Medical and Behavioral Health – Page 3

Document Category: Medical and Behavioral Health

Ramos v. Lamm

My decision was appealed by defendants to the Court of Appeals for the Tenth Circuit. The court of appeals affirmed my conclusion that the plaintiffs’ Eighth Amendment rights had been violated “in the areas of shelter, sanitation, food, safety, and medical care,” and that plaintiffs’ constitutional rights of access to the courts had been violated as well. Ramos v. Lamm, 639 *1062 F.2d 559, 586 (10th Cir. 1980). In addition, the court of appeals sustained the ruling holding invalid certain restrictions on inmate correspondence, but overturned my holding that certain visitation regulations were unconstitutional. Id. The court of appeals vacated “the provisions of the district court’s remedial order on motility, classification and idleness.” Id. Specifically, the court of appeals concluded that “the present record and the findings on the subjects do not warrant the court’s broad remedial orders” and did not establish an independent violation of the Eighth Amendment. Id. at 567.

Estelle v. Gamble

Respondent state inmate brought this civil rights action under 42 U.S.C. § 1983 against petitioners, the state corrections department medical director (Gray) and two correctional officials, claiming that he was subjected to cruel and unusual punishment in violation of the Eighth Amendment for inadequate treatment of a back injury assertedly sustained while he was engaged in prison work. The District Court dismissed the complaint for failure to state a claim upon which relief could be granted. The Court of Appeals held that the alleged insufficiency of the medical treatment required reinstatement of the complaint.

RESEARCH WEEKLY: Women in Rural Jails Disproportionately Impacted by Serious Mental Illness

Women in rural jails are more likely to screen positive for a serious mental illness compared to men in rural jails and all individuals incarcerated in urban jails, according a study published this month in Criminal Justice and Behavior by researchers from Wayne State University.

Trends in Buprenorphine Use in US Jails and Prisons From 2016 to 2021

An estimated 15% of the 1.8 million incarcerated individuals in the US have opioid use disorder (OUD).1,2 These individuals have a substantially higher risk of overdose after leaving correctional facilities.1 Pharmacotherapy for OUD is associated with reductions in postincarceration mortality, yet as of 2018, less than 14% of correctional systems offered buprenorphine or methadone.3 Over the past 5 years, more municipalities and states have enacted policies to provide access to OUD treatment, but the extent to which this implementation has actually increased buprenorphine use remains unclear.

Utility of the Revised Level of Service Inventory (LSI-R) in Predicting Recidivism After Long-Term Incarceration

Assessing an inmate’s risk for recidivism may become more challenging as the length of incarceration increases. Although the population of Long-Term Inmates (LTIs) is burgeoning, no risk assessment tools have been specifically validated for this group. Based on a sample of 1,144 inmates released in a state without parole, we examine the utility of the Level of Service Inventory-Revised (LSI-R) in assessing risk of general and violent felony recidivism for LTIs (n = 555). Results indicate that (a) the LSI-R moderately predicts general, but not necessarily violent, recidivism, and (b) this predictive utility is not moderated by LTI status, and is based in part on ostensibly dynamic risk factors. Implications for informing parole decision-making and risk management for LTIs are discussed.

Performance of Recidivism Risk Assessment Instruments in U.S. Correctional Settings

With the population of adults under correctional supervision in the United States at an all-time high, psychologists and other professionals working in U.S. correctional agencies face mounting pressures to identify offenders at greater risk of recidivism and to guide treatment and supervision recommendations. Risk assessment instruments are increasingly being used to assist with these tasks; however, relatively little is known regarding the performance of these tools in U.S. correctional settings. In this review, we synthesize the findings of studies examining the predictive validity of assessments completed using instruments designed to predict general recidivism risk, including committing a new crime and violating conditions of probation or parole, among adult offenders in the United States. We searched for studies conducted in the United States and published between January 1970 and December 2012 in peer-reviewed journals, government reports, master’s theses, and doctoral dissertations using PsycINFO, the U.S. National Criminal Justice Reference Service Abstracts, and Google. We identified 53 studies (72 samples) conducted in U.S. correctional settings examining the predictive validity of 19 risk assessment instruments. The instruments varied widely in the number, type, and content of their items. For most instruments, predictive validity had been examined in 1 or 2 studies conducted in the United States that were published during the reference period. Only 2 studies reported on interrater reliability. No instrument emerged as producing the “most” reliable and valid risk assessments. Findings suggest the need for continued evaluation of the performance of instruments used to predict recidivism risk in U.S. correctional agencies.

Guidelines for Managing Substance Withdrawal in Jails: A Tool for Local Government Officials, Jail Administrators, Correctional Officers, and Health Care Professionals.

The Guidelines for Managing Substance Withdrawal in Jails outlines the steps all jails (including detention, holding, and lockup facilities) should take to implement effective withdrawal management.