Daniel O’Connell

Self-Efficacy: An Important Aspect of Prison-Based Learning

Self-efficacy in academic settings is an established correlate of educational accomplishments with relevance beyond the classroom. It is a socially created propensity to view oneself as capable of responding to a range of life contingencies. We measure shifts in self-efficacy within prison-based courses that are modeled after the Inside–Out Prison Exchange Program. Courses include college students (outside) and people who are incarcerated (inside) learning together in a prison classroom. Inside students report lower levels of self-efficacy at Time 1 and an increase in self-efficacy by Time 2. Outside student levels of self-efficacy remain the same across time.

Desistance for a Long-Term Drug-Involved Sample of Adult Offenders The Importance of Identity Transformation

Using a mixed-race sample of male and female drug-involved offenders who were released from prison in the early 1990s and re-interviewed in 2009 through 2011, this article represents perhaps the first attempt to determine the utility of the identity theory of desistance (ITD) in explaining desistance in a contemporary cohort of adult drug-involved offenders. Supporting the ITD, interview narratives revealed that the vast majority of offenders who successfully desisted from crime and substance misuse had first transformed their offender identity into a non-offender identity. Although partnership and employment did not appear to be significant turning points per se for the majority of our respondents, rekindling relationships with extended family and finding living-wage employment did serve to solidify new prosocial identities once the transformation had occurred.

A cluster randomized trial of utilizing a local change team approach to improve the delivery of HIV services in correctional settings: study protocol

BackgroundPersons held in correctional facilities are at high risk for HIV infection and their prevalence of HIV is substantially higher than in the general population. Thus, the need for proper surveillance and care of this high risk population is a paramount public health issue. This study aims to evaluate an organization-level intervention strategy for improving HIV services for persons in prison or jail.Methods/DesignHIV Services and Treatment Implementation in Corrections (HIV-STIC) is using a cluster randomized trial design to test an organization-level intervention designed to implement improvements in preventing, detecting, and treating HIV for persons under correctional supervision. Matched pairs of prison or jail facilities were randomized using a SAS algorithm. Facility staff members in both Experimental and Control conditions involved in HIV service delivery are recruited to receive training on HIV infection, the HIV services continuum, and relevant web-based resources. Staff members in both conditions are tasked to implement improvements in HIV prevention, testing, or treatment in their facility. In the Control condition facilities, staff participants use existing techniques for implementing improvement in a selected area of HIV services. In contrast, the Experimental condition staff participants work as a Local Change Team (LCT) with external coaching and use a structured process improvement approach to improve a selected part of the HIV services continuum. The intervention period is 10 months during which data are obtained using survey instruments administered to staff members and aggregate services delivery data. The study is being implemented in 13 pairs of correctional facilities across nine states in the US. Experimental sites are hypothesized to show improvements in both staff attitudes toward HIV services and the number and quality of HIV services provided for inmates.DiscussionThe current study examines a range of process and outcome data relevant to the implementation of a Change Team approach across diverse correctional settings in the United States. This initial study represents an important step toward a national best practices approach to implementing change in U.S. correctional settings and could serve as an exemplar for designing similar implementation studies.

Desistance from Crime and Identity An Empirical Test With Survival Time

Theories of desistance from crime have emphasized social processes like involvement in adult social bonds or prosocial social relationships to the deliberate neglect of individual subjective processes such as one’s identity. More recent theories, however, have stressed the role of identity and human agency in the desistance process. An important set of questions is whether identity theory adds anything to existing theories, and whether there is empirical evidence to suggest that such subjective processes are important. In this article, we provide an empirical assessment of individual subjective considerations in desistance by looking at the relationship between “good identities,” intentional self-change, and desistance using survival time data from a sample of serious drug-troubled adult offenders released from prison whose arrest records are followed for almost a 20-year period. The implications of our findings for all brands of criminal desistance theory are discussed.

A Continuum of Care Model for HIV in Correctional Settings

The rates of HIV and Hepatitis C (HCV) in prisons in the United States exceed those among the general population. Prisoners represent some of the highest risk groups for HIV and HCV, notably injection drug users, sex workers, and substance-addicted persons. The high risk for disease transmission among prison inmates prior to their incarceration, as well as the relative ease in accessing these populations, underscores the importance of implementing HIV/HCV prevention/intervention services in incarcerated settings. An HIV/HCV Continuum of Care that includes testing, linkage to care for those who test positive, and prevention efforts prior to inmate release, provides a useful model. This chapter presents an overview of this model, as well as an example of a research project focused on one of its components: prevention among inmates just prior to their release. First, HIV/HCV in prisons is discussed. Second, existing HIV/HCV intervention and prevention packages geared towards inmates are reviewed. Next, an HIV Continuum of Care model is presented, which includes various recommendations based on the immediate needs of the inmates, as well as evidence from a case study from the prevention aspect of the model. A discussion on the implications of the HIV Continuum and other similar programs concludes the chapter.

‘Love and trust, you can be blinded’: HIV risk within relationships among Latina women in Miami, Florida

ABSTRACT Objectives: Latina women are disproportionately affected by HIV in the US, and account for 30% of all HIV infections in Miami-Dade County, Florida. The main risk for Latina women is heterosexual contact. Little is known about the relational and cultural factors that may impact women’s HIV risk perception. This study aims to describe Latina women’s perception of their HIV risk within a relational, cultural, and linguistic context. Design: Eight focus groups of Latina women (n = 28), four English speaking groups and four Spanish speaking groups, were conducted between December 2013 and May 2014. Women were recruited from a diversion program for criminal justice clients and by word of mouth. Eligibility criteria included the following: self-identify as Hispanic/Latino, 18–49 years of age, and self-identify as heterosexual. A two-level open coding analytic approach was conducted to identify themes across groups. Results: Most participants were foreign-born (61%) and represented the following countries: Cuba (47%), Honduras (17.5%), Mexico (12%), as well as Nicaragua, Puerto Rico, Colombia, and Venezuela (15%). Participant ages ranged between 18 and 49, with a mean age of 32 years. Relationship factors were important in perceiving HIV risk including male infidelity, women’s trust in their male partners, relationship type, and getting caught up in the heat of the moment. For women in the English speaking groups, drug use and trading sex for drugs were also reasons cited for putting them at risk for HIV. English speaking women also reported that women should take more responsibility regarding condom use. Conclusion: Findings emphasize the importance of taking relational and cultural context into account when developing HIV prevention programs for Latina women. Interventions targeting English speaking Latina women should focus on women being more proactive in their sexual health; interventions focused on Spanish speaking women might target their prevention messages to either men or couples.

Condom use preferences among Latinos in Miami-Dade: emerging themes concerning men’s and women’s culturally-ascribed attitudes and behaviours

Among Latinos, cultural values such as machismo and marianismo may promote inconsistent condom use representing a significant risk factor for HIV infection. Yet there continues to be a need for additional research to explore the influence these cultural values have on Latino men and women’s condom use attitudes and behaviours given increasing HIV rates of HIV infection among Latinos. The purpose of this study was to explore further Latino traditional culturally-ascribed attitudes and behaviour for emerging themes toward condom use among a diverse group of adult Latino men and women living in Miami-Dade County, Florida, USA. The study used a qualitative study-design and collected data from 16 focus groups with a total of 67 Latino men and women. Findings from the focus groups described attitudes and behaviours that counter traditional gender roles towards sex and expected sexual behaviours informed by machismo and marianismo. Common attitudes noted in the study include men’s classification of women as dirty-clean to determine condom use and women’s assertiveness during sexual encounters negotiating condom use – in favour and against it. As the findings of this study suggest, the process differ greatly between Latino men and women, having an impact on the risk behaviours in which each engage.

Improvements in Correctional HIV Services: A Case Study in Delaware.

This article describes the experience and outcomes of the National Institute on Drug Abuse-funded Criminal Justice Drug Abuse Treatment Studies HIV Services and Treatment Implementation in Corrections protocol in the state of Delaware. The protocol was designed to test the effectiveness of a change team model in improving HIV services in correctional settings. In Delaware, a team was created with representatives from correctional and community agencies to work on improving linkage to HIV care for individuals released from incarceration. The team made improvements in the entire HIV service continuum: linkage to HIV care, HIV education, and HIV testing. The experiences in Delaware and the findings from this study suggest that the use of a change team model is a viable method for making organizational change in correctional settings.

Understanding Geographic and Neighborhood Variations in Overdose Death Rates

The current opioid epidemic continues to challenge us in new and potentially troubling ways. For example, research today finds more overdose deaths occurring in rural, rather than urban, geographic areas. Yet, studies have often ignored heterogeneities within these spaces and the neighborhood variations therein. Using geodemographic classification, we investigate neighborhood differences in overdose death rates by geographical areas to further understand where and among what groups the problem might be most concentrated. For deaths between 2013 and 2016, we find significant variation in rates among neighborhoods, defined by their socio-economic and demographic characteristics. For example, overdose death rates vary up to 13-fold among neighborhoods within geographic areas. Our results overall show that while the rural or urban classification of a geographic area is important in understanding the current overdose problem, a more segmented analysis by neighborhood’s socio-economic and demographic makeup is also necessary.

Offending Behavior, Drug Use, and Mental Health Among Foreign-Born versus U.S. Born Latino Criminal Justice Clients

Little is known about the offending behavior and recidivism factors of Latinos by nativity (U.S. born, foreign-born). The present study focused on Latinos in community corrections (n = 201) in Miami, Florida, and examined differences in criminal activity, drug use, and mental health by nativity. Data were collected utilizing convenience sampling between June 2014 and December 2015. The research question was: what are the offending, drug use, and mental health histories of Latinos involved in community corrections? Participants were mostly male (n = 120; 59.7%), White (n = 105; 52.2%), and Cuban (n = 97; 48.3%). U.S. born community corrections clients (n = 141) were more likely to report more lifetime and recent criminal activity; and more likely to report lifetime and recent drug use behavior than foreign-born Latinos (n = 60). No differences were found in recent mental health. Correctional healthcare should tailor services such as substance abuse treatment differently toward U.S. born and foreign-born Latinos.