This book examines a range of therapeutic approaches used in prisons and other secure settings and explores the challenges in such work. The approaches include Cognitive-Behavioural Therapy (CBT), Cognitive-Analytic Therapy (CAT), Attachment-Based Psychodynamic Psychotherapy and Systemic Psychotherapy. It provides insights into debates about providing therapy in prisons and other secure settings and discusses specific topics such as mental health in-reach teams, working with women in prison, therapy within therapeutic communities and therapy with black and minority ethnic groups. This book addresses developments in mental healthcare by the National Health Service (NHS) within prisons and on-going policy developments which aim to improve access to psychological therapies for prisoners. The contributors draw on experience both in clinical psychology and forensic psychology, as well as psychotherapy and criminology. They draw on experience too in a range of environments, including juvenile and young offender establishments, local prisons and dispersal prisons. Psychological Therapy in Prisons and Other Secure Settings will be essential reading for people who work to improve the psychological wellbeing of individuals in prisons and other secure settings.

This analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in the system, and the huge ethical dilemmas - brings together a range of specialists, who describe the processes involved in dealing with a mentally disordered offender.

For the past decade, the first edition of this unique book has lighted the way for those seeking to navigate the perilous shoals of providing mental health services in jails and prisons. These guidelines have been used and cited extensively in many contexts: educational, planning, and legal. They also have been used by surveyors and monitors of correctional facilities. Since the publication of the first edition, American jails and prisons have seen many changes, including considerable litigation, the development of consumer groups, and the creation of some exemplary programs. However, there has also been a dramatic increase in the population of U.S. jails and prisons. In September 1989, when the first edition of these guidelines was published, our nation's jails and prisons held an estimated 1.2 million men and women. This number is now 1.8 million. Many studies have consistently demonstrated that about 20% of these inmates have serious mental illnesses, and as many as 5% are actively psychotic. With upward of 700,000 men and women entering the U.S criminal justice system each year with active symptoms of serious mental disorders, with 75% of these people having co-occurring substance abuse disorders, and with these persons likely to stay incarcerated four or five times longer than similarly charged people without mental disorders, what are our duties and responsibilities? How do we live up to our personal moral principles, our professional ethics, and our public service obligations in the face of these overwhelming numbers? This is the question to which this book is addressed. This book is intended both to prod to action and to provide comprehensive guidance on how to fulfill these responsibilities to ourselves, our profession, and these badly underserved patients. We have the technologies for treatment and the knowledge and the skills, yet limited resources and public and professional resistance often impede appropriate response. We believe that these guidelines can help overcome many of these sources of resistance through informed action. More active involvement of our profession, as described in these guidelines, is needed, is possible, and will make a difference.

This collaborative text addresses the full range of issues faced by correctional psychologists and other mental health service providers who offer programs and services within correctional institutions--from critical program development and management issues to specific treatment options for special populations.