Improving Rehabilitative Efforts for Juvenile Offenders Through the Use of Telemental Healthcare

The use of videoconferencing technology in the provision of mental health services is expected to increase rapidly over the next several years. Given the high rates of juvenile offenders in need of such services and the new norms of communication among young people in general, technology-based service modalities are a promising approach for increasing the availability and intensity of services, as well as engagement and compliance with treatment recommendations. This article will discuss the current state of the juvenile justice system, the literature on the use of telemental healthcare (TMH) with delinquent youth, how TMH fits within the generally accepted model of correctional rehabilitation, and special considerations for applying TMH to this population and setting. Although there is no evidence to suggest negative outcomes associated with TMH, future research is greatly needed to justify its use

Connecting the Disconnected: Preliminary Results and Lessons Learned From a Telepsychology Initiative With Special Management Inmates

The use of telepsychology, such as videoconferencing (VC) systems, has been rapidly increasing as a tool for the provision of mental health services to underserved clients in difficult to access settings. Inmates detained in restrictive housing appear to be at an increased risk of experiencing emotional and behavioral disturbances compared to their general population counterparts, yet they are less likely to receive appropriate treatment due to security constraints. The primary purpose of this article is to describe the process of implementing a novel telepsychology intervention specifically designed to offer group therapy to high-security, administratively segregated inmates. In addition, preliminary results on treatment and therapeutic process outcomes in a sample of 49 participants are reported. Although some evidence indicated that telepsychology was less preferred than in-person sessions, group differences on measures of psychological functioning and criminal thinking were not found across 3 conditions (telepsychology, in-person, and a no-treatment control). Furthermore, a number of limitations associated with program implementation and study design suggest that results be interpreted with caution and should not be used to discount the use of telepsychology as a viable treatment delivery option. Recommendations for future development and evaluation of telepsychological programs are discussed within the context of correctional settings and beyond

Are Videoconferenced Mental and Behavioral Health Services Just As Good As In-Person? A Meta-Analysis of a Fast-Growing Practice

© 2020 Elsevier Ltd The use of videoconferencing technologies (VCT) is on the rise given its potential to close the gap between mental health care need and availability. Yet, little is known about the effectiveness of these services compared to those delivered in-person. A series of meta-analyses were conducted using 57 empirical studies (43 examining intervention outcomes; 14 examining assessment reliability) published over the past two decades that included a variety of populations and clinical settings. Using conventional and HLM3 meta-analytical approaches, VCT consistently produced treatment effects that were largely equivalent to in-person delivered interventions across 281 individual outcomes and 4336 clients, with female clients and those treated in medical facilities tending to respond more favorably to VCT than in-person. Results of an HLM3 model suggested assessments conducted using VCT did not appear to lead to differential decisions compared to those conducted in-person across 83 individual outcomes and 332 clients/examinees. Although aggregate findings support the use of VCT as a viable alternative to in-person service delivery of mental healthcare, several limitations in the current literature base were revealed. Most concerning was the relatively limited number of randomized controlled trials and the inconsistent (and often incomplete) reporting of methodological features and results. Recommendations for reporting the findings of telemental health research are provided

Mental Illness in the Eyes of the Law: Examining Perceptions of Stigma Among Judges and Attorneys

In response to the increasing numbers of mentally ill persons placed under the care of correctional institutions, community-based diversion programs have been established to address the unique needs and challenges of this vulnerable population. Given that legal personnel may serve as gatekeepers in placement decisions, and the lack of existing research examining their attitudes toward offenders with mental illness, the present study aimed to evaluate perceptions of dangerousness and treatment need among a sample of judges, prosecutors, and public defenders across the state of Mississippi. While controlling for age, results of a factorial MANCOVA revealed that public defenders, relative to both judges and prosecutors, endorsed more compassionate attitudes about defendants with mental illnesses. Furthermore, political ideology did not significantly influence attitudes toward mentally ill offenders. While judges and prosecutors endorsed more negative stereotypes about mental illness and perceived mentally ill defendants as a greater risk to the community, mean scores across groups suggested moderately positive attitudes overall. Study limitations, implications for correctional mental health providers, and directions for future research are discussed

Turning Graduate Psychology Courses Inside Out

This brief report summarizes the basic principles and common applications of the flipped classroom, highlighting its use in the teaching of psychology. Evidence regarding the effectiveness of the inverted teaching model is reviewed and an argument for its use within graduate-level psychology courses is provided. Two examples of graduate-level psychology courses (i.e., cognitive abilities and objective personality assessment) that incorporate elements of the flipped classroom are presented, along with suggestions for other applied courses. Finally, the authors discuss potential benefits and barriers for redesigning a traditionally formatted class to adhere to an inverted format. (PsycINFO Database Record (c) 2018 APA, all rights reserved

Treating women incarcerated in or at-risk of restrictive placements: A statement of the problem and considerations for practice.

Although limited, extant research suggests that incarcerated women are more likely than men to be placed in restrictive housing (e.g., administrative or disciplinary segregation) for disruptive behaviors that are linked to psychiatric symptomology and interpersonal deficits. Yet, few scholarly works discuss specific interventions or recommendations for treating incarcerated women in or at-risk of segregation. In this paper, we address the extent to which criminogenic and mental health needs of incarcerated women likely apply to women often placed in segregation, offer considerations for treatment planning when working with this subpopulation, and describe the process of piloting a manualized program specifically developed for segregated clients with women in a state prison. Descriptive data on 18 program participants are reported. Among program completers (n = 10), reductions in emotional stability, wellness, and criminal attitudes were endorsed from pre- to post-treatments and all women were rule-violation free at 3-month follow-up. Although preliminary outcomes are promising, controlled treatment outcome research is needed. We conclude with a call to advocate for the humane treatment and management of women who are in or prone to restrictive housing

Turning graduate psychology courses inside-out

This brief report summarizes the basic principles and common applications of the flipped classroom, highlighting its use in the teaching of psychology. Evidence regarding the effectiveness of the inverted teaching model is reviewed and an argument for its use within graduate-level psychology courses is provided. Two examples of graduate-level psychology courses (i.e., cognitive abilities and objective personality assessment) that incorporate elements of the flipped classroom are presented, along with suggestions for other applied courses. Finally, the authors discuss potential benefits and barriers for redesigning a traditionally formatted class to adhere to an inverted format

Why Correctional Service Providers and Researchers Should Focus on Intersectionality and Recommendations to Get Started

Across disciplines, there has been increased attention to understanding and addressing compounded oppression and marginalization associated with intersecting identities. We argue that involvement with the criminal justice system can, in itself, represent an identity (self-ascribed or not) that interplays with other demographic and systemic variables, making it more difficult for these clients to disconnect from the system. We offer our perspective on integrating conversations and tools focused on intersectionality into assessment and interventions that address criminogenic risks, recommendations for adopting a mixed-methods approach to researching intersectionality in correctional settings that better accounts for individual variability, as well as suggestions for advocacy, policy reform, and graduate-level training. With its emphasis on diversity and multiculturalism, health service psychology and related professions are uniquely poised to help correctional agencies move in a more inclusive direction that will likely improve client well-being and prosocial reengagement as well as reduce continued systemic oppression

Using Technology to Improve the Objectivity of Criminal Responsibility Evaluations

Criminal responsibility (or insanity) evaluations require forensic clinicians to reconstruct a defendant\u27s decision-making abilities, behavioral control, and emotional state at the time of the criminal act. Forensic evaluators are ultimately tasked to evaluate whether an individual had the capacity to understand right from wrong, and in some jurisdictions, determine whether the defendant lacked substantial capacity to conform his behavior to the requirements of the law as a result of a threshold condition (e.g., mental illness). Insanity evaluations are inherently complex, because they require the clinician to determine someone\u27s mental state at some point in the past (weeks, months, or even years). Recent research on insanity evaluations underscores significant problems with the reliability and validity of these evaluations. However, technological advances including social media (e.g., Facebook and Twitter), mandating that law enforcement videotape interrogations, and the use of body and dashboard cameras can aid clinicians in improving the precision and quality of insanity evaluations. This article discusses practical guidelines and ethics-related concerns regarding the use of technology to improve the objectivity of criminal responsibility evaluations