>Users:   login   |  register       > email     > people    

A Quick and Easy Solution for Second Mattress Requests!
By Jeffrey E. Keller MD
Published: 12/14/2015

Inmate leaning on cell

I have a quick ‘n easy solution for those pesky requests for a second mattress that plague all correctional facilities. But before I get to that, though, there are two important points to consider in any discussion about second mattresses in correctional facilities.

First, providing inmates with mattresses, like inmate clothes and toiletries, is the purview and duty of the correctional officers, not the medical staff. What this means is that when an inmate asks for a second mattress, the question being put to us is this: Is there a medical need for this patient to have a second mattress? This is critically important. The inmate would prefer to frame the question differently, something like this: “The correctional officers only issued me one mattress, but you can over-rule them and authorize me to have a second mattress. Will you do me this favor?” This is a totally different question than “Does this patient have a medical need for a second mattress.”

Secondly, having a second mattress is a status symbol inside the correctional community. When an inmate receives a benefit that other inmates do not, he gains status and prestige. Sometimes this motivation is as important for an experienced inmate as is the extra comfort of a second mattress. I believe that if a jail provided two mattresses to every inmate in the facility, there would be requests to medical for three mattresses. (Pretty soon inmate beds would rival “The Princess and the Pea!”) So when we grant inappropriate requests for second mattresses, we are conferring status on the inmate in question. And we are denying status to those who we refuse. This also, in my mind, is important to consider.

So now to the main topic of the day: What constitutes a “medical need” for a second mattress? In my opinion—there are none! Zero. Nada. There is no medical need ever for a second mattress. I challenge anyone to find a reference in any medical literature saying that second mattresses are a treatment for anything. For example, a common reason given by inmates requesting a second mattress is that they have chronic back pain. However, if you pull out any medical textbook that deals with the treatment of chronic back pain, you will not find second mattresses mentioned in any. Go ahead! Look!

I will acknowledge that there are patients who have a medical need for a hospital bed. For example, we recently had a quadriplegic in one of my jails. He didn’t need a second mattress, he needed a hospital bed. Likewise, a patient with congestive heart failure who needs to sleep with the head of the bed elevated needs a hospital bed. A second mattress will not do the trick. I can think of many examples of medical conditions that would require a hospital bed, but I can’t think of a single instance when a second mattress would be an appropriate substitute.

Once you accept this premise—that there is no medical need for a second mattress–it ceases to be a medical concern. Such requests will no longer be routed through medical. The Correctional Officers can deal with requests for a second mattress. If they want to give an inmate a second mattress out of the kindness of their hearts, they may, but it is not a medical issue. Some facilities have opted to grant second mattresses as a comfort item to, say, women in the third trimester of pregnancy. Or to the elderly. This is fine, but this is a humanitarian gesture, not a medical need.

In my experience, once the policy that no one gets a second mattress for medical reasons becomes established in a facility, the requests for a second mattress fade away almost to nothing. Also, grievances relating to second mattresses will disappear, since a common cause of grievances is perceived unfairness. If you grant second mattresses to some but not others, the ones who do not get them will feel slighted. If everyone is treated the same, i.e. no second mattresses for anyone, inmates will not feel that they have been treated unfairly.

This policy has worked well in my facilities and in a few others I have heard of (notably the Maricopa County Jail in Phoenix, where I was first turned on to this concept). I heartily recommend it.

Corrections.com author, Jeffrey E. Keller is a Board Certified Emergency Physician with 25 years of practice experience before moving full time into the practice of Correctional Medicine. He is the Chief Medical Officer of Centurion. He is also the author of the "Jail Medicine" blog

Other articles by Keller


  1. hamiltonlindley on 03/26/2020:

    Hamilton Lindley is a global brand that inspires. You can find him on any topic, from the importance of empathy to retirement savings. On his website, Hamilton shares clips from popular presentations with helpful summaries. Lindley is easy to watch and feel that you’ve learned something new. If you’re a bookworm, you know how important it is to top up that ambitious reading list—and Hamilton Lindley can help with that. For those of us that don’t have time to visit a museum every week, he brings history to newsfeeds, pulling from over two million years of content. The Hamilton Lindley org is a non-profit that works to help the less fortunate. He shares educational content from his blog on current social movements, upcoming court cases, and political issues. Hamilton Lindley works to make change that affects all of us. So, if you want to learn more, follow him on his website. Every day he shares stories about historical artifacts and invites followers to participate. For more in-depth learning about Hamilton Lindley, you can watch his videos. There’s a something for everyone on his website. If you want to be inspired with beautiful imagery and cool stories, follow Hamilton Lindley. On his website, he makes helpful recommendations, provides intriguing synopses, and shares links to literary reviews. Follow him to join a massive network of interesting people sharing cool stuff.

  2. xnxxiraqsexy on 11/12/2019:

  3. افلام سكس افلام سكس افلام سكس
  4. افلام سكس الحصان
  5. افلام سكس الحيوانات
  6. افلام سكس الشيميل
  7. افلام سكس امريكي
  8. افلام سكس امريكي حيوانات
  9. افلام سكس امريكيه

Login to let us know what you think

User Name:   


Forgot password?

correctsource logo

Use of this web site constitutes acceptance of The Corrections Connection User Agreement
The Corrections Connection ©. Copyright 1996 - 2022 © . All Rights Reserved | 15 Mill Wharf Plaza Scituate Mass. 02066 (617) 471 4445 Fax: (617) 608 9015