Examining the Traumatic Effects of Sexual Victimization on the Health of Incarcerated Women

Data from the 2004 Survey of Inmates in State Correctional Facilities were used to examine the effects of sexual abuse on the physical and mental health of incarcerated women. This nationally representative sample consisted of a cross-section of 2,885 female inmates ranging in age from 16 to 74. Using bivariate analysis, we made comparisons between sexually abused (n = 1,205) and non–sexually abused (n = 1,680) inmates. Abused women were more likely to report increases in health problems and mental health diagnoses, as well as other self-reported mental health conditions, such as paranoia, depressive symptoms, anger, and lifestyle changes. Respondents with extensive sexual abuse histories (multiple and across the life cycle) were also more likely to suffer higher levels of paranoia, depression, chronic health problems, and attempted suicide.     

Mental Health Among Incarcerated Women: An Examination of Factors Impacting Depression and PTSD Symptomology

Female offenders experience mental health symptoms at a higher rate than male offenders and females in the community. The current study investigated individual characteristics and experiences that may impact symptoms of depressive disorders and posttraumatic stress disorder (PTSD) among a sample of female inmates in a large Southern prison system. Results showed high rates of reported childhood and adult victimization experiences among the sample. Factors such as seeking mental health treatment prior to incarceration significantly impacted the reporting of depressive and PTSD symptoms, as did victimization histories. Findings suggest that women would benefit from screening to identify mental health needs at the onset of incarceration as well as gender responsive needs assessment and programming to address histories of victimization and current mental health symptomatology.     

Predictors of Violent and Nonviolent Victimization Behind Bars: An Exploration of Women Inmates

There is a substantial lack of information identifying the risk factors associated with victimization among women inmates. The current study seeks to remedy that by testing variables from 2 competing theories of inmate violence/victimization: importation and deprivation. Drawing from self-report data from more than 300 women in a midwestern prison, I uniquely analyze 4 types of inmate victimization (i.e., violent, property, sexual, and verbal). The results reveal that 2 importation variables, age and prior education, and only 1 deprivation variable, receipt of disciplinary tickets, are significant across all 4 types of victimization. Policy implications and suggestions for future research are discussed.     

Official incidents of inmate-on-inmate misconduct at a women’s prison: using importation and deprivation theories to compare perpetrators to victims

Importation and deprivation theories have long been used to explain prison misconduct and victimization among male inmates. However, the key variables from these theories have rarely been tested on female inmates. In addition, many of these existing studies use combined samples of males and females, while ignoring female-only samples of prisoners. Using data from official misconduct reports collected from 2007 to 2012 from a large women’s prison in Ohio, the current study sought to compare the characteristics of perpetrators of inmate-on-inmate misconduct to their victims. Findings reveal that variables from both importation (age, race, and current violent offender status) and deprivation (mental health status and prior violent disciplinary reports) theories were significant in predicting perpetrator vs. victim likelihood. Policy implications and suggestions for future research are discussed.     

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.     

Co-occurrence and Correlates of Posttraumatic Stress Disorder and Major Depression in Physically Abused Women

Ninety two women presenting for treatment for marital problems and who were physically victimized by their spouses (e.g., pushing, shoving, punching) within the past year participated in this study. There were three study objectives: (1) document rates and co-occurrence of posttraumatic stress disorder (PTSD) and Major Depressive Disorder (MDD), (2) identify predictors of PTSD and depression symptom frequency/severity, and (3) systematically evaluate disorder-specific group differences in marital- and marital violence-related factors. Within the month prior to assessment, 29.8% of the sample met diagnostic criteria for PTSD and 32% for MDD. MDD and PTSD were significantly, but moderately, correlated at both the symptom and diagnosis levels. However, PTSD symptom frequency and depression symptom severity were predicted by different marital- and marital violence-related factors. PTSD symptoms were predicted by spouse's dominance/isolation tactics and intensity of husband-to-wife physical aggression while depressive symptoms were predicted by marital discord and intensity of husband-to-wife physical aggression. Comorbid women and those with PTSD only reported significantly more spousal fear and husband-to-wife physical aggression than those with MDD only or neither disorder. No group differences were found on rate of marital discord or spouse's controlling/isolating tactics. Results are discussed in terms of theoretical and treatment implications for abused women seeking treatment for marital conflict.     

Life Before “I Killed the Man That Raped Me”: Pre-Prison Life Experiences of Incarcerated Women With Life Sentences and Subsequent Treatment Needs

The number of incarcerated women serving a life sentence is growing. This subpopulation rarely receives programming in prison or even inclusion in intervention studies’ samples. According to importation theory, characteristics of prisoners’ pre-prison experiences guide the types of interventions provided to prisoners. This study examined the importation factors for a sample of women serving life sentences and used thematic analysis to understand these factors. The primary theme was the dominance of trauma in women’s pre-prison lives with four connected sub-themes that highlight treatment needs pre-and during prison. One implication of this study is improving prison policies to include this subpopulation in treatment opportunities.     

Expanding the Feminist Pathways Perspective beyond the United States: A Profile of Federal Women Prisoners in Argentina

A large body of knowledge within the criminological discipline has demonstrated that women and girls have distinct social and psychological risk factors that contribute to both their initial onset, and continued engagement, in offending behavior. However, most of this research has focused on U.S. samples of women offenders. Using mixed methods, the current research investigated the offense dynamics and possible risk factors for women’s imprisonment with incarcerated women (246 survey respondents; 12 interviewees) in the Argentine federal penitentiary system. We find that there are some similarities in the characteristics of women prisoners in Argentina and the characteristics of women prisoners in the United States, but also some distinctions, primarily in the prevalence of prior victimization. In addition, our results indicate that federal women prisoners in Argentina who reported serious prior abuse were more likely to have committed crimes against persons in comparison to women without abuse histories. Such a distinction supports the ongoing research investigating women offender profiles beyond U.S. samples.     

A Call for Help: Women Offenders' Reflections on Trauma Care

Female prisoners have extensive trauma histories and complex treatment needs that contribute to their criminality, yet trauma screening and treatment is not widespread in prisons. This article examines qualitative data gathered from face-to-face interviews with 31 female offenders in Canadian prisons. Using a grounded theory approach we demonstrate an unmet need for trauma-specific services for female offenders. These services go beyond trauma-informed practice and treat the psychological and behavioral sequelae of trauma exposure (e.g., mental illness and addictions) to facilitate recovery. The findings suggest that women in prison want and need specific treatment for trauma exposure. Integrating trauma-specific services involves a cultural shift within the prison environment that might be achieved by positioning trauma within the risk–need–responsivity model as an additional risk factor for criminality. Although counter to the public health perspective that trauma is a health concern, it is a way to ensure that trauma becomes part of the battery of care in corrections so that the needs of traumatized women are addressed while they are in custody. This was a unique opportunity to learn about what women would like to help deal with their experiences of trauma.     

Lifetime Abuse, Mental Health, and African American Women

This study examined the relationship between lifetime abuse and mental health among 126 African American women and 365 White women from a primary health care setting who participated in a telephone interview as part of a larger study. Seven types of childhood and adult intimate partner abuse were measured. Consistent with hypotheses, (1) lifetime abuse was associated with elevated levels of anxiety and depression, and (2) women who experienced childhood abuse were more likely to report adult partner abuse. African American and White women showed more similarities than differences in the associations between most abuse experiences and depression and anxiety, as well as types of childhood abuse. African American abused women reported more excessive jealousy by partners. Nonabused African American women reported higher levels of depression and anxiety than their White counterparts. Results are interpreted and discussed taking into account relevant social and cultural factors.     

Self-Reports of Traumatic Events in a Random Sample of Incarcerated Women

Abstract

As the number of incarcerated women increases, in-depth knowledge about women's life experiences is needed to direct treatment, pre-release planning, and supervision. This study describes the nature, scope, and socioeconomic correlates of traumatic life events in a random sample of 403 women entering a state correctional facility. Ninety-nine percent of the sample reported having experienced at least one traumatic life event; 81% experienced five or more. Reports of several experiences differed by age, race, and marital status. The most compelling findings were related to the experience of homelessness. Women who had been without a place to live for at least seven days were between 2.19 and 5.62 times more likely to have experienced 14 of 21 traumatic events. Most of these events were defined by interpersonal violence. Implications for correctional policy are discussed, particularly the potential for incarceration to replicate or ameliorate symptoms of traumatic stress through the structure and routine of the prison environment.     

Women Prisoners and the Drive for Desistance: Capital and Responsibilization as a Barrier to Change

There is a significant and growing volume of research into the way in which offenders desist from crime and their resettlement and reentry into society following a custodial sentence. As is too often the case in criminological research, women are underrepresented in these areas of investigation. This research aimed to investigate how women in the last 3 months of a prison sentence plan and prepare for their release. Using data generated from qualitative interviews with women prisoners and prison staff over a 13-month period in a closed women’s prison in England, this paper will argue that women prisoners have motivation and desire to desist from crime post-release, but their attempts to plan for release are hindered by a responsibilization discourse that runs throughout the institution and by a severe lack in all forms of capital (social, cultural, economic, and symbolic). This not only results in many women being released with little support in place to help them achieve their aims of a crime-free life in the future but also highlights the problems with a prison system based on male-centered knowledge.     

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.     

Ideology and Polarization Among Women State Legislators

In early work on women in Congress, scholars consistently identified a tendency among women legislators to be more liberal roll‐call voters than male copartisans. Recent changes in Congress point to the polarization of women, where Democratic women remain more liberal than Democratic men but Republican women are no different from, or more conservative than, Republican men. We use newly available state legislative roll‐call data to determine whether women state legislators are more liberal or polarized than male copartisans. We find that while Democratic women state legislators remain consistently more liberal than male copartisans in most state chambers, Republican women legislators are growing more conservative. Thus, women state legislators are increasingly polarized in most U.S. states. Legislator replacement and increasing polarization among state legislators in office contribute to this effect. We argue that polarization among women legislators has implications for the representation of women in the states.     

Sex Trading Among Hazardously Drinking Jailed Women

For women involved in sex trading, both alcohol problems and passage through the criminal justice system are highly prevalent. This study is the 1st to conduct a focused examination of factors associated with sex trading among hazardously drinking, pretrial, jailed women. Cocaine use, social support for alcohol abstinence, and more days incarcerated in the 90 days leading up to the index incarceration were significantly associated with sex trading involvement among alcoholic women. Helping incarcerated alcoholic women reduce cocaine use and improve sober support networks during and following an incarceration may minimize sex trading after release.     

Women Prisoners at the Dawn of the 21st Century

Abstract

The contemporary experiences of women in prison at the beginning of the 21st century must be understood within the context of the monumental increase in incarceration of specific U.S. populations in the last three decades of the 20th century, a truly unique period in history. How race and class impact on the increase of women in U.S. prisons attests to the importance of an intersectional and structural analysis (of race, class, and gender) in explaining the huge number of poor, heavily Black and Latina women incarcerated today. Women are criminalized for the same kinds of crimes today as in the past (nonviolent larceny-theft, forgery, and prostitution)-with the critical addition of drugs (and the “net widening” of previously noncriminal or nonviolent behaviors). And with drugs, the racialized impacts are even more profound. The socially structured conditions of class, race, and gender in the context of globalization, unemployment, and the prison industrial complex help to explain these findings.     

Incarcerated Mothers of Minor Children: Physical Health,Substance Use,and Mental Health Needs

Mothers of minor children serving sentences in a large Midwestern jail were screened for potential substance use problems and asked to report their physical and mental health status and treatment experiences. Of mothers screened for substance use problems, 72.1% had positive findings on the AUDIT-12, 56.7% reported at least one serious physical health problem, and 67.1% had received mental health treatment. More than two-thirds (68.8%) of the 240 mothers reported a co-occurring condition, and a third (33.8%) reported problems in all three spheres (substance use, mental health, and physical health). The relationship among the three health-related problems is examined as well as the characteristics of mothers related to having co-occurring health conditions. Given that the overwhelming majority of mothers reported more than one health-related problem, the changes to policy and practice need to avoid simplistic solutions.     

Determinants of prisoners’ perceived need for care in association with criminal recidivism

This study explored determinants of perceived need for care among male inmates of general prison wards in Amsterdam (N = 208) with a normative need for care. Also, it assessed the relation between perceived need for care and criminal recidivism. Normative need for care was defined as having a mental health problem, assessed with the Brief Jail Mental Health Screen, or being substance dependent. Perceived need for care was defined as a subjective problem experience and a wish to receive care. Mental health and/or addiction problems were highly prevalent (68%). Of those inmates, only 29% had a perceived need for care. Age and borderline personality disorder were associated with perceived need for care, prior care utilization intermediated these associations. No direct relation between perceived need for care and criminal recidivism was observed. All inmates should be well screened and the benefits of mental health care should be promoted.