Substance use,health, and mental health: problems and service utilization among incarcerated women

This article profiles self-reported substance use, health, and mental health problems among a sample of incarcerated women in Kentucky as well as lifetime service utilization. Findings indicate that a high percentage of women reported use of alcohol, cocaine, and multiple substances during the month before incarceration. In addition, participants reported common health problems such as dental, female reproductive, physical injuries, and mental health problems including depression and anxiety. Participants reported moderate use of emergency room and mental health treatment but limited substance abuse treatment utilization. Implications for criminal justice programs and linkages with community-based aftercare services for women are recommended based on findings that health and mental health problems are associated with service utilization before incarceration.     

“Even though we're married,I'm single”: The meaning of jail incarceration in romantic relationships

Jail incarceration substantially transforms romantic relationships, and incarceration may alter the commitment between partners, thereby undermining or strengthening relationships. In this article, we use in-depth interviews with 85 women connected to incarcerated men (as current or former romantic partners) to explore how women articulate relationship changes that stem from their partner's jail incarceration, a common but understudied form of contact with the criminal legal system. We identify three interrelated and mutually reinforcing processes, which are shaped by and shape a partner's commitment to the relationship. First, incarceration produces liminality in the status of the relationship. Second, incarceration fosters women's sense of independence from their incarcerated partners. Third, incarceration creates space for partners to reevaluate how they prioritize the relationship in their lives. Jail incarceration intervenes in romantic relationships at different points during each relationship, and accordingly, women experience heterogeneity in processes of liminality, independence, and reprioritization. These processes contribute to differential relationship experiences, with some relationships deteriorating during incarceration, others strengthening, and others neither deteriorating nor strengthening. By systematically uncovering these processes linking jail incarceration to romantic relationships, we advance an understanding of how the criminal legal system can shape relationship commitment processes and inequalities among families.     

EXPLAINING THE ASSOCIATION BETWEEN INCARCERATION AND DIVORCE

Recent studies have suggested that incarceration dramatically increases the odds of divorce, but we know little about the mechanisms that explain the association. This study uses prospective longitudinal data from a subset of married young adults in the National Longitudinal Study of Adolescent Health (N = 1,919) to examine whether incarceration is associated with divorce indirectly via low marital love, economic strain, relationship violence, and extramarital sex. The findings confirmed that incarcerations occurring during, but not before, a marriage were associated with an increased hazard of divorce. Incarcerations occurring during marriage also were associated with less marital love, more relationship violence, more economic strain, and greater odds of extramarital sex. Above‐average levels of economic strain were visible among respondents observed preincarceration, but only respondents observed postincarceration showed less marital love, more relationship violence, and higher odds of extramarital sex than did respondents who were not incarcerated during marriage. These relationship problems explained approximately 40 percent of the association between incarceration and marital dissolution. These findings are consistent with theoretical predictions that a spouse's incarceration alters the rewards and costs of the marriage and the relative attractiveness of alternative partners.     

Incarcerated Parents and Health: Investigating Role Inoccupancy Strains by Gender

This article elaborates research on parenthood, gender, and health by considering the context of incarceration using the stress process paradigm. The chronic strain of non-participation in a desired role, or “role inoccupancy,” in the form of non-resident parenthood on arrest is associated with psychological distress at time of lockup among women but not men, indicating a gendered strain. However, for both incarcerated men and women, anticipated resident parent role inoccupancy upon release (or expectations not to live with their minor children) is generically associated with current subjective mental health problems net of distress prior to lockup. Role inoccupancy strains are further associated with subjective physical health problems among women but not men, indicating more pervasive associations among the former.     

TURNING OFFENDERS INTO RESPONSIBLE PARENTS AND CHILD SUPPORT PAYERS*

This article describes four demonstration projects that strive to promote responsible behavior with respect to parenting, child support payment, and employment among incarcerated and paroled parents with child support obligations. These projects, conducted in Colorado, Illinois, Massachusetts, and Texas, with support from the federal Office of Child Support Enforcement and evaluated by the Center for Policy Research, led to a number of common outcomes and lessons. The projects revealed that inmates want help with child support, parenting, and employment and that prisons can be effective settings in which to conduct such interventions. Family reintegration programs were popular with inmates and may have helped to avoid the rupture of parent–child relationships commonly associated with incarceration. Although employment is the key to child support payment following release, rates of postrelease employment and earnings at all project sites were low and the employment programs were of limited utility in helping released offenders find jobs. Agencies dealing with child support, employment, and criminal justice need to adopt more effective policies with incarcerated parents including transitional job programs that guarantee immediate, subsidized employment upon release, child support guidelines that adjust for low earnings, and better training and education opportunities during incarceration.     

Incarcerated Battered Women: A Comparison of Battered Women Who Killed Their Abusers and Those Incarcerated for Other Offenses

The present study compared battered women incarcerated for killing/seriously assaulting their abusers with battered women incarcerated for other offenses to explore possible similarities and differences in the characteristics and experiences of the two groups as well as to determine what factors may lead some battered women to use lethal force against their partners. Comparisons were made on a number of variables including sociodemographic factors, characteristics of the battering relationship, alcohol/drug use of battered women and their abusers, perceived social support, actions taken to end the violence, prior criminal behaviors, and childhood trauma factors. Findings revealed that women in the homicide/assault group were older, in the relationship longer and experienced a longer duration of violence in this relationship. They also experienced more frequent and severe battering, including sex assaults and sustained more injuries than those in the comparison group. Further, battered women who killed/seriously assaulted their partners were more likely to believe that their lives were in danger, were less likely to use violence against their partners, and were less likely to have a prior criminal record or to have served time previously. The implications of the findings are discussed.     

Drug Abuse and Partner Violence among Women in Methadone Treatment

This study aims to (1) describe rates of lifetime and current partner abuse among women on methadone; (2) examine the relationship between partner violence and demographics, substance abuse, and drug risk behaviors; and (3) explore the association between a victim's current use of crack/cocaine, heroin, marijuana, and drug risk behavior after controlling for demographics, household composition, history of victimization and sex trading. Approximately three-fourths of the women ever experienced physical, sexual, or life-threatening abuse and slightly less than one-third experienced at least one type of abuse during the previous year. A history of childhood victimization was reported by more than half of the women and one-third witnessed her mother being abused. Risk of partner violence was associated with victim's current drug and alcohol use, visiting shooting galleries, and living with someone with drug or alcohol problems. The study discusses the implications of the findings for research and intervention.     

The effect of maternal incarceration on adult offspring involvement in the criminal justice system

Researchers have estimated that 63 percent of incarcerated women have one or more minor children and most reported living with their children prior to incarceration (Mumola, 2000). Unfortunately, children of incarcerated parents have been a relatively invisible population in the research on the collateral consequences of incarceration. The goal of the current study was to examine the long-term effect of maternal incarceration on adult offspring involvement in the criminal justice system using data from the mother child sample of the National Longitudinal Survey of Youth 1979. Based on existing research, it was hypothesized that the adult offspring of incarcerated mothers would be more likely to have been convicted of a crime or to be sentenced to probation. The effect of maternal incarceration on correlates of criminal behavior in adolescence and early adulthood (e.g., negative peer influences, positive home environment) was also modeled to assess possible indirect effects. The results highlighted the direct effect of incarceration on adult offspring involvement in the criminal justice system, but parental incarceration had little association with correlates of criminal behavior.     

Making mothers: parenting classes in a women’s jail

In the wake of the War on Drugs, more mothers are incarcerated in US prisons and jails than ever before. Parenting classes have become ubiquitous in penal facilities that incarcerate women, but research about mothers’ experience in parenting class is limited to measures of efficacy about things like parenting attitudes and mental-health indicators. This study supplements existing research by adding an ethnographic lens to women’s experiences with parenting classes during incarceration. Drawing on 18 months of participant observation in the women’s unit of a county jail and 83 interviews with incarcerated mothers, I analyze incarcerated mothers’ experiences with parenting classes. Staff and inmates used parenting classes to create ways for women to do mothering during incarceration. Mothering in your head, longing to mother, and guilt as mothering enabled incarcerated mothers to maintain their identities as mothers despite their separation from their children. However, these practices could also be poor substitutes for spending time with children and did not necessarily reflect the reality of women’s lives outside of jail. These ways of doing mothering from afar were also a form of social control for the penal institution, as these mothering behaviors were consistent with being a good inmate.     

Predictors of Maladaptive Coping in Incarcerated Women Who are Survivors of Childhood Sexual Abuse

Women’s rates of incarceration have increased notably in the past two decades. Concurrently, research with female offenders has identified a high incidence of experiences of childhood sexual abuse (CSA), a potential risk factor for negative psychosocial outcomes. Structural equation modeling was used to test a model examining associations among CSA, emotion regulation, posttraumatic stress, and coping in a sample of 224 incarcerated women. The relationships between CSA and difficulties with emotion regulation and posttraumatic stress were mediated by self-blame, and the relationship between self-blame and maladaptive coping was mediated by both difficulties with emotion regulation and posttraumatic stress. These findings have implications for identifying treatment needs of incarcerated women and suggest potential targets for intervention.     

Urban and rural differences in the relationship between substance use and violence

This article examines the relationship between substance use and violence across rural-urban and Appalachian places of residence. The data come from a larger study on the health service use of 637 men who have a history of chronic substance abuse and who were incarcerated in four Kentucky prisons. The findings generally support previous research on substance use and violence but do not support Fischer's (1995) subculture theory of urbanism. Contrary to expectations, the population size of the prisoners' residence was not significantly associated with the prisoners' levels of violent victimization, violence toward others, violence toward intimate partners, or overall violence in the year prior to incarceration. Appalachian residency was also not associated with violence. Recognizing that the effect of substance use on violence perpetrated against others does not vary significantly by urban or rural residence may be helpful for designing violence prevention programs and planning law enforcement efforts.     

Psychotropic Medication Experiences of Incarcerated Women: A Qualitative Inquiry into Conundrums of Access and Identity

The study examines narrative data from in-depth, semi-structured interviews with 25 women in a medium security prison with the hope of deepening the knowledge base related to women’s beliefs about their mental health problems, mental health care during incarceration, and especially their experiences with psychotropic medication. The findings highlight the functional role of psychotropic medication in the lives of incarcerated women, while also emphasizing problems with limited access to prescribers, preferred medications, and other forms of mental health treatment. Trauma, substance use, and the impact of medication use on sense of self all emerged as interfacing with quality of life.     

Violence against women associated with arrests for sex trade but not drug charges

The current study was designed to examine associations between gender-based violence and arrests due to sex trade or drug-related charges among a statewide sample of incarcerated women in Rhode Island. Incarcerated women were asked to participate in brief pre- and posttest surveys of their experiences of violence, sexual risk and substance use behaviors, as part of a study on the effectiveness of a family planning program in a state correctional facility; data from pretest surveys (N=447) were used for current analyses. Logistic regression analyses adjusted for demographics were used to assess significant associations between gender-based violence variables (i.e., adolescent intimate partner violence (IPV), adult IPV, childhood sexual assault (SA), adolescent SA, and adult SA) and arrests due to sex trade or drug-related charges. Significant relationships were observed between arrests for sex trade and adult SA (OR=2.1, 95%CI=1.2-3.6), adolescent IPV (OR=2.5, 95%CI=1.5-4.1), and adult IPV (OR=1.7, 95%CI=1.1-2.6); no significant associations were observed for drug-related charges. Findings from the current study demonstrate that experiences of gender-based violence are associated with arrests for sex trade but not drug-related charges. Interventions for incarcerated women are needed to consider and address history of victimization from gender-based violence and its relation to women's historic and future sex trade involvement.     

It's a Family Affair

Abstract

In the United States, incarceration rates are increasing at an alarming rate. In particular, the incarceration of women is increasing. Oklahoma has the highest rate of female incarceration in the nation, and drug offenders comprise a significant proportion of these female inmates. Placing large numbers of women in prison may have serious implications not only for the women but also for their families, particularly their children. We surveyed 144 incarcerated female drug offenders in Oklahoma, 96 of whom reported dependent children living with them prior to incarceration. The data included the women's perceptions of the effect of their incarceration on their families as well as an examination of the potential for serious problems due to placement of the children. The study indicates that many children are placed with families that have a history of abuse, which suggests that failure to consider the implications of incarcerating large numbers of women likely contributes to serious abuse risks for their children.     

Beyond the dichotomy: Incarceration dosage and mental health*

The findings from a growing body of research reveal that incarceration is detrimental for both physical and mental health. Incarceration, however, is typically conceptualized and operationalized as a dichotomy; individuals either have, or have not, been incarcerated. Considering that incarceration can range from one day to several years, a dichotomous measure may be overlooking important variations across lengths of exposure. In addition, most inmates are incarcerated more than once. In this study, we help to fill this gap by examining the relationship between incarceration dosage, measured as time served and number of spells, and mental health among a sample of young adults from the National Longitudinal Study of Youth 1997. By using fixed‐effects modeling, we find that the number of spells and the months incarcerated are positively related to mental health symptoms and the likelihood of depression. The association, however, is contingent on whether a respondent is currently or formerly incarcerated. Among current inmates, more time served is expected to improve mental health and the number of spells is unrelated to either outcome.     

An Analysis of Advertisements: A Lens for Viewing the Social Exclusion of Women in Police Imagery

This study examines whether there are differential relationships among trauma exposure, familial risk and protective factors, substance abuse, and posttraumatic stress disorder (PTSD) among incarcerated and non-incarcerated women. A case-control method was used to match 100 incarcerated women with 100 women in the general population. Incarcerated women had a significantly higher risk of trauma exposure as compared with controls, with odds ranging from 1.7 to 3.7. When group was controlled, exposure to sexual or physical trauma significantly increased the odds of PTSD (odds ratio = 5.0; p < .05), as did substance use in response to traumatic distress (odds ratio = 8.9; p < .001). Family-related characteristics did not appear to moderate this relationship. The findings suggest that incarcerated women are at high risk for PTSD given their high rates of trauma exposure and apparent lack of appropriate coping mechanisms; the results support the use of trauma-specific interventions for this population.     

System management and compensatory parenting: Educational involvement after maternal incarceration

Research has demonstrated that paternal incarceration is associated with lower levels of educational involvement among fathers and primary caregivers, but little is known regarding caregiver educational involvement when mothers have been incarcerated. In this study, we present the first analysis of variation in school- and home-based educational involvement by maternal incarceration history, pairing survey and interview data to connect macro-level group differences with micro-level narratives of mothers’ involvement in their children's education. Our survey data demonstrate that children of ever-incarcerated mothers experience increased school-based educational involvement by their primary caregivers, regardless of whether the caregiver is the mother herself. Our interview data point to compensatory parenting as a key motivating factor in educational involvement, wherein a caregiver endeavors to “make up for” the child's history of maternal incarceration. Findings add to the literature demonstrating maternal incarceration as a distinct experience from both paternal incarceration and material disadvantage alone, and they suggest the need to explore the role of schools as potential points of productive institutional involvement for mothers with an incarceration history.     

The Effect of Incarceration on Marriage and Work Over the Life Course

The current study adopts the life course framework to examine the effect of incarceration on the likelihood of becoming married and attaining full‐time employment. It is hypothesized that men who have been incarcerated will be less likely to marry and to gain full‐time employment. Data from the National Longitudinal Survey of Youth are used to test the hypothesis. Results from the growth‐curve models support the life‐course theoretical model. Across all models estimated, incarceration is negatively associated with marriage and employment. In addition, positive milestones (e.g., education) are associated with improved chances of employment and marriage. The findings reinforce the importance of considering a multitude of life events when estimating life trajectories.     

Positive criminology and imprisoned sex offenders: Demonstration of a way out from a criminal spin through acceptance relationships

Abstract

The purpose of this qualitative research was to examine the change process experienced by imprisoned sex offenders during incarceration from the standpoint of emerging positive criminology perspective. The participants were 38 males incarcerated in two prisons in Israel who had been convicted of various sexual offences. The participants underwent individual in-depth, face-to-face interviews, lasting several hours each. Initially, the findings suggested a tendency for offences to escalate over time, referred to as a “criminal spin”, which can be stopped only by external intervention. Most of the participants also reported that they experienced positive changes during the current imprisonment, associated with broad support received from various sources. This suggests a possible way out of the criminal spin by exposing offenders to the human and social acceptance of meaningful agents, thus supporting the positive criminology perspective. In addition to their theoretical contribution, the findings have practical implications for the assessment, treatment and rehabilitation of sex offenders.