Solitary confinement and the well-being of people in prison.

BACKGROUND: Solitary confinement and mental well-being has been researched extensively, with a significant increase in studies over the last ten years. These recent studies produce mixed evidence for whether placement in solitary confinement is associated with psychological distress. We advance our understanding of these relationships in two critical ways. First, we conduct both between- and within-person analyses within the same data to better understand the relationship of solitary confinement and mental well-being relative to the well-being of people in less restrictive prison settings. Second, we ask the men in our sample questions about their personality style, coping strategies, and interactions with staff, which allows us to explore how individual characteristics and prison experiences matter, alongside isolation, in understanding mental well-being. METHODS: We gather data from interviews at three time points with 122 men in solitary confinement and 204 men in other conditions of confinement in Arizona from 2017 to 2019. We merge these interview data with administrative data on study sample and population sample to include critical measures such as mental health score, risk level, and visitation status. Our interviews contain a Global Severity Index (GSI), created from 90 self-reported psychopathological symptoms experienced, that we use to assess well-being. We estimate cross-classified multilevel models to assess between-person differences and within-person change in well-being over time. RESULTS: There was a small relationship between solitary confinement and worsening well-bring (longitudinal, within-person) and a small relationship between solitary confinement and worse well-being (cross-sectional, between-person), with this between-person association reduced significantly upon inclusion of additional individual characteristics and prison experiences. CONCLUSIONS: Our results suggest that the incarceration experience, including conditions of confinement, is associated with mental well-being in different ways for different people. We believe that collective confinement and well-being could receive the same scholarly attention and public concern as solitary confinement.

Addressing Serious Violent Misconduct in Prison: Examining an Alternative Form of Restrictive Housing.

A number of scholars, civil, and human rights activists have expressed concern about the negative impact restrictive housing may have on the physical and mental well-being of inmates. Rigorous, theoretically informed outcome evaluations, however, are virtually nonexistent. Guided by theory and existing empirical evidence, this study explores the future behavioral and mental health outcomes associated with completing an alternative approach to restrictive housing in the Arizona Department of Corrections. To explore program outcomes, we use paired-sample t tests to determine whether post-program behavior is significantly different from preprogram behavior. In addition, we use cross tabulations and independent samples t tests to identify relationships between individual-level inmate and program characteristics and program outcomes. Results from this study suggest that a more therapeutic restrictive status housing program has the potential to improve the future behavior of program graduates; however, future research is needed to build upon these findings.

Gun- and Non-Gun-Related Violence Exposure and Risk for Subsequent Gun Carrying Among Male Juvenile Offenders.

OBJECTIVE: Although studies have found that youth exposed to violence are more likely to carry guns than non-exposed youth, this association could be due to common causal factors or other pre-existing differences between individuals. In this study, within-individual change models were used to determine whether juvenile offenders exhibit an increased propensity to carry a firearm after being exposed to gun violence and/or non-gun violence. The advantage of this approach is all time-invariant factors are eliminated as potential confounders. METHOD: A sample of 1,170 racially/ethnically diverse male juvenile offenders was recruited in Arizona and Pennsylvania (14-19 years old at recruitment). Participants were interviewed every 6 months for 3 years followed by 4 annual assessments. The outcome was gun carrying and the primary predictors were exposure to gun violence and non-gun violence. Time-varying covariates included exposure to peers who carried guns, exposure to peers who engaged in other (non-gun) criminal acts, developmental changes in gun carrying, and changes in gun carrying from incarceration or institutionalization. RESULTS: Adolescent offenders were significantly more likely to carry a gun in recall periods after exposure to gun violence, but not after exposure to non-gun violence. Effect of gun violence on carrying was significant throughout adolescence and young adulthood and could not be accounted for by time-varying and time-invariant confounders. CONCLUSIONS: Interventions to decrease illegal gun carrying should target young men in medical and mental health settings who experience or witness gun violence and those living in communities with high rates of gun violence.