Incorporating Multicultural Couple and Family Therapy Into Incarcerated Settings

"Fear of the Unknown": Coparenting With an Incarcerated Individual

Over 2.2 million individuals are currently incarcerated in prisons and jails across the United States. Having a family member incarcerated impacts the entire family system. Recent research has shown the relational consequences of incarceration, such as adjusting to and negotiating new rules and roles within the coparenting relationship. The coparenting relationship is multifaceted and necessitates empirical evidence that significantly honors the voices that are at the center of experience but typically silenced by the stigma and prejudice nature of incarceration and its coinciding consequences. Coparenting partners of incarcerated individuals were interviewed to understand the lived experience of incarcerated coparenting using a phenomenological approach. Four themes (positive relationship, stigma, seeking and providing support, and impact of incarceration) emerged from eleven interviews. Implications are provided on how to best advocate for this population through research, clinical work, and policy.

Collaborative Healthcare in Incarcerated Settings

A total of 2,162,400 adults were incarcerated in the United States in 2016. Sub-optimal health status, existing healthcare disparities, and fragmented healthcare delivery among incarcerated populations are concerning and warrant redress. This article highlights the need for and discusses the benefits of collaboration between healthcare professionals in incarcerated settings. The roles of primary care health professionals, pharmacists, and medical family therapists (MedFTs) in correctional facilities are outlined. Through integrated healthcare models, enhanced communication, improved continuity of care, and holistic treatment plans, existing gaps in healthcare delivery in correctional facilities can be filled. By working together and assuming nontraditional roles, medical professionals can help improve health outcomes of incarcerated individuals. Collaborative healthcare models in incarcerated settings can elevate public health in a cost-effective, yet positive manner.

Trajectories of incarcerated coparenting: Examining differences across race and ethnicity

Emerging research suggests that those coparenting with an incarcerated person experience multiple challenges. Examining incarcerated coparenting among minority fathers is especially salient as their incarceration rates are substantially higher than White males. This study utilized data from the Multi-Site Family Study on Incarceration, Parenting and Partnering Study to examine changes in coparenting relationships when the male partner was incarcerated. Theoretically guided by structural family therapy, latent growth models were used to evaluate trajectories of fathers' coparenting reliability and coparenting cohesion across 34 months. Results indicated average declines within incarcerated men's reported coparenting responsibility and coparenting cohesion with their partner. Incarcerated men with higher relationship quality at T1 was significantly associated with higher initial levels of coparenting cohesion and coparenting responsibility-but not with the trajectories of coparenting change. Incarcerated fathers identifying as Hispanic and Other declined at a significantly steeper rate in coparenting responsibility than Black and White incarcerated fathers. Clinical implications and future research directions are provided.

Families post-release: Barriers and pathways to family therapy

Family therapy has helped repair relational ruptures and restore stability within families for decades. However, service can be inaccessible and underutilized among many minoritized and stigmatized groups, including families post-release. Harmful sociocultural and relational experiences pose considerable risks to families before, during, and after incarceration. While not exhaustive, this article highlights potential attitudinal, relational, and logistical obstacles to family therapy engendered by therapists, clients, or both. Feasible and accessible clinically oriented conceptual and practical pathways of support to combat such obstacles are outlined to help therapists attract and retain families post-release.

The Tadros Theory: A Clinical Supervision Framework for Working with Incarcerated Individuals and Their Families

As a result of mass incarceration and the deinstitutionalization of mental health, carceral settings in the USA are in dire need of systemic therapy. Therapists treating the incarcerated face unique challenges that therapists in traditional settings do not, like security risks, maintaining confidentiality, navigating dual relationships, and acquiring appropriate training. As such, it is imperative that carceral therapists have access to incarcerated informed clinical supervision. Yet, the literature on this is sparse. In this paper, we propose the Tadros Theory of Change, a clinical supervision framework for working with incarcerated individuals and their families. Multicultural and ethical considerations are explored.

Coparenting, Negative Educational Outcomes, and Familial Instability in Justice-involved Families

Incarceration of a parent is associated with negative consequences for children, such as behavioral problems, the development of antisocial personality traits, and decreased educational attainment. Data from the Multi-site Family Study on Incarceration, Parenting, and Partnering was used to analyze four measures of the coparenting relationship in families in which the father is incarcerated and the mother is not, to examine if a higher quality, more cohesive coparenting relationship is associated with fewer adverse childhood experiences for the parents' shared child. Findings suggest that children of parents who frequently argue about the child are more likely to have ever been suspended or expelled from school and are more likely to have ever had to live outside of the home with a relative, family friend, or foster parents. Clinical implications are discussed, and future directions call for research, practice, and training to improve outcomes for incarcerated coparents and their children.

Romantic attachment, childhood stability, depression, and PTSD in couples with an incarcerated partner

Incarceration has a multitude of effects on prisoners' finances, health, education, employment, and family relationships. Incarceration complicates the maintenance of attachment bonds between romantic partners. Data from the Multi-site Family Study on Incarceration, Parenting, and Partnering were analyzed to examine the effects of childhood stability on adult romantic attachment while controlling for the effects of PTSD and depression within the carceral population. Findings indicate that posttraumatic stress disorder (PTSD) and depression have statistically significant effects on adult romantic attachment. PTSD on romantic attachment for men is statistically significant (p < 0.05) at -0.193 with an overall standardized effect of -0.086. For women, the effect is statistically significant (p < 0.01) at -0.235 with an overall standardized effect of -0.1. Effects of depression on romantic attachment for men is statistically significant (p < 0.001) -0.129 with an overall standardized effect of -0.229. For women, depression is also statistically significant (p < 0.001) at -0.153 with a standardized effect of -0.265. We examined the effects of childhood stability on adult romantic attachment while controlling for the effects of PTSD and depression within the carceral population. Findings supported our hypothesis that individuals with better childhood stability will experience better romantic attachments. Findings related to our hypothesis that having a partner with better childhood stability is positively associated with better romantic attachment produced mixed results. Clinical implications are discussed, and future directions call for research, practice, and training to improve outcomes for justice-involved romantic partners, their attachment, and consideration of covariates of depression and PTSD.

COVID-19 Inspired Relational Telemental Health Services for Incarcerated Individuals and Their Families

The novel coronavirus pandemic has caused marriage and family therapists (MFTs) to alter how they provide clinical services. MFTs must determine how to deliver relationship-oriented services to underserved populations that are often forgotten during crises, including incarcerated individuals and their families. The primary purpose of this paper is to showcase how relational telemental health (TMH) services for incarcerated individuals and their families can increase access to services and improve relational health. Information is presented about corrections in the U.S., effects of incarceration on partners, children, and other family members, the behavioral health and relationship needs of incarcerated individuals, and current approaches to relational mental health and telehealth in corrections. Finally, suggestions are offered on how relational TMH could be used in corrections during the COVID-19 pandemic, including advocacy for collaborative healthcare, recommended implementation practices, and ethical considerations.

The Lived Experience of Sisters With an Incarcerated Brother: A Phenomenological Study

The major increase of incarcerated individuals in the United States has led to a variety of issues. The experience of incarceration has an impact on not only the individual but the entire family system. However, the impact on the sibling relationship has yet to be explored in the literature. The current study examined the lived experience of sisters with an incarcerated brother. In this qualitative study, semi-structured interviews with five sisters with an incarcerated brother were conducted. The results displayed five themes that emerged from the interviews: emotional impact, adjustment, prison experience, family impact, and stigma. The results informed clinical implications for marriage and family therapists working within the incarcerated population. In addition, specific suggestions are provided in how to best advocate for this population through research and clinical work. Moreover, the current study punctuates the specific and dire need for therapeutic intervention and broader policy change among many other efforts.