Researching the psychological therapies in prison: considerations and future recommendations

The Lived Experience of Sisters With an Incarcerated Brother: A Phenomenological Study

The major increase of incarcerated individuals in the United States has led to a variety of issues. The experience of incarceration has an impact on not only the individual but the entire family system. However, the impact on the sibling relationship has yet to be explored in the literature. The current study examined the lived experience of sisters with an incarcerated brother. In this qualitative study, semi-structured interviews with five sisters with an incarcerated brother were conducted. The results displayed five themes that emerged from the interviews: emotional impact, adjustment, prison experience, family impact, and stigma. The results informed clinical implications for marriage and family therapists working within the incarcerated population. In addition, specific suggestions are provided in how to best advocate for this population through research and clinical work. Moreover, the current study punctuates the specific and dire need for therapeutic intervention and broader policy change among many other efforts.

Exploring the Utilization of Structural and Medical Family Therapy With an Incarcerated Mother Living With HIV

The incarcerated population is considered an underserved population, specifically in regard to their ability to access and receive mental health services. There is a gap in existing literature addressing the mental health needs of incarcerated individuals who also suffer from chronic illnesses. The purpose of this case study is to provide an exploration of how medical family therapy and structural family therapy can be integrated to inform the treatment of incarcerated individuals and their families who are experiencing a physical health illness. A case application will be provided to highlight how the integrated approach can be utilized to conceptualize and treat those incarcerated and their families. Treatment was shown to be effective as evidenced by the outcomes of an incarcerated mother with HIV and her daughter.

Incorporating Multicultural Couple and Family Therapy Into Incarcerated Settings

Incarceration rates have increased significantly since the 1990s, with more than two million adults in federal, state, and local facilities. More than half of the offenders report a history of mental health issues, highlighting the importance of offenders having access to effective therapeutic approaches, including individual, couples, and family counseling. Traditionally, the focus of mental health services has been individual treatment; however, family members are also significantly impacted by the offender's absence during incarceration. Incorporating family members into treatment can serve to improve relationships, leading to better outcomes at reentry and reductions in recidivism rates. Given the preponderance of persons of color in the incarcerated population, diversity issues in counseling must also be addressed. The purpose of the underlined article is to explore the implications of incorporating multicultural family therapy into incarcerated settings.

European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders

Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues.