Dataset Information

Behind bars but connected to family: Evidence for the benefits of family contact during incarceration.

ABSTRACT: Incarceration separates individuals from their families and communities, strictly limiting and controlling contact with the outside world. Despite these barriers, those who maintain contact with their families during incarceration tend to function more adaptively postrelease. Within a longitudinal framework, the current study examines mechanisms (i.e., family connectedness, postrelease planning) by which contact with family during incarceration may impact postrelease functioning (i.e., recidivism, substance misuse, mental illness, community functioning), considering differences between type of contact (visits, phone calls, letters) and whether it occurred in a jail or prison setting. Participants included 507 adults incarcerated in a local jail (Mage = 32 years, SD = 10 years; 70% male; 44.3% Black, 36.4% White; 59.5% parents). Structural equation modeling results demonstrated having more frequent contact with family during incarceration predicts increases in family connectedness, which in turn predicts better mental health during the first-year postrelease. Although not related to frequency of contact, making plans for postrelease predicted adaptive community functioning during the first-year postrelease. There were no differences in the overall model based on type of contact or incarceration in a jail versus prison setting. These findings suggest maintaining contact with family during incarceration can facilitate more psychologically healthy adjustment during the stressful process of reentering society. Furthermore, incarcerated individuals should be encouraged to make plans for postrelease while still incarcerated either independently or in collaboration with family. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

SUBMITTER: Folk JB

PROVIDER: S-EPMC6625803 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Behind bars but connected to family: Evidence for the benefits of family contact during incarceration.

Folk Johanna B JB Stuewig Jeffrey J Mashek Debra D Tangney June P JP Grossmann Jessica J

Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) 20190411 4

Incarceration separates individuals from their families and communities, strictly limiting and controlling contact with the outside world. Despite these barriers, those who maintain contact with their families during incarceration tend to function more adaptively postrelease. Within a longitudinal framework, the current study examines mechanisms (i.e., family connectedness, postrelease planning) by which contact with family during incarceration may impact postrelease functioning (i.e., recidivis ...[more]

PMID: 30973255

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Project description:ImportanceRestrictive housing, otherwise known as solitary confinement, during incarceration is associated with poor health outcomes.ObjectiveTo characterize the association of restrictive housing with reincarceration and mortality after release.Design, setting, and participantsThis retrospective cohort study included 229 274 individuals who were incarcerated and released from the North Carolina prison system from January 2000 to December 2015. Incarceration data were matched with death records from January 2000 to December 2016. Covariates included age, number of prior incarcerations, type of conviction, mental health treatment recommended or received, number of days served in the most recent sentence, sex, and race. Data analysis was conducted from August 2018 to May 2019.ExposuresRestrictive housing during incarceration.Main outcomes and measuresMortality (all-cause, opioid overdose, homicide, and suicide) and reincarceration.ResultsFrom 2000 to 2015, 229 274 people (197 656 [86.2%] men; 92 677 [40.4%] white individuals; median [interquartile range (IQR)] age, 32 years [26-42]), were released 398 158 times from the state prison system in North Carolina. Those who spent time in restrictive housing had a median (IQR) age of 30 (24-38) years and a median (IQR) sentence length of 382 (180-1010) days; 84 272 (90.3%) were men, and 59 482 (63.7%) were nonwhite individuals. During 130 551 of 387 913 incarcerations (33.7%) people were placed in restrictive housing. Compared with individuals who were incarcerated and not placed in restrictive housing, those who spent any time in restrictive housing were more likely to die in the first year after release (hazard ratio [HR], 1.24; 95% CI 1.12-1.38), especially from suicide (HR, 1.78; 95% CI, 1.19-2.67) and homicide (HR, 1.54; 95% CI, 1.24-1.91). They were also more likely to die of an opioid overdose in the first 2 weeks after release (HR, 2.27; 95% CI, 1.16-4.43) and to become reincarcerated (HR, 2.16; 95% CI, 1.99-2.34).Conclusions and relevanceThis study suggests that exposure to restrictive housing is associated with an increased risk of death during community reentry. These findings are important in the context of ongoing debates about the harms of restrictive housing, indicating a need to find alternatives to its use and flagging restrictive housing as an important risk factor during community reentry.

Project description:ImportanceMore than half of the adult population in the United States has ever had a family member incarcerated, an experience more common among Black individuals. The impacts of family incarceration on well-being are not fully understood.ObjectiveTo assess the associations of incarceration of a family member with perceived well-being and differences in projected life expectancy.Design, setting, and participantsThis nationally representative cross-sectional study used data from the 2018 Family History of Incarceration Survey to examine how experiences of family member incarceration were associated with a holistic measure of well-being, including physical, mental, social, financial, and spiritual domains. Well-being was used to estimate change in life expectancy and was compared across varying levels of exposure to immediate and extended family member incarceration using logistic regression models to adjust for individual and household characteristics. Data were analyzed from October 2019 to April 2020.ExposuresRespondents' history of family member incarceration, including immediate and extended family members.Main outcomes and measuresThe main outcome was self-reported life-evaluation, a measure of overall well-being from the 100 Million Healthier Lives Adult Well-being Assessment. Respondents were considered thriving with a current life satisfaction score of 7 or greater and a future life optimism score of 8 or greater, each on a scale of 0 to 10. Other outcomes included physical health, mental health, social support, financial well-being, and spiritual well-being, each measured with separate scales. Additionally, life expectancy projections were estimated using population-level correlations with the Life Evaluation Index. All percentages were weighted to more closely represent the US population.ResultsOf 2815 individuals included in analysis, 1472 (51.7%) were women, 1765 (62.8%) were non-Hispanic White, and 868 (31.5%) were aged 35 to 54 years. A total of 1806 respondents (45.0%) reported having an immediate family member who was incarcerated. Compared with respondents with no family incarceration, any family member incarceration was associated with lower well-being overall (thriving: 69.5% [95% CI, 65.0%-75.0%] vs 56.9% [95% CI, 53.9%-59.9%]) and in every individual domain (eg, physical thriving: 51.1% [95% CI, 46.2-56.0] vs 35.5% [95% CI, 32.6%-38.3%]) and with a mean (SE) estimated 2.6 (0.03) years shorter life expectancy. Among those with any family incarceration, Black respondents had a mean (SE) estimated 0.46 (0.04) fewer years of life expectancy compared with White respondents.Conclusions and relevanceThese findings suggest that family member health and well-being may be an important avenue through which incarceration is associated with racial disparities in health and mortality. Decarceration efforts may improve population-level well-being and life expectancy by minimizing detrimental outcomes associated with incarceration among nonincarcerated family members.

Dataset Information

Behind bars but connected to family: Evidence for the benefits of family contact during incarceration.

Publications

Behind bars but connected to family: Evidence for the benefits of family contact during incarceration.

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