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1

Porporino, Frank J. Managing violent individuals in correctional settings. [Ottawa]: Ministry of the Solicitor General of Canada, 1986.

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2

Frohling, Robert. Promising approaches to drug treatment in correctional settings. Denver, Colo: National Conference of State Legislatures, 1989.

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3

A, Foronda Mercedes, ed. Criminal justice system: Settings & procedures. Quezon City: Wiseman's Books Trading, 2009.

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4

Wheeldon, Johannes. Debate and dialogue in correctional settings: Maps, models, and materials. New York [Etc.]: International Debate Education Association, 2013.

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5

1921-, Thomas R. Murray, ed. Effective teaching in correctional settings: Prisons, jails, juvenile centers, and alternative schools. Springfield, Il: Charles C Thomas Publisher, 2008.

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6

Release decision making: Assessing risk in mental health, forensic and correctional settings. Hamilton, ON: Forensic Service, St. Joseph's Healthcare, Hamilton, 2003.

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7

Pellegrini, Robert J. Psychology for correctional education: Facilitating human development in prison and court school settings. Springfield, Ill., U.S.A: C.C. Thomas, 1992.

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8

Webster, Christopher D. Release decision making: Assessing violence risk in mental health, forensic and correctional settings. Hamilton, Ont: Forensic Service, St. Joseph's Healthcare Hamilton, Centre for Mountain Health Services, 2003.

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9

Osborn, Leah. Sex offender treatment programs in correctional settings: Participant selection, treatment experience, and treatment completion. New York: LFB Scholarly Pub., 2007.

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10

Arts, California Legislature Joint Committee on the. The arts of prevention: Arts serving youths at risk in human service and correctional settings. Sacramento, CA: Senate Publications, 1995.

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11

The environmental psychology of prisons and jails: Creating humane spaces in secure settings. Cambridge: Cambridge University Press, 2012.

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12

W, Wanberg Kenneth, and Gagliardi Barbara A, eds. Criminal conduct and substance abuse treatment for women in correctional settings: Adjunct provider's guide : female-focused strategies for self-improvement and change-pathways to responsible living. Thousand Oaks: Sage Publications, 2008.

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13

Sidwell, Jean. Implementing parent/child mediation in youth corrections settings. Albuquerque, N.M. (510 Second St., NW, Suite 209, Albuquerque 87102): New Mexico Center for Dispute Resolution, 1989.

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14

Ford, Elizabeth. Correctional Settings. Edited by Hunter L. McQuistion. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190610999.003.0018.

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Correctional settings could represent an opportunity to provide treatment and rehabilitation for the disproportionately large numbers of people with mental illness who are incarcerated. Public psychiatrists have developed compassionate models of care for these individuals in prisons throughout North America, and they have worked to prevent victimization of individuals in these contexts. Risks including substance use, violence, and suicide are among the challenges that psychiatrists manage in these settings, and continuity of care following release into the community presents broad systemic challenges as well. The forensic psychiatry chapter’s discussion of diversion and fitness restoration dovetails with the focus on care provision within correctional settings explored in this chapter.
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15

Lee, Li-Wen. Interviewing in correctional settings. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0012.

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Conducting psychiatric interviews is oftentimes a unique challenge in jails and prisons. Interviews are conducted in a wide array of conditions and settings, acute or chronic, privacy and safety issues, contentious or collaborative. According to the Bureau of Justice Statistics in 2005, more than half of all jail and prison inmates had a recent history of symptoms of a mental health problem. This high rate of mental illness is both an opportunity for, and a challenge to, providing much needed treatment. Without adequate assessment and treatment, inmates with mental illness may harm themselves, other inmates, correctional staff, become victimized, or disrupt facility operations. An essential component in assessment and appropriate management is the psychiatric interview. While there are helpful standards and guidelines regarding mental health services in correctional settings, relatively little has been written about the specific impact of the correctional setting on conducting mental health interviews, or on the specific features of the correctional population that should be understood when conducting the mental health interview. Given the importance of the interview in providing mental health treatment, the essential elements and complexities involved in conducting an effective interview in the correctional setting will be presented in the following chapter. Various aspects of the psychiatric interview will be reviewed with particular attention given to how the correctional population and setting can impact the interview process. Issues of countertransference are also present and are discussed. This chapter discusses both the contexts as well as the practices that are appropriately adapted to correctional settings.
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16

Elger, Bernice S. Management of sleep complaints in correctional settings. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0016.

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Inmates of correctional settings often seek health care for sleep and drug problems. Studies on insomnia in correctional institutions are scarce. Sleep problems among detainees are frequent. Appropriate evaluation and treatment remains a challenge in correctional settings. Correctional health professionals need appropriate education regarding insomnia evaluation and management. Guidelines should be based on the principle of equivalence of care and take into account all evidence from research in the community and in correctional settings. Priority should be given to assessing modifiable causes and contributions to disturbed sleep and to non-pharmacological treatment such as targeted cognitive behavior therapy. Pharmacologically, there is no evidence-based justification to replace short-term pharmacologic management using benzodiazepines with antipsychotics or antidepressants. In correctional settings, prescriptions of antipsychotics and antidepressants for sleep problems can increase risk due to polypharmacy and higher suicide risks. Correctional physicians should monitor and document the evaluation and treatment practice concerning insomnia complaints in order to improve safe, evidence-based treatment. This chapter outlines treatment guidelines for insomnia that apply in community settings and then presents an overview of the clinical and ethical issues of insomnia management in correctional institutions and provides evidence-based recommendations.
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17

Educating Juveniles With Disabilities In Correctional Settings. Council Exceptional Children, 2004.

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18

Johnson, Lee Michael. Professional Misconduct Against Juveniles in Correctional Treatment Settings. Taylor & Francis Group, 2017.

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19

Johnson, Lee Michael. Professional Misconduct against Juveniles in Correctional Treatment Settings. Routledge, 2014. http://dx.doi.org/10.4324/9781315721392.

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20

Pollock, Joycelyn M., and Michael Braswell. Professional Misconduct Against Juveniles in Correctional Treatment Settings. Taylor & Francis Group, 2013.

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21

Wolff, Nancy. A General Model of Harm in Correctional Settings. Edited by John Wooldredge and Paula Smith. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199948154.013.33.

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The literature on inmate “harm” and inmate victimization within prison settings is reviewed with emphasis on the prevalence, predictors, and consequences associated with inmate misconduct, physical victimization, and sexual victimization in prison. The degree of overlap between “offenders” and “victims” is also discussed. The relevance of considering both inmate and facility characteristics for a more comprehensive understanding of both violent and property victimization is underscored. The potential impact of victimization on inmates’ feelings of safety is also covered. Strategies for preventing victimization and their limitations (e.g., protective custody, administrative segregation, disciplinary custody, prison transfers) are reviewed. A dyadic model of harm is developed that draws on routine activities theory and rational choice theory, to more clearly and systematically predict the effects of harm- and victim-propensity attributes of incarcerated people and correctional facilities on levels of harm.
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22

United States. Bureau of Justice Assistance, ed. Programs in correctional settings: Innovative state and local programs. Washington, DC: U.S. Dept. of Justice, Office of Justice Programs, Bureau of Justice Assistance, 1998.

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23

Contributor), Hazelden Foundation (Other, ed. Drug Testing in Correctional Settings: Guidelines for Effective Use. Hazelden Publishing & Educational Services, 2005.

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24

United States. Bureau of Justice Assistance. and Justice Research and Statistics Association., eds. Programs in correctional settings: Innovative state and local programs. Washington, DC: The Bureau, 1998.

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25

Belenko, Steven, Kimberly A. Houser, and Wayne Welsh. Understanding the Impact of Drug Treatment in Correctional Settings. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780199730148.013.0019.

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26

David, Gussak, and Virshup Evelyn, eds. Drawing time: Art therapy in prisons and other correctional settings. Chicago, Ill: Magnolia Street Publishers, 1997.

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27

Using the MMPI-2 in Criminal Justice and Correctional Settings. Univ Of Minnesota Press, 2006.

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28

(Editor), David Gussak, and Evelyn Virshup (Editor), eds. Drawing Time: Art Therapy in Prisons and Other Correctional Settings. Magnolia Street Publications, 1997.

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29

Standards of practice for end-of-life care in correctional settings. Alexandria, Va: Volunteers of America, 2000.

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30

Wener, Richard E. Environmental Psychology of Prisons and Jails: Creating Humane Spaces in Secure Settings. University of Cambridge ESOL Examinations, 2014.

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31

Droes, Nellie S. AN EXPLORATION OF THE NATURE AND PROBLEMS OF NURSING PRACTICE IN CORRECTIONAL SETTINGS. 1989.

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32

Droes, Nellie S. An exploration of the nature and problems of nursing practice in correctional settings. 1993.

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33

Adshead, Gwen. Ethical Issues in Secure Psychiatric Settings. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.8.

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In this chapter, I discuss the particular ethical challenges associated with the care of mentally disordered offenders. This chapter deals with the ethical issues that arise in secure psychiatric care, not purely correctional settings which are addressed in another chapter. I describe some of the general ethical problems in secure psychiatric settings, which (I suggest) arise from the dual roles of care and custody that mental health professionals have to carry out. I set out some fictitious case examples, and explore two complementary ways of helping both residents and staff manage these challenges: an approach using the concept of values-based practice (VBP) and an approach based on “relational security.”
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34

Kapoor, Reena, and Ezra E. H. Griffith. Cultural competence. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0060.

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Disparities exist in the rate of incarceration of minorities, with substantial elevations occurring in African American, Latino, and Native populations. Cultural competence is an essential aspect of providing mental health care in any setting. An understanding of culture is even more important in correctional settings, as several unique factors may lead to conflict and misunderstanding if not adequately addressed. First, minority ethnic groups are vastly overrepresented in prisons and jails, so a familiarity with the predominant culture of those groups is necessary to engage inmates in treatment and diagnose them accurately. Second, mental health clinicians may be unfamiliar with law enforcement culture, which heavily influences the practices of corrections officers and differs significantly from health care culture. Third, many correctional psychiatrists grow up and train outside the United States, bringing their own cultural beliefs about crime and punishment into the American health care system. As the field of cultural psychiatry has developed, scholars have attempted to apply its principles to the correctional setting to deliver competent care in prisons and jails. These papers have provided guidance to correctional mental health clinicians on matters such as immigrant populations, language barriers, validity of psychological testing in different ethnic groups, stigma of mental illness in prison, religion’s role in coping with the stress of incarceration, and many others. This chapter reviews the evolution of cultural competence skills in correctional settings and current best practices in jails and prisons to optimize effective treatment outcomes.
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35

New Frontiers in Offender Treatment: The Translation of Evidence-Based Practices to Correctional Settings. Springer, 2018.

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36

California. Legislature. Joint Committee on the Arts., ed. The arts of prevention: Arts serving youths at risk in human service and correctional settings. Sacramento, Calif: The Committee, 1994.

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37

Education in correctional settings: A guide for developing quality vocational and adult basic education programs. Reston, VA: MESA Corporation, 1985.

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38

Trestman, Robert L. Funding of correctional health care and its implications. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0010.

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Correctional healthcare is funded through a range of mechanisms, reflecting many of the community fee-for-service and managed care parallels. Like community healthcare, utilization of healthcare in correctional settings is increasing. It is however, often under more significant budgetary constraints and tighter management. The funding of correctional healthcare is a complex enterprise, driven by constitutionally mandated care obligations on the one hand, and resource constraints on the other. Along with the dramatic increase in the incarcerated population during the past two decades, correctional healthcare has evolved as well. The costs of care are quite substantial, and the diversity of models of care delivery offer an administrative challenge, a financial challenge to the relevant jurisdiction, and a significant opportunity for cost effectiveness. Unfortunately, as of yet, no comparative study of funding models has been done. As integrated electronic health and financial records are gradually introduced into correctional settings, opportunities for such studies, and the policy guidance provided by those results, may yield important information applicable to health care cost and outcome management in society more broadly. This chapter includes a discussion of global capitation, per inmate costs, at-risk contracting, liability concerns, performance indicators, and a variety of contractual relationships.
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39

Appelbaum, Kenneth L., Robert L. Trestman, and Jeffrey L. Metzner. The Future of Correctional Psychiatry. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0071.

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Recent decades have seen many advances in the knowledge base and practice standards for correctional psychiatry. In many ways, however, the field remains in the early stages of development. As it continues to mature in the coming years, we hope and expect to see further progress. Establishment of evidence-based clinical practices and a firm foundation for ethical standards has begun, and the momentum will continue to build. The questions and dilemmas that we present do not all lend themselves to easy consensus. They do, however, require attention and resolution. Custodial and clinical practices in correctional settings continue to evolve and change. Some of those changes may occur in a rapid and dramatic way. Psychiatry should stake-out a place in the forefront of the ongoing debate. By being proactive instead of reactive we will have a greater chance of influencing the outcomes and we will fulfill our responsibilities for the inmate patients who we serve. No one can predict with certainty what the future holds. We feel safe, however, in predicting that changes, incremental and perhaps revolutionary, will occur. In this chapter we identify opportunities to expand the evidence-base of correctional psychiatry, the need to refine practice guidelines, and the role that psychiatry might play in influencing the use of incarceration. As part of our review we describe what we believe the future may hold in store for our subspecialty. We hope that this textbook contributes to a picture of where things stand and a vision of where we need to go.
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40

Appelbaum, Kenneth L., Robert L. Trestman, and Jeffrey L. Metzner. The Future of Correctional Psychiatry. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199360574.003.0071_update_001.

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Recent decades have seen many advances in the knowledge base and practice standards for correctional psychiatry. In many ways, however, the field remains in the early stages of development. As it continues to mature in the coming years, we hope and expect to see further progress. Establishment of evidence-based clinical practices and a firm foundation for ethical standards has begun, and the momentum will continue to build. The questions and dilemmas that we present do not all lend themselves to easy consensus. They do, however, require attention and resolution. Custodial and clinical practices in correctional settings continue to evolve and change. Some of those changes may occur in a rapid and dramatic way. Psychiatry should stake-out a place in the forefront of the ongoing debate. By being proactive instead of reactive we will have a greater chance of influencing the outcomes and we will fulfill our responsibilities for the inmate patients who we serve. No one can predict with certainty what the future holds. We feel safe, however, in predicting that changes, incremental and perhaps revolutionary, will occur. In this chapter we identify opportunities to expand the evidence-base of correctional psychiatry, the need to refine practice guidelines, and the role that psychiatry might play in influencing the use of incarceration. As part of our review we describe what we believe the future may hold in store for our subspecialty. We hope that this textbook contributes to a picture of where things stand and a vision of where we need to go.
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41

Bonta, James, and J. S. Wormith. Adult Offender Assessment and Classification in Custodial Settings. Edited by John Wooldredge and Paula Smith. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199948154.013.19.

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This chapter describes the developments that have occurred over the past three decades in the area of offender assessment and classification, including discussion of why offender classification is so vital to correctional agencies. The importance of using actuarial approaches to predicting the risk of reoffending and danger to others is discussed, as well as the inclusion of static and dynamic factors on composite measures of offender risk and need. Particular attention is paid to the application of the principles of Risk, Need, and Responsivity (RNR) to offender assessment, classification, and subsequent work with the offender, often described as “offender case management.” How prison environments (including inmate and officer subcultures) can potentially interfere with the accuracy of risk and needs assessments is also debated.
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42

Canning, Robert D., and Joel A. Dvoskin. Preventing Suicide in Detention and Correctional Facilities. Edited by John Wooldredge and Paula Smith. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199948154.013.25.

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This essay describes and critiques suicide-prevention strategies in prison, including the extent to which screening and prevention programs are used in the United States. The epidemiology of suicide and suicide attempts in both jails and prisons is reviewed, with discussions of differences in suicide risk by demographic factors, individual risk and suicide protective factors, and contextual factors. A cross-section of legal cases leading to the establishment of a legal basis for suicide prevention in US correctional facilities is provided, followed by an overview of current national standards and best practice guidelines for preventing inmate suicides. The essential components of correctional suicide-prevention strategies are described and critiqued, including core values at the center of these strategies, aspects of most effective systems management, and evidenced-based clinical care. Finally, special considerations for different types of confinement settings are described.
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43

Li, Ingrid, Arthur Brewer, and Rusty Reeves. Hypnotic agents and controlled substances. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0029.

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Sleep medications are among the most frequently prescribed medications in the community. Many other Class II controlled substances, such as benzodiazepines and opiate medications, have become a major public health concern through overuse and abuse. Within correctional settings, these concerns are heightened and special considerations must be included in any treatment decision. Inmates abuse drugs at a prevalence many times higher than in the general population. A survey of practitioners in jails and prisons in the United States expresses the concern that sleep, opiate, and benzodiazepine medications can be abused or diverted. There has been little published as to the best correctional practice for the prescription of these medications. In general, sleep medications and controlled substances should be prescribed cautiously in a correctional setting, and wherever possible should be avoided as first-line treatment or as long-term treatment. Sleep medications are the most difficult to control since the quest for medications to treat sleep complaints is ubiquitous in corrections. Guidelines, thoughtful use of formulary controls, and a measure of flexibility will assist in the appropriate prescription of these medications. This chapter evaluates best practices in this arena of prescription practice.
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44

United States. Office of National Drug Control Policy. and Therapeutic Communities of America. Criminal Justice Committee., eds. Therapeutic communities in correctional settings: The prison based TC Standards Development Project : final report of phase II. [Washington, D.C.]: The Office, 1999.

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45

Scott, Charles L., and Brian J. Holoyda. Role of clinical trainees. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0068.

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Correctional settings are important and worthy training sites for medical students, general psychiatry residents, child and adolescent psychiatry residents, and forensic psychiatry fellows. Logically, educating future clinicians on how to best treat individuals with mental illness should occur in settings that most commonly treat them. In the United States, there are now more than three times as many persons with serious mental illness in jails and prisons than hospitals, making America’s jails and prisons the new and largest mental hospitals. Despite a resulting increased need for correctional psychiatrists, most general psychiatry residency programs do not provide training in a correctional site. In an online survey of U.S. general psychiatry residency program training directors, less than one third of responding programs reported that a correctional training site was mandatory for trainees. Correctional settings can provide appropriate and meaningful training opportunities for both medical school students and psychiatry residents. Despite a need for psychiatrists trained in correctional psychiatry, such training is not currently available in the majority of programs. Future educators interested in developing academic teaching affiliations should anticipate concerns by trainees and be prepared to address those concerns. The opportunity for matching current psychiatric training requirements with correctional settings abound. Providing care to individuals with mental illness where they live increasingly means providing care to those persons who are in incarcerated in jails and prisons.
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46

Dumond, Robert W., and Doris A. Dumond. Responding to prisoner sexual assaults. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0065.

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Sexual abuse in detention has been called ‘the most serious and devastating of non-lethal offenses which occur in corrections,’ because its impact upon survivors of such abuse, and ultimately society, is so profound. Given the proper tools, training, and resources, corrections can and will eliminate prisoner sexual violence. However, we must realize that corrections is a subset of the body politic itself. It is subject to budget shortfalls, political pressure, and the broader attitudes of the public. Adequate financial and programmatic resources must be mobilized to ensure appropriate staff skill levels to keep jails and prisons safe. Safe, well-run jails and prisons can, if properly used, help keep communities safe. The general public will have to be convinced to join this dialogue if we are ever to have safe, constitutionally adequate correctional settings. Corrections can, and must, together with its community partners, respond with vision and leadership to make corrections facilities safe places where human rights and dignity are protected, and the most vulnerable among us can emerge stronger and healthier than they went in. This chapter will explore the status of sexual violence in United States correctional settings in the 21st Century; examine what is currently known about sexual victimization in America’s jails, prisons, and juvenile facilities; discuss the successes and promising practices facilitated by the Prison Rape Elimination Act (PREA) of 2003; consider the challenges that continue to exist; and make recommendations for addressing the issues.
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47

Dumond, Robert W., and Doris A. Dumond. Responding to prisoner sexual assaults. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199360574.003.0065_update_001.

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Sexual abuse in detention has been called ‘the most serious and devastating of non-lethal offenses which occur in corrections,’ because its impact upon survivors of such abuse, and ultimately society, is so profound. Given the proper tools, training, and resources, corrections can and will eliminate prisoner sexual violence. However, we must realize that corrections is a subset of the body politic itself. It is subject to budget shortfalls, political pressure, and the broader attitudes of the public. Adequate financial and programmatic resources must be mobilized to ensure appropriate staff skill levels to keep jails and prisons safe. Safe, well-run jails and prisons can, if properly used, help keep communities safe. The general public will have to be convinced to join this dialogue if we are ever to have safe, constitutionally adequate correctional settings. Corrections can, and must, together with its community partners, respond with vision and leadership to make corrections facilities safe places where human rights and dignity are protected, and the most vulnerable among us can emerge stronger and healthier than they went in. This chapter will explore the status of sexual violence in United States correctional settings in the 21st Century; examine what is currently known about sexual victimization in America’s jails, prisons, and juvenile facilities; discuss the successes and promising practices facilitated by the Prison Rape Elimination Act (PREA) of 2003; consider the challenges that continue to exist; and make recommendations for addressing the issues.
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48

Kapoor, Reena. Crisis assessment and management. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0025.

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Crisis calls are a common occurrence in correctional settings. Psychiatrists are often called upon to triage and manage such events. Requests for urgent psychiatric evaluations can come from many sources, including security staff, non-psychiatric physicians, mental health staff, courts, attorneys, and family members. Psychiatrists responding to these requests for evaluation may feel tremendous pressure to reach a conclusion that is consistent with the opinions of the requesting party. However, maintaining an independent and therapeutic stance when conducting crisis evaluations is crucial. Some aspects of psychiatric evaluations in crisis situations are unique to the correctional environment: evaluations at cell-side, video recording, and leadership by security staff rather than medical professionals. Nonetheless, correctional psychiatrists should be guided by the same principles of medical ethics that apply to patient care in the community, placing the patient’s well-being above all other concerns. They should strive, when possible, to conduct a thorough assessment in a confidential setting. In considering how best to resolve the crisis and care for the patient, they should err on the side of caution and recommend placement in a safe and therapeutic setting, at least until a multidisciplinary team can consider other options. Finally, they should document the encounter carefully, articulating the rationale for the chosen course of action. This chapter reviews the pragmatics of evaluating and managing many common correctional events that lead to mental health crisis calls and discusses the range of concerns, the typical practices and procedures used in correctional settings, and the types of interventions that are best used.
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49

Sex Offender Treatment Programs in Correctional Settings: Participant Selection, Treatment Experience, and Treatment Completion (Criminal Justice) (Criminal Justice). Lfb Scholarly Pub Llc, 2007.

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50

Roskes, Erik J., and Donna Vanderpool. Forensic issues. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0061.

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A range of forensic psychiatry issues frequently present themselves in correctional settings. Incompetency to stand trial is one such concern. In some states, defendants found incompetent to stand trial must be managed in jail. Litigation is another important issue. Psychiatrists working in correctional settings often have increased litigation risks regarding professional negligence and other forms of liability. Especially important is understanding whether their insurer covers correctional work. One common form of litigation is habeas corpus. For example, a habeas petition could be brought to seek medical interventions denied by the detaining institution, and as such, the medical staff could be named defendants. Many class actions have involved correctional mental health care. Often clinicians working in correctional settings welcome these litigations, as they focus the attention of the courts on deficiencies in care related to inadequate resources. While such lawsuits can be sensitive, especially in the earlier phases when the outcome is in doubt, correctional psychiatrists and other clinicians may also serve as sources of information for each party to the case and to the court. Another key topic is the correctional disciplinary process. Mental health input into the disciplinary process does not address issues of responsibility but is limited to identifying mitigating factors related to mental illness when present, dispositional recommendations when clinically appropriate, and competency-to-proceed issues in the context of the disciplinary hearing. This chapter reviews key issues of relevance to correctional psychiatrists, such as competency restoration, court collaboration, and litigation related concerns.
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