School of Psychology, Fielding Graduate University.
School of Criminology and Justice Studies, University of Massachusetts Lowell.
Psychol Serv. 2022 May;19(2):261-270. doi: 10.1037/ser0000431. Epub 2020 Jun 18.
Although there are effective treatments that promote recovery and improve quality of life for serious mental illness in nonincarcerated populations, more research is needed to understand the recovery process for individuals with a history of incarceration. A qualitative, grounded theory study was conducted with 17 men and women who have serious mental illness (SMI) and a history of incarceration. Findings revealed barriers and facilitators to the recovery process in the areas of identity, treatment, relationships, community, and institutions. The findings suggested that incarceration had harmful effects on the recovery process for individuals with SMI, although these individuals, at times, found ways to turn this challenging experience into an opportunity for personal growth. The clinical implications of these findings include the importance of the prevention of incarceration for people with SMI, as well as the provision of multidisciplinary care, such as medical, mental health, and substance use treatment, during and after incarceration, to reduce barriers and increase recovery outcomes. Additionally, factors related specifically to incarceration should be addressed during delivery of treatment and accessibility of community resources. Advocacy and policy change for prison reform will also be discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
虽然在非监禁人群中，有一些有效的治疗方法可以促进严重精神疾病的康复并提高生活质量，但仍需要更多的研究来了解有监禁史的个体的康复过程。本研究采用定性扎根理论方法，对 17 名有严重精神疾病（SMI）和监禁史的男性和女性进行了研究。研究结果揭示了在身份认同、治疗、人际关系、社区和机构等领域，影响康复过程的障碍和促进因素。研究结果表明，监禁对有 SMI 的个体的康复过程产生了有害影响，尽管这些个体有时会想方设法将这种充满挑战的经历转化为个人成长的机会。这些发现的临床意义包括预防有 SMI 的人入狱的重要性，以及在监禁期间和之后提供多学科护理，如医疗、心理健康和药物使用治疗，以减少障碍并提高康复效果。此外，在提供治疗和获得社区资源方面，还应解决与监禁相关的具体因素。还将讨论监狱改革的倡导和政策变化。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
