Role of Oral Intake, Mobility, and Activity Measures in Informing Discharge Recommendations for Hospitalized Inmate and Noninmate Patients With COVID-19: Retrospective Analysis.

BACKGROUND: Patients who were incarcerated were disproportionately affected by COVID-19 compared with the general public. Furthermore, the impact of multidisciplinary rehabilitation assessments and interventions on the outcomes of patients admitted to the hospital with COVID-19 is limited. OBJECTIVE: We aimed to compare the functional outcomes of oral intake, mobility, and activity between inmates and noninmates diagnosed with COVID-19 and examine the relationships among these functional measures and discharge destination. METHODS: A retrospective analysis was performed on patients admitted to the hospital for COVID-19 at a large academic medical center. Scores on functional measures including the Functional Oral Intake Scale and Activity Measure for Postacute Care (AM-PAC) were collected and compared between inmates and noninmates. Binary logistic regression models were used to evaluate the odds of whether patients were discharged to the same place they were admitted from and whether patients were being discharged with a total oral diet with no restrictions. Independent variables were considered significant if the 95% CIs of the odds ratios (ORs) did not include 1.0. RESULTS: A total of 83 patients (inmates: n=38; noninmates: n=45) were included in the final analysis. There were no differences between inmates and noninmates in the initial (P=.39) and final Functional Oral Intake Scale scores (P=.35) or in the initial (P=.06 and P=.46), final (P=.43 and P=.79), or change scores (P=.97 and P=.45) on the AM-PAC mobility and activity subscales, respectively. When examining separate regression models using AM-PAC mobility or AM-PAC activity scores as independent variables, greater age upon admission decreased the odds (OR 0.922, 95% CI 0.875-0.972 and OR 0.918, 95% CI 0.871-0.968) of patients being discharged with a total oral diet with no restrictions. The following factors increased the odds of patients being discharged to the same place they were admitted from: being an inmate (OR 5.285, 95% CI 1.334-20.931 and OR 6.083, 95% CI 1.548-23.912), "Other" race (OR 7.596, 95% CI 1.203-47.968 and OR 8.515, 95% CI 1.311-55.291), and female sex (OR 4.671, 95% CI 1.086-20.092 and OR 4.977, 95% CI 1.146-21.615). CONCLUSIONS: The results of this study provide an opportunity to learn how functional measures may be used to better understand discharge outcomes in both inmate and noninmate patients admitted to the hospital with COVID-19 during the initial period of the pandemic.

Telephone monitoring and 15-month outcomes for patients with co-occurring substance use and mental health disorders: Moderating effects of high-risk patient characteristics.

INTRODUCTION: Telephone monitoring interventions for substance use disorders are an important component of continuing care to reduce relapse and connect patients to services. However, a knowledge gap still exists as to which patient groups benefit most from them. This secondary analysis of a randomized controlled trial examined moderators of associations between telephone monitoring and 15-month substance use outcomes among patients with co-occurring substance use and mental health disorders. High-risk patient characteristics at baseline were examined as potential moderators of the effectivness of telephone monitoring, including history of incarceration, severity of depression symptoms, and suicide risk. METHODS: Participants were 406 psychiatry inpatients with documented substance use and mental health disorders who were randomized to treatment as usual (TAU; n = 199) or TAU plus telephone monitoring (TM; n = 207). Outcomes included abstinence self-efficacy (Brief Situational Confidence Questionnaire) and alcohol and drug use severity (Addiction Severity Index composites) at 15-month follow-up. Analyses examined main effects of treatment condition and moderators, and interactions between treatment condition and moderators. RESULTS: The study found five significant main effects, three of which were qualified by significant interactions. Incarceration history was associated with higher drug use severity; higher suicide risk was associated with higher abstinence self-efficacy. Regarding interaction effects, among participants with an incarceration history, TM compared to TAU was associated with significantly lower alcohol use severity at 15-month follow-up; this finding did not hold for never-incarcerated participants. For participants with less severe depression symptoms, TM compared to TAU was associated with significantly lower alcohol use severity and higher abstinence self-efficacy at follow-up; this did not hold for participants with more severe depression symptoms. Suicide risk was not a significant moderator of any outcome. CONCLUSIONS: Results indicate that TM is effective in improving alcohol use severity and abstinence self-efficacy for some subgroups of patients, including patients with an incarceration history or less severe depression. Results inform the clinical provision of substance use disorder care by means of telehealth, which increased due to the COVID-19 pandemic.

Low Barrier Tele-Buprenorphine in the Time of COVID-19: A Case Report

Background: To reduce the spread of coronavirus disease 2019 (COVID-19), many substance use disorder treatment programs have transitioned to telemedicine. Emergency regulatory changes allow buprenorphine initiation without an in-person visit. We describe the use of videoconferencing for buprenorphine initiation combined with street outreach to engage 2 patients experiencing homelessness with severe opioid use disorder (OUD). Case Presentation: Patient 1 was a 30-year-old man with severe OUD who had relapsed to injection heroin/fentanyl after incarceration. A community drop-in center outreach harm reduction specialist facilitated a videoconference with an addiction specialist at an OUD bridge clinic. The patient completed a community buprenorphine/naloxone initiation and self-titrated to his prior dose, 8/2 mg twice daily. One week later, he reconnected with the outreach team for a follow-up videoconference visit. Patient 2, a 36-year-old man with severe OUD, connected to the addiction specialist via a syringe service program harm reduction specialist. He had been trying to connect to a community buprenorphine/naloxone provider, but access was limited due to COVID-19, so he was using diverted buprenorphine/naloxone to reduce opioid use. He was restarted on his previous dose of 12/3 mg daily which was continued via phone follow-up 16 days later. Conclusion(s): COVID-19-related regulatory changes allow buprenorphine initiation via telemedicine. We describe 2 cases where telemedicine was combined with street outreach to connect patients experiencing homelessness with OUD to treatment. These cases highlight an important opportunity to provide access to life-saving OUD treatment for vulnerable patients in the setting of a pandemic that mandates reduced face-to-face clinical interactions.Copyright © 2020 Lippincott Williams and Wilkins. All rights reserved.

Virtual playgroups: supporting children and mothers at the Townsville Women's Correctional Centre

This commentary describes how SHINE for Kids, a non-profit organisation that supports families affected by the justice system in Australia, adapted one of their programs in response to the COVID-19 pandemic. Before the pandemic, the organization facilitated a playgroup called Stay Together, Play Together, which enabled mothers in custody at the Townsville Women's Correctional Centre (TWCC) to interact with their children aged 0-5 in a child-focused space. However, when in-person visits were no longer possible due to the pandemic, the organization created the Virtual Playgroup, a playgroup-like experience facilitated through audiovisual link visits (AVL, video visits). The mother would be seated in the AVL visits room at a table, supervised by a corrections staff member, while the child/children would be located at the organisation's offices in Townsville. Both parties were provided with the same activities and resources to work through together via video. The commentary discusses how the Virtual Playgroup was initiated, how it worked in practice, and the benefits it offered as well as the potential of technology to expand access to quality, child-focused time between incarcerated parents and their children. © 2023 Sydney Institute of Criminology.

"It was there when I came home": young adults and jail reentry in the context of COVID-19.

In this study, the authors explore how young adults navigated the dual challenges of the COVID-19 pandemic and jail reentry in a large urban environment. Fifteen young adults (aged 18-25) participated in up to nine monthly semi-structured interviews to discuss their experiences of reentry during the height of the COVID-19 pandemic (i.e., spring and summer 2020). Participants held mixed attitudes and beliefs about COVID-19. Several participants viewed the pandemic as a hoax, while others took the pandemic more seriously, particularly if their friends and family members had contracted the virus. Yet nearly all participants viewed the pandemic as having a relatively minimal impact on their lives compared to the weight of their reentry challenges and probation requirements. Young adults described COVID-19 stay-at-home orders as limiting their exposure to negative influences and facilitating compliance with probation requirements. However, resource closures due to COVID-19, including schools, employment programs, and social services presented barriers to reentry success. The authors draw upon these findings to pose implications for interventions supporting young adult reentry. Supplementary Information: The online version contains supplementary material available at 10.1007/s12103-022-09683-8.

Opioid Policy Changes During the COVID-19 Pandemic - and Beyond

The United States is currently in the midst of 2 public health emergencies: COVID-19 and the ongoing opioid crisis. In an attempt to reduce preventable harm to individuals with opioid use disorder (OUD), federal, state, and local governments have temporarily modified law and policy to increase access to OUD treatment and divert some individuals at high risk away from the correctional system. In this Commentary, we briefly describe how people with OUD are at increased risk for COVID-19, discuss existing policy barriers to evidence-based prevention and treatment for individuals with OUD, explain the temporary rollbacks of those barriers, and argue that these changes should be made permanent. We also suggest several additional steps that federal and state governments can urgently take to reduce barriers to care for individuals with OUD, both during the current crisis and beyond. Copyright © 2020 American Society of Addiction Medicine.

Investing in Community Care Is an Important Goal and Need for Eliminating Hepatitis C in the United States: An Abolitionist Perspective.

Recent nationwide racial justice uprisings following ongoing police violence against Black communities juxtaposed with the COVID-19 pandemic have increased the urgency for a reckoning around the ineffectiveness and harm caused by the carceral apparatus. It is well documented that the correctional system was founded upon and continues the legacy of slavery and white supremacy. Research has shown that incarceration directly contributes to many negative health outcomes, including increased risk and spread of hepatitis C virus (HCV) infections, especially among people who inject drugs. This high burden of HCV disproportionately impacts low-income communities of color, who not only report higher rates of substance use due to pervasive discrimination but are also over-incarcerated as a result of structural racism and the War on Drugs. The COVID-19 pandemic further underscores that correctional facilities are fundamentally structured to promote health inequities. Minoritized communities who are overrepresented in corrections continue to be put at increased risk of COVID-19 in overcrowded facilities, are isolated from social support and medical care, and have been ignored in vaccination strategies. In this perspective, we argue that HCV interventions within the carceral apparatus will remain largely ineffective due to the negative health impacts of incarceration. Instead, we propose adopting abolitionist principles for HCV elimination-divesting from the carceral apparatus to prioritize community-based efforts on promoting HCV screening, treatment, and prevention. In doing so, the nation will have not only the capacity to meaningfully eliminate HCV but also the potential to improve overall societal outcomes.

COVID-19 vaccination hesitancy and uptake: Perspectives from people released from the Federal Bureau of Prisons

People in United States (US) prisons and jails have been disproportionately impacted by the COVID-19 pandemic. This is due to challenges containing outbreaks in facilities and the high rates of health conditions that increase the risk of adverse outcomes. Vaccination is one strategy to disrupt COVID-19 transmission, but there are many factors impeding vaccination while in custody. We aimed to examine the perspectives of former residents in the Federal Bureau of Prisons (BOP) regarding COVID 19 vaccine hesitancy and acceptance. Between September-October 2021, we conducted semi-structured interviews with 21 recently released individuals who were incarcerated before and during COVID-19 and coded transcripts thematically. We assessed perceptions of the vaccine rollout and factors shaping vaccination uptake in custody and after release. The vaccine was available to seven participants in custody, of whom three were vaccinated. Interviewees had mixed attitudes about how vaccines were distributed, particularly with priority given to staff. Most were reluctant to get vaccinated in custody for varying reasons including observing staff declining to be vaccinated, lack of counseling to address specific questions about safety, and general lack of trust in the carceral system. By contrast, twelve got vaccinated post-release because of greater trust in community health care and stated they would not have done so while incarcerated. For residents in the BOP. COVID-19 vaccination was not simply a binary decision, instead they weighed the costs and benefits with most deciding against getting vaccinated. Institutions of incarceration must address these concerns to increase vaccine uptake as the pandemic continues.(c) 2023 Elsevier Ltd. All rights reserved.

Public Health and Prisons: Priorities in the Age of Mass Incarceration.

Mass incarceration is a sociostructural driver of profound health inequalities in the United States. The political and economic forces underpinning mass incarceration are deeply rooted in centuries of the enslavement of people of African descent and the genocide and displacement of Indigenous people and is inextricably connected to labor exploitation, racial discrimination, the criminalization of immigration, and behavioral health problems such as mental illness and substance use disorders. This article focuses on major public health crises and advances in state and federal prisons and discusses a range of practical strategies for health scholars, practitioners, and activists to promote the health and dignity of incarcerated people. It begins by summarizing the historical and sociostructural factors that have led to mass incarceration in the United States. It then describes the ways in which prison conditions create or worsen chronic, communicable, and behavioral health conditions, while highlighting priority areas for public health research and intervention to improve the health of incarcerated people, including decarceral solutions that can profoundly minimize-and perhaps one day help abolish-the use of prisons.

Rethinking prison visitation for children with incarcerated parents: Lessons from the Australian Capital Territory

Children of incarcerated parents experience a range of vulnerabilities which have led to them being dubbed the ‘invisible victims' of the criminal justice system. This article discusses the needs of children with incarcerated parents using recent literature describing children's experiences during prison visitation suspensions caused by the COVID-19 pandemic. We then critically examine the human rights-based communications framework, as well as the challenges faced by children of incarcerated parents, in the Australian Capital Territory (ACT). We recommend corrective services around Australia retain alternative contact methods and consider introducing in-cell communication technology. © The Author(s) 2023.

Conditions of Confinement in U.S. Carceral Facilities During COVID-19: Individuals Speak-Incarcerated During the COVID-19 Epidemic.

Objectives: We aimed to describe conditions of confinement among people incarcerated in the United States during the coronavirus disease 2019 (COVID-19) pandemic using a community-science data collection approach. Methods: We developed a web-based survey with community partners to collect information on confinement conditions (COVID-19 safety, basic needs, support). Formerly incarcerated adults released after March 1, 2020, or nonincarcerated adults in communication with an incarcerated person (proxy) were recruited through social media from July 25, 2020 to March 27, 2021. Descriptive statistics were estimated in aggregate and separately by proxy or formerly incarcerated status. Responses between proxy and formerly incarcerated respondents were compared using Chi-square or Fisher's exact tests based on α=0.05. Results: Of 378 responses, 94% were by proxy, and 76% reflected state prison conditions. Participants reported inability to physically distance (≥6 ft at all times; 92%), inadequate access to soap (89%), water (46%), toilet paper (49%), and showers (68%) for incarcerated people. Among those receiving prepandemic mental health care, 75% reported reduced care for incarcerated people. Responses were consistent between formerly incarcerated and proxy respondents, although responses by formerly incarcerated people were limited. Conclusions: Our findings suggest that a web-based community-science data collection approach through nonincarcerated community members is feasible; however, recruitment of recently released individuals may require additional resources. Our data obtained primarily through individuals in communication with an incarcerated person suggest COVID-19 safety and basic needs were not sufficiently addressed within some carceral settings in 2020-2021. The perspectives of incarcerated individuals should be leveraged in assessing crisis-response strategies.

Social media use and juvenile incarceration: Perspectives from mental health professionals and staff of juvenile correctional facilities

Social media has become pervasive in the lives of modern adolescents. Although social media may provide individuals with many positive opportunities for communication and learning, social media sites also may provide an outlet for youth conduct problems, such as bullying, harassment, and intentional hostility and aggression toward others. In recent years, more and more research has shown that overuse of social media can lead to negative mental health outcomes( Khine et al., 2020;Andreassen, 2015;Lin et al., 2016). Research also suggests that more childhood conduct disorder symptoms are significantly associated with greater daily social media use during emerging adulthood (Galica, 2017). Yet, the relationship between social media use and adolescent delinquent behavior has remained clear. At the same time, according to a 2016 nationwide study, U.S. law enforcement arrested around 1.3 million adolescents each year (Puzzanchera, 2014). To this end, countless juvenile detention counselors, probation officers, unit counselors and other staff have treated and rehabilitated youths who were criminal offenders in an effort to prevent future crimes. This study aimed to better understand how these professionals considered and potentially addressed social media use in their everyday work with adolescents within the juvenile justice system. This researcher developed a brief survey which explored correctional staff's perspectives on the impact of social media use on the adolescents with whom they worked;and ways in which they could intervene. Data was collected from February 2021 to October 2021, which was longer than expected as it occurred amid the COVID-19 pandemic. The study sample consisted of 28 juvenile correctional facilities staff members (ages 18 or older), primarily mental health counselors, who were currently working with or previously worked with juveniles within the criminal justice system. Participants were acquired through multiple outreach attempts via phone and email to various juvenile correctional facilities throughout California. A majority of participants agreed that social media played a pertinent role in juvenile delinquency where it acted as a facilitator or platform for criminal behavior, and many disclosed a willingness to intervene or had previously attempted to intervene around social media use in some capacity. This included (a) directly communicating with adolescents, (b) communicating with their parents/caregivers about social media use, (c) recommending social media restrictions as a condition of probation, or (d) simply monitoring or limiting social media use in their general recommendations. This study offered a modest preliminary effort to explore and highlight the need to better understand the connection between social media use and juvenile criminal behavior as well as to develop and enhance ways to intervene with respect to this connection. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Towards family preservation: A systematic jurisdiction analysis of prison visitation policies during the COVID-19 pandemic

Since the onset of COVID-19, visitation to correctional facilities has been in flux, including periods of nationwide suspensions for all in-person visits. Frequent, high-quality parent-child interactions are critical in preventing recidivism and beneficial for the healthy development of children with incarcerated parents. As more variants arise, prisons must reevaluate their family visitation policies to ensure that families stay connected yet safe. As a follow-up to a previous study, we documented how different jurisdictions, including all 50 states, the District of Columbia (D.C.), and the Federal Bureau of Prisons (BOP), communicated, via their websites, their response to COVID-19 and the changes to prison visitation policies. Using each jurisdiction's website as our primary data source, we gathered publicly available information related to each state's COVID-19 safety protocols and prison visitation policies, with special attention to policies pertaining to minors. Findings suggest that as of November and December 2021, all jurisdictions, except D.C., had resumed in-person family visits (n = 34;65.4%) or had announced their commitment to a phased return (n = 17;32.7%). Additionally, most states and D.C. (n = 35;65.7%) offered video visits to all of their prison residents (incarcerated individuals) and six states (11.5%) offered video visits to some of their residents, whereas 11 states and the Federal BOP (21.2%) did not offer any video visits as an alternative. Despite the continued need for safe, accessible, and family-friendly alternatives to in-person visits, 11 jurisdictions did not offer video visitation to their residents further straining families' ability to stay connected through the ongoing COVID-19 pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Tablets as a vehicle for imprisoned people's digital connection with loved ones

The intersection between criminal justice and technology is fairly understudied, despite increasing technological advancements in the world and within the criminal justice system. A rather recent addition to the technological landscape of prison is the adoption of tablets used by imprisoned people for communication and connection with loved ones and other activities, which is particularly important given the context of COVID-19, a virus which caused a global pandemic from 2020-2022. While the use of tablets by imprisoned people appears to be a new trend, the use of tablets in prison both prior to and during the pandemic has remained an untested phenomenon, not yet evaluated by social scientists. The dissertation sought to address this gap in literature by interviewing fifteen people formerly incarcerated in the Ohio State Department of Rehabilitation and Correction (ODRC) and surveying a difficult to reach population, people currently incarcerated in ODRC (n=78), concerning their communication with loved ones using tablets and its meaning on their life and re-entry into society. The results of this study indicate that tablets are socially-situated in nature, and therefore the meaning of tablets depends upon the use of tablets by imprisoned people which is mediated by several factors concerning imprisoned people's individual and environmental contexts. The quantitative study indicates that imprisoned people's use and experience of tablets prior to and during COVID-19 is mediated by their demographic characteristics such as their age, parental status, marital status, and years served in prison, according to the quantitative study. The qualitative study indicates that several factors concerning imprisoned people's life inside of prison (e.g., technical glitches and correctional officers' attitudes) and outside of prison (e.g., their support system and financial standing) mediate their use of tablets in prison, and ultimately undermine the meaning of tablets for imprisoned people. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Older incarcerated persons' mental health before and during the COVID-19 pandemic

Purpose: Older incarcerated persons are an especially vulnerable segment of the prison population, with high rates of multimorbidity. This study aims to determine the impact of the COVID-19 pandemic on older incarcerated persons' mental and physical health. Design/methodology/approach: Participants were 157 currently-incarcerated persons age >=50 years who were enrolled in an ongoing longitudinal study before the pandemic. Anxiety symptoms (seven-item generalized anxiety disorder questionnaire), depressive symptoms (eight-item patient health questionnaire) and self-rated health (SRH) were assessed during in-person interviews completed before the pandemic and via mailed surveys during the pandemic (August-September 2020). A mediation model evaluated the relationship among anxiety, depression and SRH. Findings: Participants were 96% male, racially diverse (41% White, 41% Black, 18% Hispanic/Other), with average age 56.0(+/-5.8) years. From before to during the pandemic, anxiety symptoms increased (worsened) (from 6.4 +/- 5.7 to 7.8 +/- 6.6;p < 0.001), depressive symptoms increased (worsened) (from 5.5 +/- 6.0 to 8.1 +/- 6.5;p < 0.001) and SRH decreased (worsened) (from 3.0 +/- 0.2 to 2.6 +/- 0.2;p < 0.001). The total effect of worsening anxiety symptoms on worsening SRH (-0.043;p < 0.001) occurs entirely because of worsening depressive symptoms, i.e. the direct effect was statistically non-significant -0.030 (p = 0.068). Practical implications: Older incarcerated persons experienced worsening mental health during the COVID-19 pandemic which was associated with worsening SRH. These findings have implications for health-care costs and services needed to care for this vulnerable group. Originality/value: This is the first study to evaluate change in older incarcerated persons' mental health from before the COVID-19 pandemic to during the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

COVID-19 as "a second prison.” The experiences of older offenders

Offenders aged 50 and older represent a growing population among the incarcerated. Around 80 % of them struggle with difficulties related to their physical and mental health, as well as their social well-being. These difficulties heavily impacts their social and community reintegration process. The pandemic has given rise to additional and greater challenges. This interpretive descriptive qualitative study aims to comprehend older offenders' experiences related to their incarceration at the time of COVID-19, as well as its perceived influence on their social and community reintegration. In-depth semi-structured interviews were conducted with 22 participants ranging from 50 to 73 years of age. A thematic analysis was conducted to further understand the aspects modulated by COVID-19 during each key period of the social and community reintegration process, namely, while they were incarcerated and while they were released into the community. The pandemic influenced the social and community reintegration process, and had a larger impact on offenders at the beginning of the pandemic, as compared to a year later. Results highlight the lack of consistency between health measures and social and community reintegration objectives. © 2022 Intellect Ltd Article.

Surveillance and the experience of the COVID-19 pandemic for formerly incarcerated individuals

To date, most criminal justice research on COVID-19 has examined the rapid spread within prisons. We shift the focus to reentry via in-depth interviews with formerly incarcerated individuals in central Ohio, specifically focusing on how criminal justice contact affected the pandemic experience. In doing so, we use the experience of the pandemic to build upon criminological theories regarding surveillance, including both classic theories on surveillance during incarceration as well as more recent scholarship on community surveillance, carceral citizenship, and institutional avoidance. Three findings emerged. First, participants felt that the total institution of prison "prepared” them for similar experiences such as pandemic-related isolation. Second, shifts in community supervision formatting, such as those forced by the pandemic, lessened the coercive nature of community supervision, expressed by participants as an increase in autonomy. Third, establishment of institutional connections while incarcerated alleviated institutional avoidance resulting from hyper-surveillance, specifically in the domain of healthcare, which is critical when a public health crisis strikes. While the COVID-19 pandemic affected all, this article highlights how theories of surveillance inform unique aspects of the pandemic for formerly incarcerated individuals, while providing pathways forward for reducing the impact of surveillance.

The impact of covid-19 on justice-involved african americans

Abstract This study aimed to explore the impact of COVID-19 on justice-involved African Americans during incarceration and post-release. The study population comprised 25 African American men and women recently released from prison. A qualitative phenomenological approach was employed, and the reflexive thematic analysis process was utilized. In addition, semi-structured interviews were conducted and imported into NVivo 11 qualitative research software. The analysis revealed four major themes: stress, reentry, substance use, and community adjustment. The findings implied a need for (1) policy creation and revision to prepare jails and prisons for public health crises;(2) more realistic post-release coping strategies to prepare individuals to face post-release obstacles, such as COVID-19, housing, employment, relapse, and social reintegration;(3) improvements in data collection and transparency in disseminating such data to enhance healthcare services in jails and prisons;and (4) additional evidence-based research to address current concerns with data availability, misreporting, reporting delays, testing rate differences, and inconsistencies in population estimates. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Returning to the digital world: Digital technology use and privacy management of women transitioning from incarceration

Based on interviews with 75 women transitioning from incarceration, our research identifies technology access and skills barriers facing this population and their underlying concerns and motivations in navigating privacy online. Our results suggest precarious housing and financial situations, concerns about ex-partners, mental health issues, and lack of self-efficacy pose challenges for their access to and use of digital technologies and influence their online privacy perspectives. Many participants reported relying primarily on cellphones for various tasks including job applications. Closing public places including libraries amid the COVID-19 pandemic put them at an even greater disadvantage, as many of them depend on computers or Wi-Fi available in those places. Nothing-to-lose attitudes were salient among this group resulting in many not taking precautionary measures online or choosing to go offline. Our research highlights the importance of building academic-community partnerships to provide technology and privacy education tailored for this population's particular needs and desires. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Reducing mass incarceration through trauma-informed pedagogy: Reshaping responses to trauma in America

This chapter outlines strategies and practices that align with the Substance Abuse and Mental Health Services Administration's trauma-informed approach applied to school pedagogy in the United States to minimize or prevent trauma, especially for students referred to the school-to-prison pipeline, consequently reducing mass incarceration. With the onset of the COVID-19 pandemic in 2020, the United States' health crisis exposed a vulnerability for people of color, poorer communities, and those incarcerated, stressing a need to respond expediently to address trauma in marginalized communities. The Adverse Childhood Experiences Connection referred to childhood trauma as "America's hidden health crisis." Focusing on trauma for school-aged youth offers a path to preventing or minimizing trauma. Research suggests that more robust, multidisciplinary research, with an intentional purpose to transform teacher practices and responses to disciplinary conduct, is needed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)