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Research ArticleRegular Article

A Longitudinal Study of Administrative Segregation

Maureen L. O'Keefe, Kelli J. Klebe, Jeffrey Metzner, Joel Dvoskin, Jamie Fellner and Alysha Stucker
Journal of the American Academy of Psychiatry and the Law Online March 2013, 41 (1) 49-60;
Maureen L. O'Keefe
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Kelli J. Klebe
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Jeffrey Metzner
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Joel Dvoskin
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Jamie Fellner
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Alysha Stucker
Ms. O'Keefe is Research Director, Office of Planning and Analysis, Colorado Department of Corrections, Colorado Springs, CO. Dr. Klebe is Associate Professor of Psychology, and Ms. Stucker is Professional Research Assistant, University of Colorado, Colorado Springs, CO. Dr. Metzner is Clinical Professor of Psychiatry, School of Medicine, University of Colorado, Denver, CO. Dr. Dvoskin is Assistant Clinical Professor, University of Arizona College of Medicine, Tucson, AZ. Mr. Fellner is Senior Advisor, U.S. Program, Human Rights Watch, New York, NY. This project was supported by Grant 2006-IJ-CS-0015 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this article are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
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Abstract

The use of administrative segregation for inmates with and without mental illness has generated considerable criticism. Segregated inmates are locked in single cells for 23 hours per day, are subjected to rigorous security procedures, and have restricted access to programs. In this study, we examined whether inmates in segregation would show greater deterioration over time on psychological symptoms than would comparison offenders. The subjects were male inmates, with and without mental illness, in administrative segregation, general population, or special-needs prison. Subjects completed the Brief Symptom Inventory at regular intervals for one year. Results showed differentiation between groups at the outset and statistically significant but small positive change over time across all groups. All groups showed the same change pattern such that there was not the hypothesized differential change of inmates within administrative segregation. This study advances the empirical research, but replication research is needed to make a better determination of whether and under what conditions harm may or may not occur to inmates in solitary confinement.

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2013 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 41 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 41, Issue 1
1 Mar 2013
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A Longitudinal Study of Administrative Segregation
Maureen L. O'Keefe, Kelli J. Klebe, Jeffrey Metzner, Joel Dvoskin, Jamie Fellner, Alysha Stucker
Journal of the American Academy of Psychiatry and the Law Online Mar 2013, 41 (1) 49-60;

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A Longitudinal Study of Administrative Segregation
Maureen L. O'Keefe, Kelli J. Klebe, Jeffrey Metzner, Joel Dvoskin, Jamie Fellner, Alysha Stucker
Journal of the American Academy of Psychiatry and the Law Online Mar 2013, 41 (1) 49-60;
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