The Importance Of Clinical Psychology Within The Correctional Setting

This paper explores the topic of mental health within prisons and how it affects the inmates. The report of my findings were through research of twelve articles, two credible website sources, and a published textbook.

Everyday correctional officials work to deal with mental health inmates. Often hotly debated, many search for ways to work with this growing population. Glaze and Bonczar (2009) estimate around 2.3 million people are incarcerated within the US and of those, 20 percent suffer from some form of mental disorder. Even with such a high number, the rate of mental illnesses within the prison system is on the climb. Many of these inmates will remain incarcerated and receive little to no treatment for their mental issues. This essay, will look at the practices associated when dealing with mental illness and discuss the strategies on dealing with this growing issue.

The way the criminal justice system should handle crimes has always been a debated subject. For over the last forty years, ever since the war on drugs, there are more policies made to be “tough on crime”. From then, correctional systems have grown and as people are doing more crimes, there are plenty of punishments for them. In the mid 1970’s, rehabilitation was the main concern for the criminal justice system. It was common that when someone was convicted of a crime, they would be sentenced to prison but there would also be diagnosed treatments to help them as well. Most likely, they would have committed a crime due to psychological problems. When they receive treatment in prison, they can be healed and would not go back to their wrong lifestyle they had lived before. As years have gone by, people thought that it was better to take a more punitive stance in the criminal justice system. As a result of the turnaround of this more punitive criminal justice system, the United States now has more than 2 million people in prisons or jails--the equivalent of one in every 142 U.S. residents--and another four to five million people on probation or parole. The U.S. has a higher percentage of the

For numerous years, prison officials applied the same type of treatment for men and women. In the last decade with the increasing number of women incarcerated, research shows that women have different physical and emotional needs. For example, women are more attached to their children that they are leaving behind, and some have histories of physical and mental abuse. The creation of two programs, Key Crest and Forever Free were created to help with women specific issues. Recent studies done by National Institute of Justice studies found that participants in these two programs stayed drug and arrest free for over three years. Participants were tested and interviewed once a year for three years. The studies also showed that the programs provided aftercare and treatment in areas that were not addressed in previous years. Even though both varied in their approach, they both recognized the many ways there were to treat the needs of women and how they differ from men. The studies also show that gender specific programs do help inmates reenter into society.

It is important to remember that many mentally ill women within correctional institutions will continue to suffer from mental illness when they are released from prison. Zust notes that recividism of formerly incarcerated women is frequently associated with depression (2009). Due to the increased risk of recidivism due to mental health issues, the need for women to receive treatment both during incarceration and after their release is paramount. In a meta-synthesis of women's post-incarceration experiences, Flores and Pellico discuss difficulties many women face while transitioning out of the prison environment such as stigma, untreated mental health issues, and a lack of a positive support network (2011). This information is important to the field of social work as many within the field will work either directly with incarcerated women in the prison setting, or with formerly incarcerated women who are facing difficulties outside of the prison

Male prisoners also continue to make up the majority of the prison population. However, women prisoner rates have been on the rise and have exceeded that of male growth rates since 1995. In fact, due to the increase of the women prison population, various issues have arisen which require women to be treated differently from men. Such issues correctional facility’s face because of this increase include program delivery, housing conditions, medical care, staffing, and security (American Corrections, 2016). These problems are in part due to the different social and economic differences women are faced with in prison and while preparing for their release back to society.

Women with substance abuse issues tend to pose unique differences when compared to their male counterparts. They are more likely to exhibit PTSD. This is especially true for those women who have experienced physical and/or sexual abuse with high rates of repeated trauma (Najavits et al, 1997).

It is important to analyze the differences between men and women in terms of treatment approaches and types of offenses. As seen in most psychotherapy theories, men primarily develop the techniques with little insight from a female perspective, this factor carries over to the use of cognitive behavioral therapy and is seen in the prison setting. The orientation of therapeutic programs within a prison are directed more toward men with little adaptations to differences and needs seen in women offenders (Sacks, McKendrick & Hamilton, 2012). This presents as an issue primarily because men and women are often associated with different crimes and different mental disorders. It would makes sense then to tailor therapeutic techniques to the clients gender and offenses.

In the past thirty years, the incarceration of women has risen exponentially. Poverty, lack of access to education, abuse, addiction, mental health and parenting issues all impact women’s criminality and health before, during and after they are incarcerated (Hannaher, K., 2007). By 2010 there were nearly 206,000 women currently serving time in the criminal justice system. As the years go by, the numbers are constantly increasing (Women Behind Bars, 2015). The number of pregnant women incarcerated has also been on the rise. Most incarcerated women do not receive proper prenatal care before entering the criminal justice system. Because these women are from mostly poverty neighborhoods, they are more likely to endure domestic violence, poor

Very little work has focused on studying recidivism by offenders after punishment and how prevention measures may improve recidivism rates and affect cooperation. “National recidivism rates are at an estimated amount of 73% and of the whole jail population 42.5% are women” (Berenji, 2014, p.131). As you can see about half of the inhabitants of the jails are women; so recidivism is an ongoing issue that needs to be solved. Recidivism is a growing distress in the U.S today, not only with men but women as well. Not many studies have been steered towards women reverting back to crime as there are men, but it is a concern. It is impossible to make this issue disappear fully, but with fundamental changes the

It has already been established that the prison population for female offenders is growing, but the complexity of the population is changing as well. Special populations make up the group of female offenders, specifically including middle-aged inmates, physically ill inmates, and of course mentally ill inmates (Lewis, 200). The pathology of these women vary, many struggle or previously struggled with substance abuse, psychosis,

In many countries, the female prison population has increased dramatically over the last years. This has generated widespread awareness in our society, leading people to question why the percentage multiplied exponentially. In the past, female offenders have not only been compared to their male counterparts, but to society’s view of the role of women; this role categorized them as housewives and mothers. But how did these housewives and mothers go from the home to the prisons? In most countries, women represent a minority of the prison population: normally between 2% and 8%. There are now more than 600,000 women behind bars and more than one million on probation and parole, (Bastick and Townhead 2008) most of these women are sentenced to prison for non-violent crimes. Many of these women in prison struggle with substance abuse, mental illness, and histories of physical and sexual abuse. According to the researchers Bastick and Townhead, all over the world women in prison suffer from intersecting

Some of the challenges in the perinatal care in the correctional setting include lack of prenatal care prior to incarceration, drug or alcohol dependency, psychosocial problems or lack of outside family support, victim or transgressor of past abuse or violence and the psychological challenges of being incarcerated. For many women, the reality of being in the prison system can be devastating; the separation from family, which often includes their own children, and friends can cause depression, anxiety and fear. Personal physical safety is also a concern, as prison is often described as having its own “culture”, structure and hierarchy,

Assessing the consequences of our country’s soaring imprison rates has less to do with the question of guilt versus innocence than it does with the question of who among us truly deserves to go to prison and face the restrictive and sometimes brutally repressive conditions found there. We are adding more than one thousand prisoners to our prison and jail systems every single week. The number of women in prisons and jails has reached a sad new milestone. As women become entangled with the war on drugs, the number in prison has increased if not double the rate of incarceration for men. The impact of their incarceration devastates thousands of children, who lose their primary caregiver when Mom goes to prison.

In prison, women are considered to be less violent than male inmate. This difference is not taken into account upon constructing prisons for female offenders. In fact, construction is based on the correctional model about men being violent. Each gender interacts within prisons differently as well. For instance, males form gangs within prisons. They act territorially and fight to maintain power. In addition, men are more likely to congregate by race. On the other hand, females look to form small families that are not racially specific. Women will fight due to jealousy. However, they are more likely to vent their hostility upon themselves through self mutilation. The way the prison is set up also creates a difference. Prisons for males dived prisoners via classification based on the dangerousness of the crime. In contrast women’s prisons generally allow incarcerated women to mix freely (Stuart von Wormer & Bartollas, 2011).