“Those who harm themselves while in solitary confinement may be diverted from that punitive setting to a therapeutic setting outside solitary confinement, which may provide an incentive for self-harm. The purpose of this analysis was to better understand the complex risk factors associated with self-harm and consider whether patients might be better served with innovative approaches to their behavioral issues” (p. 442). Self-harm is strongly linked to being in solitary confinement. “Inmates punished by solitary confinement were approximately 6.9 times as likely to commit acts of self-harm after we controlled for the length of jail stay, SMI [serious mental illness], age, and race/ethnicity. This association also held true for potentially fatal self-harm with a slightly lower OR [odds ratio], 6.3. It is notable that acts of self-harm often preceded the actual time spent in solitary confinement. Both SMI (OR = 7.97) and aged 18 years or younger (OR = 7.5) were also predictive of self-harm; nonetheless, the risk of self-harm and potentially fatal self-harm associated with solitary confinement was higher independent of mental illness status and age group” (p. 445).
“This webinar discusses the prevalence of traumatic brain injury (TBI) and its implications for the criminal justice system. It also addresses the causes, consequences, and signs of TBI, as well as the relationship between TBI and co-occurring behavioral health disorders. Presenters share management strategies to improve responses and support services. This is particularly useful for practitioners, correctional and community supervision personnel, and service providers.” Topics discussed include: types of brain injury; defining severity—mild, and moderate/severe; TBI severity and recovery; ideal brain injury rehabilitation; physical effects; cognitive effects; emotional and behavioral effects; higher prevalence of TBI in justice-involved populations; directly associated with infraction in prison; male and female violence and TBI; TBI and intimate partner violence; homelessness; veterans and TB; behavioral health and TBI; impact on behavior in corrections; screening and assessment; what can be done in jails; prevalence of TBI among newly admitted adolescents; overall prevalence; concussion; incidence of TBI in NYC jails; what can be done in corrections about TBI; ROWBOATS Tip Card; and TBI in Minnesota correctional facilities.