PRINCIPAL SOURCES OF DATA INCLUDED A SURVEY AND CLINICAL ASSESSMENT OF A SAMPLE OF THE RESIDENT POPULATION IN MICHIGAN'S CORRECTIONAL INSTITUTIONS AND A SERIES OF INSTITUTIONAL ASSESSMENTS OF HEALTH CARE FACILITIES AND PROGRAMS IN STATE PRISONS. GUIDELINES AND OBJECTIVES FOR CORRECTIONAL HEALTH CARE ARE PRESENTED, AND A HEALTH CARE SYSTEM IS PROPOSED. THE SYSTEM WILL RELY MAINLY ON COMMUNITY RESOURCES IN PROVIDING HEALTH SERVICES TO INMATES, WITH LIMITED HEALTH CARE SERVICES PROVIDED AT THE INSTITUTIONS UNDER THE CORRECTIONAL HEALTH CARE SYSTEM. ALL FACILITIES USED IN HEALTH CARE DELIVERY WILL SUBSTANTIALLY MEET THE REQUIRED COMMUNITY STANDARDS, INCLUDING A SUFFICIENT NUMBER OF QUALIFIED HEALTH CARE PROFESSIONALS. OTHER MAJOR FEATURES OF THE CORRECTIONAL HEALTH CARE SYSTEM WILL INCLUDE CONTINUED CARE, INFORMATION AND EDUCATION ON HEALTH AND HEALTH CARE TO BOTH INMATES AND CORRECTIONAL STAFF, COMPLETE ROUTINE PERIODIC EXAMINATIONS, AND A MECHANISM FOR EFFECTIVELY INFLUENCING ENVIRONMENTAL HEALTH CONDITIONS OF STATE CORRECTIONAL INSTITUTIONS. SPECIFIC RECOMMENDATIONS FOR IMMEDIATE IMPLEMENTATION COVER OUTSIDE REFERRALS, ONSITE CARE, PREVENTIVE HEALTH MEASURES, SOCIAL HEALTH CONCERNS, AND NEW SYSTEM IMPLEMENTATION. OTHER RECOMMENDATIONS ARE TO BE IMPLEMENTED WITHIN 6 MONTHS OF APPOINTMENT OF A NEW STATE CORRECTIONAL HEALTH ADMINISTRATOR, AND WITHIN 2 YEARS OF THE APPOINTMENT OF A STATE CORRECTIONAL ADMINISTRATOR. FINALLY, RECOMMENDATIONS ARE OFFERED FOR LEGISLATIVE ACTION, FOR THE DETROIT HOUSE OF CORRECTIONS, AND FOR FUTURE STUDY. NUMEROUS TABLES ARE PROVIDED AND MATERIAL RELATING TO METHODOLOGY, LEGAL ISSUES, DEMOGRAPHIC DATA, COSTS, AND VARIOUS ASSESSMENTS ARE APPENDED.