1st Edition

A Mental Health Treatment Program for Inmates in Restrictive Housing
Stepping Up, Stepping Out

ISBN 9781138745117
Published June 25, 2019 by Routledge
240 Pages 90 B/W Illustrations

USD $44.95

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Book Description

This treatment program targets the criminal, behavioral, and mental health problems of inmates in segregated housing that prevents them from living prosocially and productively within the general prison population.

The program makes use of a bi-adaptive psychoeducational and cognitive-behavioral treatment model to increase inmates’ understanding about the psychological and criminal antecedents that contributed to their current placement, and to teach them the skills necessary for managing these problem areas. This flexible intervention assists inmates with significant problem behaviors by reducing psychological impairment and improving their ability to cope with prison life. This book includes a program introduction and guide for clinicians, the inmate workbook, and accompanying eResources to assist clinicians in both successful program implementation and evaluation of treatment outcomes.

Designed to account for the safety and physical limitations that make the delivery of needed mental and behavioral health services difficult, this guide is essential reading for practitioners working with high-needs, high-risk inmate populations.


Table of Contents

About the Authors  Acknowledgments  Part I: An Introduction and Guide for Clinicians  Layout of this Book  Introduction to Stepping Up, Stepping Out  Assessment  Program Outline  References  Part II: Inmate Workbook  Program Introduction and Expectations  Program Outline  Module 1: Understanding Change and Making It Happen: An Introduction  Module 2: Surviving Segregation: What to Expect and How to Cope  Module 3: Suicide and Self-Injurious Behavior: Protecting You from You  Module 4: Understanding My Emotions: Identifying and Dealing with Anger, Fear, and Other Frustrating Feelings  Module 5: Exploring My Mental Illness and Criminalness: Where it Comes From, What It Looks Like, and How to Recognize It  Module 6: Managing My Mental Illness and Criminalness: Improving Functioning and Preventing Relapse  Module 7: Seeking Supportive Allies: Finding Helpful Others Among the Crowd  Module 8: Integrating "Us" and "Them": Improving Inmate-Staff Relations  Module 9: Road Map to Recovery: Creating Your Relapse Prevention Plan Index

 eResource Materials (available online)

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Ashley B. Batastini, Ph.D. is an assistant professor in the School of Psychology at the University of Southern Mississippi.

Robert D. Morgan, Ph.D. is the John G. Skelton Jr. Regents Endowed Professor in Psychology, chairperson for the Department of Psychological Sciences, and director of the Institute for Forensic Science at Texas Tech University.

Daryl G. Kroner, Ph.D. is a professor in the Department of Criminology and Criminal Justice at Southern Illinois University at Carbondale.

Jeremy F. Mills, Ph.D. is a regional manager for the Institutional Mental Health for the Ontario Region of the Correctional Service of Canada and an adjunct research professor at Carleton University.


"These highly regarded authors have put together a particularly practical and essential resource for correctional practitioners who provide care to inmates in restrictive housing (RH). At a time of increased scrutiny and litigation, the guide and program model provide a clear and practical roadmap for tackling this challenging issue. The eResources (assessments, quizzes, etc.) and the accompanying inmate guide are a cornucopia of thoughtful and relevant handouts and activities to assist inmates to better manage their placement in RH and work towards eventual return to general population. I cannot recommend it more highly."

Ralph Serin, Ph.D., C.Psych, professor, Department of Psychology; director, Criminal Justice Decision Making Laboratory, Carleton University

"The overreliance on segregation to control prison populations has reached crisis proportions. While there is universal agreement to limit its use there have been few concrete proposals as to how to prevent inmates from entering segregation and once there, how to transition them back to regular prison life. In this treatment workbook Dr. Batastini and colleagues, the acknowledged experts in the area, present state of the art clinical strategies and an evaluation framework that will meet the above goals. Their work is necessary reading for anyone concerned with the humane care of inmates."

Paul Gendreau O.C., Ph.D.,  professor emeritus, University of New Brunswick