Jail Inmates Research Articles

Book Review: Derek S. Jeffreys, America’s Jails: The Search for Human Dignity in an Age of Mass Incarceration. New York University Press. 2018.

In America’ Jails: The Search for Human Dignity in an Age of Mass Incarceration, Derek Jeffreys attempts to primarily focus on the human dignity of inmates in U.S. jails. He draws from his experience volunteering in a prison chapel, visiting various jails and prisons in Wisconsin and overseas, and his access that was granted to him inside the Cook County Jail by Sheriff Thomas J. Dart. Jeffreys states that he was freely able to speak with both inmates and staff inside the jail. He does his best to bring about many disturbing abuses inside the jail system but resists the temptation to portray those working in corrections as evil and to blame. Throughout the book, Jeffreys discusses a long common practice of placing those thought to be insignificant or in a powerless position in mental hospitals, jails, prisons, or other institutions. Jeffreys discusses his ideas of proposed policy changes that may assist in preventing abuse and neglect of inmates in jail and how to reduce the populations of those incarcerated.

Clarifying Relations Between Core Features of Psychopathy and Substance (Mis)use: A Replication and Extension in Two Large Independent Samples.

Two studies examined the consistency of associations between specific components of psychopathy and two indices of drug use: (a) abstinence and (b) severity (i.e., counts) of lifetime substance use disorder (SUD) symptoms. Participants were 418 male county jail inmates in Illinois (Study One) and 354 male state prison inmates in New Mexico (Study Two). Across samples, lifestyle and antisocial trait ratings were associated with a reduced likelihood of abstinence from most substances. Lifestyle traits were also uniquely associated with severity of substance dependence ratings. Consistent with prior research, interpersonal traits were uniquely related to cocaine indices in both samples. Furthermore, analyses revealed negative associations between the affective features of psychopathy and alcohol dependence in one sample (Study Two), and illicit substance use across samples. These findings demonstrate the robustness of the associations between the interpersonal and affective features of psychopathy and specific aspects of substance (mis)use.

Effectiveness of oral health education on oral hygiene status among adult male inmates in central jail, Kolkata – an interventional study

PurposeOral health is an integral part of general health. Different population groups have been assessed for oral health status in India, but still, many have been neglected; one such group is the prisoners. The prison population is a unique and challenging one with many health problems, including poor oral health, which may be due to lack of knowledge about good oral health practices. This study aims to assess effectiveness of oral health education on oral health knowledge, attitude and practices and oral hygiene status among the male prison inmates of central jail in Kolkata, India.Design/methodology/approachAn interventional study was done among 240 male convicts. The data was elicited using a structured proforma; oral health status was assessed by recording OHI-S index, and the severity of gingivitis was assessed by recording the gingival index. Oral health education was delivered by using audio-visual aid. Oral health knowledge, attitude, practices and oral hygiene and gingival status were reassessed among the inmates before and after dental education at the end of three and six months.FindingsA significant change in oral health knowledge, attitude and practices was seen, which in turn resulted in an appreciable decrease in the mean gingival index score (1.73 ± 0.382 to 1.20 ± 0.321) and OHI-S (3.31 ± 0.815 to 2.57 ± 0.551) in all the inmates after oral health education program over the period of time.Originality/valueThe oral health education with reinforcement proved to be an effective tool to instil good oral hygiene practices in the inmates.

A Needs Assessment of Mental Healthcare Among inmates in Madison County Jail: Recommendations for Improvement

The current study examined the inmates’ mental healthcare needs in local county jails in Madison County, Illinois and explored approaches for future improvement. It used a mixed method with both a quantitative descriptive study design and a qualitative case study design. Non-probability sampling was used to recruit study participants. Mental health screening data from 222 adult inmates at a local Madison County jail were included in the quantitative study, and 15 professionals working with Madison County’s criminal justice system participated in the qualitative case study to complete an online in-depth survey. Results indicated that at the initial screening, about 30.6% of inmates reported that they had a psychiatric history (n=68), and 69.4% did not think that they ever had a psychiatric history (n=154). However, at the second assessment, 50 (23%) more inmates showed psychiatric symptoms. Female inmates were more likely to report a psychiatric history than males (40% vs. 30%); inmates who were younger than 48 years old had a higher rate of psychiatric history than those at the age of 48 and above (43.7% vs. 33%); and Hispanic inmates had the highest rate of psychiatric history compared to other races (75.0%). Participants in the case study stated that there was a significant lack of mental healthcare services provided in diagnosis, treatment, and referral while a considerable proportion of jail inmates were suffering from serious mental illness. Recommendations were made for future improvement, such as strengthening partnerships with mental health professionals and agencies to ensure the adequate and prompt mental health services in jails; increasing facilities to host mentally ill inmates; improving the comprehensiveness and accuracy of mental health screening/assessment tools. The study advocated for structural/systemic changes and more innovative and evidence-based practice to address inmates’ mental health concerns.

Letteratura e carcere in America. Il caso Theo Padnos

Theo Padnos published My Life Had Stood A Loaded Gun in 2004, when Prison Studies were burgeoning and gaining academic attention globally. Neglected by critics, the book relates the author's experience as literature instructor in an American prison. Engaging methods of pedagogical research and reader-response criticism, the paper investigates the role of literature in the cultural activities of young male inmates in a medium security jail in Vermont. An original amalgam of crime reports, pedagogy of literature, and autobiographical criticism, Padnos' study for the first time confronts young criminals with a literary canon dripping with violence. The experiment sheds light on the reading activities of prisoners, on their and the author's social background, and on the power of American literature to speak to marginal groups.

Letteratura e carcere in America. Il caso Theo Padnos

Theo Padnos published My Life Had Stood A Loaded Gun in 2004, when Prison Studies were burgeoning and gaining academic attention globally. Neglected by critics, the book relates the author's experience as literature instructor in an American prison. Engaging methods of pedagogical research and reader-response criticism, the paper investigates the role of literature in the cultural activities of young male inmates in a medium security jail in Vermont. An original amalgam of crime reports, pedagogy of literature, and autobiographical criticism, Padnos' study for the first time confronts young criminals with a literary canon dripping with violence. The experiment sheds light on the reading activities of prisoners, on their and the author's social background, and on the power of American literature to speak to marginal groups.

Labor markets and incarceration: The China shock to American punishment

AbstractStudies have failed to show a positive effect of unemployment on incarceration despite reasons to expect such a relationship. We note that prior estimates have been muddied by the absence of substate data, a focus on prisons rather than on jails, limited measures of unemployment, and the fact that the health of the labor market is endogenous to incarceration. We instrument for local exposure to the rise of Chinese exports (“the China Shock”) to estimate the effect of job loss on American incarceration. Marshaling a new data set of prisoners and jail inmates by race at the commuting zone level, we show that negative shocks to local labor markets led to significant increases in total incarceration rates for both Blacks and Whites. The effect seems to be driven by increased prison rather than jail populations. This estimate is invisible to ordinary least squares, which may help explain null results reported by past work. Counterfactual exercises suggest that the effect of job loss was punitively consequential. Had employment gains from the 1990s been preserved into the 2000s, the U.S. incarceration rate would have grown significantly less than it did.

Assessing the Sensitivity and Specificity of Toluidine Blue Staining in Oral Cancer Screening Among Inmates: A Prison-Based Study

Background: In the confined environment of correctional facilities, access to healthcare resources can be limited, making it crucial to identify early signs of oral diseases especially oral premalignant lesions and conditions. This study presents the results of an oral health screening camp conducted for jail inmates in Gautam Buddha Nagar (GB Nagar), Uttar Pradesh, India aimed at detecting potentially malignant lesions (PMLs) using Toluidine Blue staining. PMLs are precursor lesions that have the potential to transform into malignancies if left untreated. Objective: This study's major goal was to find out whether applying Toluidine Blue (TB) staining would help with the diagnosis of suspected premalignant lesions and oral cancer & to use it as a routine chair side investigation and also to calculate specificity and sensitivity of TB staining in potentially malignant lesions (PMLs). Materials and Methods: This cross-sectional study was conducted in the prison; toluidine blue staining was performed on Eighty-four patients between the ages of 22 and 65 years made up the study for inmates at the G.B. Nagar jail. Males made up all eighty-four patients. The study included suspicious-appearing red and white lesions with & without any tobacco use history. Results: In this study, eighty-four patients with malignant and potentially malignant lesions were studied, TB Stain showed 76.19% sensitivity and 47.62% specificity. Conclusion: TB staining conducted for jail inmates in GB Nagar demonstrated its potential as a cost-effective and efficient method for identifying Potentially Malignant Lesions. The results underscore the significance of proactive healthcare measures within correctional facilities and emphasize the need for comprehensive oral health programs targeting vulnerable populations. Further research and larger-scale implementation of such camps are recommended to better understand the implications and benefits of early detection and intervention.

Body packing with pyloric stenosis successfully treated with open pack retrieval and gastric bypass

Foreign body ingestion unintentionally or intentionally in adults are not uncommon on the contrary to children. Intentional ingestion of illicit drugs or tobacco/drug pack is one common reason other than psychosis. Infrequently, body packing may end up with bowel obstruction with ‘drug pack’ impacted at various constriction point of gastrointestinal tract [1]. Here, we report a case of intentional foreign body ingestion by a jail inmate whom unfortunately also has pyloric stenosis. The clinic presentations and treatment strategy are discussed.

Improving the Life Conditions of Jail Inmates of Arunachal Pradesh - A Social Work Perspective

Improving the Life Conditions of Jail Inmates of Arunachal Pradesh - A Social Work Perspective

Active Screening for Pulmonary Tuberculosis Among Jail Inmates: A Mixed Method Study From Puducherry, South India.

Sustainable Development Goal 3 (SDG) aims to end the epidemic of TB by 2030. To achieve this goal, active screening should be initiated in the target populations. These target populations are those without access to proper healthcare like jail inmates. With pulmonary tuberculosis (PTB) being cosmopolitan in India, passive case finding alone cannot suffice to achieve the above-mentioned goal. Thus, active case finding (ACF) becomes the need of the hour. So, we aimed to conduct a mixed methods study that has a quantitative component, i.e., to actively screen the prison inmates for PTB, and a qualitative component, i.e., to know the perceptions of jail inmates towards PTB and the stigmas associated with it. This was a mixed-method study conducted in the Central Jail, Puducherry. The quantitative component involved a facility-based cross-sectional study design and the qualitative component involved a focused group discussion (FGD). Participants were screened for PTB and diabetes mellitus (DM) and their anthropometry (weight, height, body mass index {BMI}, waist-to-hip ratio {WHR}) was noted. Presumptive cases were identified as those with symptoms of cough for more than two weeks with or without other concomitant symptoms. They were subjected to cartridge-based nucleic acid amplification test (CB-NAAT) assay. Data were entered in MS Excel 2017and analyzed using SPSS version 16 (Armonk, NY: IBM Corp). For the qualitative exercise, purposive sampling with maximum variation technique was done to enroll a diverse subset of population for the FGD. Iterative analysis of the content was performed by the team to generate codes and themes. Out of all the 187 inmates screened, 10.7% were symptomatic. On CB-NAAT examination of the symptomatic inmates, none turned positive. The inmates with presumptive TB were older by age and had a higher proportion of illiteracy and existing co-morbidity (p≤0.05). While random blood sugar (RBS) levels of >140 mg/dL were recorded in 19.7% of inmates, RBS levels of >200 mg/dLconsidered diagnostic were noted in 5.34% of inmates. A total of 2.67% of the inmates were newly diagnosed with diabetes mellitus. The further management of the newly diagnosed inmates was taken over by the medical supervision team of the Central Jail. From the FGD, thematic manual content analysis was performed. A total of 24 codes were generated. After merging similar codes and removing duplications, the remaining 16 codes were grouped into six broad themes. Conclusions were drawn by interpretation of these themes. ACF is important as it is associated with early detection and treatment. It must be done periodically. During the FGD, we came across negative ideologies and stigmas associated with PTB among jail inmates. We used the same platform to clear those ideologies and recommend frequent health education exercises even in socially ostracized communities like jail inmates.

Prevalence of Psychiatric Disorders by Demographics in Jail Populations.

Many individuals incarcerated in jails suffer from psychiatric disorders and require mental health treatment. However, there has yet to be a study which comprehensively described the prevalence of mental illness diagnoses by demographic variables or compared results to the general population. Data for this study were the Survey of Inmates in Local Jails, 2002. Binary logistic regression was run to compare the prevalence of diagnoses to demographic variables of the jail population. Results were compared to studies in the general population. Males were less likely than females to report five of the seven disorder categories, and employed individuals were less likely to report all seven disorders. The results were consistent with research on the general population. It is important to understand the population of individuals with mental illness in jail so we can better serve them and catch psychiatric disorders early while they are more easily treatable.

A retrospective study to find the prevalence of HIV, HCV and dual HIV-HCV infection in the prison inmates.

People who inject drugs are vastly over-represented, often accounting for 50% of prison inmates, so, the transmission of human immunodeficiency virus (HIV), hepatitis C virus (HCV) and tuberculosis (TB) is a serious problem in many prison systems. The prevalence of HCV infection is so disproportionately high in the correctional population that one in four detainees worldwide is living with HCV and the story is similar for HIV. The objective of the study is to find the prevalence of HIV, HCV and dual HIV-HCV infection in the prison inmates. A sample of 1569 jail inmates was assessed, after obtaining formal approval from the ethical committee for assessment of the medical record of subjects, to know sero-positivity for HIV and HCV. The data generated is then analysed. The results show a very high point prevalence of HIV (10.0%) and HCV (31.6%) in the jail inmates, which is 40 and 30 times higher, respectively, as compared to the national average. A staggering 8.5% of the inmates were found to be positive for both viruses. The sero-prevalence for mono-infection for HCV (23.1%) is found to be significantly higher compared to HIV (1.5%). The infection rate of HCV was found to be three times higher compared to HIV. Substantially high prevalence of HIV, HCV and dual HIV-HCV infection exists in the prison inmates. Data suggests high virulence for HCV compared to HIV, as both viruses have common routes of transmission. There is an urgent need to keep a constant check on the intravenous drug usage (IDU) in the prisons that is linked to the common transmission of both these blood-borne viruses.

Resisting vs. Persisting: Different Types of Self-Control Predict Different Outcomes Following Incarceration

Introduction: Trait self-control is one of the most robust predictors of important life outcomes. Recent evidence suggests at least two domains of self-control: inhibitory self-control (refraining from more attractive but goal-inconsistent behaviors) and initiatory self-control (engaging in and persisting in less attractive but goal-consistent behaviors). Methods: We examined longitudinal associations between these two self-control domains and subsequent post-incarceration behaviors in 492 jail inmates with a combination of self-reported questionnaires and official arrest records. Results: The two constructs were moderately associated, evidencing a similar-yet-distinct association of the same magnitude as depression and anxiety. Structural equation modeling demonstrated that inhibitory self-control uniquely predicted less recidivism and substance dependence, and better community adjustment. Initiatory self-control uniquely predicted less recidivism and better community adjustment. As expected, inhibitory self-control was a significantly better predictor of substance dependence than initiatory self-control. Discussion: These results have theoretical implications for the measurement of self-control and practical implications for the prediction of impactful post-incarceration behaviors and more precise interventions targeting specific self-control deficits.

Promoting Adaptation in Female Inmates to Reduce Risk of Opioid Overdose Post-Release Through HOPE.

The purpose of the project was to develop a sustainable pre-release education program to reduce the risk of opioid overdose post-release in female inmates in a rural county jail in Middle Tennessee. The project was supported and guided using Roy's adaptation model. Content analysis resulted in common themes (initiation, moral failure, ineffective strategies, supportive environment, new beginnings, and adaptive domains), identified within the pre- and post-implementation surveys. The implementation of a successful reentry program for the vulnerable female incarcerated population has the potential to reduce the risk of opioid overdose death and negative health outcomes post-release.

The Challenge of Behavioral Health Surveillance in Criminal Justice Populations: Issues and Action Steps to Create a Nationally Representative Surveillance System.

Data from the Bureau of Justice Statistics occasional jail inmate and state prisoner surveys reveal that behavioral health issues-mental health and substance use disorders-are consistently the most prevalent health issues among criminal justice-involved (CJ-I) persons. Although these surveys provide a national-level perspective, they do not provide a true public health surveillance approach to determining the prevalence and types of behavioral health issues that burden the populations who pass through the criminal justice process. The fact that there are no "reportable" behavioral health conditions is cited as a factor in the lack of agreement on what constitutes the case definition of behavioral health disorders. This article takes an organizational systems perspective to provide a "flow" analysis of CJ-I individuals and the organizational entities involved at each step of the criminal justice system decision-making process. Issues associated with questions of "screening," "assessment," and "diagnosis" and how such information is potentially stored and reported to a centralized surveillance agency are explored. Informatics and standardization and the role of accrediting bodies in the development of behavioral health surveillance data are canvassed. A series of "first steps" in the development of a state- and national-level behavioral health surveillance system for CJ-I populations is provided.

The implications of borderline personality features for jail inmates' institutional misconduct and treatment-seeking.

Borderline personality disorder (BPD) is common in jails and prisons. In a sample of 506 jail inmates (30% female), we examined whether BPD symptoms assessed upon incarceration predict subsequent institutional misconduct and treatment-seeking. BPD features modestly predicted occurrence (vs. nonoccurrence) of institutional misconduct. Importantly, BPD did not predict the number of institutional misconduct incidents. That is, BPD was not associated with frequent, repeated difficulties in institutional adjustment. Consistent with previous research showing a relationship between BPD and past treatment-seeking in clinical and community samples, jail inmates' BPD features significantly predicted subsequent requests for treatment. Regarding specific types of treatment, the relationship held for substance abuse programs and forensic mental health services but not for psychoeducational services or support groups. There were very few moderators of the link between BPD and subsequent institutional misconduct and treatment-seeking. Most of the observed relationships held across sex, race, and age. Findings of the study indicate that jail staff and clinicians must learn to distinguish between initial adjustment problems and frequent misconduct among inmates high in BPD to facilitate their adjustment. The study further highlights the need for BPD-relevant treatments and services in jails. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Measuring the coping skills of Tihar jail inmates before and after the intervention with CBT and spiritual videos

The study determines the coping skills of newly admitted jail inmates before and after intervention with CBT and spiritual videos. A random sample of 346 inmates was screened with the Brief Resilience Scale (BRS; Smith et al. (2008)), out of which 220 were deemed to have low coping. After dropout from research, mainly due to bailing out, the inmates who eventually completed the study were 116. They were placed in three main groups: a CBT group, a spiritual video group, and a control group. The SPSS software version 28.0 was used to extract the results, wherein the testing tool, t-test, was used for the comparison of pre and post intervention and comparison between the two interventions. It was concluded that both the interventions were equally effective in treating the inmate’s coping skills.

Proximal risk for suicide in correctional settings: A call for priority research.

Suicide is the leading cause of death among jail detainees and the third leading cause of death among state prison inmates. These populations have been recognized as a high-risk group deserving special clinical attention. The literature on deaths by suicide in correctional settings has identified numerous risk factors for eventual death, but few of these risk factors are specific to the last days of life to aid clinicians in estimating near-term risk of serious self-injury or death. The poor understanding of near-term risk is particularly important in jail settings where many suicide deaths occur within 24 hr of entry. Although screening instruments for suicide risk factors are commonly used with jail/prison populations, few have been validated in those settings and all have poor positive predictive value. We call for a focused research effort to improve the identification of those at risk of near-term suicide and to produce tools for clinicians that will reduce the burden of suicide among jail and prison inmates. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

‘Would You Prefer Jail or Probation?’ Differences in Sanctioning Preferences among White, Black, and Latinx Adults

Research on perceptions of sanction severity reveals a gap between White and Black respondents in terms of their preferences for incarceration compared to alternative punishments. Little is known, however, about Latinx preferences. Using a sample of jail inmates, we explore differences across White, Black, and Latinx respondents in terms of their preferences for incarceration versus probation, as well as the factors that relate to these preferences. Findings show that White respondents prefer probation far more frequently than Black and Latinx respondents. Additionally, factors which relate to sanctioning preferences for Whites are fundamentally different than those for Black and Latinx adults.