ࡱ> Y bjbj[[ p9 \9 \ikIvv>>>RRR8ttR_\rI!>!! ^^^^^^^$la"d^>! !@I!!!^^$$$!8>^$!^$$jS&X>8v5"vMU2{^^0_Ud"ddXXjd>Y!!$!!!!!^^$!!!_!!!!d!!!!!!!!!v> : Office use only: Office Use ONLY Protocol #: _____________ Date: _______ Appendix C IRB Request for Research Involving Prisoners Prisoners are a special group of research participants, classified as a vulnerable population and protected under the Common Rule HYPERLINK "http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html" \l "subpartc"45 CFR 46 Subpart C. All protocols involving prisoners must be reviewed by the Full Board. Read the  HYPERLINK "/irb/policies-and-procedures/policies-for-protocol-submissions/research-involving-prisoners/" SU IRB Policy on Research Involving Prisoners prior to completing this appendix for definitions and regulations. Email this typed form with your initial protocol application (or Modification Request) as a separate file titled: LASTNAME.Appendix C.Prisoners.DATE to  HYPERLINK "mailto:irb@seattleu.edu" irb@seattleu.edu. Section 1: Information Principal Investigator (Last name, First)Project TitleBelow indicate the name, type of facility, location, and contact person of each local, state, or federal facility.>> Section 2: Project Information Is this study Federally funded? Note: for research supported by the Department of Health and Human Services, SU must certify to the Secretary of DHHS that the research has been reviewed and approved by the IRB and await response this takes time and should be planned for. During the period awaiting approval, you may continue research involving a prisoner only if the IRB authorizes the continuation. The investigator will be notified of SU IRB approval once SU is notified whether the Secretary of DHHS concurs with its decision. FORMCHECKBOX  Yes FORMCHECKBOX  No Indicate the description that best matches your research study:  FORMCHECKBOX  a) Study of the possible causes, effects, and processes of incarceration, and of criminal behavior, provided that the study presents no more than minimal risk and no more than inconvenience to the subjects.  FORMCHECKBOX  b) Study of prisons as institutional structures or of prisoners as incarcerated persons, provided that the study presents no more than minimal risk and no more than inconvenience to the subjects.  FORMCHECKBOX  c) Research on conditions particularly affecting prisoners as a class (e.g., vaccine trials and other research on hepatitis, more prevalent in prisons; and research on social and psychological problems such as alcoholism, drug addiction, and sexual assaults) provided that the study may proceed only after the Secretary (HHS) has consulted with appropriate experts including experts in penology, medicine, and ethics, and published notice, in the Federal Register, of the intent to approve such research [46.306(2)(iii)].  FORMCHECKBOX  d) Research on practices, both innovative and accepted, which have the intent and reasonable probability of improving the health or well-being of the subject. In cases in which those studies require the assignment of prisoners in a manner consistent with protocols approved by the IRB to control groups that may not benefit from the research, the study may proceed only after the Secretary (HHS) has consulted with appropriate experts including experts in penology, medicine, and ethics, and published notice, in the Federal Register, of the intent to approve such research [46.306(2)(iv)].  FORMCHECKBOX  e) Epidemiological Research defined as public health research that focuses on a particular condition or disease in order to (i) describe its prevalence or incidence by identifying all cases, including prisoner cases, or (ii) study potential risk factor associations, where the human subjects may include prisoners in the study population but not exclusively as a target group [68 FR36929, June 20, 2003], provided that the study presents no more than minimal risk and no more than inconvenience to the subjects. Section 3: Risk Assessment and Population Selection 1. Explain any possible advantages for the prisoner through participation in the research, when compared to the general living conditions, medical care, quality of food, amenities, and opportunity for earnings in the prison.>> 2. Explain whether these advantages are of a magnitude that could influence the subjects ability to weigh any research risks against these advantages in the limited choice environment of the prison.>> 3. Indicate whether the risks involved in the research are not commensurate with risks that would be accepted by non-prisoner volunteers.>> 4. Explain whether the procedures for the selection of subjects within the prison are not fair to all prisoners and immune from arbitrary intervention by prison authorities or prisoners. [Note: Unless the PI provides a justification to the contrary, control subjects must be randomly selected from the group of available prisoners meeting the needed study characteristics.]>> 5. Describe the safeguards in place to provide adequate assurance that parole boards will not take into account a prisoners participation in the research in making decisions regarding parole. [Note: Each prisoner must be clearly informed in advance that participation in the study will not affect his or her parole.]>> 6. If applicable, describe provisions for follow-up examinations or care post-participation (including frequency and duration of availability), accounting for varying lengths of individual prisoners sentences.>>     IRB Request for Research Involving Prisoners: Page  PAGE 2 Last Revised January 2018 SU Institutional Review Board Admin 201, 206-296-2585 irb@seattleu.edu "#$.0=ENOPZamʺqaTG:*he'hp0w5CJOJQJaJ h"[5CJOJQJaJ hy5CJOJQJaJ h)5CJOJQJaJ hEsh)5OJQJ\aJh.h)>*OJQJ\aJh.h)>*OJQJh)OJQJhNWh)5OJQJh)5OJQJ\aJh)h)5OJQJh'q4h'q4>*OJQJ\aJh'q4h'q45OJQJ\aJ!h|h)5>*OJQJ\aJ(jhrhH;OJQJUmHnHu#>OP}  & FE(($If^`Egd^! & FE(($If[$\$^`Egd^gd; <<gd) $ <da$gd'q4 m  e f g z { } ñp\MAM.%j *hX5CJOJQJUaJh^CJOJQJaJhh+=vCJOJQJaJ&hhy0J5CJOJQJ]aJ1jhhy5CJOJQJU]aJ"hhy5CJOJQJ]aJ+jhhy5CJOJQJU]aJ"hhy5CJOJQJ\aJhrh8Y5CJOJQJaJ he'hh5CJOJQJaJ hy5>*CJOJQJaJ hnP5CJOJQJaJ  O P Q ~   - 6 I ȴȥzdRC6h^5CJOJQJaJh^h^CJOJQJaJ"h1nB*CJOJQJ\aJph+h^h^>*B*CJOJQJ\aJph+h^h^5B*CJOJQJ\aJph(h^h^B*CJOJQJ\aJphhh+=vCJOJQJaJ& *hXh+=v0J5CJOJQJaJ%j *hX5CJOJQJUaJ+j *hX5CJOJQJUaJ *hX5CJOJQJaJI J S X \ ] ӟo`SE5h8h8t5CJOJQJaJh(h"v":OJQJaJh(h8tOJQJaJhaaF5:CJOJQJaJ"h(hu$w5:CJOJQJaJhrh"[5OJQJaJhrh8Y5CJOJQJaJh^h8Y6CJOJQJaJ h^h^0JCJOJQJaJ%jh^h^CJOJQJUaJh^h^CJOJQJaJh^5CJOJQJaJh^h^5CJOJQJaJ l_RG: dd$Ifgd; d$Ifgd; d($Ifgd;  Pgd8  (&d P gdkRokd$$Ifl4'8(  t 0644 l` ap yt^ 8 < _ ` a c d e ȹȹqaREa5h^h+=v5CJ OJQJaJh^5CJOJQJaJhrh+=vCJOJQJaJh+=vh+=v5CJOJQJaJh+=v5>*CJOJQJaJh+=v5CJOJQJaJh+=vCJOJQJaJh8h:5CJOJQJaJh8h8t5CJOJQJaJhrh8tCJOJQJaJh8h8tCJOJQJaJh8h:CJOJQJaJh^h2UOJQJaJh^h:OJQJaJ i\\ dd$Ifgd;kd/$$Ifl40Y ' s 064 laf4pyt^ ` k^ dd$Ifgd;kd$$Ifl40Y ' s 064 laf4pytmW` a d e odG5 !xd$Ifgd+=v & F !xd$If^`gd+=v  dgd+=v  $d N gd+=vgd^ukd$$Ifl4'8(  064 laf4p yte q ͼziTi*OJQJ^JaJh^h+=v6OJQJ^JaJ"h^h+=v56OJQJ^JaJh+=vCJOJQJ^JaJ h+=v5>*CJOJQJ^JaJ"hZ0<h+=v5:CJOJQJaJh+=v5:CJOJQJaJ"h(h+=v5:CJOJQJaJ   ߲ʠߓxdSF2S'j>h)h^OJQJU^Jh)h^OJQJ^J!jh)h^OJQJU^J&h[1h^5CJOJQJ\^JaJ#h[1h^5CJOJQJ^JaJh^h^CJ h&eh+=vOJQJaJ#h/@h+=vCJOJQJ\^JaJ/jh/@h+=vCJOJQJU^JaJ)jh/@h+=vCJOJQJU^JaJ h/@h+=vCJOJQJ^JaJh+=vCJOJQJ\^JaJ ;9( & F !xdgd^kd)$$Ifl4F#'\8 0&(    4 laf4pyt+=v !xd$Ifgd+=v |˹˦˹˦k˦U+jjh^h^CJOJQJU^J+jh^h^CJOJQJU^J+jh^h^CJOJQJU^Jh^h^CJOJQJ^J%jh^h^CJOJQJU^J"h^h^>*OJQJ\^JaJh^h^OJQJ\^JaJ"h^h^5OJQJ\^JaJ#h)h^CJOJQJ\^JaJ G_`aw !xd$If^`gd^  dgd^  $d N gd; ^`gd^ !(<]^`gd^ eGHVWXZ\^.^_`ajm̽ߕxhYGY5"h^h)5:CJOJQJaJ"h(hu$w5:CJOJQJaJh[15:CJOJQJaJhHfah25CJOJQJaJ h^h^h+=v"h^h^>*OJQJ\^JaJ"h^h^5OJQJ\^JaJ+jh^h^CJOJQJU^Jh^h^CJOJQJ^J%jh^h^CJOJQJU^Jh^h^OJQJ\^JaJh^h^OJQJ\^JaJVuvwxz{|}Bѱsbbbbbb h[1h[1CJOJQJ^JaJh^h[15CJOJQJaJh^5CJOJQJaJh:hkRoCJOJQJaJ#h/@hkRoCJOJQJ\^JaJ h/@hkRoCJOJQJ^JaJh[15CJOJQJ^JaJh^CJOJQJ^JaJh[1CJOJQJ^JaJ#h[1h[15CJOJQJ^JaJwx{Cf !xd$If^`gd^gd^vkd2 $$Ifl4$'&(  0&(4 laf4p ytNBCDFGHIZ_d+.34raMa&h[1h[15>*CJOJQJ^JaJ h[1h[1CJOJQJ^JaJ h[15>*CJOJQJ^JaJh[1CJOJQJ^JaJh^CJOJQJ^JaJ#h[1h[15CJOJQJ^JaJh[15CJOJQJ^JaJh^h[15CJOJQJaJh^5CJOJQJaJh:h[1CJOJQJaJ&h[1h[15CJOJQJ\^JaJCDGf !xd$If^`gd^gd^vkd $$Ifl4$'&(  0&(4 laf4p ytKf !xd$If^`gd^gd^vkd $$Ifl4$'&(  0&(4 laf4p ytJKLNOPQ_ibcdegp\p\&h[1h[15CJOJQJ\^JaJ h[1h[1CJOJQJ^JaJ h[15>*CJOJQJ^JaJ#h[1h[15CJOJQJ^JaJh^h[15CJOJQJaJh^5CJOJQJaJh:h[1CJOJQJaJ#h[1h[1CJOJQJ\^JaJh[1CJOJQJ^JaJh[15CJOJQJ^JaJKLOf !xd$If^`gd[1gd^vkdE $$Ifl4$'&(  0&(4 laf4p ytdf !xd$If^`gd^gd^vkd $$Ifl4$'&(  0&(4 laf4p ytdehiklnoqrtuv~~~~~~~~~|||gd^vkd $$Ifl4$'&(  0&(4 laf4p ytghijlmoprsuǸǨǨscSOh'q4h"v"h'q4CJOJQJaJhh2hnCJOJQJaJhh^CJOJQJaJh$hXCJOJQJaJhmHnHu(jh2h'q4CJOJQJUaJhh2h'q4CJOJQJaJhh[1>*CJOJQJaJhh'q4CJOJQJaJhhojhoUh)h[1CJOJQJ^Jh^h^5CJOJQJaJ $a$gd=gdH;  ˳h)h[1CJOJQJ^Jhoh'q4hL>'45Oϴ'4ϴL>'4ϴyϴL>'45CϴL>'45Cϴ <P&P:p:/ =!8"8#$`%@ DpFm^2i6nJFIFddDuckyVAdobed   ;z   ! 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