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Correctional Mental Health Handbook

Correctional Mental Health Handbook

Edited by:

July 2012 | 376 pages | SAGE Publications, Inc
This book is the first of its kind in a growing field that is sorely in need of such a reference work. Written by and for professionals, it is a comprehensive review of all aspects of mental health care in prison settings.
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

Thomas J. Fagan

Thomas J. Fagan, Ph.D., is currently an Associate Professor of Psychology and the Director of the Division of Social and Behavioral Science at Nova Southeastern University in Ft. Lauderdale, Florida. For 23 years he was a psychology practitioner and administrator with the Federal Bureau of Prisons where he was an active participant in developing correctional mental health programs, creating mental health policies and procedures, and training professional, paraprofessional, and correctional staff. Dr. Fagan was also the Bureau’s Chief hostage negotiator and coordinator of its crisis negotiation training program. Over the years, he has... More About Author

Robert K. Ax

Robert K. Ax, Ph.D., received his doctorate in clinical psychology from Virginia Polytechnic Institute and State University, and practiced in state and federal corrections for more than 20 years. He is a licensed clinical psychologist (Virginia), a Fellow of the American Psychological Association (APA), a member of the Canadian Psychological Association (CPA), and a former President of the APA Division of Psychologists in Public Service (18). He has twice been the recipient of Division 18’s Distinguished Service Award, and in 2009 received its highest honor, the Harold Hildreth Award. He was the training director of the Federal Bureau of... More About Author

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ISBN: 9780761927532

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