The Effects of Psychoeducational Group Therapy on Symptoms of PTSD, Anxiety and Depression Among Incarcerated Women
Christa N. Walters
University of Arkansas
The Effects of Psychoeducational Group Therapy on Symptoms of PTSD, Anxiety and Depression Among Incarcerated Women
Introduction
The number of incarcerated women has increased significantly, increasing at a rate double to the rate of male incarceration since 1980 (Covington & Bloom, 2006). Braithwaite, Treadwell and Arriola note that incarcerated women have historically been a forgotten population, and despite the rapid growth of the population, their needs have continued to be ignored (2005). In addition to the stigma that comes with being or having been incarcerated,
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Messina and Grella (2007) found that greater exposure to childhood trauma contributes to a higher prevalence of mental illness within the population of incarcerated women. Not only does the lack of mental health treatment in correctional facilities affect incarcerated women, there are also long term consequences to community health and recidivism rates (Messina & Grella, 2007). As evidenced by prior research, more studies must be done on this unique population in order to determine the best intervention for treating incarcerating women with mental illness and decreasing rates of recidivism. This issue is relevant to the values, ethics and responsibilities of the social work profession because this oppressed and vulnerable population is in need of advocacy and gender-specific mental health treatment. The purpose of this study is to determine whether psychoeducational group therapy will reduce symptoms of depression, anxiety and PTSD among women who are incarcerated. By determining the best intervention methods to decrease symptoms of mental illness within this population, these women will be able to interact more positively with others within the prison environment, feel more in control, and possibly have a reduced chance of returning to prison after being released.
Research Question
Does psychoeducational group therapy reduce symptoms of depression, anxiety and PTSD in the population of incarcerated women?
Summary of Proposal Contents This research proposal will
Women in the concurrent prison are exposed to many issues, some as a result of their lives before ending up in prison, others from ending up in prison itself. Women in prison have experienced mental and physical abuse, unstable family, issues with work and school and many other issues. Studies shows that national surveys made of women prisoners find that a high rate of them were mothers, half of them having kids under the age of eighteen. Inmates are sent to prison on different locations creating an obstacle on transportation, economic issues and the bond between these.
The strength of this proposed study is that it compares different treatment methods that could be reasonably implemented within correctional institutions. Since individual therapy sessions using methods such as ACT or CBT are already implemented in the prison systems, adding certain factors to it to improve the effects of the therapy is a reasonable, implementable change. This allows the study to be conducted within the prison system, even taking into account the limited resources and restrictions one faces when conducting a study within this setting. Another strength, includes the large sample size and the fact that participants did not receive counseling in the facility before their participation in the study, which prevents the results from
On average, women make up about 7 percent of the total federal and state incarcerated population in the United States. This has increased since the 1980s due to stricter and more severe laws that focus on recreational drug use, a lack of community programs, and fewer treatment centers available for outpatients (Zaitow and Thomas, eds., 2003). According to the National Women's Law Centers, women prisoners report a higher than statistically normal history of domestic violence in their immediate past, and the fastest growing prison population with a disproportionate number of non-Whites forming over 60 percent of the population. In fact, over 30 percent of women in prison are serving sentences for murder involving a spouse or partner. The incarceration of women presents far different cultural and sociological issues than those of men issues with children, family, sexual politics and more (NWLC, 2012).
All the women that are identified will have a pre-assessment test by some designated physicians. The aim is to note their psychological status and identify any psychiatric disorder. After this, the participants will be grouped into two; the intervention group and the control group. Those that are under the intervention group will be provided assess to DV resources, including psychologists, social workers, crisis hotlines, sexual assault crisis centers, counseling services, and women’s shelters, as well as physician visits. While the other group will not be given the privileges that the intervention group has. Both groups will be monitored for a period of 12months and will be re-evaluated by the physicians. The physicians will evaluate their psychological status and the trend in any pre-identified psychiatric disorder of both groups. Information will be gathered on any developed or resolved posttraumatic stress disorder, chronic disease, depression, improved quality of life and mental
In the past thirty years, the incarceration of women has risen exponentially. Poverty, lack of access to education, abuse, addiction, mental health and parenting issues all impact women’s criminality and health before, during and after they are incarcerated (Hannaher, K., 2007). By 2010 there were nearly 206,000 women currently serving time in the criminal justice system. As the years go by, the numbers are constantly increasing (Women Behind Bars, 2015). The number of pregnant women incarcerated has also been on the rise. Most incarcerated women do not receive proper prenatal care before entering the criminal justice system. Because these women are from mostly poverty neighborhoods, they are more likely to endure domestic violence, poor
al., p. 390). Thus this research study being done fills a gap to the existing knowledge and will hopefully provide better treatment options for incarcerated women with mental illness. The use of direct quotes was minimal throughout the article. The research problem has significance to nursing, however this was not made very clear in the article.
The National Commission on Correctional Health Care released a position statement on how important women's health care is in prisons and to guide administration in managing women's health care in these facilities. The position statement covers the following subtopics: gynecological, pregnancy, postpartum, parenting services, sexual and physical abuse, alcohol and drug abuse, sexually transmitted disease, family planning, mental health, aging, and nutrition and diet. Through these sections, the organization discusses the numerous statistics and research accompanied and related to the subtopics. These subtopics were the preface to NCCHC's position statement and served as a "backing" for their position statement. The Position Statement covers
With Which Character Do You Most Empathize and Why? Ben Okri once said, “The fact of storytelling hints at a fundamental human unease, hints at human imperfection. Where there is perfection there is no story to tell.” Although many strive to achieve this impossible state of perfection, it’s not probable. In Nathaniel Hawthorne’s
The group was a court mandated anger management group for women who were the perpetrator of domestic violence and it was a condition for their release from jail. One unanticipated consequence of the creation of pro-arrest policies for domestic violence has been an increase in the number of females arrested for aggressive acts against their partners; many of these women are being mandated into treatment programs as a stipulation of probation (Dowd et al., 2005)
The incarceration of female offenders has increased from 168.5 to 215.2 between 2010 and 2017 (Russel.S 2017). The decision by the judiciary to send these offenders to prison, many of whom are mothers or have experienced their own physical trauma, fails to achieve just and equitable outcomes for these offenders (Kilroy. D 2016). It is vital that female prisoners receive adequate rehabilitation to ensure a reduction of crime rates within female prisoners and to receive effective aid upon release into the community.
Prevention is the action of stopping something from happening or arising. The goal of prevention is intended to prevent major problems of living (McCave &Rishel, 2011). For, the purposes of this paper I will focus incarcerated women and the issues that they face upon being released from prison and returning to their communities. Following a description of the population, the particular issues are discussed; focusing on stigma associated with incarceration, the lack of community resources and re-establishing a family life, including regaining both, legal and physical custody of children. I will conclude this paper with a discussion of practices and policies that improve the quality of social services to women released from prison.
In John Milton’s Paradise Lost, Milton narrates the story of Adam and Eve, but on a deeper level, figuring out the motives, feelings, and emotions of each character while also introducing the story of Satan/Lucifer and all of his complexities. At the same time Milton gives the story a twist when he relates how sin and death is brought into the human world. Greek Mythology gives a similar anecdote which compares with John Milton’s story very much: the story of Pandora and Epimetheus. “Pandora’s Box” also relates the story of how evil sprits came upon the world thorough Pandora’s disobedience. Pandora and Epimetheus mythogical narrative and John Milton’s timeless interpretation of Adam and Eve mirror each other in many ways while also
For numerous years, prison officials applied the same type of treatment for men and women. In the last decade with the increasing number of women incarcerated, research shows that women have different physical and emotional needs. For example, women are more attached to their children that they are leaving behind, and some have histories of physical and mental abuse. The creation of two programs, Key Crest and Forever Free were created to help with women specific issues. Recent studies done by National Institute of Justice studies found that participants in these two programs stayed drug and arrest free for over three years. Participants were tested and interviewed once a year for three years. The studies also showed that the programs provided aftercare and treatment in areas that were not addressed in previous years. Even though both varied in their approach, they both recognized the many ways there were to treat the needs of women and how they differ from men. The studies also show that gender specific programs do help inmates reenter into society.
According to Levenson, Prescott and D’Amora (2010) in an exit interview for inpatient program for prisoners in California client feedback indicated that relapse prevention, individual therapy, stress and anger management, and behavioral therapy were ranked as most important to their recovery whereas the least important area identified was sex education (p. 309). Additional feedback included that group cohesion and supportive therapists are associated with reductions in pro-offending attitudes over the course of treatment; majority believed that learning how to meet their needs in more adaptive ways and creating more satisfying lives for themselves were very important and clients rated accountability and victim empathy as the most important
Prisoner-on-prisoner sexual aggression and rape among people in prison is a serious issue with a longstanding history. Trauma histories and institutional violence are two serious problems faced by a multitude of women currently in prison. Women’s prisons have a high rate of institutional violence, with inmates being both victims and perpetrators of sexual assault. More U.S. women are currently incarcerated than ever before. In fact, it was found that the rate of increase of incarceration among females is actually greater than that of males in many different classes of crimes (Brown, 2011). Three of the ten U.S. prisons with the highest rates of inmate-reported sexual violence were actually women 's prisons, with 10.8% of inmates at an Indiana prison, 10.3% at a California prison, and 9.5% at a Texas prison reported being sexually victimized while incarcerated (Beck & Harrison, 2008). This research shows that female inmate-on-inmate violence tends to be less than that among male inmates, but rates are still high enough to warrant concern. For example, Beck, Harrison, and Adams (2007) found that female inmates were the victims in 18% of all alleged cases of inmate-on-inmate sexual violence reported by prison authorities in 2006.