Dissertations / Theses on the topic 'Prisoners Mental health services Victoria'

Recent cross-sectional studies have confirmed that the prevalence of mental disorder in English prisons is high but they provide little insight into the fate of the mentally disordered in prison. This thesis concentrates on a longitudinal study of mental disorder in 569 unconvicted adult male remand prisoners received into Durham prison between 1 October 1995 and 30 April 1996. Subjects were interviewed at reception by psychiatric researchers and monitored throughout the remand period. The data collected was used to establish the prevalence of mental disorder and substance misuse at reception into prison, effectiveness of prison reception screening, number of mentally disordered subjects identified and referred for psychiatric assessmentn, ature of psychiatric interventions, and final disposal of all subjects. Additional research was undertaken at Durham to evaluate health care provision at this prison, and, in order to comment on the generalisability of the findings, health care facilities at other prisons in England and Wales were investigated. More than a quarter of subjects at Durham prison were suffering from mental disorder. Serious disorders were especially prevalent and one in twenty remands was acutely psychotic. Drug and alcohol misuse was the norm. More than half of our subjects received current substance abuse or dependence diagnoses. Prison reception screening failed to identify nearly 80% of subjects with mental disorder, including 75% of those with acute psychosis. The treatment needs of the majority of mentally disordered subjects were overlooked in prison. Just over one quarter of mentally disordered subjects were referred for a psychiatric assessment. Contact with psychiatric services was frequently hampered by the prison regime and the actions of the courts. This resulted in acutely psychotic prisoners being released without adequate treatment or follow-up. Help for prisoners with drug and alcohol related problems was minimal. Detoxification regimes were insufficiently prescribed leaving the majority of subjects addicted to opiates, benzodiazepines and alcohol at risk of serious withdrawal. Inadequate resources, a lack of suitably trained health care staff, low morale and staff sickness hampered the delivery of effective health care at Durham prison. However, staff attitudes, institutionalised practices and negative responses from prisoners also made a significant contribution. Further inquiry indicates that Durham. prison is not unique in these respects. Problems of a similar nature are endemic in the Prison Health Service. Indeed, when the history of this organisation is traced it is apparent that such difficulties have plagued it throughout its existence.

In the ESL classroom, there are often cultural differences between learners and teachers. Sometimes these differences can lead to misunderstandings or even conflict. One area where differences between cultures can be seen is language learning strategies and styles. This study explores the possibility that awareness of differences, explicit teaching, and negotiation may help to resolve differences. This study looks at differences between Russian-speaking adult ESL learners and American ESL teachers, with respect to strategy use and preferences. Three aspects are investigated. The first is to see whether there are statistically significant differences ~tween these groups of learners and teachers. The second is to try to form a loose profile of the learners as a cultural group. The third is to see whether or not there is evidence to suggest the validity of explicit teaching of strategies in the ESL classroom. The Strategy Inventory for Language Learners (SIIL), developed by Rebecca Oxford, is one way to assess differences ~tween learners and teachers. A survey including the SIIL and a questionnaire was given to ninety-four subjects. Forty-seven are Russian-speaking adult ESL learners and forty-seven are American-English-speaking ESL teachers or potential ESL teachers taken from a TESOL program. The results of the survey show that, in this case, there are statistically significant differences in preferences for and use of several sets of strategies. A preliminary cultural profile is derived from the SILL results and from anecdotal evidence gathered from the questionnaire. There is some evidence that the explicit teaching of language learning strategies and their use may help resolve some of the classroom conflicts between the two groups studied.

Thesis (DPsych (Health Psychology)) - Faculty of Life and Social Sciences, Swinburne University of Technology, 2007.
Submitted as a requirement for the degree of Professional Doctorate in Health Psychology, Faculty of Life and Social Sciences, Swinburne University of Technology - 2007. Typescript. Includes bibliographical references (p. 189-210).

This thesis has researched and designed a programme that offers an alternative way of working with aggression in a male prison population, using an art therapy approach that incorporates Buddhist concepts as an intervention. Buddhist practices have traditionally been used in Eastern cultures to calm the mind and to develop compassion as an antidote to aggression. Therefore these practices have seen used as a basis for the design of exercises in the programme. The purpose of the programme is to offer an intervention that will complement, support, or be an alternative to existing treatments, which are primarily cognitive-behavioural in orientation. The research method for designing the programme was qualitative, based on an action research model. This paradigm has an approach of co-operative and participatory inquiry which has its roots in humanistic psychology; therefore, working in such a tradition was appropriate to the nature of the research undertaken in that it gave a humanistic and holistic character to the method. The male prison population was chosen as the focus for the proposed programme because it is a convenient sample, clearly identifiable as a group which is likely to have a problem with aggressive behaviour. If art therapy can be successfully applied with such a group, then it may have relevance to other groups exhibiting less aggressive forms of behaviour. Another potentially positive outcome of this treatment intervention is the benefit that it may have on staff, family, and others who are in contact with this population. In other words, a reduction in the stress levels of aggressive prisoners would hopefully have a more general therapeutic effect upon the quality of all the interpersonal relationships within the larger prison community. The benefit of this research to the field of art therapy is that it has explored the potential of such an intervention being used as a therapeutic strategy in dealing with aggression. The study's findings indicate that Buddhist concepts can be successfully incorporated into the design of an art therapy programme. It is hoped that this programme could be used with any population manifesting aggressive behaviours, either covertly or overtly. The results of this study could potentially benefit a range of client populations where an alternative to aggressive or violent behaviour is sought, and it is suggested that future research could be conducted by implementing the programme with diverse groups.

Reports of people with mental disorders without access to treatment are a major occurrence in prisons outside and within Africa. An estimated 450 000 000 people worldwide suffer from mental or behavioural disorders. The disproportionately high rate of mental disorders in prisons is due to several factors. The factors include the widespread misconception that all persons with mental disorders are a danger to the public; the general intolerance of many societies to difficult or disturbing behaviour, the failure to promote treatment, care and rehabilitation, and above all the lack of or poor access to mental health services in many countries. Many of these disorders may be present before admission to prison and may be further exacerbated by the stress of imprisonment. However mental disorders may develop during imprisonment itself as a consequence of prevailing conditions.
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM

This thesis is an evaluation of two coping skills programs and their effects on inmates' mental health status. The original computer coping skills program designed for the general population was modified to address the specific needs of an incarcerated population.This thesis evaluated the differences in the mental health status of the two treatment groups compared with the control group and with each other to assess the effectiveness of the two programs. The results of this study showed substantial improvement in the mental health status for the two treatment groups. There are indications from this study that specialty software designed specifically for inmates may result in lower levels of depression than non-tailored software.

Background: Concern has been voiced over the needs of ex-military personnel following their discharge from military service and subsequent transition to community living. This concern has extended to include veterans, particularly those who have mental health, drug or alcohol problems, who come into contact with criminal justice services and are imprisoned. Research examining the experiences of military veterans prior to and during their incarceration in Scottish prisons was carried out. This study sought to examine whether veteran prisoners form a unique prison sub-group with different health, social and criminogenic needs when compared to non-veteran prisoners, and how veteran prisoners differ from non-prisoner veterans. Additionally an exploration of veterans’ experiences of prison, and what they believed caused or contributed to their imprisonment, was conducted. This sought to identify whether veterans in prison had unique vulnerability/ risk factors and whether they had a common or idiographic pathway that led to their incarceration. Methods and design: This study comprised of three separate but linked parts. It adopted a mixed-method approach combining quantitative analysis of survey data (Part 1) with qualitative interpretative phenomenological analysis of focus group (Part 2) and interview data (Part 3). Survey data examined, through the use of standardised questionnaires, a range of themes; including, mental health and wellbeing, substance and alcohol use, childhood experiences, offending histories, and military experience. In Part 1 participants were recruited into three separate groups. Group 1 consisted of veterans in prison, while Group 2 consisted of prisoners who had no military experience and Group 3 comprised of Scottish Prison Service staff who had previous military experience. In Parts 2 and 3 participants were recruited from the veteran prisoner population, with participants in Part 3 having declared current mental health and/or substance use problems. Findings: Analysis of survey data identified many differences in health and wellbeing, and some differences in length of, and discharge from, military service, when comparing veteran prisoners with a non-imprisoned veteran group. Both groups, however, appeared to have similar levels of combat exposure. Comparison between veteran prisoners and non-veteran prisoners identified more similarities than differences across most of the measures. Many of the mental health drug or alcohol problems experienced by veteran prisoners were also experienced by non-veteran prisoners. Post-traumatic stress disorder did appear to be a specific problem for veteran prisoners but this did not appear to be attributable to their military experience. Additionally, veterans being raised by a mother-figure other than their birth-mother appeared to be a unique risk factor for veteran imprisonment but this finding should be viewed with caution as the number of participants raised by a mother-figure other than their birth mother was small. Findings were mixed regarding how veterans described their experience of imprisonment: some found it unchallenging yet unstimulating while others described feelings of ongoing punishment and a sense of being embattled. Reciprocal processes of dehumanising both prisoners and staff were also evident, as were contradictory experiences on the availability and quality of care provision in prison. Veteran prisoners appeared to identify with their prisoner identity rather than their veteran identity, believing that they were the same as other prisoners and had the same needs. This was evident when veterans described their experiences of forming and maintaining interpersonal relationships, albeit within-prison relationships appeared superficial in nature. While some veterans appeared reluctant to ask for assistance in prison, concerns about the inadequacies or availability of support services appear valid. Gaps in provision of care, particularly mental health care, existed at the time of the study. Lastly, some participants appeared to feel unprepared for their release from prison back to the community. This may stem from their previous experience of transitioning from the military to civilian living but it is more likely the recognition that many prisoners leave prison only to return back to custody. For some veteran prisoners this is because they believe community services are unavailable or unable to help as they struggle to cope with community living. As such, some may consider prison living the easier option. Conclusions and implications: Many of the findings suggested that veteran and non-veteran prisoners had, or were believed to have had, by veteran prisoners, similar ‘needs’ and reasons for offending. Veteran prisoners should, therefore, not be regarded as a specific sub-group of the prison population, and addressing prisoner needs should not be prioritised according to their pre-prison occupational status. Lastly, where gaps in service provision exist, the SPS and its partner agencies, including the NHS, should continue to address these. This should include giving consideration to the adoption of a trauma-informed approach within the prison environment.

Section A: This paper reviews the existing theoretical and empirical literature of relevance to offenders with severe mental illness (SMI) in the UK. Due to the lack of theory accounting for progress through forensic mental health services (FMHS) as currently constituted, the adjacent areas of mental health recovery and forensic rehabilitation are the major focus. Relevant empirical literature is synthesised and critically evaluated and this paper concludes by (a) summarising research challenges that remain pertinent to this area of enquiry and (b) outlining recommendations as to how research can usefully proceed. Section B: The UK’s increasing recognition of offenders with SMI and the lack of a theoretical account specific to this group provided the rationale for this study. The aim was to develop a preliminary model of the ways offenders with SMI progress through FMHS towards reintegration with the community. Semi-structured interviews were conducted with seven FMHS-users and three FMHS staff members. Grounded theory was used to build a preliminary model, which contained six main categories: learning about and managing mental health, establishing facilitative relationships with staff, moving on from prison and early experiences of FMHS, developing self-direction, doing work in therapy, and managing wider support networks. Findings extend existing literature by providing a preliminary theoretical account of the multiple domains that influence progression of offenders with SMI towards reintegration with the community. Results are discussed with regard to the existing literature and clinical implications are outlined. Recommendations for future research are made. Section C: In order to reflect upon the process of conducting this project, the author considers four questions: (1) what research skills have been developed and what skills continue to require development?, (2) what would be done differently were this project to be repeated?, (3) what changes in clinical practice will occur as a consequence of this research?, and (4) what areas would future research focus on and how would this be approached?

This research explores good practice with people on CTOs - via a case study of one area mental health service in Victoria. The emancipatory values of Social Work were used to guide the investigation, thereby ensuring the involvement of consumers and their families or carers. Critical Social Work theory provided an important theoretical base for the research, and both critical theory and pragmatism supported the methodology. A mixed methods approach was undertaken. This included a cluster analysis of 164 people on CTOs. Three clusters emerged from the exploratory cluster analysis. These clusters, labelled ‘connected’, ‘young males’ and ‘chaotic’ are discussed in relation to their particular characteristics. The results from the cluster analysis were used to inform the recruitment of four people on CTOs who were the central focus of case studies that represented the different clusters. Semi-structured group interviews were also undertaken to enhance the triangulation of data collection and analysis. This resulted in 29 semi-structured interviews with multiple informants, including consumers, family/carers, case managers, doctors, Mental Health Review Board members and senior managers. The data analysis was guided by a general inductive approach that was supported by the use of NVivo 7.
Five principles, and the processes required to enable them, emerged from the qualitative data: 1) use and develop direct practice skills, 2) take a human rights perspective, 3) focus on goals and desired outcomes, 4) aim for quality of service delivery, and, 5) enhance and enable the role of key stakeholders. These principles are discussed and then applied to the case studies in order to consider their potential relevance to practice within a diverse community of CTO recipients. The application of the principles identified two further findings: 1) that the principles are interdependent, and 2) the relevance of the principles varies depending on the characteristics of the consumer. The two most important findings to emerge from this thesis are that: 1) people on CTOs, their family/carers, and service providers are a diverse community of people who have a range of problems, needs and preferences in relation to either being on a CTO or supporting someone on a CTO; and 2) the implementation of CTOs is influenced by social and structural issues that need to be considered in developing any recognition or understanding about what represents good practice. Recommendations relating to each of the principles are made, along with identification of future research questions. A particular focus is whether application of the principles will enable improvements in practice on a range of measures, including reducing the use of CTOs, and the experience of coercion by consumers.

The mentally ill who have been found not guilty of a crime by reason of insanity (NGRI), appear to be at risk in several areas when confronted with the judicial system. The purpose of this study is to determine whether the factors which predict recidivism of NGRI patients in Community Out-patient Treatment (COT) also inhibit a patient's release into a conditional release program (CONREP).

Abstract in English, Zulu and Xhosa
The study’s intent is to explore challenges experienced by incarcerated mothers relating to childcare, based at the Durban Westville Correctional Centre. The theoretic framework of this study encompasses the Relational Theory, the Gendered Pathways Theory, and the General Strain Theory. This research utilises the qualitative research technique. Semi-structured, open-ended interviewing was concluded with 15 incarcerated mothers based at the Durban Westville Correctional Centre using the probability sampling technique.The relationship between a mother and her children is of paramount importance, even for incarcerated mothers. However, incarcerated mothers are unable to tend to their childcare responsibilities due to their physical and emotional limitations presented by incarceration. Incarcerated mothers in this study expressed their challenges experienced and their need for rehabilitation programmes to help them mitigate their childcare challenges. The research reveals that some of the incarcerated mothers have experienced traumatic backgrounds inclusive of emotional strains, financial impediments, verbal abuse, physical abuse and sexual abuse prior to their incarceration. Their challenges exacerbate whilst incarcerated and literature referred to denotes that their challenges continue post-release. Rehabilitation and reintegration of the offender have become the primary focus for the Department of Correctional Services seeing that its scope of service has shifted from a system of “control” to that of rehabilitation. The study indicates gaps in the rehabilitation programmes offered by the Department. Further, the study intends to make recommendations to the Department of Correctional Services on implementing rehabilitation programmes that aid and support a healthy mother and child bond. Such programmes would assist by enlightening, educating and encouraging incarcerated mothers to tighten and protect unions with their children and for the Department to offer special visitation programmes that aid such a process
Inhloso yalolu cwaningo ukuhlola izinselele ezitholwa omama ababoshiwe ngokuphathelene nokunakekelwa kwezingane, esekelwe eThekwini West Correctional Centre. Uhlaka lwama-theoretic walolu cwaningo luhlanganisa i-Theory Theory, i-Gendered Pathways Theory, ne-General Strain Theory. Lolu cwaningo lusebenzisa indlela yokucwaninga yekhwalithi. Izingxoxo ezinemihlangano evulekile, evuliwe ziphelile nabomama abangu-15 ababoshiwe base-Durban Westville Correctional Centre basebenzisa inqubo yokwenza isampula. Ubuhlobo phakathi komama nezingane zakhe bubaluleke kakhulu, ngisho nakumama ababoshiwe. Kodwa-ke, omama ababoshiwe abakwazi ukuthambekela emithwalweni yabo yokunakekelwa kwengane ngenxa yokwehluleka kwabo ngokomzimba nangokomzwelo okuvezwe ukuboshwa. Owesifazane abangenalutho kulolu cwaningo babonisa izinselele zabo abahlangabezana nazo kanye nesidingo sabo sokuvuselela izinhlelo zokusiza ekunciphiseni izinselelo zabo zokunakekela izingane. Ucwaningo lwembula ukuthi abanye omama ababoshiwe baye babhekana nezizinda ezibuhlungu ezihlanganisa izinkinga zomzwelo, izithiyo zemali, ukuhlukunyezwa ngamazwi, ukuxhashazwa ngokomzimba nokuhlukunyezwa ngokocansi ngaphambi kokuboshwa kwabo. Izinselelo zabo zikhungatheka kanti iziboshwa ezibhekiswe kuzo zikhomba ukuthi izinselele zabo ziqhubeka nokukhululwa. Ukuvuselelwa nokubuyiselwa kabusha kwalowo owenze iphutha kuye kwaba yiyona ndlela eyinhloko eMnyangweni Wezokwelulekwa Kwezempilo ngokubona ukuthi izinga labo lensizakalo lishintshile ohlelweni "lokulawula" kulokho lokuvuselelwa. Ucwaningo lubonisa izikhala ezinhlelweni zokuvuselela ezinikezwe uMnyango. Ngaphezu kwalokho, lolu cwaningo luhlose ukwenza izincomo eMnyangweni Wezokwelulekwa Kwezokuqondisa ekusetshenzisweni izinhlelo zokuvuselela ezisiza nokusekela ukuboshwa komama nengane. Izinhlelo ezinjalo zizosiza ekukhanyiseni, ekufundiseni nasekukhuthazeni omama ababoshiwe ukuqinisa nokuvikela izinyunyana nezingane zabo kanye noMnyango ukuhlinzeka ngezinhlelo ezikhethekile zokuvakashelwa ezisiza.
Injongo yesifundo kukuphanda iingxaki ezinokubanjwa koomama abavalelwe ngokubhekiselele ekunakekeleni abantwana, esekelwe kwi-Durban West Correctional Centre. Isikhokelo sobugcisa beli phofu siquka iNkcazo yobudlelwane, iNkcazelo yeGendered Ways, kunye ne-General Strain Theory. Olu phando lusebenzisa ubuchule bokuphanda. Iingxowa-ndlebe ezivulekileyo, ezivulekileyo zagqitywa kunye noomama abathunjiweyo aba-15 basekelwe e-Durban West Correctional Centre basebenzisa ubuchule bokuncedisa. Ubudlelwane phakathi koomama nabantwana bakhe bubaluleke kakhulu, kwanokuba boomama abavalelwe. Nangona kunjalo, oomama abavalelwa bengenakukwazi ukunyamekela uxanduva lwabo lokunakekela abantwana ngenxa yokunciphisa ngokomzimba nangokomzwelo owenziwe ngokubanjwa. Oomama abangabandakanyekanga kulolu cwaningo babonisa imingeni yabo kunye neemfuno zabo zokuphucula iinkqubo zokubanceda ukunciphisa imingeni yokunakekela abantwana. Uphando luyabonisa ukuba abanye babamama abavalelwe bavaleleke kwimvelaphi ephazamisayo, kuquka imingcipheko yemvakalelo, iimingcipheko zemali, ukuxhaphazwa ngamagama, ukusetyenziswa kakubi ngokomzimba nokuxhaphazwa ngokwesondo ngaphambi kokuvalelwa. Imingeni yabo inzima xa iboshwe kunye neencwadi ezibhekiswe kuzo zibonisa ukuba imingeni yabo iyaqhubeka yokukhululwa. Ukubuyiselwa kwakhona nokubuyiswa kwakhona komenzi wesono kuye kwaba yintloko ekujoliswe kuyo kwiSebe leeNkonzo zoLuleko ekuboneni ukuba ububanzi beenkonzo sele buyekelele kwinkqubo "yokulawula" leyo yokubuyiswa. Uphononongo lubonisa izikhala kwiiprogram zokuvuselela ezinikezelwa liSebe. Ukuqhubela phambili, isifundo sinenjongo yokwenza iingcebiso kwiSebe leeNkonzo zoLuleko ekuphunyezweni iinkqubo zokubuyisela ukuxhasa nokuxhasa unxibelelwano lomama nomntwana. Ezi nkqubo zinokuncedisa ngokukhanyisa, ukufundisa nokukhuthaza oomama abavalelwe ukuqinisa kunye nokukhusela iimanyano nabantwana babo kunye neSebe ukwenzela iinkqubo zokutyelela ezikhethekileyo.
Corrections Management
M.A. (Correctional Management)

This research added an innovative, critical component to the current problem gambling treatment approaches available in Australia. It targeted a susceptible and significant group of people who experience gambling-related harm but find it difficult to stop gambling and not to start again. Relapse in problem gambling and treatment dropout is common, with a rate of up to 70% being generally accepted. To date, gambling interventions specifically targeting risk factors for relapse have not been the focus of many studies. The author of this thesis, who has lived experience with problem gambling, designed a structured group program targeting two identified risk factors for gambling relapse: 1) lack of social connectedness, and 2) lack of leisure substitution. Between 2009 and 2016, four versions of this program were trialled. All program participants were supported by a group of volunteers, most of whom had lived experience with problem gambling and were participants in previous program versions. Four versions of the program were evaluated using a multi-method approach. Quantitative data were collected using validated psychosocial measures. Journaled observation by the author, anecdotal evidence and journaled participants quotes were documented by the author in various project reports and are used in this thesis to support the qualitative findings. The results of the quantitative data revealed significant improvement for participants in the areas of social connectedness, self-efficacy, and mental health. Importantly, the results also indicated that the program supported the goals of either abstinence from, or control over, gambling behaviour for program completers. It is concluded that this innovative program helped to reconnect people to activities other than gambling and to a supportive community and, in so doing, effectively achieved the research objectives. An extra qualitative study ‘Volunteer study’ was conducted to explore if the aspect of ‘volunteering’ made a positive contribution to sustain behavioural changes that were achieved by previous program participation. This exploratory study utilised 14 in-depth semi-structured interviews with current volunteers of the trialled relapse-focused programs from studies 1-4. This part of the research indicated that volunteering for any of the peer support relapse focused programs provided significant benefits to an individual’s recovery from problem gambling. The sample was a small convenience sample, so it is not possible to generalise the findings but offers an opportunity to further explore the importance of volunteering in recovery.

This study examines offender assessment from a criminological perspective. International and national research findings, as well as the Canadian (Level of Service Inventory - Revised, LSRI-R) and the British (Offender Assessment System, OASys) offender assessment structures, are used as guidelines to illustrate the practice of offender assessment. Offender needs and risk assessment targets are examined and highlighted for general (non-specific) as well as sex and other violent offenders. A qualitative research design, supported by explanatory, descriptive and exploratory goals, directs the methodology of this research project. Important assessment tools, such as interviewing, observation, document analysis and the application of theoretical explanations are used to assess and analyse four selected case studies (adult male offenders). These case studies are representative of the different dimensions of offender assessment, namely classification, intervention, risk management and pre-parole assessment. The offenders are individually assessed, analysed and evaluated to determine among other factors, the origin, onset, contributory factors, triggers, high-risk situations, and intervention indicators that can assist custodial therapists and the prison authorities with a more focused approach to the rehabilitation and management of offenders. Each case study is also supported by a theoretical explanation. This highlights the key role, function and contribution of criminologists in corrections, as well as the importance of a multi-fold perspective in the rehabilitation and correction of criminal behaviour.
Criminology
Thesis (D. Litt. et Phil. (Criminology))

Every human being deserves to have their rights respected all the times. Not only does the correctional system have the responsibility to rehabilitate offenders before they are released to the community but also to respect their rights throughout the rehabilitation process.. In this research the extent in which human rights affect the process of rehabilitation was outlined. This was achieved by analyzing the provisions of major human rights instruments, both internationally and nationally as well as standards required for the treatment of offenders. In addition various rehabilitation programmes were also discussed. The findings of the research indicated that South Africa has achieved a lot when it comes to the recognition of human rights. From the research it was discovered that indeed offenders' rights have an impact on the rehabilitation process. Based on these and other findings recommendations were made.
Criminal Justice
M. Tech. (Correctional Services Managemnent)