An Overview of Correctional Psychiatry

Metzner, Jeffrey L.; Dvoskin, Joel A.

doi:10.1016/j.psc.2006.04.012

Cited by 34 publications

(22 citation statements)

References 9 publications

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“…The limited number of research studies and the inadequacies of existing research on AS have only fueled the controversy. Numerous researchers and forensic professionals have called for more research to examine whether evidence based practices are in place and to examine whether harm is being done by confining inmates to segregation (Kurki & Morris, 2001;Lovell et al, 2007;Mears, 2008;Metzner & Dvoskin, 2006;Pizarro & Narag, 2008), but the topics and setting are difficult ones in which to conduct research (Mears & Watson, 2006;Naday et al, 2008).…”

Section: Criticisms Of the As Modelmentioning

confidence: 99%

See 1 more Smart Citation

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

O'Keefe¹,

Klebe²,

Stucker³

et al. 2011

PsycEXTRA Dataset

105

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The researchers would also like to acknowledge the support of Mr. Aristedes Zavaras and the staff at the Department of Corrections. This project would never have been possible without the commitment and contributions of management, mental health, case management, offender services, and security staff.This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice.ii ABSTRACT One of the most widely debated topics in the field of corrections -the use of long-term administrative segregation (AS) -has suffered from a lack of empirical research. Critics have argued that the conditions of AS confinement exacerbate symptoms of mental illness and create mental illness where none previously existed. Empirical research has had little to offer this debate; the scant empirical research conducted to date suffers from research bias and serious methodological flaws. This study seeks to advance the literature in this regard.This study tested three hypotheses: (1) offenders in AS would develop an array of psychological symptoms consistent with the security housing unit (SHU) syndrome, (2) offenders with and without mental illness would deteriorate over time in AS, but at a rate more rapid and extreme for the mentally ill, and (3) inmates in AS would experience greater psychological deterioration over time than the comparison groups.Study participants included male inmates who were placed in AS and comparison inmates in the general population (GP). Placement into AS or GP conditions occurred as a function of routine prison operations. GP comparison participants included those at risk of AS placement due to their institutional behavior. Inmates in both of these study conditions (AS, GP) were divided into two groups -inmates with mental illness (MI) and with no mental illness (NMI). A third comparison group of inmates with severe mental health problems placed in San Carlos Correctional Facility, a psychiatric care prison facility, was also included. A total of 302 inmates were approached to participate in the study, and 55 refused to participate or later withdrew their consent. Participants were tested at 3-month intervals over a yearlong period.Standardized test data were collected through self-report, correctional staff and clinical staff measures. Tests with demonstrated reliability and validity were selected to assess the eight primary constructs of interest: (1) anxiety, (2) cognitive impairment, (3) depression-hopelessness, (4) hostility-anger control, (5) hypersensitivity, (6) psychosis, (7) somatization, and (8) withdrawal-alienation. Extensive analyses of psychometric properties revealed that inmates self-reported psychological and cognitive symptoms in remarkably reliable and valid ways.The results of this study were largely inconsistent with our hypotheses and the bulk of literature that indi...

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Section: Criticisms Of the As Modelmentioning

confidence: 99%

“…Research on the effects of AS have been criticized for lacking these quality components that allow one to rule out plausible alternative explanations (Arrigo & Bullock, 2008;Metzner & Dvoskin, 2006;Pizarro & Narag, 2008;.…”

Section: Quantitative Researchmentioning

confidence: 99%

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

O'Keefe¹,

Klebe²,

Stucker³

et al. 2011

PsycEXTRA Dataset

105

View full text Add to dashboard Cite

show abstract

“…Although there may be exceptions, the standard of care appears to require either exclusion of other seriously mentally ill inmates from placement in locked down units on a long term basis or, alternatively, the provision of appropriate out-of-cell structured therapeutic activity on a regular basis, as well as out-of-cell unstructured therapeutic activity (e.g., recreational ''yard''). However, the definition of ''long term'' in this context and specific recommendations for meeting these treatment requirements remain controversial and are beyond the scope of this article (Metzner & Dvoskin, 2006).…”

Section: The Remedial Planmentioning

confidence: 99%

Monitoring a correctional mental health care system: the role of the mental health expert

Metzner

2009

Behavioral Sci & The Law

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Class action litigation has been instrumental in jail and prison reform over the past four decades. This article provides a very brief introduction underlying the legal basis for such litigation. It focuses on the role of the mental health expert in monitoring a correctional mental health care system as a result of class action litigation including issues related to selection of the expert, development of the remedial plan, and monitoring of the implementation of the remedial plan. The importance of policies and procedures and a quality improvement process is emphasized. Essential elements of the monitoring process, prior to and during the site assessment, are described. Inmates and correctional staff alike have benefited substantially from such litigation in the form of increased resources and positive changes in institutional culture.

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“…In an article about correctional psychiatry, Metzner and Dvoskin (2006) remark on the impact of supermaximum security confinement (which generally means that inmates are isolated for up to 23 hours a day) in U.S. prison systems. The authors support the existence of a general consensus among clinicians that inmates with serious mental illness should not be placed in this most restrictive supermax status.…”

Section: Mental Illness In the Prison Systemmentioning

confidence: 99%

“…The authors support the existence of a general consensus among clinicians that inmates with serious mental illness should not be placed in this most restrictive supermax status. They further propose the possibility of symptomatic decomposition and the likelihood that a supermax environment is not conducive to psychological symptom improvement (Metzner & Dvoskin, 2006). They write that "except in the most extraordinary and dangerous circumstances, no one should be housed in segregation while they are acutely psychotic, suicidal, or otherwise in the midst of a psychiatric crisis" (Metzner & Dvoskin,p.…”

Section: Mental Illness In the Prison Systemmentioning

confidence: 99%

Utility of the Modified Mini Screen (MMS) for screening mental health disorders in a prison population

Spotts¹

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An Overview of Correctional Psychiatry

Cited by 34 publications

References 9 publications

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

Monitoring a correctional mental health care system: the role of the mental health expert

Utility of the Modified Mini Screen (MMS) for screening mental health disorders in a prison population

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