Wanda Robinson, RN, MS, CNE Martha Hernandez, APRN, MS, CNS

Transcription

1 Wanda Robinson, RN, MS, CNE Martha Hernandez, APRN, MS, CNS APNA 24 th Annual Conference - October

2 Prevalence of Incarceration Bureau of Justice Statistics Correctional Surveys (2009) 2

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4 Racial & Gender Disparities: Black males =16.6% Black females =1.7% Hispanic males = 7.7% Hispanic females = 0.7% White males = 2.6% White females = 0.3% Mental Health Symptoms: Mania 25-35% Major depression 16-30% Psychotic symptoms 10-24% (Bureau of Justice Statistics, 2008; State of Oklahoma, Dept. of Corrections, 2009; Image: ) 4

5 52% family member incarcerated in past 37% used drugs at time of offense 24% report physical or sexual abused in past 20% injured in a fight since in prison 13% homeless in year before arrest U.S. Department of Justice, Bureau of Justice Statistics,

6 65% of women have at least one child under 18 years old 70 % victims of IPV - domestic violence 44% victims of rape 67% victims of physical and/or sexual abuse as a child (Bureau of Justice Statistics, 2008; State of Oklahoma, Dept. of Corrections, 2009) Image: 6

7 Culture of violence Hierarchy (formal & informal) Control planned powerlessness Privacy Family Sizing people up Community system (Byrne, Taxman & Hummer, 2008) Image: 7

8 Trauma-Informed Treatment Culturally Sensitive Care Link with Community Systems and Support 8

9 Physiological Changes Role of Neurotransmitters Environmental, Social, Psychological Triggers Behavioral Responses 9

10 Physical & emotional safety Universal Precautions Social skills training Promote emotional development Trauma recovery treatment Vulnerability of aging population Power of education 10

11 Cognitive & social deficits Unspoken rules of conduct Vulnerability for mentally ill Adaptations for personal safety Re-traumatization Manipulation Stigma (Byrne, Taxman, & Hummer, 2008; SAMHSA, 2009 ; ) 11

12 Jail & Prison Language Cognitive Reframing Using Scripts ABC Model RAP groups (CHMS National GAINS Center, 2007; Rotter et al., 2010) 12

13 Societal factors Addressing stigma Early identification Re-entry planning 13

14 Education Family support Community-based services Drug and alcohol prevention Faith community support Intensive outpatient mental health services (Peters, LeVasseur & Chandler, 2004; ) 14

15 Healthy relationships Coping skills Communication skills Parenting skills Family s role in prevention Stigma for family of inmate Family contact during incarceration Family adjustment at release (Bruns, D. A., 2006) 15

16 Recognize the trends Understand the culture Provide trauma-informed care Engage family and community systems in collaborative treatment and prevention 16

17 Baillargeon, J., Binswanger, I. A., Penn, J.V., Williams, B. A., & Murray, O. J. (2009). Psychiatric disorders and repeat incarcerations: The revolving prison door. American Journal of Psychiatry, 166(1), Bloom, B., Owen, B. & Covington, S. (2003). Gender-responsive strategies: Research, practice and guiding principles for women offenders. United States Department of Justice. National Institute of Corrections. Retrieved from Bruns, D. A. (2006). Promoting mother child relationships for incarcerated women and their children. Infants and Young Children, 9(4), Byrne, J., Taxman, F. & Hummer, D. (2008). The culture of prison violence. Upper Saddle River, NJ: Prentice Hall. Campinha-Bacote, J. (2003). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), CHMS National GAINS Center. (2007, Feb.). Sensitizing providers to the effects of incarceration on treatment and risk management (SPECTRM). Expanding the mental health workforce response top justice involved persons with mental illness. Retrieved from Hatton, D. C. & Fisher, A. A. (2008). Incarceration and the new asylums: Consequences for the mental health of women prisoners. Issues in Mental Health Nursing, 29, doi: / James, D. & Glaze, L. E. (2006). Mental health problems of prison and jail inmates: Special report. Bureau of Justice Statistics. NCJ Retrieved from Jennings, A. (2004). Models for developing trauma-informed behavioral health systems and trauma specific services. National Association of State Mental Health Programs Directors. Retrieved from 17

18 Peters, R.H., LeVasseur, M.E. & Chandler, R. K. (2004). Correctional treatment for co-occurring disorders: Results of a national survey. Behavioral Science Law, 22, Powitzky, R. J. (2007). Deinstitutionalization to reinstitutionalization. Powitzky, R. J. (2010, April, 6). Correctional mental health services. National Institute of Corrections State Mental Health Directors Meeting, Denver, CO. Rotter, M., McQuistion, H. L., Broner, N., & Steinbacher, M, (2005). The impact of the Incarceration Culture on reentry for adults with mental illness: A training and group treatment model. Psychiatric Services, 56(3), State of Oklahoma, Department of Corrections. (2009). US Department of Health and Human Services. Substance Abuse and Mental Health Services. (2009). US Department of Justice. Bureau of Justice Statistics. (2008). Survey of Inmates in State and federal correctional facilities, Retrieved from US Department of Justice. Bureau of Justice Statistics. (2007). National Crime Victimization Survey, 2007 [Computer file]. ICPSR25141-v3. Ann Arbor, MI: Inter-university Consortium for Political and Social Research. doi: /icpsr25141us Wieskopf, C. S. (2005). Nurses experiences of caring for inmate patients. Journal of Advanced Nursing 49,