical condition occurred in the penitentiary system, 28 (14.3%) and 40 (23.1%), respectively, accused new symptoms associated to pre-existent pathologies, while 86 (43.9%) group I and 37 (21.4%) group II patients claimed activation of older symptoms. 3.2 Concerning the period of detention inmate-patients had to execute, 104 subjects (53.1%) in group I were sentenced 5 to 10 years, while most (99, i.e. 57.2%) of group II subjects had up to 5 years to serve. Table 1. Distribution of subjects according to sentence times. Parameter Group I Group II Total (n=196) (n=173) (n=369) p 0.001 Detention time Under 5 years 71 (36.2%) 99 (57.2%) 170 (46.1%) 5 to 10 years 104 (53.1%) 61 (35.3%) 165 (44.7%) 10 to 15 years 13 (6.6%) 9 (5.2%) 22 (6.0%) Over 15 years 8 (4.1%) 4 (2.3%) 12 (3.2%) 3.3 Among subjects in group I (previous records of sentence interruption on medical grounds), 195 (99.5%) claimed knowledge of the conditions required in order to apply for penalty interruption on medical grounds. In contrast, only 129 (74.6%, p <0.001) of the group II subjects (no previous requests) seemed to be informed about the conditions they were required to meet when requesting such medical expertise. 195 (99.5%) of subjects in group I admitted they knew prisoners who requested similar forensic expertise, compared to 146 (84.4%, p <0.001) 281 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 subjects in group II. Among group I subjects, 103 (52.6%) declared they were driven by fellow inmates when requesting the forensic expertise, while only 9 (5.2%, p <0.001) of group II subjects admitted their pursuit was initiated under the influence and directions of other inmates. 3.4 Concerning the period of detention executed before group I inmate-patients requesting a medical expertise to evaluate their medical status in view of sentence interruption, 93 (47.4%) had served 6 to 12 months of detention time and 56 (28.6%) had served 1 to 5 years, while 37 (18.9%) waited less than 6 months before submitting the request. Table 2. Distribution of group I subjects in terms of period of detention served until the first application for sentence interruption, reasons for their pursuit, the number of previous expertise requests and waivers Parameter Group I (n=196) Detention time served prior to medical expertise request Under 6 months 37 (18.9) 6 to 12 months 93 (47.4) 1 to 5 years 56 (28.6) 5 to 10 years 10 (5.1) Reasons for medical expertise request Illness 102 (52.0) Severe illness 27 (13.8) Imitation of fellow inmates 35 (17.9) Lack of preoccupation 12 (6.1) Illness + Imitation of fellow inmates 20 (10.2) Number of previous medical expertise request One 130 (66.3) Two 61 (31.1) Three 3 (1.5) More than three 2 (1.0) Number of expertise waivers 282 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 None 116 (59.2) One 74 (37.8) Two 6 (3.1) Three 0 (0) More than three 0 (0) 3.5 The number of group I subjects who reported they knew other inmates who called for forensic examination was not significantly different between age groups (p = 0.59), in contrast to the number of inmate-patients claiming they were influenced by fellow detainees (p<0.001). The figures in this last category were significantly higher in case of the young group (18-35 years). The number of subjects who benefited of punishment interruption for medical reasons was significantly higher in the elders group (p <0.001) and correlated with malignancy and cardiovascular pathology (25 cases). Table 3. Age distribution of group I subjects pending on knowledge of other detainees who requested forensic expertise, inmate-influence in pursuit of the interruption request, number of previous requests, number of interruption requests beneficiaries and dropouts Parameter Age (years) Age (years) Age (years) Age (years) 18-35 36-50 51-65 over (n=26) (n=89) (n=67) (n=14) 65 Had knowledge of other inmates who called for forensic examination 26 (100.0) 89 (100.0) 66 (98.5) 59 (66.3) 20 (29.9) <0.001 5 (35.7) 0.53 Number of previous expertise requests One 22 (84.6) 57 (64.0) 42 (62.7) 9 (64.3) Two 4 (15.4) 29 (32.6) 23 (34.3) 5 (35.7) Three 0 (0.0) 1 (1.1) 2 (3.0) 0 (0.0) More than 3 0 (0.0) 2 (2.2) 0 (0.0) 0 (0.0) Benefited of punishment interruption for medical reasons 283 0.59 14 (100.0) Were influenced by fellow inmates in formulating their request 19 (73.1) p <0.001 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 0 (0.0) 6 (6.7) 12 (17.9) 7 (50.0) 3.6 Considering distribution within age groups of the 80 subjects in group I who had previously surrendered their privilege for forensic expertise, one can observe that youngsters and elders had no multiple waivers and shared equally distributed dual reasons for their previous waiver: they either claimed their condition improved under treatment, or that the procedures were too long. Table 4. Number and reasoning of group I waivers distributed within age groups Parameter Age (years) Age (years) Age (years) Age (years) 18-35 (n=10) 36-50 (n=37) 51-65 (n=31) over 65 (n=2) p 0.66 Surrendered their privilege of pursuing penalty disruption requests Once 10 (100.0) 33 (89.2) 29 (93.5) 2 (100.0) Twice 0 (0.0) 4 (10.8) 2 (6.5) 0 (0.0) 0.34 Reasons for waiving the penalty interruption request Cured without treatment 0 (0.0) 1 (2.7) 0 (0.0) 0 (0.0) Cured under treatment 5 (50.0) 13 (35.1) 18 (58.1) 1 (50.0) Too long examinations 5 (50.0) 21 (56.8) 7 (22.6) 1 (50.0) Too many examinations 0 (0.0) 1 (2.7) 5 (16.1) 0 (0.0) Other 0 (0.0) 1 (2.7) 1 (3.2) 0 (0.0) 4.Discussion 4.1 What was the status of inmate-patients that required sentence discontinuation on medical condition grounds? To initiate legal procedures in order to interrupt an sentence on health grounds, a detainee needs to be diagnosed with at least one pathological condition that cannot be properly treated within the sanitary network of the penitentiary system. Among the subjects who made such requests and were enrolled in this study most frequent pathologies were of digestive, respiratory and cardiovascular nature, or a combination including these. In 43.9% of the cases illness debut was pre-existent, but aggravated while serving the sentence, and in 41.8% of the cases the debut of the medical condition on which the sentence interruption request was based occurred after imprisonment. Most of these diseases can be diagnosed and treated within 284 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 the NAP sanitary network, considering recent improvements in terms of specialized personnel and equipment. In such circumstances, the significance of the high number of medical expertise requests in view of sentence interruption arguably resides in other than medical factors. 4.2 Were the interrupt requests influenced by the sentence length? Data analysis shows that most of the group I inmate-patients (those who had previous sentence interruption request records) were serving 5 to 10 years (53.1%) or up to 5 years (36.2%) sentences. The rates for group II (inmate-patients who had no previous interrupt requests) were reversed: 57.2% were serving up to 5 years and 35.3% were serving 5 to 10 years sentences (see Table 3). Overall, 170 out of 369 inmate-patients (46.1%) were serving less than 5 years sentences, 165 (44.7%) were serving 5 to 10 years, 22 (6%) were serving 10 to 15 years and 12 (3.2%) were serving more than 15 years sentences. 90.8% of them were included in the lowest two categories (up to 10 years). This suggests that, for those facing medium or long detention times, length of the sentence was a factor determining repeated requests of sentence interruption. The high frequency of first requests in the up to 5 years sentences group suggests this was seen as a means of coping with an unfamiliar and uncomfortable new situation. 4.3 Did the inmate-patients know the conditions required to be met when submitting sentence postponement or interruption request? Did they know prisoners who requested similar forensic expertise? Virtually all (99.5%) of the inmates who repeatedly requested discontinuation of the sentence on medical grounds (group I) said they were aware about the conditions for applying for medical expertise and knew other inmates who requested such procedure. This is perfectly understandable considering that inmates relationship involves contact and communication during the various activities they participate to. However, in group II a significant number of patients (25.4%) were not fully aware of the conditions they were supposed to meet and this puts under question their reasoning. 4.4 When did the request occur in relation with the moment of imprisonment? Concerning group I inmate-patients, 18.9% were in their first six months of detention and 47.4% had served 6 to 12 months before requesting a medical expertise in view of sentence interruption, which gives a 66.3 percentage (130 out of 196) of first-year detainees pursuing sentence disruption. This is relevant for claiming that influence of fellow inmates is greater in the first 285 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 year of detention, a possible explanation being inexperience and lack of information coming from official sources on issues related to health care. 4.5 Were subjects influenced by other inmates? Communication between inmates can certainly produce various influences. Thus, more than half of the group I subjects (52.6%) who requested discontinuation of the sentence on medical grounds said they were influenced in their pursuit by fellow inmates, in contrast to those who had no previous records in requesting a medical expertise for such purpose, of which but 5.2% admitted they were influenced by their detention colleagues. Taking into consideration group I inmate-patients, 73.1% of those in the 18-35 years age group and 66.3% of the 36-50 years aged reported influence of their peers. Imitation of colleagues and lack of preoccupation are other arguments connected to inside influences. One aspect that cannot go unnoticed is that of prisoners who have not requested discontinuation of the sentence on medical grounds (5.2%) but declared they were influenced by their peers. 4.6 What were the real reasons behind requesting medical expertise in view of sentence interruption and dropping out of an ongoing procedure? Of the 196 inmate-patients who requested a medical expertise, 66.3% (130 subjects) were at their first request, 31.1% (61 cases) had one previous request and 2.5% (5 cases) had at least two previous such requests. Medical status by itself or associated with claims of other serious (most often family-related) situations documented the requests of two thirds (65.8%) of the inmate-patients. However imitation of colleagues and lack of preoccupation are motivations that cannot be related to a medical condition justifying the request of a medical expertise. It is evident that the interruption request is perceived by some prisoners as a way to avoid prison life, perhaps augmented by inside stories claiming successful attempts following such course of action. 74 subjects in group I who later on decided not to go all the way with the forensic procedure got discouraged at their first attempt, only 6 having previous records in the field. The vast majority (71 out of 80) justified their dropout claiming improvement of their medical condition or invoking the length and complexity of medical investigations and other aspects related to the expertise procedure. 5.Conclusions - Although there is certain knowledge among the detainees pool regarding conditions required to be met when applying for a sentence postponement or interruption based on medical conditions needed to be confirmed by a legal medicine expertise, interviewing of the inmate-patients 286 DISCOURSE AS A FORM OF MULTICULTURALISM IN LITERATURE AND COMMUNICATION SECTION: PSYCHOLOGY AND EDUCATION SCIENCES Arhipelag XXI Press, Tîrgu Mureș, 2015, ISBN: 978-606-8624-21-1 highlighted the fact that such information is often vague or incomplete and that documentation on such line of action originated from unauthorized sources, most often being offered by detention colleges. - Dissemination of relevant information concerning detainees‘ rights and obligations within their legal framework must come from authorized sources. Actions to stop spreading unauthorized and incorrect information need to be taken to prevent spending of public funds and unnecessary procedures demanding deployment of medical and security personnel. - There is a clear tendency among inmates to make a first request for medical expertise to back sentence interruption demands while in the first year of incarceration. - A multi-factorial determinism of such requests was certain identified including direct influence of other inmates, a tendency to imitate ―successful‖ conducts or escape routes out of prison routine. - Assessment of the co-factors that influence inmates to pursue such line of action can bridge more efficient communication between staff personnel and inmates, contributing to a reduction in the number of unjustified requests and minimization of their negative impact on current legal medicine activities carried out in the penitentiary system in Romania. BIBLIOGRAPHY: 1. 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