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Social Work

Ending the Therapeutic Relationship: Creative Termination Activities

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Termination is a highly important part of every therapeutic relationship that should be addressed throughout each stage of the process.  While many adult clients have the ability to easily think back to their experience in therapy, for youth this is often more difficult.  Because of this I like to provide clients with some sort of physical representation of their time in therapy that will help them reflect on their experiences, highlight their strengths, remind them of what they learned and provide them with tools they can use to help prevent regression, and even continue their progress on their own.

These activities let you both reflect on their time in therapy and transition out of services in an engaging way. I’ve also found that using metaphors often helps young clients to better understand termination and makes after-care instructions more salient.  Below are some ideas for creative termination activities that are easily adaptable to fit your clients’ needs. I am not sure of the origins of all of them, so please let me know if there is someone that I should be citing.

Session Trackers

counter

I recently spoke to an intern who was confused when a number of her clients seemed surprised when it came time to terminate, despite her verbal reminders.  It is sometimes helpful for young children to be able to have a visual representation of how many sessions are left, and it can help them better prepare for termination.  One way to do this is to create a session-tracking chart.  In the examples above clients color in one image, or choose a sticker, at the end of each session.  The activity is quick and also provides a good opportunity for therapists to check-in with clients and help process any feelings surrounding termination that come up throughout the process.

Ready to Set Sail: Termination Activity

sailing off

By Jodi Smith, LCSW, RPT-S at “Play is Powerful”

Supplies: Toy boat, paper boat, paper mache boat, box with a boat drawn on it, etc.

Directions:

  • I’ve found that the use of metaphors increases the amount of information that clients retain and internalize so I use them frequently in termination.  Start by explaining to the client that because of the progress they have made they are ready to sail off on their own.
  • Reflect on what that feels like and process any anxiety, and transition into talking about all the things they will “take” with them to help with their journey.
  • Have the client answer each question and write their response on the back of the cards.  The boat will contain cards related to tools they will take with them (supports, coping skills, etc.), things that may get in their way and strengths (as identified by the client and therapist).  Along with my pre-made cards, I also give them blank ones.

Treasure Chest Termination Activity

treasure

Supplies: Treasure box (Michaels Crafts has wooden “treasure” boxes  that are cheap and easy to decorate.  A link to directions on how to make a paper one can be found here; Stick-on plastic jewels (found at crafts stores, oriental trading co., etc.); Small note cards (cut to fit the box); Pen.

Directions: First, have your client decorate a treasure chest.  Then stick a jewel to each card as your client writes down the “task” that is assigned to that specific color (see below).  On the back of the card they include a specific example of how what they identified has helped them in the past and/or how it will help them in the future.  Below are examples of possible color codes, but you should change them to meet your client’s specific age and needs.  In the end the chest will be full with a stack of jeweled cards.

  • Blue: Strengths (Identified by both the client and therapist)
  • Red: Coping skills
  • Green: Supportive people in their life
  • Orange: Resources from therapist (ex. hotline numbers, therapist referrals or directions for reenrolling in services.)
  • Purple: Self-care activities
  • Pink: Inspiration (future goals, motivational quotes, etc.)
  • Yellow: Things they have learned in therapy

 Suitcase Termination Activity

suitcase

At termination, your client is finally ready to continue their journey on their own.  Even though they will be leaving you behind, they can pack up everything that they have learned during their time with you to take with them.  This metaphor is easy for most people to identify with and it is a fun activity.

Supplies: Plastic or cardboard suitcase; Blank sticker labels; Paper luggage tag; String; Cards; Travel stickers.

Goals: Process termination; Provide transitional object; Help prevent regression; Identify accomplishments, goals, coping tools, etc.

Directions:

  • Have your client make and/or decorate their suitcase.
  • Then they write something they will “take with them” from their time in therapy on each card provided (I print cards with travel clip-art on the back).  This can be things they have learned, coping skills, supports, resources etc.
  • You can also integrate this with the after-care kit I posted.
  • On the labels they write or draw goals they have accomplished.  (Like the old suitcases in movies that are covered with stickers of past travels).  I also provide additional travel stickers.
  • On the luggage tag they write where they are going next.  This could be a new life stage (ex. my 8th graders usually write “high school”) or a goal they would like to accomplish that the contents of the box will help them achieve on their own.
  • Process feelings about termination throughout the activity.

Therapeutic Goodbye Cards

letter

This is such a simple, yet powerful termination activity.  I got this idea from a client who gave me a very touching thank you note during our last session.  It is something I have kept and reflect back on, and i realized that it could potentially play a similar role for a client.

  • The focus of the content is on the journey through therapy and what has been accomplished.  I highlight strengths, review coping tools and lessons learned, and express my thoughts about termination. At the end I usually include instructions of what to do if they decide to enter therapy again.  You could also have the client write a letter to their future self that they can read when they are struggling.

Summer Bucket List

summer

I put a therapeutic twist on this summer craft.  Most school therapists are unable to see clients throughout the summer but may pick up treatment again during the following school year, which is not ideal.  This activity can help encourage adherence to after-care recommendations.

Directions: Have your client design a bucket that will help them to continue your work together on their own and prevent regression.  On the back of the paper bucket they can write goals for the summer, self-care activities, etc.  For the 3D buckets these can go on cards placed inside the bucket.  On the shovel they write down “tools” that will help them to accomplish their goals (social supports, coping skills, resources, etc.)

You’ve Got Mail: Group Termination Activity

mailbox

Directions: First, have your clients create their own paper mailbox.  Then, each person, including the therapist, writes a short note to every other member of the group.  You can instruct them to write something that they have gained by knowing that person, a strength they can identify in that person, a motivating message, etc.  The notes are then placed in the mailboxes for the group members to take home.

Graduation 

tumblr_mnhh3lPTss1s3e1yro2_1280

Certificates are very simple to create in programs like Word, Pages, etc. and are a good wrap-up for clients who have worked hard to meet their therapeutic goals.  In my example I left space to write specifics about progress, accomplishments, reflection, etc.  One the last group session we have a “graduation party” where we have fun, reflect on our time together/progress made and process termination.  They are then presented with their certificate.

The Creative Social Worker is a child and adolescent mental health therapist with special interests in trauma, play therapy and school social work. Her blog is dedicated to sharing interventions, resources, and activities with mental health professionals, as well as raising awareness about the social work field and assisting prospective MSW students with graduate school applications.

          
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Human Rights

A Call to Action for Social Workers! The Time is Now to ELEVATE

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As we recognize March as Social Work Month, let’s awaken that original passion in each other and build on our strengths and core social work values to make change and lead the way for others to do so as well.

My fellow social workers, the time is now to lead the way for our nation regarding human rights and human well-being. The shocking cruelty and violation of human rights that occur each day in our nation under the current administration not only violates our Code of Ethics, but is cruel, unjust, and the epitome of what we as social workers dedicate our lives to fight against—socialinjustice.

We cannot risk becoming desensitized to any injustice, despite hearing about a new, abhorrent policy, practice or incident, every day. Let’s channel our frustration into collective action because this is our domain. We are the experts of social welfare, and we are uniquely trained to recognize social injustice and empower individuals, families, organizations, and communities toward positive social change.

It’s what we do every day as social workers. Since we know how to do this, we should be leading the way. This social work month lets ELELVATE our dedication and translate it into collective action for social justice. I believe that in doing so, we honor of the many pioneer social workers who have blazed the trail for us and worked to give us many of the rights we now enjoy.

Every day I am in awe of our society and our government’s attitudes and policies toward the most vulnerable people in our society. Racism, anti-Semitism, sexism and homophobia seem to be increasing at alarming rates (or perhaps are just more acceptably overt now) and this is resulting in more violence, conflict, and division among families and communities.

To me, that constitutes an emergency. Children are being legally separated from their parents, put in cages, often abused or neglected and “lost” by our government. If that isn’t an emergency, I’m not sure what is. Banning PEOPLE from serving in the military, sending refugees back to their country of origin to face certain death, and women’s reproductive rights at risk are all emergencies to me.

What do you think? What constitutes a national emergency to you? Whatever you answer, the good news is that we know how to deal with crisis as social workers and are bound together by social workvalues. So, let’s do it. Someone has to, and why not us—this is our domain. Plus, we have a lot of professional strengths to build on.

For example:

• We know how to build on strengths.
• We know how to organize.
• We know how to educate.
• We know how to build bridges, not walls.
• We know how to empower individuals, families, organization, and communities.
• We understand human rights and human dignity.
• We know how to advocate on micro through macro levels.
• We know how to push through when we are tired because people’s lives depend on us.
• We understand human behavior more than most.
• We know how to critique social policy.
• We know how to conduct research and translate it into practice.
• We know how to problem solve and are used to complex problems.
• We value diversity and we know how to celebrate it.

As a social work educator, I have the privilege of working with budding social workers every day. Their passion for social justice is raw and strong. However, as some seasoned social workers know, that passion may not go away, but it may grow tired, and frustrated by red tape, high case-loads and lack of support.

My fellow social workers, I ask you to ask yourself: How do you want to use your unique innate gifts and your professional skills as a social worker to help our nation awaken to the humanity of others? We cannot let human suffering being the norm or be a line item on news that people shake their head to and go on about their day. Jane Addams would not approve.

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LGBTQ

Applying the Cass Identity Model to Social Work

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Individuals who identify as lesbian, gay, bisexual, transgender (LGBT+) or other gender and sexual minorities can have significant mental health issues – not just as a result of their sexuality or gender identity but also because of discrimination and isolation. These individuals may find themselves seeking case management, counselling, or other social work support services and it can be helpful to have a framework for understanding their coming out process.

Coming out is the process a lesbian, gay or bisexual (LGB+) individual follows in order to disclose their sexual orientation or gender identity to those around them. It can be an intensely personal and challenging process.

Cass Identity Model

The Cass Identity Model was created by Vivian Cass in 1979 in order to better understand the coming out process for LGB+ individuals. It consists of 6 stages or phases that a person will proceed through. The six stages are:

Identity Confusion

Identity confusion is the very first stage of the model. In this stage, an individual is confused by their sexual identity and begins to become aware that sexual identities are a concept. They are possibly in early puberty and noticing individuals expressing their sexuality.

At some point though, the individual will experience thoughts or feelings regarding an individual of the same-sex that will make them wonder if they are actually LGB+. This might lead to a denial that the individual is LGB (repressing these feelings.)

Identity Comparison

In the Identity Comparison phase, the individual will ask themselves more openly if they are homosexual. They will confront the idea that they might be alone in their LGB+ experiences compared to those around them and the resulting social alienation or need to keep their LGB+ identity hidden. This is especially challenging for people living in repressive societies or communities where LGB+ identities are not tolerated.

Identity Tolerance

Once the individual has reached Identity Tolerance, they have understood that they are firmly LGB. To those around them, they may be perceived one-dimensionally – as only homosexual. This can cause these individuals to seek out other LGB+ individuals and begin to build a support network.

Some individuals may continue to deny their identity and thus experience self-hatred, which may delay their coming out process and cause much distress.

Identity Acceptance

Identity Acceptance is exactly what it sounds like. The individual has accepted themselves as an LGB+ individual. They make begin to make the LGBT+ subculture a larger part of their life. This can lead to an insulation of one’s support network as a differentiation is made between those people who are openly supportive of the individual’s LGB+ identity and those who tolerate their sexuality as long as it is not displayed openly. Limiting the role these other individuals play in the LGB+ person’s life serves to reduce distress and alienation.

Identity Pride

The Identity Pride stage is the one most associated with LGBT Pride events. The person’s sexuality continues the pendulum swing from lack of awareness to tolerance to complete pride, overtaking the other aspects of their identity. The person may even dichotomize the world into an LGB area and a second, less important heterosexual category.

The understanding of heteronormativity may appear here as well, with the individual reminding others around them that the assumption they are heterosexual is a false one.

Identity Synthesis

Finally, in Identity Synthesis the individual has come to the realization that their LGB+ identity is merely one part of them and does not dominate their life. It is one part, like their career, hobbies, ethnicity and other aspects are simply other pieces of the puzzle that makes them up. At this stage, they fully accept themselves and experience little or no distress as a result of their LGB identity.

Applying the Model

A Social Worker may apply the Cass Identity Model by noting where in the six stages their client seems to be and reading the primary literature to better understand the conflicts that may occur at each stage. This can help ensure interventions are targeted to the unique distress the client is experiencing and continue to deepen the therapeutic relationship by demonstrating a strong understanding of the client’s inner-pain.

Conclusion

The Cass Identity Model is a six-stage model that demonstrates a lot of value in understanding the coming out process as it relates to LGB individuals.

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News

Social Workers Call on White House, Congress to Fully Reopen Federal Government

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The National Association of Social Workers (NASW) calls on Congress and the White House to act to fully reopen the federal government immediately. Allowing the shutdown to continue is unconscionable.

We are currently at the 33-day mark for the partial shutdown of the federal government. This is the longest such shutdown in our nation’s history and it is exacting a heavy toll on many NASW members and the often financially fragile clients they serve.

Nearly 800,000 federal employees, including social workers and allied professionals, are negatively affected by the shutdown. Almost half of these federal employees have been furloughed without pay.

Many of our nation’s most vulnerable, including children and older adults, could lose essential safety net services if the government is not restored to full operations. The Supplemental Nutrition Assistance Program (SNAP), the Housing and Urban Development (HUD) Rental Assistance program, and Temporary Assistance for Needy Families (TANF), among others, are unable to fulfill their missions.

SNAP participants have received their benefits even during the shutdown, but these are in jeopardy in future months.

Contracts for HUD’s programs for the lowest-income seniors, people living with disabilities, and families with children have not been renewed. This places nearly 70,000 program participants at risk of major rent hikes and possible evictions. Low-income Rural Housing Assistance participants were informed on January 11 that due to the federal shutdown they would have to pay the full (not discounted) rent by January 20 or face eviction. Normally, their rent is limited to 30 percent of their income.

TANF authorization expired in December. The federal government could not distribute $4.2 billion to states for the period January to March due to the shutdown. States are permitted to cover TANF expenses, but it is unclear how many will do so and for how long.

For more information about the impacts of the shutdown on the most vulnerable, please visit the following websites: Coalition on Human Needs, Food Research and Action Center, and National Low-Income Housing Coalition.

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Human Services

SWHELPER Announces Its Second Annual Global Social Welfare Digital Summit

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On March 19th thru March 22nd, SWHELPER will be hosting the Global Social Welfare Digital Summit which is an all online digital conference. You can attend the conference from any place in the world with an internet connection. The conference themes will focus on advocacy, trauma-informed care, self-care and healing, and solutions.

Are you feeling unmotivated or uninspired? Maybe you need some professional nourishment to broaden your perspective or add tools to your toolbox for future career growth. The Global Social Welfare Digital Summit aims to extend learning to a global classroom by allowing you to connect with helping professionals around the world. Additionally, you may be eligible for up 10 continuing education credits (CEUs).

Early Bird Tickets went on sale January 1st at 50% off the regular price. The Four Day Education Pass regularly $55 is available at $25. For government employees, the four day pass is $49 and $69 for private and nonprofit. All passes come with 1 year access to view all the sessions on your schedule.

Click here and Use coupon code 4DAYSWH to get an additional 10% off of early bird pricing. Early Bird pricing ends February 8th, 2019. You can also view the session agenda before purchasing your ticket.

Some of the presentations include:

  • Twitter – Jerrel Peterson, MSW: From Micro to Macro Leveraging Research, Data, and Ethics for Social Impact
  • Facebook – Avani Parehk: Tech and Movement Building…How to Hold Space in the Digital Age
  • USC – Melissa Singh: Trauma Informed Interview Coaching for Global Environments
  • Columbia University – Matthea Marquart: Helping the Helpers Online Self-Care Technique

Some of our sponsors include the International of Association for Schools of Social Work, International Council for Social Work, Network for Social Work Managers, and the National Organization for Human Services.

For more information visit, https://www.globalsocialwelfaresummit.com.

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Employment

10 Ways to Diversify Your Social Work Income in 2019

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Social Work is not a high-paid profession; we all know this and we didn’t get into this field because we want to become rich. But, if we can’t be comfortable taking care of our own financial commitments, we won’t be in the position to give ourselves fully to our clients when they need us, whether we’re providing case management, intensive counselling/therapy, or community advocacy.

The answer is for Social Workers to diversify their income streams. This is something lawyers, doctors, and other professionals learned years ago but that Social Workers are still struggling with. It sometimes seems antithetical to our mission to make money for ourselves – but there are ways to generate revenue while also providing value to our clients.

With the new year almost upon us, here are 10 ways you can diversify your income in 2019:

1. Open a Private Practice

The classic private practice is still an option. Licensed Clinical Social Workers (LCSW) can bill Medicare in all 50 states.  For those who decide not to take insurance or to take self-pay clients, you can often charge north of $100 an hour for counselling or therapy – especially if you have a well-developed niche like working with bereavement, with men or with those who have HIV/AIDS.

To save money when starting out you may choose to use a home office, or even to see clients virtually via Skype. This can make therapy more accessible to your clients, but make sure you check with your licensing board first to avoid any issues with confidentiality.

2. Start Writing

It’s been said we all have a book inside of us, and you may too. But you don’t have to write a full book to make money with your writing. Launching a blog and monetizing it using Google Adsense or the Amazon Affiliate program can help you build your professional brand and demonstrate your expertise while generating you money for every click on your ads.

To get started, you can create a blog using the free WordPress.com platform, and then consider seeking out technical assistance to move your blog to its own domain and hosting to help you expand your audience.

3. Join a Speakers Bureau

A Speakers Bureau is an organization keeping a roster of speakers on contract so you can deliver keynote speeches or other talks for a fee. The Speakers Bureau helps connect the client and the speaker (yourself) together and negotiates a speaking fee you get paid. The Speakers Bureau takes a cut in exchange for the representation and you get the promotion.

If you don’t have the popularity, name recognition, or specific niche skills to join a Speakers Bureau yet, do some networking and reach out to conferences and other organizations proactively to get yourself some initial speaking engagements. If you’re lucky, some new business will come via word-of-mouth.

4. Create Mobile Phone Apps

This is the most technical of the answers here – but surprisingly not as difficult as you might think. Social Workers have a wealth of knowledge on mental health which they can apply towards creating apps that don’t exist yet to help people.

These can be targeted at professionals in the field, for example:

  • An app allowing you to complete risk assessments on a tablet and allows the information to be exported
  • A Social Worker’s Legal Reference with information on the laws relevant to child protection, suicide intervention and other laws relevant to Social Work in your state
  • A digital study guide helping social workers in training prepare for their licensure exam

Or targeted at clients:

  • A guided meditation app which helps clients calm down when they feel stressed
  • A digital crisis plan clients can complete and then refer to when they’re having trouble coping
  • A guide to local resources in your community like crisis lines, mental health agencies, and hospitals

These are highly complex topics. You can read up on the Swift programming language (used for Apple devices) or the Java programming language (for Android devices) or join up with a skilled programmer who lacks your specialized mental health knowledge.

5. Develop a Subscription Service

A subscription service is one way to help current or future clients to receive support. By paying you a small monthly fee, they can get check-ins with you on a regular basis between appointments. If they’re struggling, you can help connect them to crisis lines or other supports. For people who haven’t yet become clients, this may offer them an opportunity to build a relationship with you as they consider whether to book an appointment.

6. Launch an Online Course

Social Workers have skills in many areas which they can turn into online courses to teach others. For example, successful online courses have been launched teaching people how to have better relationships with their spouses or children, how to avoid getting angry or upset, and how to stay cool under pressure in a challenging workplace.

Providers like Udemy can help you build your course in exchange for a small fee taken out of each purchase.

7. Teach at Night

Universities and colleges frequently hire Masters or Doctoral-level Social Workers to teach classes as an Adjunct Professor. This can help you generate revenue but also to give back to the next generation and share what you’ve learned during the course of your practice.

8. Train Other Professionals

In addition to teaching in a school environment, you can make money by becoming an instructor for training programs. For $500 you can get certified to teach the Question, Persuade, Refer (QPR) Gatekeeper Course in suicide, while for $2,500 you can get Applied Suicide Intervention Skills Training (ASIST) Training-for-Trainers (T4T) certified.

As a trainer, you can make between several hundred and several thousand dollars in a weekend leading a training course on a subject which you’re passionate about.

9. Become a Consultant

If you have an area of specialized knowledge such as program evaluation, fundraising, or experience building a nonprofit from the ground up then you may choose to become a nonprofit consultant. By helping clients avoid the same pitfalls you may have experienced yourself, you give them a great return on their investment.

Consultants also facilitate Strategic Planning sessions or Board of Directors Training and this may be an option for yourself as well.

10. Build a Video Library

If you don’t like to write but you do want to get your message out there – consider building a video library on YouTube. These videos, when you have a high-enough following, can be monetized and you’ll get ad revenue before each video plays.

Conclusion

There are a lot of ways Social Workers and other helping professions can use their experience and training to help others while also diversifying your own revenue and helping to build your personal brand. It’s important that you focus on the elements that make the most sense for your passions and level of technical expertise but also which makes sense with your desired client-base. Good luck!

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Human Rights

Increased Inmate Deaths and the Lack of Accountability

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Sandra Bland

One year after the death of Sandra Bland on July 13, 2015, the Huffington Post compiled a list of persons who died in jail. In the following twelve month period, there were 811 deaths, most of which were the result of suicide. In fact, 253 detainees committed suicide in the year after Sandra’s death, constituting 31% of all fatalities.

This heartbreaking statistic highlights a historical pattern; one of racial targeting and classism, poor management, health care oversight, and corruption. The criminal justice system fails our communities by allowing preventable inmate deaths while targeting the most vulnerable communities. These alarming trends in our prisons, jails, and juvenile detention centers have us wondering, why?

Experts examining suicide and death in our nation’s jails reveal disturbing trends across the most vulnerable communities. A recent New York Times article, for example, Preventing Suicide in America’s Jails, reveals in 2013 a total of 967 jail inmates died while detained in local corrections facilities. This statistic continued to grow the year after, even though the inmate population declined by 4%. Other authors and researchers cite poor management, inadequate health care, and perfunctory oversight as major culprits. Although these issues go mostly unresolved, they continue to institute a pattern of death and suicide.

Reasons Behind Inmate Deaths

Many jail fatalities are overlooked and underreported. Generally, jails are not required to disclose fatalities occurring within their facility to their community. Even the most egregious incarceration centers can go unnoticed by the community at large when they aren’t being held accountable for deaths occurring in their own institutions.

Different from prison, jail stays are shorter (approximately 21 days) and most of the inmates have yet to be sentenced. Jail inmates could also be under the influence of drugs, alcohol, or have mental or physical health issues that correctional staff might be unaware of. For these reasons, many jail suicides occur in the first week of incarceration as indicated below by the Prison Policy Initiative.

According to KyCIR’s reports in Kentucky’s Grant County Jail, rampant corruption, employee incompetence, ineffective staff preparation, and inmate maltreatment were all present in the jail’s culture. In an environment where accountability is minimal, inmates are more likely to be disregarded and mistreated, as is the case of Danny Ray Burden at Grant County Jail.

“Danny Ray Burden fell asleep mid-sentence as he was booked into the Grant County jail, toppling over on the bench where he sat. Prodded awake, he coughed, shook and pleaded for emergency medical attention. A blood test showed that the 41-year-old diabetic badly needed insulin. Instead of assisting with proper medical standards and medications, deputies put Danny Ray in a cell, where he was found unconscious just three hours after he had entered the jail on March 27, 2013. He died a week later.”

Reflecting on the data, including the specific cases of Sandra Bland and Danny Ray Burden, who is at risk for jail fatality?

Vulnerable groups at correctional facilities include:

  • Persons booked for lesser crimes
  • Those without financial resources who are unable to post bond
  • Communities of color who are profiled by police and often receive harsher punishments
  • Sex offenders and those accused of vicious crimes

Why Death by Suicide?

For inmates whose lives were previously difficult, a brief jail sentence could prove traumatic. The most at-risk inmates may be experiencing withdrawal symptoms, a lack of access to prescriptions, and/or low availability of medical or mental health services. An inmate with a troubled emotional, mental, or physical state of inmates suffers even more while imprisoned, especially when our system neglects their basic needs.

Correctional facility detainees may have anxiety about unemployment, broken relationships, loss of residence, healthcare, or the inability to care for children. Without financial resources, these issues are compounded by the inability to pay a bond. And for black inmates, especially those in the 18 to 29-year age range, accruing considerably greater bail amounts than their peers in other racial groups isn’t uncommon.

Suicide Prevention Strategies for Correctional Facilities

In Matti Hautala’s article In the Shadow of Sandra Bland: The Importance of Mental Health Screening in U.S. Jails, the author examines the multifaceted environment of our American jail system and garners evidence-based recommendations for inmate suicide prevention.

The author suggests the initial entry procedure, including the preliminary psychological evaluation, acclimates the inmate to the criminal justice environment. This experience could have a lasting impact on the immediate future for that inmate; although alternative programs such as parole, probation, or mental health courts are recommended. Community supervision, rather than incarceration, is especially effective for those with psychological or mental health issues. Further recommendations include:

  • Psychological evaluation instruments and qualified evaluators
  • Proper procedures regarding medical records and treatment
  • Limiting the use of restraint and isolation
  • Frequent visual follow-ups, every 15 minutes, with suicidal or homicidal inmates.

The gross lack of culpability by local and state corrections personnel and increasing inmate deaths calls for advocacy and reform. Social workers, helping professionals, and concerned citizens must engage our political and community leaders in evidence-based dialogue and program development to reduce the number of inmate fatalities in our nation’s correctional facilities.

By engaging with our local communities and representatives, together, we can hold our system accountable. We can force our jail and correctional facilities to say “mea culpa!” and reform our policies to prevent tragic and unnecessary death.

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