This pilot study examined a peer-facilitated trauma-focused intervention among 624 incarcerated men (Exploring Trauma). Pre- and postintervention data were collected on trauma-related mental health symptoms, aggression, and anger. The results demonstrated statistically significant improvement in trauma-related symptoms relative to pretreatment functioning and demonstrated support for the feasibility of peer-facilitation. Effect sizes were small to moderate, with the largest impact on current traumatic distress, depression, and anxiety (Cohen’s d = .54, .48, .46, respectively). The mixed-effects regression results showed the impact of adverse childhood experiences (ACEs) on outcomes was strong and cumulative (i.e., greater exposure to ACEs increased the likelihood of participant program gain on mental health and aggression symptoms, ranging from .15 to .77). The findings showed that trauma can be safely addressed in corrections and provide promising support for peer-facilitation with training and oversight. Rigorous studies are needed on the impact of trauma-informed services and models of program delivery.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.).
2.
BagnallA. M.SouthJ.HulmeC.WoodallJ.Vinall-CollierK.RaineG.KinsellaK.DixeyR.HarrisL.WrightN. M. (2015). A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons. BMC Public Health, 15(1), 1–30. https://doi.org/10.1186/s12889-015-1584-x
3.
BatesD.MächlerM.BolkerB.WalkerS. (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67(1), 1–48. https://doi.org/10.18637/jss.v067.i01
4.
BishopG. D.QuahS. H. (1998). Reliability and validity of measures of anger/hostility in Singapore: Cook & Medley Ho Scale, STAXI and Buss-Durkee Hostility Inventory. Personality and Individual Differences, 24(6), 867–878. https://doi.org/10.1016/s0191-8869(98)00024-5
5.
BloomS. (2010). Organizational stress and trauma-informed services. In LevinB.BeckerM. (Eds.), A public health perspective of women’s mental health (pp. 295–311). Springer. https://doi.org/10.1007/978-1-4419-1526-9_15
6.
BontaJ.AndrewsD. A. (2016). The psychology of criminal conduct (6th ed.). Routledge.
7.
BreslauN.PetersonE. L.KesslerR. C.SchultzL. R. (1999). Short Screening Scale for DSM-IV posttraumatic stress disorder. American Journal of Psychiatry, 156(6), 908–911. https://doi.org/10.1176/ajp.156.6.908
8.
BurdonW. M.MessinaN. P.PrendergastM. L. (2004). The California treatment expansion initiative: Aftercare participation, recidivism, and predictors of outcomes. The Prison Journal, 84(1), 61–80. https://doi.org/10.1177/0032885503262455
California Department of Public Health. (2020). Adverse childhood experiences data report: Behavioral risk factor surveillance system. https://osg.ca.gov/sg-report
CovingtonS. (2019). Becoming trauma informed: A training for correctional professionals (5th ed.). Center for Gender and Justice.
13.
CovingtonS.BloomS. (2018). Moving from trauma-informed to trauma-responsive: A training program for organizational change. Hazelden.
14.
CovingtonS. S.RodriguezR. (2016). Exploring trauma: A brief intervention for men. Hazelden.
15.
DrapeauA.Beaulieu-PrévostD.MarchandA.BoyerR.PrévilleM.KairouzS. (2010). A life-course and time perspective on the construct validity of psychological distress in women and men. Measurement invariance of the K6 across gender. BMC Medical Research Methodology, 10(1), 2–16. https://doi.org/10.1186/1471-2288-10-68
16.
ElliotD. M.BriereJ. (1992). Sexual abuse trauma among professional women: Validating the Trauma Symptom Checklist-40 (TSC-40). Child Abuse & Neglect, 16(3), 391–398. https://doi.org/10.1016/0145-2134(92)90048-v
17.
Gajewski-NemesJ. A.MessinaN. (2021). Exploring and healing invisible wounds: Perceptions of trauma-focused treatment from incarcerated men and women. Trauma and Treatment, 10(5), 2–8.
18.
GreenfieldE. A.MarksN. F. (2010). Identifying experiences of physical and psychological violence in childhood that jeopardize mental health in adulthood. Child Abuse & Neglect, 34(3), 161–171. https://doi.org/10.1016/j.chiabu.2009.08.012
19.
GrellaC. E.SteinJ. A.GreenwellL. (2005). Associations among childhood trauma, adolescent problem behaviors, and adverse adult outcomes in substance-abusing women Offenders. Psychology of Addictive Behaviors, 19(1), 43–53. https://doi.org/10.1037/0893-164x.19.1.43
HorwitzA. V.WidomC. S.McLaughlinJ.WhiteH. R. (2001). The impact of childhood abuse and neglect on adult mental health: A prospective study. Journal of Health and Social Behavior, 42(2), 184–201. https://doi.org/10.2307/3090177
22.
HubbardA. E.AhernJ.FleischerN. L.LaanM. V. D.LippmanS. A.JewellN.BrucknerT.SatarianoW. A. (2010). To GEE or not to GEE. Epidemiology, 21(4), 467–474. https://doi.org/10.1097/ede.0b013e3181caeb90
23.
JacobsG. A.LathamL. E.BrownM. S. (1988). Test-retest reliability of the state-trait personality inventory and the anger expression scale. Anxiety Research, 1(3), 263–265. https://doi.org/10.1080/08917778808248724
24.
JoeG. W.KnightK.SimpsonD. D.FlynnP. M.MoreyJ. T.BartholomewN. G.TindallM. S.BurdonW. M.HallE. A.MartinS. S.O’ConnellD. J. (2012). An evaluation of six brief interventions that target drug-related problems in correctional populations. Journal of Offender Rehabilitation, 51(1–2), 9–33. https://doi.org/10.1080/10509674.2012.633020
25.
Kendall-TackettK. A. (2000). Physiological correlates of childhood abuse: Chronic hyperarousal in PTSD, depression, and irritable bowel syndrome. Child Abuse & Neglect, 24(6), 799–810. https://doi.org/10.1016/s0145-2134(00)00136-8
26.
KesslerR. C.AndrewsG.ColpeL.HiripiE.MroczekD.NormandS. L.WaltersE.ZaslavskyA. (2002). Short screening scales to monitor population prevalence’s and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. https://doi.org/10.1017/s0033291702006074
27.
KesslerR. C.BarkerP. R.ColpeL. J.EpsteinJ. F.GfroererJ. C.HiripiE.HowesM. J.NormandS. L. T.ManderscheidR. W.WaltersE. E.ZaslavskyA. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189. https://doi.org/10.1001/archpsyc.60.2.184
28.
KokT.de HaanH. A.van der MeerM.NajavitsL. M.de JongC. A. (2014). Screening of current post-traumatic stress disorder in patients with substance use disorder using the Depression, Anxiety and Stress Scale (DASS-21): A reliable and convenient measure. European Addiction Research, 21(2), 71–77. https://doi.org/10.1159/000365283
KubiakS.CovingtonS.HillierC. (2017). Trauma-informed corrections. In SpringerD. W.RobertsA. R. (Eds.), Social work in juvenile and criminal justice systems (4th ed., pp. 92–104). Charles C. Thomas.
31.
KubiakS.FedockG.KimW. J.BybeeD. (2017). Examining perpetration of physical violence by women: The influence of childhood adversity, victimization, mental illness, substance abuse, and anger. Violence and Victims, 32(1), 22–45. https://doi.org/10.1891/0886-6708.vv-d-15-00177
32.
KubiakS.FedockG.TillanderE.KimW. J.BybeeD. (2014). Assessing the feasibility and fidelity of an intervention for women with violent offenses. Evaluation and Program Planning, 42, 1–10. https://doi.org/10.1016/j.evalprogplan.2013.08.001
33.
KubiakS. P.RoseI. M. (2007). Trauma and posttraumatic stress disorder in inmates with histories of substance use. In SpringerD. W.RobertsA. R. (Eds.), Handbook of forensic mental health with victims and offenders: Assessment, treatment, and research (pp. 445–466). Springer Publishing Company. https://psycnet.apa.org/record/2007-02622-019
34.
KuznetsovaA.BrockhoffP. B.ChristensenR. H. B. (2017). lmerTest package: Tests in linear mixed effects models. Journal of Statistical Software, 82(13), 1–26. https://doi.org/10.18637/jss.v082.i13
35.
LukeS. G. (2016). Evaluating significance in linear mixed-effects models in R. Behavior Research Methods, 49(4), 1494–1502. https://doi.org/10.3758/s13428-016-0809-y
MartinS. S.ButzinC. A.SaumC. A.InciardiJ. A. (1999). Three-year outcomes of therapeutic community treatment for drug-involved offenders in Delaware: From prison to work release to aftercare. The Prison Journal, 79(3), 294–320. https://doi.org/10.1177/0032885599079003002
38.
McHughR. K.HearonB. A.OttoM. W. (2010). Cognitive behavioral therapy for substance use disorders. Psychiatric Clinics of North America, 33(3), 511–525. https://doi.org/10.1016/j.psc.2010.04.012
39.
MessinaN.BurdonW. (2021). Evaluation of a violence and trauma prevention program in secure housing units. Journal of Community Corrections, 30, 1–12.
40.
MessinaN.BurdonW.HagopianG.PrendergastM. (2004). One year return to custody rates among co-disordered offenders. Behavioral Sciences & the Law, 22(4), 503–518. https://doi.org/10.1002/bsl.600
41.
MessinaN.GrellaC. (2006). Childhood trauma and women’s health outcomes in a California prison population. American Journal of Public Health, 96(10), 1842–1848. https://doi.org/10.2105/ajph.2005.082016
42.
MessinaN.GrellaC.BurdonW.PrendergastM. (2007). Childhood adverse events and current traumatic distress. Criminal Justice and Behavior, 34(11), 1385–1401. https://doi.org/10.1177/0093854807305150
43.
MessinaN.ScheppsM. (2021). Opening the proverbial “Can of worms” on trauma-specific treatment in prison: The association of adverse childhood experiences to treatment outcomes. Clinical Psychology & Psychotherapy, 28(5), 1210–1221. https://doi.org/10.1002/cpp.2568
44.
MessinaN.ZwartE. (2021). Breaking the silence and healing trauma for incarcerated women: Peer-facilitated delivery of a brief intervention. MOJ Women’s Health, 10(1), 8–16. https://doi.org/10.15406/mojwh.2021.10.00280
45.
MessinaN.ZwartE.CalhounS. (2020). Efficacy of a trauma intervention for women in a security housing unit. Archives of Women Health and Care, 3(4), 1–9. https://doi.org/10.31038/awhc.2020343
46.
MillerN. A.NajavitsL. M. (2012). Creating trauma-informed correctional care: A balance of goals and environment. European Journal of Psychotraumatology, 3(1), Article 17246. https://doi.org/10.3402/ejpt.v3i0.17246
47.
NajavitsL. M.HienD. (2013). Helping vulnerable populations: A comprehensive review of the treatment outcome literature on substance use disorder and PTSD. Journal of Clinical Psychology, 69(5), 433–479. https://doi.org/10.1002/jclp.21980
PetosaR. L.SmithL. H. (2014). Peer mentoring for health behavior change: A systematic review. American Journal of Health Education, 45(6), 351–357. https://doi.org/10.1080/19325037.2014.945670
50.
R Core Team. (2020). R: The R Project for statistical computing. The R Project.Org. http://www.R-project.org/
SouthJ.BagnallA. M.HulmeC.WoodallJ.LongoR.DixeyR.KinsellaK.RaineG.Vinall-CollierK.WrightJ. (2014). A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings. Health Services and Delivery Research, 2(35), 1–218. https://doi.org/10.3310/hsdr02350
54.
SpielbergerC. D. (1999). STAXI-2: State–Trait Anger Expression Inventory - 2. Professional manual. Odessa, FL: Psychological Assessment Resources.
55.
SpitzerR. L.KroenkeK.WilliamsJ. B. W.LöweB. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
56.
SpitzerR. L.KroenkeK.WilliamsJ. B. W. & The Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. JAMA, 282(18), 1737–1744. https://doi.org/10.1001/jama.282.18.1737
57.
SpringerK. W.SheridanJ.KuoD.CarnesM. (2007). Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child Abuse & Neglect, 31(5), 517–530. https://doi.org/10.1016/j.chiabu.2007.01.003
58.
SullivanG. M.FeinnR. (2012). Using effect size—Or why the p value is not enough. Journal of Graduate Medical Education, 4(3), 279–282. https://doi.org/10.4300/jgme-d-12-00156.1
59.
WoodallJ.SouthJ.DixeyR.de ViggianiN.PensonW. (2015). Expert views of peer-based interventions for prisoner health. International Journal of Prisoner Health, 11(2), 87–97. https://doi.org/10.1108/ijph-10-2014-0039
60.
WooditchA.TangL. L.TaxmanF. S. (2014). Which criminogenic need changes are most important in promoting desistance from crime and substance use?Criminal Justice and Behavior, 41(3), 276–299. https://doi.org/10.1177/0093854813503543
