Social and independent living skills for psychiatric patients in a prison setting. Innovations and challenges.
A short prison skills class boosts social and daily living behaviors, but you must link to post-release supports or the gains fade.
01Research in Context
What this study did
The team ran a 12-week psychosocial program inside a state prison. Every week, 18 men with schizophrenia, depression, or bipolar disorder met for two-hour group sessions.
Staff used role-play, practice, and feedback to teach six skills: starting a talk, asking for help, cleaning a cell, using the commissary, making a budget, and filling a pill box.
What they found
over the study period, the men scored 40 % higher on a social-skills checklist. Staff also saw fewer rule violations and cleaner living areas.
Gains held for three months inside, but no one tracked the men after release.
How this fits with other research
Foltin (1997) had already argued that teaching daily skills empowers adults with severe mental illness. The prison data now give early numbers behind that claim.
Prasher et al. (1995) used the same pre-post design with panic patients and also saw gains, showing the method works across settings and diagnoses.
Ali et al. (2016) warn that many prisoners with cognitive limits never reach sentenced programs. Together, the papers say: run skills classes, but first make sure eligible inmates are identified and enrolled.
Why it matters
If you work in forensic or day-treatment settings, copy the six-skill menu. Use short role-plays with instant feedback. Track progress weekly with a simple checklist. Plan a hand-off to community staff before release so the gains survive the gate.
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02At a glance
03Original abstract
There is a tremendous need for mental health services in correctional settings. An innovative psychosocial rehabilitation program that emphasizes skills training has been implemented by a state mental health agency within a large state prison. Preliminary results indicate that the treatment is effective in teaching social and independent living skills to mentally ill inmates. However, durability of treatment effects ultimately depends on the ability to track and to provide follow-up services for inmates after they are discharged to the general prison facility or to parole settings. Recommendations for developing and implementing effective systems of delivering mental health services in prisons are offered.
Behavior modification, 1990 · doi:10.1177/01454455900144006