Author Affiliations: Adult Crisis Mobile Team, Milwaukee County Behavioral Health Division.
Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee.
J Forensic Nurs. 2020 Oct/Dec;16(4):224-231. doi: 10.1097/JFN.0000000000000302.
Most incarcerated women in the United States are mothers who report high rates of mental health issues and traumatic experiences, yet their needs are often overlooked because they comprise a smaller proportion of the incarcerated population compared with men.
This integrative review aimed to synthesize the literature on the mental health, mental health treatment, and traumatic experiences of currently and formerly incarcerated mothers.
We searched PsychINFO, CINAHL, and Criminal Justice Abstracts for all research articles that were written in English; included adult mothers who were incarcerated or incarcerated and released; and contained findings related to mental health, mental health treatment, or traumatic experiences.
Thirty-four articles met the inclusion criteria. Mothers had high rates of moderate-to-severe mental health problems and high childhood and adult trauma rates, especially intimate partner violence. Mothers faced barriers to treatment yet showed psychological resilience and active coping skills.
Nurses can recognize risk factors for women's incarceration and assess mental health symptoms and trauma, especially interpersonal violence. Nurses can use assessment findings to refer mothers to treatment and community resources and support their reuniting with their children. Nurses can also provide trauma-informed care and education about mental health topics and advocate for mental health treatment prerelease and postrelease. Staff education and organizational interventions to reduce burnout may remove additional barriers to care.
美国大多数被监禁的女性都是母亲,她们报告称自己存在较高的心理健康问题和创伤经历,但她们的需求往往被忽视,因为与男性相比,她们在被监禁的人群中所占比例较小。
本综合述评旨在综合目前关于在押和已出狱的母亲的心理健康、心理健康治疗和创伤经历的文献。
我们在 PsychINFO、CINAHL 和 Criminal Justice Abstracts 中搜索了所有以英文撰写的研究文章,这些文章包括成年母亲,她们被监禁或监禁后被释放;并包含与心理健康、心理健康治疗或创伤经历相关的发现。
有 34 篇文章符合纳入标准。母亲的中度至重度心理健康问题发生率较高,儿童期和成年期的创伤率也较高,尤其是亲密伴侣暴力。母亲面临治疗障碍,但表现出心理弹性和积极应对技能。
护士可以识别女性监禁的风险因素,并评估心理健康症状和创伤,尤其是人际暴力。护士可以使用评估结果将母亲转介到治疗和社区资源,并支持她们与子女团聚。护士还可以提供创伤知情护理和心理健康主题教育,并倡导在押前和出狱后进行心理健康治疗。工作人员教育和组织干预措施以减少倦怠可能会消除额外的护理障碍。