Does the use of telemental health alter the treatment experience? Inmates' perceptions of telemental health versus face-to-face treatment modalities.

In corrections, where staffing limitations tax an overburdened mental health system, telemental health is an increasingly common mode of mental health service delivery. Although telemental health presents an efficient treatment modality for a spectrum of mental health services, it is imperative to study how this modality influences key elements of the treatment experience. In this study, the authors compared inmates' perceptions of the working alliance, postsession mood, and satisfaction with psychiatric and psychological mental health services delivered through 2 different modalities: telemental health and face-to-face. Participants consisted of 186 inmates who received mental health services (36 via telepsychology, 50 via face-to-face psychology, 50 via telepsychiatry, and 50 via face-to-face psychiatry). Results indicate no significant differences in inmates' perceptions of the work alliance with the mental health professional, postsession mood, or overall satisfaction with services when telemental health and face-to-face modalities were compared within each type of mental health service. Implications of these findings are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factors predicting levels of female inmates’ use of psychological services.

The number of female inmates in state and federal correctional institutions has increased dramatically over the past several years. In addition to this overall increase in number, women have greater levels of mental health service use than men, both in the community and during incarceration. It is important to understand what factors are associated with varying amounts of mental health service use as this population continues to grow. This study explores the influence of female inmate characteristics, including demographic variables and mental health service use before incarceration, on a continuous dependent measure of overall psychological services use during incarceration. Results indicate that for a sample of female inmates within the federal prison system, U.S. citizenship, prior community-based receipt of mental health services, and history of substance abuse were the strongest predictors of increased service use while incarcerated. Findings concerning routine versus volitional services suggest that female inmates with less severe mental health problems are among those who volitionally seek mental health services during incarceration. Recommendations for correctional mental health services training, practice, and research are made. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prison inmate characteristics and suicide attempt lethality: An exploratory study.

Working with suicidal inmates is among the most demanding elements of clinical practice in corrections, yet few studies regarding the characteristics of prison inmate suicide attempters or their attempts exist. This represents a significant gap as the method of attempt, the prison context, and the resulting lethality of these incidents may be different from attempts made outside of prison. This exploratory study is the first to apply a continuous scale rating of suicide attempt lethality to incidents where an inmate survived a suicide attempt. It describes the attempt incident dynamics and resulting range of lethality scores found within the study sample. It also examines the inmate adjustment and mental health characteristics that were associated with the lethality rating. Preliminary findings suggest that increases in suicide attempt lethality are associated with the presence of Axis II disorders, favorable staff interactions, and the decreased use of drugs other than marijuana, alcohol, cocaine, or depressants. A call for research to extend this exploration through replication is made and recommendations for clinical practice are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Advancing psychology services through telehealth in the Federal Bureau of Prisons.

This article describes a collaborative pilot project between the Federal Bureau of Prisons and the Joint (Departments of Justice and Defense) Program Steering Group that seeks to determine the benefit of telehealth in a corrections environment. This pilot project is currently being conducted between a hub site in Lexington, Kentucky, and remote sites in Allenwood and Lewisburg, Pennsylvania. Results to date are consistent with previous literature and suggest a high level of patient acceptance of this technology and mode of service delivery. The particular advantages of telehealth for correctional settings, including increased access to the full range of psychology services for inmates, the maintenance of institutional security, increased access to the inmate population for research purposes, and professional consultation for correctional psychologists are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Who requests psychological services upon admission to prison?

Structuring a system of psychological services for offenders and releasees requires an understanding of the offenders who voluntarily seek psychological services upon admission. To begin to develop such an understanding, a sample set of responses to the Psychological Services Inmate Questionnaire (PSIQ) from 2,674 newly committed male and female federal offenders were examined. About one-tenth of the sample made a request for psychological services upon admission to prison without a mandate or referral, and confirm that a combination of prior mental health treatment and current symptoms are among the factors associated with making the request. Logistic regression analysis indicated male gender, receipt of mental health treatment prior to current incarceration, history of a head injury, current symptoms of depression, hopelessness, nervousness, sleeping problems, and racing thoughts, were independent and significant predictors of service request. Implications for future corrections research, clinical training and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Telehealth in the Federal Bureau of Prisons: Inmates' perceptions.

Nationally, correctional psychologists are being asked to use behavioral telehealth interventions with mentally ill inmates. Beyond anecdotal stories, no information is available on which inmates might be best suited for such interventions. This article examines 75 inmates satisfaction with telehealth consultations, reporting initial satisfaction with the consultation process, more comfort with the process over time, and a willingness to return for follow-up. Inmates with thought disorders and inmates with mood disorders were satisfied with telehealth, but difficulties were noted when inmates became frustrated and angry. These difficulties may be accommodated by technological upgrades and spending more time preparing inmates for consultation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological dysfunction and aggression among female federal inmates.

In this study, the authors investigated the relationship between neuropsychological dysfunction and aggression in female inmates. Participants included 555 female inmates from two low-security federal institutions. Aggression was measured by the Buss-Perry Aggression Questionnaire-Short Form. Neuropsychological dysfunction was measured by the Neuropsychological Dysfunction scale of the Coolidge Axis II Inventory and questions on the Psychology Services Intake Questionnaire. Results indicate this sample's neuropsychological functioning. Consistent with studies of male inmates, findings support the relationship between self-reported aggression and neuropsychological dysfunction, identifying female inmates' neuropsychological functioning as an important part of understanding their behavior and providing appropriate treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What is the latent structure of alcohol use disorders? A taxometric analysis of the Personality Assessment Inventory Alcohol Problems Scale in male and female prison inmates.

Three indicators derived from the Personality Assessment Inventory (PAI) Alcohol Problems scale (ALC)—tolerance/high consumption, loss of control, and negative social and psychological consequences—were subjected to taxometric analysis—mean above minus below a cut (MAMBAC), maximum covariance (MAXCOV), and latent mode factor analysis (L-Mode)—in 1,374 federal prison inmates (905 males, 469 females). Whereas the total sample yielded ambiguous results, the male subsample produced dimensional results, and the female subsample produced taxonic results. Interpreting these findings in light of previous taxometric research on alcohol abuse and dependence it is speculated that while alcohol use disorders may be taxonic in female offenders, they are probably both taxonic and dimensional in male offenders. Two models of male alcohol use disorder in males are considered, one in which the diagnostic features are categorical and the severity of symptomatology is dimensional, and one in which some diagnostic features (e.g., withdrawal) are taxonic and other features (e.g., social problems) are dimensional. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical Practice in Corrections: A Conceptual Framework.

Given the rich complexities of clinical practice in corrections, it is surprising that professional psychology lacks a conceptual framework for organizing the knowledge that guides such work. To accommodate the sources of information contributing to this knowledge base, a conceptual framework that informs clinical practice is presented. The framework posits several psychology services, each of which differs in core knowledge and treatment parameters. Implications for training are offered to guide psychologists who contemplate or begin careers in correctional facilities as well as educators and supervisors in training and internship programs who attempt to prepare students for roles as correctional psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)