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Correctional Mental Health Handbook

Correctional Mental Health Handbook

Edited by:

December 2002 | 376 pages | SAGE Publications, Inc

Published in Association with American Psychological Association

Published in Association with ASC, ACJS

Published in Association with American Correctional Association

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.




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  
Phil Magaletta and Jennifer Boothby
Chapter 2 - Correctional Mental Health Professionals
The Correctional Mental Health Professions  
General Professional Considerations  
Social Workers  
Other Mental Health Professionals  
Treatment Teams  
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  
Acute Crisis Intervention  
Therapeutic Services  
Special Mental Health Evaluations  
Mental Health Records  
Liability Issues and Basic Mental Health Services  
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  
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  
Andrea Boardman and Dave DeMatteo
Chapter 8 - Treating and Managing Sexual Offenders and Predators
Legislative Trends  
Sexually Violent Predator Laws  
Sex Offender Registration and Notification Laws  
Internet Child Pornography  
Sexual Offenders in Prisons and Jails: Clinical Description  
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
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  
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)  
Psychotic Disorders  
Co-Occurring Mental Health and Substance Use Disorders  
Cultural Issues  
Linda Richardson
Chapter 10 - Other Special Offender Populations
Military Offenders  
Foreign-Born Offenders  
Elderly Offenders  
Terminally Ill Offenders  
HIV Infected/AIDS Offenders  
Offenders with Mental Retardation  
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  
Kathy Harowski
Chapter 12 - Staff Training: Multiple Roles for Mental Health Professionals
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
Assessing Institutional Climate  
Consultation Within The Institution  
Case Management/Unit Teams  
Detail/work supervisors  
Disciplinary Proceedings  
Conflict Resolution  
Staff Screening and Selection  
Program Development and Evaluation  
Crisis: Prevention and Response  
Post-Incident Response  
Mental Health Professionals as Correctional Administrators  
Carl Clements and Alix McLearen
Chapter 14 - Research-based Practice in Corrections: A Selective Review
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  
Robert K. Ax
Chapter 15 - A Viable Future for Correctional Mental Health Care
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  
Psychotropic medication  
Programming, Assessment and Provider Issues  
Staff Issues  
Role Transformations: Toward a biopsychosocial scope of practice and self-concept  
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.

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