Effective Practices to Facilitate Rural Reentry: A Policy Analysis

The United States is home to a large percentage of incarcerated individuals, a majority of whom re-offend upon release. Reentry efforts focus on lowering recidivism through policy and programming to help returning citizens successfully reintegrate into society and become productive, law abiding citizens. Although research on reentry has increased, the primary focus has been on urban reentry programming. Thus, the unique challenges that plague rural reentry, such as rural employment, housing, treatment and healthcare, transportation, and cultural qualities have been largely neglected. The current policy analysis used the rational model of policy analysis in which information on existing policy and programming was gathered via an extensive literature and policy review, then thoroughly described; problems within these current practices related to rural reentry were identified; and alternative strategies to amend policy to aid rural reentry were reported or recommended. Per the current analysis, most policies and programs are designed for, and examined in, urban communities. While there were several domains in which existing policy was, in fact, beneficial to rural returning citizens, all domains demonstrated need for improvement. A major limitation for the current analysis was the lack of research in rural communities. Future directions include examining reentry policy through the lens of specific offense-types for rural offenders, studying the effect of privatized prisons on U.S. rural reentry, and exploring reentry efforts in other countries as a model for change in the U.S. correctional system

Effects of Adverse Childhood Experiences on High Risk Inpatients Criminal Behavior

Adverse childhood experiences (ACEs) play a role in the development of chronic mental and physical diseases in adulthood. These experiences include adversities such as: emotional/verbal abuse, sexual abuse, physical abuse, and household dysfunction. In this study, we hypothesize that forensic mental health offenders will have higher ACE scores than community participants. Secondly, we hypothesize that these participants will show higher rates of and earlier incidences of offending, arrest, incarceration, and hospitalization as a result of their ACE scores. Further, we hypothesize that males and females will be affected by ACEs differently. Using archival data from a secure forensic psychiatric facility in the Midwestern US, data were collected from 211 participants, of which 80% were males and 18% females. The ages of the participants ranged from 23 to 72 with a median age of 43. Using SPSS software, we were able to determine frequency of the ten categories of abuse, maltreatment, and familial dysfunction as included in the original ACE research. Correlations were run to determine the relationship between ACEs and criminal behavior. Statistical comparisons were also run to examine the differences between males and females. ACE score significantly correlated with age at first psychiatric admission. Males and females were significantly different with regard to ACE score. However, other variables were not significant and suggest that future research need to more deeply examine these differences, and additional variables that may determine criminal outcomes in high-risk samples

Arrest or Hospitalization? An Examination of the Relationship Between Psychiatric Symptoms, Traumatic Childhood Experiences, and Socio-Ecological Factors in Forensic Mental Health System Responses to Offender Behavior

It has been well documented that Adverse Childhood Experiences (ACEs) lead to unfavorable outcomes in later life, especially with regard to health and psychological outcomes. Recent research has demonstrated the impact of early childhood adversity on the onset of aggression and illegal behavior. However, often those with mental illness diagnoses with comorbid behavioral problems exhibit trajectories that include both arrest and hospitalization. While some are arrested for their criminal behavior, others are hospitalized. This begs the question: are those with mental illness and behavioral problems more likely to be arrested, or hospitalized, for their early behavioral problems? In the current study, it was hypothesized that arrest precedes hospitalization for the majority of these offenders, and that specific diagnoses of a mental illness are related to outcome. It was also hypothesized that early exposure to environmental adversity, as measured by the age of earliest ACE and total ACE score, would significantly predict whether offenders were arrested or hospitalized first. Other socio-ecological factors were also studied. The data for this study were gathered from a sample of 182 adult psychiatric inpatients in a secure forensic facility. Data were archival and retrospective in nature. All participants had been hospitalized following acts of violence or aggression, exhibiting a history of both behavioral problems as well as mental illness. A series of logistic and linear regressions were used to examine the relationship between reason for first admission to a psychiatric facility, diagnosis of a mental disorder, and early childhood adversity to clarify whether early problematic behaviors resulted in initial arrest or psychiatric hospitalization. Results indicate that subjects were much more likely to be hospitalized initially than arrested (33.5% arrested first, 66.5% hospitalized first). A diagnosis of impulse control disorder was significantly related to whether initial incident led to arrest or hospitalization (p=0.030), while the diagnosis of ADHD neared significance (p=0.056). No significant relationship was found between incidence of initial arrest or hospitalization and age that drug/alcohol abuse began. Other findings and implications for future research will be discussed