The Many Dimensions of Correctional Staff Health CATERINA SPINARIS, PHD, LPC
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1 The Many Dimensions of Correctional Staff Health CATERINA SPINARIS, PHD, LPC
2 ACA s 2017 Corrections Staff Wellness Resolution correctional employees wellness is a critical issue and has reached crisis proportions; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
3 What We Know KEY RESEARCH FINDINGS
4 ACA s 2017 Corrections Staff Wellness Resolution the unique inherent risks correctional employees are exposed to have resulted in increased health risks; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
5 Some Corrections Work Challenges Built-In Risk Factors Violence, injury or death Harsh physical conditions Work overload Overtime Organizational structure and climate
6 ACA s 2017 Corrections Staff Wellness Resolution very few resources have been used on researching correctional employees wellness and very few resources have been used to provide tools to improve correctional employees wellness; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
7 Corrections Work Challenges Occupational stressors Traumatic Operational Organizational Corrections Fatigue
8 Context Insufficient understanding by: Family and friends Supervisors Employers Even themselves Culture of toughness Negative public image
9 ACA s 2017 Corrections Staff Wellness Resolution the nature of the correctional environment can be a causative factor in high-risk behaviors, such as the abuse of alcohol, prescription medications, and illegal substances; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
10 ACA s 2017 Corrections Staff Wellness Resolution traumatic events in a correctional environment may result in employees experiencing post-traumatic stress disorder; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
11 Signs of Declining Health and Functioning Hypertension Overweight/obesity Anxiety Depression PTSD Substance Use Disorders Work-family conflict Elevated suicide risk
12 Solutions Basics BALANCING ACT
13 What is Needed? Hazmat suit Preparation to deal effectively with what is encountered Tool box Means to process and cope with what is experienced Hospital Means, conditions and resources for recovery
14 ACA s 2017 Corrections Staff Wellness Resolution the American Correctional Association urges correctional agencies to raise awareness and educate employees regarding employee wellness in a corrections environment, including emphasis on employment-related stress; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
15 Solutions Elements Awareness Goals Equipping Skills-based Types Resources Quantitative Evaluation Qualitative
16 ACA s 2017 Corrections Staff Wellness Resolution the American Correctional Association encourages agencies to develop and implement wellness initiatives and convene wellness committees regarding all the dimensions of wellness, including emotional, environmental, financial, intellectual, occupational, physical, social and spiritual; ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
17 Solutions Approaches Top-down Approach 1 Bottom-up Prevention Approach 2 Recovery Holistic Approach 3 Corrections
18 Solutions Approaches Approach 4 Multi-faceted Approach 5 All-inclusive Approach 6 Evidence-informed
19 ACA s 2017 Corrections Staff Wellness Resolution the American Correctional Association is committed to supporting and improving the overall wellness of correctional employees. ACA RESOLUTION SUPPORTING CORRECTIONAL EMPLOYEE WELLNESS
20 Solutions Elements M.O. Marathon
21 In Conclusion Effects of occupational stressors on corrections workers health and functioning can be severe. Psychosocial skills that promote wellness/resilience CAN BE TAUGHT. Combinations of organizational and individual initiatives can be expected to be the most beneficial.
22 THANK YOU Thank you! 2010 Copyright T.C. Brown
23 References American Correctional Association Resolution Book. _BOOK.pdf?WebsiteKey=139f6b09-e150-4c56-9c66-284b92f21e51&=404%3bhttp%3a%2f%2fwww.aca.org%3a80%2fACA_Prod_IMIS %2fACA_Member%2fdocs%2fGovernmentAffairs%2fACA_RESOLUTIONS_BOOK.pdf Bierie, D. (2012). The Impact of Prison Conditions on Staff Well-Being. International Journal of Offender Therapy and Comparative Criminology, 56, Bureau of Labor Statistics (2015). News Release. Nonfatal occupational injuries and illnesses requiring days away from work. Table Denhof, M.D., and Spinaris, C.G. (2013). Depression, PTSD, and Comorbidity in United States Corrections Professionals: Prevalence and Impact on Health and Functioning.
24 References Denhof, M.D., and Spinaris, C.G. (2016). Prevalence of Trauma-related Health Conditions in Corrections Officers: A Profile of Michigan Corrections Organization Members. Paper_FINAL.pdf Denhof, M.D., Morton, G.R., and Spinaris, C.G. (2014). Occupational Stressors in Corrections Organizations: Types, Effects and Solutions. Finney, C., Stergiopoulos, E., Hensel, J., Bonato, S., & Dewa, C.S. (2013). Organizational stressors associated with job stress and burnout in correctional officers: A systematic review. BMC Public Health, 13, McCarthy, W.D. (2012). Causes of Correctional Officer Stress and Its Consequences. Master s Thesis, Indiana State University. nsequences.pdf
25 References Meredith, L.S., Sherbourne, C.D., Gaillot, S., Hansell, L., Hans V., Ritschard, H.V., Parker, A.M., & Wren, G. (2011). Promoting Psychological Resilience in the U.S. Military. RAND Center for Military Health Policy Research. Morse, T., Dussetschleger, J., Warren, N., & Cherniack, M. (2011). Talking About Health: Correction Employees Assessments of Obstacles to Healthy Living. Journal of Occupational and Environmental Medicine, 53, Obidoa, C., Reeves, D., Warren, N., Reisine, S., and Cherniack, M. (2011). Depression and Work- Family Conflict Among Corrections Officers. Journal of Occupational and Environmental Medicine, 53, Panagioti, M.; Panagopoulou, E.; Bower, P.; Lewith, G.; Kontopantelis, E.; Chew- Graham, C.; Dawson, S.; van Marwijk, H; Geraghty, K. ; Esmail, A. (2016). Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Metaanalysis. Journal of the American Medical Association Internal Medicine. doi: /jamainternmed
26 References Spinaris, C.G., Denhof, M.D., & Kellaway, J.A. (2012). Posttraumatic Stress Disorder in United States Corrections Professionals: Prevalence and Impact on Health and Functioning. Tsai, J., Harpaz-Rotem, I., Pietrzak, R.H., and Southwick, S.M. (2017). Trauma, Resiliency and Posttraumatic Growth. APA Handbook on Trauma Psychology, Volume 2. Washington DC, American Psychological Association. West, C.P.; Dyrbye, L.N.; Erwin, P.J., Shanafelt, T.D. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. (2016). The Lancet. doi:
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2. Which of the following does your business / organization offer to employees? (Check all that apply)
Assessment Tool Please refer to scoring instructions on the last page and visit our website at http://mindyourmindproject.org/ for additional resources and technical assistance. Section 1: PROGRAMS & BENEFITS