Correctional Mental Health Handbook

Introduction Chapter 1 - Mental Health in Corrections: A Model for Service Delivery - Thomas J. Fagan The Mentally Disordered in Prisons and Jails: A Historical Perspective Metal Illness in Prisons and Jails: Current Status Mental Health Services in Prisons and Jails: A Conceptual Model Level One Services Level Two Services Level Three Services Conclusions Chapter 2 - Correctional Mental Health Professionals - Phil Magaletta and Jennifer Boothby Introduction The Correctional Mental Health Professions General Professional Considerations Psychiatrists Psychologists Social Workers Other Mental Health Professionals Treatment Teams Paraprofessionals Mental Health Professionals - Common Correctional Challenges The Challenge of Limited Knowledge The Challenge of Limited Resources The Challenge of Patience in an Action-Oriented Environment The Challenge of the Joint Mission Self-Care for Mental Health Professionals Chapter 3 - Correctional Mental Health Ethics Revisited - John Dignam The Correctional Context Treatment vs. Security: A False Dichotomy Who is the Client? Who is the Provider? Ethical Issues Privacy and Confidentiality Dual or Multiple Relationships Clarification of Role Boundaries of Competence and Maintaining Expertise Summary and Conclusion Chapter 4- Basic Mental Health Services: Services and Issues - Robert Morgan Typical Mental Health Problems Exhibited By Offenders Basic Mental Health Services Assessment Acute Crisis Intervention Therapeutic Services Special Mental Health Evaluations Mental Health Records Liability Issues and Basic Mental Health Services Conclusion Chapter 5 - Substance Abuse Treatment Programs in Prisons and Jails - Roger Peters and Charlie Matthews Current Issues Related to Drug Offenders in Prisons and Jails Policy Trends Affecting the Incarceration of Substance-Involved Offenders The Need for Correctional Treatment History and Scope of Correctional Treatment Services Standards for Substance Abuse Treatment Services in Prisons and Jails Legal Standards Professional Standards Correctional Substance Abuse Treatment Programs Federal Bureau of Prisons Florida Department of Corrections Oregon Department of Corrections Correctional Treatment Outcome Research Treatment Approaches for Special Populations Co-Occurring Mental Health and Substance Abuse Disorders Treatment of Female Inmates Future Directions and Trends in Correctional Substance Abuse Treatment Linking Correctional and Community Treatment Expanding Treatment Alternatives to Incarceration New Directions in Correctional Treatment Research Chapter 6 - Managing and Treating Mentally Disordered Offenders in Jails and Prisons - Shelia Holton Current Issues, Problems, and Trends Mental Illness: Movement from Hospitals to Prisons and Jails Obstacles to Effective Treatment in Prisons and Jails Serious Mental Health Disorders Found In Prisons and Jails: Management and Treatment Issues Psychotic Disorders Mood Disorders Borderline Personality Disorder Antisocial Personality Disorder and Psychopathy Substance Abuse Disorders Best Practices Mental Health Treatment Units Mobile Assessment Teams Suicide Prevention and Interventions Telehealth Future Trends in the Treatment of the Mentally Ill in Corrections Chapter 7 - Management and Treatment of Female Offenders - Lane Wagaman Female Offenders: A Brief Historical Overview Characteristics of Female Offenders Demographic Data Responses to Incarceration Special Management, Treatment and Program Considerations Utilization of Health and Mental Health Services Obstetric and Gynecological Needs Dietary and Nutritional Needs Sleep Disturbance Pain and Pain Management Alcohol and Other Substance Abuse Treatment Needs Trauma and Abuse Family Relationship and Parenting Issues Mental Health Services Conclusions Chapter 8 - Treating and Managing Sexual Offenders and Predators - Andrea Boardman and Dave DeMatteo Introduction Legislative Trends Sexually Violent Predator Laws Sex Offender Registration and Notification Laws Internet Child Pornography Sexual Offenders in Prisons and Jails: Clinical Description Rapists Child Molesters Offender Typologies: A Cautionary Note Other Sexual Acts Sexual Offenders in Prisons and Jails: Management Considerations Sexual Assault in Prison Sexual Offender Treatment Programs Sex Offender Treatment Outcome Studies Best Practices Future Directions Chapter 9 - Identifying Juvenile Offenders with Mental Health Disorders - Lisa Boesky Introduction Identification of Juveniles with Mental Health Disorders Self-Report Information Family History Screening and Assessment Instruments Improving the Accuracy of Self-Reported Information Collateral Sources of Information Observation Behavior or Symptom Checklists Common Mental Disorders Found Among Juvenile Offenders Oppositional Defiant Disorder Attention-Deficit/Hyperactivity Disorder (ADHD) Conduct Disorder Major Depression Dysthymic Disorder Bipolar Disorder Suicidal Behavior Mental Retardation Learning Disorders Posttraumatic Stress Disorder (PTSD) Self-Injury Psychotic Disorders Co-Morbidity Co-Occurring Mental Health and Substance Use Disorders Cultural Issues Conclusions Chapter 10 - Other Special Offender Populations - Linda Richardson Introduction Military Offenders Foreign-Born Offenders Elderly Offenders Terminally Ill Offenders HIV Infected/AIDS Offenders Offenders with Mental Retardation Conclusions Chapter 11 - Staff Services and Programs - Rich Ellis Employee Assistance Programs: Intervention Models Stress and Employee Mental Health in the Correctional Environment In-House Model Mixed Model The Independent Model Other EAP Considerations Workplace Violence: From the Individual to the Institution Actual Examples of Correctional Workplace Violence Responses to Workplace Violence Examples Other Examples of Workplace Violence Interventions for Workplace Violence: Defusing and Debriefing Debriefing: What to do when the workplace goes wrong The Debriefing Process Debriefing Procedures and States The Defusing Process Conclusions Chapter 12 - Staff Training: Multiple Roles for Mental Health Professionals - Kathy Harowski Overview Correctional Trends and their Training Implications Rapid Growth in the Correctional Population Diversity in Both Offenders and the Workforce Changing Technology Training Roles for Mental Health Professionals Trainer and Audience Issues Developing Mental Health Paraprofessionals Training in Particular Skill Areas Trauma Inoculation/Individual Factors in Coping with Stress Training the Next Generation of Correctional Mental Health Professionals Chapter 13 - Mental Health Professionals as Institutional Consultants and Problem-Solvers - Joel Dvoskin, Erin M. Spiers, and Stephen Pitts Introduction Assessing Institutional Climate Consultation Within The Institution Classification Case Management/Unit Teams Detail/work supervisors Disciplinary Proceedings Conflict Resolution Staff Screening and Selection Program Development and Evaluation Crisis: Prevention and Response Training Consultation Post-Incident Response Mental Health Professionals as Correctional Administrators Conclusion Chapter 14 - Research-based Practice in Corrections: A Selective Review - Carl Clements and Alix McLearen Introduction Research Frameworks The Person-centered Perspective: Offender Characteristics The Situation-centered Perspective: Policies and Programs The Interactionist Perspective: Tailored, Selected Interventions Research in Offender Assessment and Classification Risk Assessment Assessment for Treatment Treatment Outcomes Research Meta-analysis and Correctional Outcomes The Role of Theory Other Evidence of Effective Programs Research on Special Populations and Issues Psychopathic Traits as a Special Risk/Needs Factor Malingering: Detection and Response Ethical Issues in Correctional Research Constraints, Recommendations, and Future Issues to Consider Extending Professional Capacity Mental Health Professionals as Managers Commitment to Correctional Research Implementing Best Practices and Maintaining Therapeutic Integrity Research with Female Offenders Research in Jail Settings Conclusion Chapter 15 - A Viable Future for Correctional Mental Health Care - Robert K. Ax Introduction Framing the Future Public Health Citizens as Consumers Globalization: American Correctional Mental Health in a Connected World Building a Viable Future: Changes in Health Care Delivery Technology Psychotropic medication Programming, Assessment and Provider Issues Staff Issues Role Transformations: Toward a biopsychosocial scope of practice and self-concept Conclusion About the Authors