Assessment and Treatment of Trauma in Jails

Abstract

Abstract The prevalence of trauma and posttraumatic stress disorder (PTSD) is higher among individuals in prisons and jails than in the general population. Jails differ from prisons in important ways and, as such, are particularly difficult environments for those with a history of trauma exposure and can cause or exacerbate posttraumatic symptoms among incarcerated persons. This chapter documents the prevalence of trauma and PTSD within the jail population and highlights how chronic and developmental trauma can be of particular concern. Empirically validated approaches to trauma assessment and treatment are described along with current practice standards. Practitioners working within jail settings can benefit from understanding and implementing a trauma-informed approach to the treatment of individuals with trauma, PTSD, and related disorders in order to minimize retraumatization and reduce PTSD symptoms. Cultural implications will also be discussed given the overrepresentation of racial and ethnic minorities in the criminal legal system. Implications for correctional policy and future research will be presented.