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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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    Figure 1.

    Eligibility and selection of subjects.

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    Figure 2.

    Flow of subjects through study.

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    Figure 3.

    Logarithmic change functions for BSI subscales. Time is the average number of months between assessments.

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    Figure 4.

    Logarithmic change functions for BSI GSI scores for each study group for five assessment periods. Although these lines are not statistically parallel, the interaction term was not statistically significant, indicating that the groups changed at the same basic rate over time. GP, general prison; AS, administrative segregation; MI, mental illness needs; NMI, no identified mental illness needs; SN, special needs prison. Time is the average number of months between assessments.

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    Figure 5.

    Logarithmic change functions for BSI GSI scores for AS groups for six assessment periods. Although these lines are not statistically parallel, the interaction term was not statistically significant, indicating that the groups changed at the same basic rate over time. AS, administrative segregation; MI, mental illness needs; NMI, no identified mental illness needs. Time is the average number of months between assessments.

Tables

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    Table 1

    Summary Statistics for BSI Subscales for Raw Scores and Transformed Centered Scores

    BSI ScaleAssessmentNonpatient NormsOutpatient Norms
    012345
    MSDMSDMSDMSDMSDMSDM (SD)M (SD)
    Original Scale
        Anxiety1.050.990.860.960.870.980.820.940.750.890.620.820.26 (0.31)1.51 (0.95)
        Depression1.341.071.121.061.121.101.061.051.021.050.840.910.21 (0.33)1.65 (1.11)
        Hostility1.030.990.840.890.910.950.941.060.880.940.780.940.34 (0.40)1.07 (0.90)
        Interpersonal sensitivity1.201.051.000.960.991.050.951.020.951.010.780.940.24 (0.38)1.48 (1.06)
        Obsessive-compulsive1.341.011.191.031.181.071.151.051.070.990.920.920.37 (0.41)1.53 (0.98)
        Paranoid ideation1.521.011.280.981.291.021.261.021.211.021.170.990.33 (0.41)1.06 (0.93)
        Phobic anxiety0.770.950.620.880.660.920.590.890.560.790.420.800.11 (0.25)0.79 (0.84)
        Psychoticism1.281.021.070.951.040.990.970.930.960.930.830.860.15 (0.27)1.12 (0.84)
        Somatization0.820.870.650.750.690.820.620.800.610.790.450.670.23 (0.32)0.67 (0.71)
        GSI global score1.150.820.960.800.970.860.920.830.880.790.750.720.25 (0.24)1.20 (0.70)
    Transformed
        Anxiety0.000.55−0.150.58−0.130.58−0.160.57−0.210.56−0.290.54
        Depression0.000.55−0.140.59−0.160.62−0.180.60−0.210.60−0.310.58
        Hostility0.000.54−0.110.53−0.080.55−0.090.59−0.100.55−0.170.56
        Interpersonal sensitivity0.000.58−0.110.57−0.160.62−0.160.61−0.170.61−0.270.59
        Obsessive-compulsive0.000.54−0.100.58−0.110.59−0.120.59−0.160.57−0.240.55
        Paranoid ideation0.000.48−0.130.52−0.130.54−0.150.54−0.190.57−0.210.56
        Phobic anxiety0.000.59−0.100.57−0.100.60−0.140.58−0.140.55−0.270.53
        Psychoticism0.000.53−0.130.56−0.160.57−0.180.56−0.200.57−0.270.54
        Somatization0.000.52−0.130.52−0.100.53−0.160.53−0.170.53−0.260.47
        GSI global score0.000.41−0.110.44−0.120.46−0.140.45−0.160.46−0.240.44
    Time (mo)0NA3.1.956.0.929.1.9212.1.9715.41.37
    • BSI subscale norms were taken from the BSI manual using male nonpatients and psychiatric outpatients (Ref. 22, p 35). Transformed data were centered at first assessment for entire sample with a square-root transformation to normalize the positively skewed distributions. Time is the mean number of months (with standard deviation) taken from the baseline assessment.

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    Table 2

    Level 1 Model Statistics for BSI GSI Global Scores to Determine Best Fitting Change Function

    Model Estimated−2LLRAIC
    Cubic polynomial: Int, T1, T2, T3 random*387.87417.87
    Cubic polynomial: Int, T1, T2 random387.70411.70
    Cubic polynomial: Int, T1 random407.92425.92
    Cubic polynomial: Int random442.20456.20
    Quadratic polynomial: Int, T1, T2 random391.71413.71
    Quadratic polynomial: Int, T1 random411.52427.52
    Quadratic polynomial: Int random445.38457.38
    Logarithmic Model: Int, TLN random387.68401.68
    Logarithmic Model: Int random488.72498.72
    Linear: Int, T1 random425.94439.94
    Linear: Int random458.39468.39
    Intercept-only model (no change)521.46529.46
    • −2LLR, log likelihood ratio statistic; AIC, Akaike's information criterion: smaller values are better. Int, Intercept coded so it is an estimate of BSI GSI at first assessment period. T1, Time coded for linear function. T2, Time squared coded for quadratic function. T3, Time cubed coded for cubic function. TLN, Time coded for logarithmic function. Time is number of months since initial assessment.

    • ↵* Hessian matrix was positive definite although all convergence criteria were met.

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    Table 3

    Logarithmic Level 1 Models Testing Group and Group by Time Interactions for All Groups Using 5 Time Periods

    Model StatisticEstimates
    Overall model fit
        Fit statistic (−2RLL)290.92
        AIC statistic320.92
    Repeated measures error structure
        Autoregressive variance estimate0.04 (SE = 0.002, p < .001)
        Autoregressive covariance estimate0.64 (SE = 0.24, p = .007)
    Random coefficients variance matrix
        Intercept random variance0.09 (SE = 0.01, p < .001)
        Intercept-change random covariance−0.002 (SE = 0.003, p = .51)
        Change parameter random variance0.01 (SE = 0.002, p < .001)
    Random Coefficients (Level 1 Parameters) With AS MI Coding
    AS MI intercept estimate0.12 (SE = 0.04, p = .007)
    AS MI change parameter estimate−0.07 (SE = 0.02, p < .001)
    Comparison of each group from AS MI Intercept
        AS NMI−0.29 (SE = .08, p < .001)
        SN MI0.10 (SE = .06, p = .09)
        GP NMI−0.48 (SE = .07, p < .001)
        GP MI−0.08 (SE = .08, p = .26)
    Comparisons of AS MI with each group on difference in change parameter
        AS NMI0.01 (SE = 0.02, p = .60)
        SN MI0.02 (SE = 0.02, p = .34)
        GP NMI0.002 (SE = 0.03, p = .94)
        GP MI0.02 (SE = 0.03, p = .45)
    Random Coefficients (Level 1 Parameters) With AS NMI Coding
        AS NMI intercept estimate−0.16 (SE = 0.04, p < .001)
        AS NMI change parameter estimate−0.06 (SE = 0.02, p = .001)
    Comparison of each group from AS NMI intercept
        AS MI0.29 (SE = 0.06, p < .001)
        SN MI0.39 (SE = 0.06, p < .001)
        GP NMI−0.20 (SE = 0.07, p = .005)
        GP MI0.20 (SE = 0.08, p = .008)
    Comparisons of AS NMI with each group on difference in change parameter
        AS NMI−0.01 (SE = 0.02, p = .60)
        SN MI0.01 (SE = 0.02, p = .68)
        GP NMI−0.01 (SE = 0.03, p = .69)
        GP MI0.01 (SE = 0.03, p = .75)
    • Estimating logarithmic model with five time points using all groups. Models are coded in two ways so that each AS group is compared with all other groups on intercept and change parameters. Model fit statistics and covariance structures are the same for each model. Only the random and fixed parameter estimates change for the two models.

    • View popup
    Table 4

    Logarithmic Level 1 Model Testing Group and Group by Time Interactions for AS Groups Using Only Six Time Periods

    Model StatisticEstimate
    Fit statistic (−2RLL)221.21
    AIC statistic239.21
    Repeated-measures error structure
        Autoregressive variance estimate0.04 (SE = .003, p < .001)
        Autoregressive covariance estimate0.77 (SE = .27, p = .004)
    Random coefficients variance matrix
        Intercept random variance0.11 (SE = .02, p < .001)
        Intercept-change random covariance−0.009 (SE = .006, p = .12)
    Change parameter random variance0.01 (SE = .003, p < .001)
    Random coefficients (Level 1 parameters)
        AS NMI intercept estimate−0.16 (SE = .05, p = .001)
        AS NMI change parameter estimate−0.06 (SE = .02, p = .001)
    Group intercepts effect (overall)
        AS MI difference from AS NMI intercept0.29 (SE = .07, p < .001)
    Group by time interaction
        AS MI difference from AS NMI change−0.02 (SE = .02, p = .40)
    • All models (as in Table 2) were re-estimated for the AS groups with six time periods; the logarithmic model was still the best fitting model.

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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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