Crisis Intervention Teams in Corrections: Exploring the impact on officer use of force and the well-being of incarcerated people with mental illness

惩教中的危机干预小组：探讨对警官使用武力以及患有精神疾病的被监禁者福祉的影响

• 批准号: 10734687
• 负责人: Kelli Elizabeth Canada
• 金额: $ 16.44万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-08 至 2025-09-07
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10734687
• 关键词: Address; Applied Skills; Attitude; Behavior; Behavioral; Categories; Collaborations; Complex; Crisis Intervention; Data; Diversion Program; Effectiveness; Environment; Event; Evidence based practice; Exposure to; Face; Frontline worker; Gatekeeping; Gender; Happiness; Harm Reduction; Health Personnel; Health Services; Health Services Research; High Prevalence; Imprisonment; Individual; Institution; Interruption; Intervention; Intervention Studies; Knowledge; Law Enforcement; Legal system; Length; Mental Health; Mental Health Services; Mental disorders; Missouri; Modeling; Multivariate Analysis; National Institute of Mental Health; Outcome; Personal Satisfaction; Persons; Play; Police; Policies; Population; Prisons; Procedures; Process; Proliferating; Race; Recording of previous events; Rehabilitation therapy; Research; Risk; Safety; Services; Site; Suicide; Surveys; Symptoms; System; Testing; Time; Time Series Analysis; Training; Victimization; Violence; Woman; Work; behavior change; completed suicide; design; effective intervention; effectiveness evaluation; experience; high risk; high risk population; improved; men; optimism; parole; prison population; psychological distress; response; segregation; service delivery; sexual victimization; skills; social stigma; statistics; theories; volunteer

Project Summary/Abstract People with mental illnesses are overrepresented in the criminal-legal system. Prisons are high-risk environments for all people but are especially high risk for people with mental illnesses. Despite expansion of diversion programs and an overall decline in prison populations, the proportion of people with mental illnesses in prisons continues to rise. This is, in part, due to people with mental illnesses staying in prison longer. Correctional officers (CO) are front-line workers who carry out prison policies and procedures and have discretion in how they respond during behavioral disturbances. Given the high prevalence of mental illness within the prison population, correctional settings are implementing an adapted Crisis Intervention Team (CIT) model. CIT with police is well studied and considered an evidence-based practice for officer-level outcomes and mental health service linkage. Research on the effectiveness of CIT in correctional settings is nascent. In previous research, CIT trained correctional officers had significantly more knowledge and less stigma about mental illness, more positive attitudes about people incarcerated with mental illness, and felt more prepared to respond to mental health crisis events after completing the CIT training compared to pre-training scores. Although this preliminary work is promising, there is no research examining how CIT skills are used in practice, whether it changes officer use of force, or how it impacts response to mental health crisis events. Attribution theory suggests that behavior change can occur through changes in attitudes and stigma but hypotheses surrounding the impact of CIT on officer response in prisons has yet to be tested. The proposed study utilizes existing data to examine whether CO response to mental health events, uses of force and segregation, staff grievances, and attempted and completed suicides among the incarcerated population significantly changed since implementation of CIT in one state prison system. The hypothesis is that altering CO knowledge and biases in perceiving and responding to people with MI using CIT will minimize exposure to harmful sanctions, increase safety in staff interactions, and improve response to mental health crisis events. The proposed research addresses the specific objective of the NIMH Division of Services and Intervention Research to conduct exploratory research to inform and improve the delivery and quality of interventions within real-world service delivery systems. Prisons are highly complex systems and continue to be one of the largest institutions to house people with mental illnesses. Effective intervention is critically needed to reduce harm while in prison and the length of time people spend in high-risk, prison environments.

项目摘要/摘要 在犯罪法律制度中，患有精神疾病的人代表过多。监狱是高风险的 所有人的环境，但对于患有精神疾病的人来说尤其高。尽管扩展 转移计划和监狱人口的总体下降，精神病患者的比例 在监狱中继续上升。这部分是由于患有精神疾病的人在监狱中停留更长的时间。 惩教人员（CO）是执行监狱政策和程序的一线工人 在行为干扰期间他们的反应方式的酌处权。鉴于精神疾病的高流行 在监狱人口中，惩教环境正在实施改编的危机干预小组（CIT） 模型。对警察的CIT进行了充分的研究，并被认为是官员级成果的循证实践 和心理健康服务联系。关于CIT在矫正环境中的有效性的研究很新生。在 先前的研究，受过CIT训练的惩教人员对知识的知识明显更多，对 精神疾病，对被精神疾病监禁的人的更积极的态度，并准备更加准备 与培训前分数相比，完成CIT培训后，应对心理健康危机事件。 尽管这项初步工作是有希望的，但没有研究研究如何在实践中使用CIT技能， 它是改变官员使用武力，还是如何影响对心理健康危机事件的反应。归因 理论表明，行为改变可以通过改变态度和污名来发生，但假设 围绕着CIT对监狱军官反应的影响尚未进行测试。拟议的研究利用 现有数据以检查CO对心理健康事件的反应，武力和隔离的使用，员工是否 申诉，企图和完成被监禁人口中的自杀发生了重大变化 自一个州监狱系统中实施CIT以来。假设是改变CO知识和 使用CIT感知和回应MI的人的偏见将最大程度地减少对有害制裁的暴露， 提高员工互动的安全性，并改善对心理健康危机事件的反应。提议 研究探讨了NIMH服务和干预研究部的具体目标 进行探索性研究，以告知和改善现实世界内干预的交付和质量 服务输送系统。监狱是高度复杂的系统，并继续成为最大的机构之一 容纳患有精神疾病的人。在监狱中，需要有效的干预以减少伤害 人们在高风险的监狱环境中花费的时间长度。