Prison Programs Research Articles

Addressing Opportunity Gaps in Higher Education in Prison Programs

ABSTRACT In this article, we draw from our collaboration across a diverse cadre of colleagues who have focused on different aspects of teaching, higher education, and carcerality. In particular, our research team, known as STEM-OPS (STEM Opportunities in Prison Settings), studied higher education in prison with a specific focus on science, technology, engineering, and mathematics (STEM) and incarceration. We present interrelated findings from interviews across four people who are formerly incarcerated. Most Higher Education in Prison (HEP) programs are taught by university professors who are experts in content areas (such as science, chemistry, and math) and not pedagogy. As such, we believe teacher educators have an opportunity and an obligation to build professional learning opportunities related to pedagogy to support these instructors’ practices.

A review of general cognitive-behavioral programs in English and Welsh prisons and probation services: Three decades of quasi-experimental evaluations.

For over 30 years, general cognitive-behavioral programs have contributed to the rehabilitation services offered within His Majesty's Prison and Probation Service in England and Wales. There is an extensive body of international evidence that demonstrates the effectiveness of such interventions as a correctional strategy. However, there is widespread variability of program effects associated with the standards of implementation. Over the last 3 decades, British researchers have produced a steady output of quasi-experimental program evaluations that have contributed to the evidence base. The most recent additions are some of the largest and most rigorous available worldwide. This review documents those evaluations and provides a meta-analysis that statistically aggregates the effects of programs delivered in His Majesty's prisons in England and Wales. We suggest there is sufficient evidence from evaluations of acceptable scientific rigor to conclude that general cognitive-behavioral programs delivered in prisons during the last decade and a half (circa 2006 to 2019) have had a small statistically significant mean reductive effect on general reoffending (odds ratio = 0.91). Program characteristics and implementation factors, including program dose, the scale of service delivery and program integrity, are discussed as possible factors associated with the size of the effect. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Supplemental Material for A Review of General Cognitive-Behavioral Programs in English and Welsh Prisons and Probation Services: Three Decades of Quasi-Experimental Evaluations

Supplemental Material for A Review of General Cognitive-Behavioral Programs in English and Welsh Prisons and Probation Services: Three Decades of Quasi-Experimental Evaluations

Healthcare Needs of Incarcerated Pregnant and Postpartum Women: Implications for Just Nursing Practice

Women remain the primary caregivers for children, making the imprisonment of women and mothers potentially more complicated for families. Women in the prison system often have significant health problems and lack access to care even before incarceration. While women constitute a minority in the prison system, they have gender-specific needs, often related to pregnancy, birth, and the postpartum period. Often, prisons are not equipped to provide appropriate care, and many state policies vary concerning the healthcare needs of incarcerated pregnant and postpartum women. This article offers an overview of current issues in reproductive healthcare for this vulnerable population by providing a brief background on the topic and exploring how nurses can become their advocates. A review of selected literature describes current relevant research, followed by viewpoints from various healthcare organizations. Recommendations include prison programs and services targeted to pregnant and postpartum women, such as birth doulas and prison nurseries, which are known to benefit this population. Nurses can advocate for this unique population by using a trauma-informed framework of care and participating in legislative efforts to support pregnant and postpartum women who are incarcerated.

Community-Based Participatory Research (CBPR) With Incarcerated Women: Exploring the Role of Prison Activities as a Determinant of Preparedness for Re-entry

This study was part of a 5-year Prison Research and Innovation Network (PRIN) project to explore the shared perceptions of the prison climate among incarcerated women. Community-based participatory research (CBPR) was used to partner with incarcerated women as equal partners in the project. Focus group interviews were conducted with the incarcerated women in the fall of 2020. Thematic analysis was conducted to identify incarcerated women’s perceptions of prison climate in the correctional facility. An item pool was developed from the themes identified, and a new prison climate survey was administered to 436 incarcerated women. Structural equation modeling was conducted to examine the relationship between prison activity, correctional practices, and preparedness for re-entry. The results indicated the importance of prison activities, as incarcerated women who reported that the prison offers sufficient activities were more likely to feel supported and had a more positive view of the board of parole, which were in turn associated with preparedness for re-entry. Policies targeted toward creating prison activities and programs for re-entry should become a priority for prison leadership and the department of corrections.

Long-term outcomes of a decentralized, nurse-led, statewide model of care for hepatitis C among people in prison in Victoria, Australia.

Prisons provide a key strategic opportunity to upscale hepatitis C testing and treatment in a high prevalence setting and are crucial for elimination efforts. A decentralized, statewide nurse-led model of care offering hepatitis C treatment for people in prison was implemented in Victoria, Australia in 2015. The program provides hepatitis C care to all 14 adult prison sites in the jurisdiction. We prospectively evaluated treatment uptake between 1 November 2015 and 31 December 2021. Data on all people in prison treated were recorded in a clinical database. The primary outcomes were i) total number of people in prison with hepatitis C treated; ii) total number of DAA treatment courses. 3,133 DAA treatment courses were prescribed to 2,768 people in prison. The proportion of total Victoria DAA prescriptions the program was responsible for increased from 6% in 2016 to a peak of 23% in 2020. Of those treated, median age was 39 years, 91% were male and 9% had cirrhosis. Few (20%) had previously engaged in hepatitis C care in the community and at first treatment course in prison, only 6% had previously accessed hepatitis C treatment. Complete follow up data were available for 1,757/2,768 (63%) treated, with 1,627/1,757 (93%) achieving SVR12. A decentralized, nurse-led, statewide model of care was highly effective in treating large numbers of people in prison with hepatitis C and achieved high rates of SVR12. Nurse-led prison programs are playing a crucial role in eliminating hepatitis C as a public health threat in Australia.

Intellectual property rights behind bars

This article investigates the conditions under which intellectual property rights are created in prison as well as the possibilities inmates are given to exercise these rights. The article adopts a predominantly Swedish perspective, while it also refers to illustrative examples of cases of creative works created behind bars in US prisons. The two penitentiary systems differ considerably, but there are some interesting conclusions to be drawn from the US experience and some unexpected similarities that may be noted in the way copyright protected works made in prison are treated. The article discusses, in its first part, the evolution of the penitentiary system in Sweden and the regulation of penal work and leisure times activities. The copyright system is briefly presented with a focus on the way copyright operates when the author is an inmate. Furthermore, the article provides illustrations of prison programmes that have resulted in the creation of copyright-protected works in the US, and how the US legal system has dealt with the question of copyright ownership of works created by inmates. Turning back to Sweden, the article reflects on the two writing programmes that have recently led to book publications authored by inmates, as well as on the fate of the ‘made in prison’ branded products. The article investigates yet another project, the Krimtech project that concerns other forms of inmate input to intellectual property, namely, the collection of data. The Foucauldian theory provides a theoretical umbrella under which the discrepancies between the copyright-law principle of equality of authors, and the actual practical implementation as well as the impact prison regulation has in this respect is discussed and analysed.

Examining the link between perceived prison conditions and probability of recidivism among women convicts in Tihar Jail: insight on incarceration

Purpose The purpose of this study is to fill the research gap that exists with respect to availability of research on correctional facilities in India, which restricts one’s ability to comprehend the prison environment and recidivism from the perspective of the inmates. By examining inmates’ perception of their environment within correctional facilities, researchers and policymakers can identify specific aspects of the prison climate that may contribute to increased risks of reoffending. This understanding would not only help to improve prison conditions and encourage humane treatment, but it is also essential to support the inmates in their efforts to find and retain employment, achieve self-sufficiency and personal growth. It is also necessary to encourage the inmates to participate in a variety of therapeutic and prison programmes both inside and outside of prison to help them reintegrate into the community. Design/methodology/approach The present research investigated the association between negative perceptions of prison climate and the heightened probability of recidivism among a sample of 37 adult women convicts incarcerated in Tihar Prisons, Delhi. Data were obtained by administering CSS-M Hindi version and PCQ Hindi version to the convicts in person in the prison premises. Furthermore, the collected data were subjected to Pearson’s product moment correlation coefficient to analyse the correlation between the probability of recidivism and the dimensions of prison climate. Findings Results suggested that negative perceptions of relationships in prison (staff–inmate relationship, inmate–inmate relationship), safety, facilities (cell conditions, food quality, etc.), meaningful activities (recreation, education, yard time, etc.) and autonomy in prison were inversely associated with a higher probability of recidivism. The results from the current study demonstrated that recognising and taking cognisance of the inmates’ perceptions of prison environment on their well-being and their probability of recidivism is crucial for the successful implementation of interventions and policies within correctional systems. Research limitations/implications The sample size procured for the research was relatively small, as the number of available women convicts in Tihar Prison at the time of the research was limited, making it difficult to generalise the findings. In addition, this investigation included solely women convicts, while undertrials and detenues were excluded, and thus does not represent all the individuals in conflict with the law. Practical implications The findings of the current investigation allow for the formulation of potential policy recommendations for improving the prison climate, which in turn might consequently impact future criminality. Social implications Policymakers may use these findings when developing policies that foster a rehabilitative prison environment, as it can help in reducing the incidence of recidivism. Originality/value This study is unprecedented in its approach, especially with respect to the Indian context, as it sheds light on the relatively understudied association between the variables of perceived prison climate and the probability of recidivism among women convicts in India. The findings of this study add to the current body of research indicating that subjective experience and perception of prison climate have a substantial influence on the likelihood of recidivism.

American Legion Participation Among Incarcerated Veterans

ABSTRACT In the social sciences, belongingness is among the individual core social needs. Institutionalization is a powerful mediator in the individual search for belongingness, as it establishes agency among group members. Using a conceptual framework that borrows from theories of institutionalization and group membership, we examine the lives of incarcerated military veterans and their choices in group affiliation during incarceration, especially in the context of American Legion posts behind bars. We use interview data from 43 incarcerated veterans to interpret patterns of belongingness, group trust, and group affiliation as developed within and across institutions. Five themes related to American Legion involvement emerged: (1) brotherhood and camaraderie; (2) serving others and the community; (3) creating a routine and improving quality of life; (4) creating community; and (5) leadership and conflict. Research on belongingness, group membership, and participation in peer-led prison programs is critical for improving knowledge on prison adaptation. It also provides a foundation for innovative approaches to post-release integration and desistance from crime among justice-involved veterans.

Dynamics Of Legal Policy On Radicalization And Deradicalization Of Terrorism Prisoners

The deradicalization program for terrorism prisoners is a crucial initiative in an effort to reduce the threat of terrorism in Indonesia. In this context, Law Number 22 of 2022 concerning the Prevention and Eradication of Terrorism is the legal basis that regulates various strategic aspects of this effort. This study aims to analyze the implementation and challenges in the deradicalization program of terrorism prisoners, focusing on the political aspects of law and its relevance in the international context. The research method used is a literature study to collect data and information related to the implementation of the deradicalization program, as well as policy analysis related to Law No. 22 of 2022. The results show that the deradicalization program of terrorism prisoners in Indonesia faces a number of challenges, including policy consistency, political consensus, and human rights protection. Nonetheless, successful international implementation offers views and best practices that can be applied to strengthen Indonesia's capacity to deal with the threat of terrorism. The conclusion of this study highlights the importance of multilateral cooperation, community-based inclusive approach, and human rights protection in the implementation of deradicalization programs. Based on these findings, it is recommended that the government strengthen international cooperation, improve related policies and regulations, improve education and training, and promote the values of moderation and tolerance as part of a sustainable strategy to address the threat of terrorism in Indonesia.

Visits as a Catalyst for Prison Program Engagement

Visits as a Catalyst for Prison Program Engagement

A Qualitative Program Evaluation of a Digital Peer Support Group for Formerly Incarcerated People

Abstract: Objectives: A qualitative program evaluation of the Formerly Incarcerated Peer Support (FIPS) group, a peer-led mutual support group for formerly incarcerated people, was conducted to understand participant perceptions of (1) digital delivery via Zoom, (2) curriculum content, (3) roles of group participants, and (4) therapeutic value of FIPS group as it relates to traumatic experiences in prison and ongoing challenges after release. Methods: Using a community-based participatory action research approach, a qualitative evaluation was conducted with participants in either the 2020 or 2021 curriculum. Semi-structured interviews were conducted via Zoom, transcribed, de-identified, coded, and analyzed via applied thematic analysis and results reviewed with participants. Results: Of 75 formerly incarcerated participants, 20 interviews were conducted and recorded ( n = 20). All participants were male, 85% were Black, and the average age was 54.8 years old. Zoom delivery was not preferred, but feasible. Most appreciated the comprehensive and holistic curriculum that enabled peers to gain practical and emotional social support in different areas of life after release. The facilitator’s experience with prison programs and relationships within peer networks was essential for recruitment and retention. Participants described (1) feelings of acceptance, (2) examples of teaching and learning from peers’ improved insight, trigger management, response modification to stressors, and (3) improved understanding within relationships with those who have not been incarcerated. Conclusions: Digital delivery of peer-led psychosocial support groups for formerly incarcerated people is feasible and impactful. Future research can further characterize the lingering impacts of institutional traumas and quantify changes.

High prevalence of hepatitis C virus infection among incarcerated persons: Results from the Louisiana Hepatitis C Elimination Plan's opt-out testing program in prisons.

In the United States, modelling studies suggest a high prevalence of hepatitis C virus (HCV) infection in incarcerated populations. However, limited HCV testing has been conducted in prisons. Through the Louisiana Hepatitis C Elimination Plan, persons incarcerated in the eight state prisons were offered HCV testing from 20 September 2019 to 14 July 2022, and facility entry/exit HCV testing was introduced. Multivariable logistic regression was used to evaluate associations with HCV antibody (anti-HCV) positivity and viremia. Of 17,231 persons in the eight state prisons screened for anti-HCV, 95.1% were male, 66.7% were 30-57 years old, 3% were living with HIV, 68.2% were Black and 2904 (16.9%) were anti-HCV positive. HCV RNA was detected in 69.3% of anti-HCV positive individuals tested. In the multivariable model, anti-HCV positivity was associated with older age including those 30-57 (odds ratio [OR] 3.53, 95% confidence interval [CI] 2.96-4.20) and those ≥58 (OR 10.43, 95% CI 8.66-12.55) as compared to those ≤29 years of age, living with HIV (OR 1.68, 95% CI 1.36-2.07), hepatitis B (OR 1.83, 95% CI 1.25-2.69) and syphilis (OR 1.51, 95% CI 1.23-1.86). HCV viremia was associated with male sex (OR 1.89, 95% CI 1.36-2.63) and Black race (OR 1.42, 95% CI 1.20-1.68). HCV prevalence was high in the state prisons in Louisiana compared to community estimates. To the extent that Louisiana is representative, to eliminate HCV in the United States, it will be important for incarcerated persons to have access to HCV testing and treatment.

Filling Critical Gaps for College in Prison Programs: Strategies from Two Community Based Organizations

Filling Critical Gaps for College in Prison Programs: Strategies from Two Community Based Organizations

Innate Health: A Novel Examination of What Explains Well-Being, Prosocial Behavior, and Aggression Among Men Living in a U.K. Prison

Evidence shows that well-being for mental health in prison is an important component of prison rehabilitation efforts—including notably lowering recidivism rates after release. While support for well-being initiatives in U.K. prisons has grown, few prison programs offer a health-promoting focus or invest in well-being interventions. Therefore, this study seeks to replicate and extend emerging data on an innate health intervention. Volunteers from HMP Nottingham ( N=127) participated in normal prison programming. The intervention group ( n=66) received an additional 3-day intensive. This study found higher levels of innate health, self-control, well-being, and prosocial behavior and lower levels of aggression within the intervention group and as compared with the control group. Next, we conducted a mediation analysis to test if innate health, self-control, and/or social desirability bias could explain these positive changes. Importantly, innate health did play a mediating role equivalent to and/or partnering with self-control, whereas social desirability bias did not.

Barriers and advocacy needs for hepatitis C services in prisons: Informing the prisons hepatitis C advocacy toolkit

BackgroundCarceral settings are a key focus of the 2030 WHO global hepatitis C virus (HCV) elimination goals. Despite this, access to HCV testing and treatment services in prisons remains low globally, limiting opportunities to achieve these goals. Advocacy efforts are needed to address service inequities and mobilise support for enhanced HCV programs in prisons globally. INHSU Prisons, a special interest group of the International Network on Health and Hepatitis in Substance Users (INHSU) is developing a Prisons HCV Advocacy Toolkit to address this need. Here we present findings of a mixed study to inform the development of the Toolkit. MethodsThe aim of this study was to inform the development of the Toolkit, including understanding barriers for scaling up prison-based HCV services globally and advocacy needs to address these. An online survey (n = 181) and in-depth interviews (n = 25) were conducted with key stakeholders from countries of different economic status globally. Quantitative data were statistically analysed using R Studio and qualitative data were analysed thematically. The data sets were merged using a convergent design. ResultsKey barriers for enhanced prison-based HCV services included lack of political will and action, lack of prison-based healthcare resources, and poor awareness about HCV and the importance of prison-based HCV services. These findings underscore how advocacy efforts are needed to motivate policymakers to prioritise HCV healthcare in prisons and ensure funds are available for services (including diagnostic tools and treatment, healthcare teams to implement services, and systems to measure their success). Advocacy resources to raise the awareness of policy makers, people working in the prison sector, and incarcerated populations were also identified as key to increasing HCV service uptake. ConclusionThe Toolkit has the potential to support advocacy efforts for reaching HCV elimination targets. By understanding the advocacy needs of potential Toolkit end-users, the findings can inform its development and increase its accessibility, acceptability, and uptake for a globally diverse audience.

Clarifying the relationship between mental illness and recidivism using machine learning: A retrospective study.

There is currently inconclusive evidence regarding the relationship between recidivism and mental illness. This retrospective study aimed to use rigorous machine learning methods to understand the unique predictive utility of mental illness for recidivism in a general population (i.e.; not only those with mental illness) prison sample in the United States. Participants were adult men (n = 322) and women (n = 72) who were recruited from three prisons in the Midwest region of the United States. Three model comparisons using Bayesian correlated t-tests were conducted to understand the incremental predictive utility of mental illness, substance use, and crime and demographic variables for recidivism prediction. Three classification statistical algorithms were considered while evaluating model configurations for the t-tests: elastic net logistic regression (GLMnet), k-nearest neighbors (KNN), and random forests (RF). Rates of substance use disorders were particularly high in our sample (86.29%). Mental illness variables and substance use variables did not add predictive utility for recidivism prediction over and above crime and demographic variables. Exploratory analyses comparing the crime and demographic, substance use, and mental illness feature sets to null models found that only the crime and demographics model had an increased likelihood of improving recidivism prediction accuracy. Despite not finding a direct relationship between mental illness and recidivism, treatment of mental illness in incarcerated populations is still essential due to the high rates of mental illnesses, the legal imperative, the possibility of decreasing institutional disciplinary burden, the opportunity to increase the effectiveness of rehabilitation programs in prison, and the potential to improve meaningful outcomes beyond recidivism following release.

Education and work in the prison system: the importance of social reintegration programs in prisons

This study addresses the relevance of education and work as essential tools in the social reintegration of incarcerated individuals. The research focuses on understanding how educational and work activities within prison units can contribute to the development of skills, with a view to the effective and dignified reintegration of prisoners. The study discussed the following guiding question: to what extent are education and work in prison units effective for the more successful social reintegration of incarcerated people? The aim of this research was to analyze the importance and impact of these activities on the resocialization of prisoners, emphasizing the need for an approach that promotes inclusion and citizenship. The research method used was deductive, with a qualitative approach based on a literature review. It was concluded that the effective implementation of education and work programs is fundamental for the social reintegration of prisoners, emphasizing that such strategies must be aligned with the highest standards of inclusion and respect for human dignity. The study also suggests the need for future research focused on the analysis of recent statistical data from the Brazilian prison system and the formulation of efficient public policies for the resocialization of inmates, contributing to a fairer and more inclusive penal system.

Needle and syringe programs in prisons: Does it really matter?

Needle and syringe programs in prisons: Does it really matter?

Human T-lymphotropic virus 1/2 infection among prisoners of a major penitentiary complex of Goiás State, Central-West Brazil.

Studies on human T-lymphotropic virus 1/2 (HTLV-1/2) infection are scarce in incarcerated population. Therefore, this study estimated the prevalence of HTLV-1/2 infection among prisoners of the major penitentiary complex of Goiás State, Central-West Brazil, comparing it with available data from other Brazilian regions. A cross-sectional study was conducted with 910 prisoners of the major penitentiary complex in the State of Goiás, Central-West Brazil. All participants were interviewed, and their serum samples were tested for anti-HTLV-1/2 using an enzyme-linked immunosorbent assay (ELISA; Murex HTLV-I + II, DiaSorin, Dartford, UK). Seropositive samples were submitted for confirmation by a line immunoassay (INNO-LIA HTLV I/II, Fujirebio, Europe N.V., Belgium). The majority of participants were males (83.1%), between 25 and 39 years old (56.1%; mean age: 31.98 years), self-reported brown ethnicity (56.2%) and reported 9 years or less of formal education (41.4%). Most reported using non-injectable illicit drugs and various sexual behaviors that present risk for sexually transmitted infections (STIs). The prevalence of anti-HTLV-1/2 was 0.33% (95% CI: 0.07-0.96), HTLV-1 (0.22%) and HTLV-2 (0.11%). The two HTLV-1 seropositive prisoners reported high-risk sexual behaviors, and the HTLV-2 seropositive individual was breastfed during childhood (> 6 months) by her mother and three other women. These data revealed a relatively low seroprevalence of HTLV-1/2 in prisoners in Central-West Brazil, and evidence of HTLV-1 and HTLV-2 circulation in the major penitentiary complex of Goiás State. Given the prevalence of high-risk sexual behaviors, there is a crucial need to intensify education and health programs in prisons to effectively control and prevent HTLV-1/2 and other STIs.