Service Delivery

Social and independent living skills for psychiatric patients in a prison setting. Innovations and challenges.

MacKain et al. (1990) · Behavior modification 1990
★ The Verdict

A short prison skills class boosts social and daily living behaviors, but you must link to post-release supports or the gains fade.

✓ Read this if BCBAs in jails, prisons, or transitional houses for adults with mental illness.
✗ Skip if Clinicians serving only children or out-patient anxiety clients.

01Research in Context

01

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.

02

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.

03

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.

04

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.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Pick one skill—asking for help—and run a 10-minute role-play with feedback in your next session.

02At a glance

Intervention
behavioral skills training
Design
pre post no control
Population
mixed clinical
Finding
positive

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