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In a progressive approach to managing institutional misconducts and violence, the Pennslyvania Department of Corrections implemented a series of reforms severely mentally ill (SMI) in inmates in disciplinary segregation. In particular, after a misconduct, SMI inmates are diverted from traditional segregation to a specialty unit called the Diversionary Treatment Unit (DTU). This unit provides more out-of-cell time where inmates are provided access to concentrated therapeutic activities and mental health services to help with behavior modifications. However, it is unclear how a therapeutic and rehabilitation approach to segregation operates in a strictly controlled environment. This research uses semi-structured interviews with inmates living and staff working in the DTU to understand how this approach plays out in practice across four state male prisons. Specifically, this paper assesses perceptions of access to programming, quality of programming, and how the DTU may impact inmate behavior. Findings indicate the perceptual complications of offering therapy in segregation, the logistical issues of moving inmates for therapy while prioritizing safety and control and the unintended consequences of this approach to the broader institutional environment. These findings offer insight into how reforms operate in practice, and how to improve mental health delivery to SMI inmates.
Karlie Berry, George Mason University
Shannon Magnuson, George Mason University
Danielle Rudes, George Mason University