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Date: April 29, 2024 Mon
Time: 11:07 pm
Time: 11:07 pm
Results for prisons, mental health services
1 results foundAuthor: Usher, Amelia Title: Assessment, Intervention and Prevention of Self-Injurious Behaviour in Correctional Environments Summary: Self-injurious behaviour (SIB) is a significant concern for the Correctional Service of Canada (CSC) because of the risks it can pose to the safety of staff and offenders within federal correctional institutions. SIB can be defined as any type of direct bodily harm or disfigurement that is deliberately inflicted on oneself that is not considered to be socially acceptable, including cutting, ligature use, burning, hitting, swallowing sharp or indigestible objects, inserting and removing objects, and head banging. To contribute to a safer environment for offenders and staff, CSC must respond to SIB in an effective manner and work towards the reduction and prevention of this behaviour. This literature review was undertaken to determine the best practices for preventing and treating SIB in correctional settings. While it is difficult to predict with certainty which offenders will exhibit SIB while incarcerated, certain factors have been consistently associated with increased risk for SIB. A number of variables such as ethnicity, lower socio-economic background, same-sex attraction, borderline personality disorder, depression, anxiety, substance abuse, impulsivity, dissociation, and history of childhood trauma have been found to correlate with SIB. CSC’s offender population has high rates of many of these factors and therefore likely have an elevated risk for SIB. SIB, and particularly non-suicidal self-injury (NSSI), is a troubling and complex behaviour which presents a challenge for effective treatment. A number of risk assessment tools have the potential for early identification of offenders at risk, but currently no instrument has been proven to be empirically valid in correctional settings. Research indicates that certain interventions can reduce the frequency and severity of this behaviour. Therapeutic treatments such as cognitive behavioural therapy, dialectical behaviour therapy, and manual assisted cognitive therapy have demonstrated effectiveness for treating SIB in both the community and in correctional settings. Further, certain elements common to these therapies such as creating a positive therapeutic relationship, incident analysis, and cognitive restructuring have been found effective in the literature. These elements can be incorporated into existing correctional programs for improved prevention and treatment of SIB. A number of systemic interventions have also been proposed and are supported in the literature such as suicide awareness training and peer support programs. Correctional staff working closely with self-injuring offenders require additional support in dealing with this behaviour, as it can lead to increased stress and burnout. Evidence in the literature supports increased training for staff and the provision of support services such as critical incident stress debriefing and employee assistance programs. Currently, CSC has implemented a number of policies and initiatives that are in-line with evidence based practices for the treatment and prevention of self-injury. The research examined in this literature review presents a number of options that CSC could continue to develop or adopt to improve current management of SIB. Details: Ottawa: Correctional Service of Canada, Research Branch, 2010. 58p. Source: Internet Resource: No. R-220: Accessed September 3, 2011 at: http://www.csc-scc.gc.ca/text/rsrch/reports/r220/r220-eng.pdf Year: 2010 Country: Canada URL: http://www.csc-scc.gc.ca/text/rsrch/reports/r220/r220-eng.pdf Shelf Number: 122630 Keywords: Inmates (Canada)Inmates, Mental HealthInmates, Self-InjuryPrisoners (Canada)Prisons, Mental Health ServicesSelf-Mutilation |