Johanna B. Folk

A historical review of trauma-related diagnoses to reconsider the heterogeneity of PTSD

Based on the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, there are 636,120 ways for an individual to qualify for a diagnosis of posttraumatic stress disorder (PTSD) (Galatzer-Levy & Bryant, 2013). To unravel this heterogeneity, we examine the historical trajectory of trauma-related diagnoses. Our review addresses four traumas (i.e., combat, natural disaster, life-threatening accident and sexual assault) that have contributed the most to conceptual models of PTSD. Although these trauma types are all subsumed under the same diagnostic label, our literature review indicates that the psychological consequences of different traumatic experiences are traditionally studied in isolation. Indeed, most research addresses hypotheses regarding specific trauma types using samples of individuals selected for their experience with that specific event. We consider the possibility that PTSD is not a single, unified construct and what this means for future research and clinical applications.

Feasibility and Acceptability of an Impact of Crime Group Intervention with Jail Inmates

Abstract The current study evaluated the feasibility and acceptability of a manualized Impact of Crime (IOC) group intervention implemented with male inmates (N = 108) at a county jail. Facilitator adherence to the intervention and participant attendance, homework completion, and feedback were assessed. On average facilitators covered 93.7% of each manual topic. Victim speaker recruitment was a challenge—43.5% of relevant sessions lacked victim speakers. Findings suggested significant participant engagement—67.3% attended at least 75% of sessions and 93.3% of homework assignments were submitted on time. Overall, participants indicated satisfaction with the intervention. Successful strategies, challenges, and potential enhancements are discussed.

Effectiveness of a self-administered intervention for criminal thinking: Taking a Chance on Change.

The current study tested the effectiveness of a self-administered, cognitive-behavioral intervention targeting criminal thinking for inmates in segregated housing: Taking a Chance on Change (TCC). Participants included 273 inmates in segregated housing at state correctional institutions. Reductions in criminal thinking, as assessed by the Psychological Inventory of Criminal Styles-Simplified Version, were found in the general criminal thinking score as well as the proactive and reactive composite scores. Examination of demographic predictors of change (i.e., age, years of education, length of sentence) revealed older and more educated participants decreased in criminal thinking more than younger and less educated participants. For a subset of 48 inmates, completion of TCC was associated with significant reduction of disciplinary infractions. Reductions in reactive criminal thinking predicted reductions in disciplinary infractions. Although further research is needed to determine the effectiveness of TCC in reducing recidivism, the reductions in criminal thinking and disordered conduct suggest this is a promising intervention and mode of treatment delivery. By utilizing self-directed study at an accessible reading level, the intervention is uniquely suited to a correctional setting where staff and monetary resources are limited and security and operational issues limit the feasibility of traditional cognitive-behavioral group treatment. (PsycINFO Database Record

Pilot Study of a Brief Dialectical Behavior Therapy Skills Group for Jail Inmates.

Regulating emotions, refraining from impulsive, maladaptive behavior, and communicating effectively are considered primary treatment needs among jail inmates. Dialectical behavior therapy (DBT; Linehan, 1993a) skills address these deficits and have been implemented in long-term correctional settings, but have yet to be adapted for general population inmates in short-term jail settings. This study assessed the feasibility and acceptability of a DBT skills group in a jail setting, as well as its utility in improving coping skills and emotional/behavioral dysregulation. Male jail inmates participated in an 8-week DBT skills group and completed pre- and posttest assessments of coping skills, emotional/behavioral dysregulation, and measures of treatment acceptability. Out of 27 who started therapy, 16 completed it, primarily due to involuntary attrition such as transfer to another correctional facility. Although several logistical issues arose during this pilot study, preliminary results suggest that a brief DBT skills group is feasible and acceptable in a jail setting, and may improve coping skills and reduce externalization of blame among general population jail inmates. This study lays the groundwork for larger, controlled trials of abbreviated DBT skills groups for general population inmates in short-term jail settings.

Evaluating the Content and Reception of Messages From Incarcerated Parents to Their Children

In the current study, childrens reactions to video messages from their incarcerated parents were evaluated. Previous research has yielded mixed results when it examined the impact of contact between incarcerated parents and their children; one reason for these mixed results may be a lack of attention to the quality of contact. This is the first study to examine the actual content and quality of a remote form of contact in this population. Participants included 186 incarcerated parents (54% mothers) who participated in a filming with The Messages Project and 61 caregivers of their children. Parental mood prior to filming the message and childrens mood after viewing the message were assessed using the Positive and Negative Affect Scale. After coding the content of 172 videos, the data from the 61 videos with caregiver responses were used in subsequent path analyses. Analyses indicated that when parents were in more negative moods prior to filming their message, they displayed more negative emotions in the video messages ( = .210), and their children were in more negative moods after viewing the message ( = .288). Considering that displays of negative emotion can directly affect how children respond to contact, it seems important for parents to learn to regulate these emotional displays to improve the quality of their contact with their children.

Do Demographic Factors Moderate How Well Criminal Thinking Predicts Recidivism

Is the relationship between criminal thinking and recidivism the same for criminal justice–involved individuals from varying demographic backgrounds? Relying on two independent samples of offenders and two measures of criminal thinking, the current studies examined whether four demographic factors—gender, race, age, and education—moderated the relationship between criminal thinking and recidivism. Study 1 consisted of 226 drug-involved probationers enrolled in a randomized clinical trial. Study 2 consisted of 346 jail inmates from a longitudinal study. Logistic regression models suggested that the strength of the relationship between criminal thinking and subsequent recidivism did not vary based on participant demographics, regardless of justice system setting or measure of criminal thinking. Criminal thinking predicts recidivism similarly for people who are male, female, Black, White, older, younger, and more or less educated.

Psychometric Validation of a Simplified Form of the PICTS for Low-Reading Level Populations

The Psychological Inventory of Criminal Thinking Styles (PICTS) is one of the most widely used measures of criminal thinking. Although the PICTS has adequate psychometric qualities with many general population inmates, the measurement confound of reading ability may decrease its construct validity in low-literacy inmates. To help resolve this confound, we present psychometric evaluation of a simplified version of the PICTS (PICTS-SV) in which item language was simplified but item content was preserved. We first conducted Lexile analyses to confirm the reading level of the PICTS-SV is significantly lower than the original PICTS (i.e., sixth grade versus ninth grade). We then tested a bifactor model to confirm the PICTS-SV contains the same two factors as the original PICTS: proactive and reactive criminal thinking. These PICTS-SV results are commensurate with the factor structure of the original PICTS. Results suggest the PICTS-SV is a valid alternative for assessing criminal thinking in inmates with low reading ability.

The Suicidal Inmate: A Comparison of Inmates Who Attempt Versus Complete Suicide

The aim of this study was to identify risk factors distinguishing inmates who attempt suicide from inmates who complete suicide. Compared with attempters, completers tended to be older, male, more educated, and married or separated/divorced; pretrial, committed for a violent crime, incarcerated in jail, housed in an inpatient mental health unit or protective custody setting, living in a single cell, not on suicide precautions, not previously under close observation; and more likely to act during overnight hours and die by hanging/self-strangulation. Targeted assessment of a broad range of risk factors is necessary to inform suicide prevention efforts in correctional facilities.

Differences between inmates who attempt suicide and who die by suicide: Staff-identified psychological and treatment-related risk factors.

Suicidal behavior occurs at much higher rates in correctional facilities than in the community, yet little is known about factors that distinguish inmates at risk for attempting versus dying by suicide. Individuals in the current study included 925 inmates housed in 2 large U.S. jails and 8 state correctional systems who attempted (79.5%) or died by (20.5%) suicide for whom archival data were available. Mental health professionals completed a tracking sheet after suicide-related incidents, documenting inmate psychological, diagnostic, and treatment related risk factors. Differences between inmates who attempt versus those who die by suicide indicate that when mental health staff are aware of inmates’ current and historical risk factors, deaths by suicide are less likely to occur.

Changes in Jail Inmates’ community connectedness across the period of incarceration

ABSTRACT Jails bring inmates into proximity with one another and separate them from the community. Because inmates’ connectedness to one another and to the community influences post-release functioning, understanding risk factors for maladaptive shifts in connectedness may inform interventions. The current study examined changes in jail inmates’ (N = 203) connectedness to the community at large and to the criminal community, and predictors of individual differences in changes over time. Connectedness to both communities did not change on average during incarceration, but younger and less guilt-prone inmates increased more in connectedness to the criminal community than older and more guilt-prone inmates, suggesting connectedness interventions should target individuals exhibiting this constellation of attributes.