Treatment outcomes for female offenders: relationship to number of Axis I diagnoses

This article describes a study that examined the relationship between multiple Axis I mental health diagnoses and treatment outcomes for female offenders in prison substance abuse treatment programs. Preliminary findings of the effectiveness of therapeutic community (TC) treatment, modified for female offenders, relative to a control cognitive behavioral treatment condition, are presented. The hypothesis--that participants who fit into multiple diagnostic categories have more dysfunctional symptoms and behaviors at baseline--was confirmed; however, a hypothesized relationship between the number of Axis I diagnoses and 6 month treatment outcomes across five domains (mental health, trauma exposure, substance use, HIV needle risk behaviors, and HIV sexual risk) was not supported. Across all Axis I mental health groups, TC treatment was significantly more effective than the control condition overall, as well as on measures of mental health symptoms and HIV sexual risk. These findings suggest that this TC treatment program, as modified, is an effective model for women with varied diagnoses and diagnostic complexities.     

Community-based co-occurring disorder (COD) intermediate and advanced treatment for offenders

Against a backdrop of increasing concern about the adequacy of treatment for co-occurring substance use and mental disorders (typically known as "co-occurring disorders," or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treatment for offenders in both prison and community settings. The paper investigates two levels of treatment programs for COD; "intermediate" programs, in which treatment programming has been designed primarily for offenders with a single disorder, and "advanced" programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence- and consensus-based practices. Results provide support for the distinction between intermediate- and advanced-level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence- and consensus-based practices so as to modify treatment sufficiently to address both diseases.     

One year return to custody rates among co-disordered offenders

The extent to which therapeutic community (TC) methods meet the treatment needs of offenders with substance abuse disorders and co-occurring psychiatric disorders in prison is largely unknown. Very little research has been conducted with this population. The purposes of this study were to generate profiles of co-disordered drug offenders entering TC treatment in prison and to assess their post-release reincarceration rates, compared with drug offenders without psychiatric disorders. Extensive intake interview data for over 8,500 men and women who received treatment in one of 16 prison-based TCs in California were analyzed to produce profiles of co-disordered participants. Intake data come from a 5 year process and outcome evaluation of the California Department of Corrections' (CDC's) treatment initiative. Post-release reincarceration rates come from the CDC's Offender Based Information System. Compared with non-psychiatric disordered drug offenders, co-disordered offenders had substantially more severe substance abuse and criminal histories, in addition to their psychiatric impairment, at treatment entry. Logistic regression results indicated that, compared with drug offenders without psychiatric illness, co-disordered offenders were significantly more likely to be reincarcerated during the first year of their parole. These results suggest that prison treatment programs may need to use more comprehensive diagnostic assessments at intake to assess the diverse mental health needs of drug offenders with co-occurring psychiatric disorders and to develop treatment approaches suitable for this population.     

The Effect of Stigma on Criminal Offenders’ Functioning: A Longitudinal Mediational Model

Research has rarely considered criminal offenders’ psychological responses to stigma, but these responses may significantly influence behavior after release from jail/prison. Jail inmates’ perceived and anticipated stigma was assessed prior to release from jail/prison (N = 163), and outcomes were assessed one year post-release (N = 371). We hypothesized that perceived stigma would predict poor adjustment in several domains (i.e., recidivism, substance dependence, mental health symptoms, community adjustment) through anticipated stigma. Results showed that perceived stigma predicted worse community adjustment through anticipated stigma, and this varied by race. Results are explored from an interdisciplinary perspective.     

“Prison Will Either Make Ya or Break Ya”: Punishment,Deterrence, and the Criminal Lifestyle

Although a prison sentence is often considered to be among the worst punishments that the state can provide, previous research indicates that offenders do not necessarily share this view. Some inmates, for example, adjust to prison life with relative ease, do not view their time in prison as severe punishment, and may even prefer prison to alternative sanctions such as boot camp or probation. To help explain such views, we point to the utility of a “criminal lifestyle” perspective. We argue that offenders who are committed to the values of the criminal subculture tend to view prison in a unique way. For various reasons, such offenders are less likely than others to view imprisonment as difficult or severe and they are less likely to be deterred by prison. Drawing on data from a large inmate survey, we find initial empirical support for these arguments. Implications for deterrence and future research are discussed.     

White-collar Prisoners' Perceptions of Audience Reaction

There appears to be a societal-level change in the reaction to white-collar crime. The present study explored how white-collar prisoners perceive the reactions of the judiciary, media, significant others, prison staff, and other inmates toward them, and how these offenders perceived their own offending behavior. Interviews with 14 offenders revealed that they perceived the reaction of the judiciary and media as negative (e.g., punitive), but the reaction of significant others, prison staff, and other inmates as positive (e.g., supportive). Offenders also neutralized their own criminal behavior. Perceptions of audience reaction were shaped by offenders' expectations of how others would react and their own conceptions of crime.     

A longitudinal examination of sex offender recidivism prior to and following the implementation of SORN

The goals of the present study were to examine the recidivism rates of two matched samples of sexual offenders, those released prior to and after sex offender registration and notification (SORN) in New Jersey. The pre-SORN group (1990-1994) included 247 offenders, while the post-SORN group (1996-2000) included 248 offenders. The longitudinal analysis demonstrated that for sex offenders released from prison both prior to and after implementation of SORN, there are clearly two distinguishable groups of sex offenders in relation to patterns of recidivism. More than three-quarters of sex offenders were identified as at low risk of recidivism, with low rates of repeat criminal offenses. By contrast, the high-risk group of offenders was not only more likely to commit future criminal offenses, including sex offenses, but they were also more likely to commit significantly more offenses and to do so fairly quickly following release. Analyses also include an examination of the influence of demographics, substance abuse and mental health issues, treatment history, sex offense incident characteristics, and criminal history on recidivism. Finally, SORN status was not a significant predictor of sex or general recidivism. The study limitations and policy implications are discussed.     

An empirical typology of violent incidents reported by prison inmates with convictions for violence

Forty-four male prison inmates convicted for violent offences were interviewed, and details of current offence, previous convictions for violence, prison incidents, and violent situations outside of prison were obtained from each offender. Information on victim, circumstances, precipitating events, type of violence, emotions at the time, and the like, was derived for 246 violent incidents. Cluster analysis revealed eight clusters: “criminal” violence to familiar victims, peer violence within prison, domestic violence, peer violence in pubs, gang violence, violence to staff in prison, “criminal” violence to unknown victims with accomplices, and public violence against younger victims. Results were discussed in terms of treatment of violent offenders, with special emphasis on Social Skills Training.     

Against Supermax

abstract Supermax prisons subject inmates to extreme isolation and sensory deprivation for extended periods of time. Crime reduction and retributive arguments in favour of supermax confinement are elaborated. Both types of arguments are shown to falter once the logic of the two approaches to the justification of legal punishment is made clear and evidence about the effects of supermax confinement on inmates is considered. It is also argued that many criminal offenders suffer from defects in their capacities for morally responsible action, lack sufficient opportunities to remain law‐abiding, or are understandably alienated from society and the prison regime. The implications of this more realistic picture of offenders for supermax confinement are then explored briefly.     

Correctional treatment for co-occurring disorders: results of a national survey

The significant expansion of correctional populations in the last decade, coupled with the gradual erosion of community treatment infrastructure and health insurance, have brought greater attention to the needs of offenders who have co-occurring mental health and substance use disorders. Individuals with co-occurring disorders frequently cycle through acute care facilities in the community and increasingly are placed in jails or prisons. Approximately 16% of inmates in correctional facilities have major mental health disorders (Bureau of Justice Statistics, 1999), and a large majority of these inmates have co-occurring substance use disorders. Few studies have examined the effectiveness of correctional treatment for co-occurring disorders, and there is little information available regarding clinical and programmatic approaches used with this population. The current study provides findings from a comprehensive national survey of co-occurring disorder treatment programs in correctional settings. A total of 20 co-occurring disorder treatment programs from 13 state correctional systems were identified and surveyed. Many of the programs featured modified therapeutic communities, but there was significant diversity in the duration of treatment and type of services provided. Several unique structural and clinical modifications to treatment have been developed in these settings. Implementation of co-occurring disorder treatment programs has led to enhanced collaboration with prison health services and community supervision and treatment agencies, and greater use of interdisciplinary staff to provide outreach and case management services. Research is now being conducted to examine outcomes in several of these correctional treatment programs.     

Sexual and Aggressive Fantasies in Violent and Non-Violent Prison Inmates

It was hypothesized that violent inmates who refrain from disciplinary violations while in prison would express more fantasy aggression compared to violent inmates with discipline problems and to well disciplined, non-violent inmates. It was also hypothesized that sexual fantasies would be positively correlated with aggressive fantasies in the whole group. 65 inmates at a state prison, classified on the basis of criminal history and prison discipline, took a fantasy Questionnaire (FQ) and an Experimental TAT booklet (ETAT. The results did not support the first hypothesis, though the differences were in the predicted direction. The second hypothesis was fully supported.     

Life and death in the Lone Star State: three decades of violence predictions by capital juries

The accuracy of three decades of Texas jury predictions of future violence by capital defendants was tested through retrospective review of the disciplinary records of former death row (FDR) inmates in Texas (N = 111) who had been sentenced to death under this “special issue” and subsequently obtained relief from their death sentences between 1989 and 2008. FDR inmates typically had extended tenures on death row (M = 9.9 years) and post-relief in the general prison population (M = 8.4 years). FDR prevalence of serious assault was low, both on death row (3.6%) and upon entering the prison population (4.5%). None of the assaults resulted in life-threatening injuries to the victims. Violence among the FDR inmates was not disproportionate compared with life-sentenced capital offenders. Consistent with other research, juror expectations of serious prison violence by these offenders had high error (i.e., false positive) rates. The confidence of legislators and courts in the violence prediction capabilities of capital jurors is misplaced. Copyright © 2010 John Wiley & Sons, Ltd.     

Is death row obsolete? A decade of mainstreaming death-sentenced inmates in Missouri

Death-sentenced inmates in Missouri have been integrated or "mainstreamed" into the general population of the Potosi Correctional Center since 1991. By comparing the rate of violent misconduct among these mainstreamed death-sentenced inmates with that of the life-without-parole and parole eligible inmates under fully integrated conditions of confinement, this study provides the first empirical (statistical) evaluation of this innovative alternative to segregated death row confinement. The mainstreamed death-sentenced inmates committed no inmate or staff homicides, or attempted homicides. Comparison of their rates of institutional violence revealed frequencies that were similar to those of life-without-parole inmates, and well below those of fellow inmates who were sentenced to parole eligible terms. These findings cast serious doubt on the security-driven assumptions that have typified the segregation of death-sentenced inmates and have dictated highly restrictive confinement policies for this group. A conclusion that death-sentenced inmates can be safely integrated into a general prison population has significant implications for allocation of scarce fiscal resources and correctional staff, as well as for inmate mental health, particularly given the extended tenure that death-sentenced inmates typically serve between sentencing and relief/execution.     

In search of the “Tossed Salad Man” (and others involved in prison violence): New strategies for predicting and controlling violence in prison

This article addresses two fundamental questions: 1) Can we accurately identify a subgroup of high risk inmates who will likely be involved in various forms of prison violence; and if so, 2) Is there an empirical research supporting the contention that current classification systems reduce the risk posed by those offenders predicted to be violent (such as gang/security threat group members)? Based on a review of the empirical evidence from the past two decades, we conclude that current classification strategies do not predict prison violence very accurately and perhaps more importantly, they do not appear to reduce the risk of violence in prison. New classification systems focusing on changing – rather than controlling – offenders while in prison represent one possible alternative strategy, given recent evidence that participation in prison programming/treatment is the most effective prison violence reduction strategy currently available.     

Surviving Incarceration: Two Prison-Based Peer Programs Build Communities of Support for Female Offenders

Both men and women adopt various roles in the inmate subculture to survive the pains of imprisonment. It is assumed that one reason females feel the pains of imprisonment more harshly than males is because of the difficulty in being separated from their family and children. To ameliorate the pains of separation, female inmates re-create their lost family in prison. Recent works have found that the nature of America's female prison “pseudo family” may be evolving, and correspondingly, diminishing in importance. Since one's associates in prison can affect institutional adjustment, being associated with a supportive social network can prevent periods of maladjustment. This exploratory study, based on the narratives of 49 female offenders, examined the effects of two HIV prison-based peer programs on inmate peers in New York State and its unique ability to help these female offenders cope with the pains of incarceration. The author found that such programs provided leadership, support, and guidance for female offenders, and not only created a prosocial environment, but fashioned an entire community. This community continued outside of the prison walls, provided women with emotional support, and subsequently resulted in increased levels of institutional and post-release success. The use of prison-based peer programs creates a positive, conventionally oriented alternative to the traditional female pseudo family and poses significant implications for rehabilitation and reentry initiatives.     

Prison rioters: exploring infraction characteristics, risk factors, social correlates, and criminal careers

Investigation of individual inmates' characteristics are almost entirely absent from research of prison riots. The current study sought to fill this void using official infraction records and prison dossiers of 831 male inmates selected from the southwestern USA. Logistic regression models indicated that inmates who were cited for criminal infractions, such as theft, possession of weapons or drugs, threatening staff, and social risk factors were significantly more likely to engage in prison rioting. In fact, the model which contained criminal career, demographic information, infraction, and other social risk factors explained 40% of the variation in prison rioting. Suggestions for research on prison riots that included inmates' criminal history and characteristics of infraction are offered.     

Treating criminal psychopaths in a therapeutic community program

A Therapeutic Community (TC) treatment program for adult male offenders is summarized and treatment outcome data are discussed. Psychopaths showed less clinical improvement, displayed lower levels of motivation and were discharged from the program earlier than non-psychopaths. There were significant positive treatment effects for the non-psychopaths and a mixed group. Psychopathy Checklist scores (Hare, 1985) consistently postdict and predict treatment outcome and attrition from the program.     

Accounting for Violations of the Convict Code

Research over the past several decades shows that those who act in ways inconsistent with desired identities often account for (i.e., excuse or justify) their actions to save face and maintain social identities. While the bulk of research on the use of accounts examines how people make sense of behaviors that go against conventional values, recent research suggests that those who do not adhere to subcultural norms engage in similar talk. The current study builds on the sociology of accounts by exploring whether inmates articulate a convict code; whether they provide accounts for code violations that are comparable to those given by active offenders; and whether incarceration shapes inmates’ use of these accounts. Interviews with 40 inmates residing in a maximum security prison suggest that they rely on linguistic devices to align their actions with subcultural beliefs and that the prison environment structures the pattern of these accounts.