Mental Illness and Community Reentry in a Multi-Ethnic Population of Female Inmat

多民族女性囚犯的精神疾病和重返社区

基本信息

批准号：
8050153
负责人：
Cathleen E. Willging
金额：
$ 10.66万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-01-13 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8050153
关键词：
Address Advocacy Case Management Communities Crime Criminal Justice Data Economics Effectiveness Employment Environment Ethnic Origin Evidence based intervention Evidence based program Family Female Freedom Friends Health Personnel High Prevalence Hispanics Housing Human Resources Imprisonment Individual Intervention Interview Left Life Link Mental Health Mental Health Services Mental disorders Methods Minority Groups Modeling Native Americans New Mexico Outcome Overdose Persons Pharmaceutical Preparations Policies Population Preparation Prisons Problem Solving Process Psyche structure Psychiatric Hospitals Registries Rehabilitation therapy Reporting Research Resources Role Rural Sampling Schedule Services Social Network Social support Staging Stigmata Structure Substance Addiction Substance abuse problem Suicide Support System Testing Time Translational Research Vulnerable Populations Woman base community reentry community setting design ethnic minority population experience high risk male novel offender parole public health relevance recidivism rural area self reliance skills social social stigma theories urban area

项目摘要

DESCRIPTION (provided by applicant): The percentage of incarcerated women across the U.S., particularly women from ethnic minority groups, has increased dramatically in recent years. The recidivism rate among these women is remarkably high, and research strongly suggests that psychiatric disorders, including substance abuse and dependence, are key contributing factors in re-offending upon discharge into the community. Women incarcerated in New Mexico exemplify the plight of imprisoned women. The high prevalence rate of mental health problems among these women overwhelms the capacity of prison officials and community reentry planners to provide appropriate services, especially for those returning to rural areas. This proposed translational research will tackle this issue by adapting and refining a data- and theory-driven approach, the Critical Time Intervention (CTI), which aims to address mental illness and community reentry needs and to decrease recidivism within this population. First developed and tested among individuals leaving psychiatric hospitals in urban areas, the CTI is a nationally- recognized, evidence-based intervention that advances a manualized case management approach to facilitate community reentry. The CTI is intended to build an individual's social support system, link her to housing, employment, and other economic resources, and engage her in treatment. This project will utilize the combination of formative research and participatory planning methods to adapt the CTI for female inmates in the predominantly rural state of New Mexico. To this end, the project will assess the role of mental illness among Hispanic, Native American, and White women moving to rural environments from prison, examine the provision of social support in the reentry process, and determine strategies to strengthen and sustain their community connections and access to formal and informal helping resources. The project will modify the CTI in preparation for an R01 application to study its effectiveness in enhancing mental health and criminal justice outcomes for rural female offenders of diverse ethnicities. This research will occur in three stages. First, we will conduct structured psychiatric assessments and qualitative interviews with a multi-ethnic sample of rural female inmates scheduled for release from prison. The richly detailed descriptions from this approach will elucidate how women experience mental illness and how this experience may impact their reentry into the community. Second, we will carefully consider the broader social support context of reentry for rural women through qualitative interviews with professional and nonprofessional individuals comprising this context. Third, we will convene a stakeholder group of criminal justice professionals, mental health experts, and rural women who have experienced community reentry. Based upon our study findings and stakeholder input we will then use participatory planning methods to adapt the CTI. This adaptation process will provide a model for tailoring the CTI to other populations and settings, thus serving to disseminate this important intervention more widely. PUBLIC HEALTH RELEVANCE: Project Narrative: This proposed translational research will adapt and refine a data- and theory-driven approach, the Critical Time Intervention (CTI), in order to address mental illness and community reentry needs and to decrease recidivism within a vulnerable population of rural ethnic minority women in prison. This project will combine formative research and participatory planning methods to adapt the CTI for female inmates in the rural state of New Mexico. This adaptation process will provide a model for tailoring the CTI to other populations and settings, thus serving to disseminate this important intervention more widely.

描述（由申请人提供）：近年来，美国各地被监禁的女性（尤其是少数族裔女性）的比例急剧增加。这些女性的累犯率非常高，研究强烈表明，精神疾病，包括药物滥用和依赖性，是出院后再次犯罪的关键因素。新墨西哥州被监禁的妇女体现了被监禁妇女的困境。这些妇女中精神健康问题的高患病率超出了监狱官员和社区重返规划者提供适当服务的能力，特别是对于那些返回农村地区的妇女。这项拟议的转化研究将通过调整和完善数据和理论驱动的方法“关键时间干预”（CTI）来解决这个问题，该方法旨在解决精神疾病和重返社区的需求，并减少该人群的累犯。 CTI 最初在城市地区离开精神病院的个人中进行开发和测试，是一项全国认可的循证干预措施，可推进手动化病例管理方法，以促进重返社区。 CTI旨在建立个人的社会支持系统，将她与住房、就业和其他经济资源联系起来，并让她接受治疗。该项目将结合形成性研究和参与式规划方法，调整以农村为主的新墨西哥州女性囚犯的 CTI。为此，该项目将评估精神疾病在从监狱搬到农村环境中的西班牙裔、美洲原住民和白人妇女中的作用，审查在重返社会过程中提供的社会支持，并确定加强和维持其社区联系的策略以及获得正式和非正式帮助资源的机会。该项目将修改 CTI，为 R01 申请做准备，以研究其在增强不同种族农村女性罪犯心理健康和刑事司法结果方面的有效性。这项研究将分三个阶段进行。首先，我们将对计划出狱的农村女囚犯的多种族样本进行结构化精神病学评估和定性访谈。这种方法的详细描述将阐明女性如何经历精神疾病以及这种经历如何影响她们重新进入社区。其次，我们将通过对构成这一背景的专业和非专业人士的定性访谈，仔细考虑农村妇女重返社会的更广泛的社会支持背景。第三，我们将召集一个由刑事司法专业人员、心理健康专家和经历过重返社区的农村妇女组成的利益相关者小组。根据我们的研究结果和利益相关者的意见，我们将使用参与式规划方法来调整 CTI。这一适应过程将为针对其他人群和环境定制 CTI 提供一个模型，从而有助于更广泛地传播这一重要干预措施。公共卫生相关性：项目叙述：这项拟议的转化研究将调整和完善数据和理论驱动的方法，即关键时间干预（CTI），以解决精神疾病和社区重返需求，并减少弱势群体的累犯农村少数民族妇女在监狱中的情况。该项目将结合形成性研究和参与式规划方法，以适应新墨西哥州农村地区女性囚犯的 CTI。这一适应过程将为针对其他人群和环境定制 CTI 提供一个模型，从而有助于更广泛地传播这一重要干预措施。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico.

被监禁妇女生活中的亲密伴侣暴力和结构性暴力：新墨西哥州农村地区的混合方法研究。

DOI：
发表时间：
2021
期刊：
影响因子：
0
作者：
St Cyr, Shilo;Jaramillo, Elise Trott;Garrison, Laura;Malcoe, Lorraine Halinka;Shamblen, Stephen R;Willging, Cathleen E
通讯作者：
Willging, Cathleen E

Pedagogy of individual choice and female inmate reentry in the U.S. Southwest.

美国西南部的个人选择教育学和女性囚犯重返社会。

DOI：
发表时间：
2011-07
期刊：
影响因子：
2.3
作者：
Kellett, Nicole Coffey;Willging, Cathleen Elizabeth
通讯作者：
Willging, Cathleen Elizabeth

STRUCTURAL INEQUALITY AND SOCIAL SUPPORT FOR WOMEN PRISONERS RELEASED TO RURAL COMMUNITIES.

释放到农村社区的女囚犯的结构性不平等和社会支持。

DOI：
发表时间：
2016
期刊：
影响因子：
1
作者：
Willging, Cathleen E;Nicdao, Ethel G;Trott, Elise M;Kellett, Nicole C
通讯作者：
Kellett, Nicole C

Behavioral health and social correlates of reincarceration among Hispanic, Native American, and white rural women.

西班牙裔、美洲原住民和白人农村妇女再监禁的行为健康和社会相关性。

DOI：
发表时间：
2013-06
期刊：
影响因子：
0
作者：
Willging, Cathleen Elizabeth;Malcoe, Lorraine Halinka;St Cyr, Shilo;Zywiak, William H;Lapham, Sandra C
通讯作者：
Lapham, Sandra C