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Correctional Mental Health Handbook
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Correctional Mental Health Handbook

Edited by:


December 2002 | 376 pages | SAGE Publications, Inc

The number of criminal offenders with mental health problems has increased steadily. Yet few graduate programs offer courses that deal with the many complex assessment, treatment, and management issues encountered by correctional mental health workers.

The Correctional Mental Health Handbook is the first book to offer a comprehensive overview of the services provided by correctional mental health professionals for the various populations found in correctional programs and facilities. Edited by Thomas J. Fagan and Robert K. Ax, experts with over 40 years of correctional mental health experience, this unique handbook is divided into three sections. The first section provides a flexible model for organizing mental health services based on staffing levels, facility mission, and local need. The second section considers typical offender problems in many correctional systems and how they are customarily managed. The third section presents various clinical and consultative activities offered by mental health professionals within correctional settings.

A distinguished group of practitioners and scholars combine years of experience and cutting-edge research to examine

    • The ethics of correctional mental health practice
    • Practitioner roles within the correctional community
    • Core mental health services for both single offenders and special need groups
    • Program planning and release preparation for inmates
    • Mental health services offered to institution staff
    • Training hostage and crisis negotiators
    • Future trends in correctional mental health

 While the main audience will be correctional mental health professionals and academics involved with training correctional mental health professionals, the Correctional Mental Health Handbook is also an ideal primer for graduate students studying corrections in criminal justice programs. For the student preparing to enter the correctional mental health profession, this indispensable text explains the general characteristics and treatment needs of specific inmate populations including: substance dependent offenders, female offenders, sexual predators, and juvenile offenders.

 

 

 


 
Introduction
Thomas J. Fagan
Chapter 1 - Mental Health in Corrections: A Model for Service Delivery
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

 
Phil Magaletta and Jennifer Boothby
Chapter 2 - Correctional Mental Health Professionals
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

 
John Dignam
Chapter 3 - Correctional Mental Health Ethics Revisited
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
Robert Morgan
Chapter 4- Basic Mental Health Services: Services and Issues
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
Roger Peters and Charlie Matthews
Chapter 5 - Substance Abuse Treatment Programs in Prisons and Jails
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

 
Shelia Holton
Chapter 6 - Managing and Treating Mentally Disordered Offenders in Jails and Prisons
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

 
Lane Wagaman
Chapter 7 - Management and Treatment of Female Offenders
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

 
Andrea Boardman and Dave DeMatteo
Chapter 8 - Treating and Managing Sexual Offenders and Predators
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
Lisa Boesky
Chapter 9 - Identifying Juvenile Offenders with Mental Health Disorders
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

 
Linda Richardson
Chapter 10 - Other Special Offender Populations
Introduction

 
Military Offenders

 
Foreign-Born Offenders

 
Elderly Offenders

 
Terminally Ill Offenders

 
HIV Infected/AIDS Offenders

 
Offenders with Mental Retardation

 
Conclusions

 
Rich Ellis
Chapter 11 - Staff Services and Programs
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

 
Kathy Harowski
Chapter 12 - Staff Training: Multiple Roles for Mental Health Professionals
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

 
Joel Dvoskin, Erin M. Spiers, and Stephen Pitts
Chapter 13 - Mental Health Professionals as Institutional Consultants and Problem-Solvers
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

 
Carl Clements and Alix McLearen
Chapter 14 - Research-based Practice in Corrections: A Selective Review
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

 
Robert K. Ax
Chapter 15 - A Viable Future for Correctional Mental Health Care
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

"Correctional Mental Health Handbook, edited by Thomas J. Fagan and Robert K. Ax, is full of information for hands-on management as well as information for policy decisions... Within this excellent text, each chapter, which is written by seasoned mental health professionals, provides information useful to corrections professionals as well as students of criminal justice."

Kip Hillman

"The chapters are well organized, well written, and well referenced. The authors are well qualified, all having years of pertinent experience in both the clinical and administrative realms, and the editors share more than 40 years of experience. . . . Correctional Mental Health Handbook has a place on the shelf of any correctional health professional, particularly program leaders. It is also a must-read for clinical training directors who are considering correctional placements for their trainees."  

Psychiatric Services
Key features
  1. This is the first book of its kind in a growing field that is sorely in need of such a reference.
  2. Written by and for professionals, this book will have a comprehensive view of correctional mental health care. The book looks at mental health care services in their entirety within the correctional context.
  3. The Handbook is logically rganized in three sections. The first section of the book provides a a flexible model for viewing how mental health services can be organized based on staffing levels, institution mission, and local need. The second section discusses typical offender problems that are found in many of today's prisons and jails along with how they are routinely managed in most correctional systems. The third and final section features some best practices for those facilities that might wish to set their sights a little higher; and talks about where additional work still needs to be done
  4. Tom Fagan has great standing in the field.

For instructors

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