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Research, References, and Related Publications

Research Publications


​AN ASSESSMENT OF EARNED DISCHARGE COMMUNITY SUPERVISION POLICIES IN OREGON AND MISSOURI 

Report Link: An Assessment of Earned Discharge Community Supervision Policies in Oregon and Missouri (urban.org) 

Date of Publication: January 2022 

Principle Investigator (s):  

  • Robin Olsen, Urban Institute 
  • Constance Hull, Urban Institute 
  • Barbara Pierce, Crime and Justice Institute 
  • Ashlin Oglesby-Neal, Urban Institute 

Institutional Affiliation: Urban Institute 

Missouri and Oregon implemented earned discharge policies in 2012 and 2013 respectively, allowing individuals to earn discharge from supervision by fulfilling conditions. Missouri grants credits automatically for compliance each month, while Oregon reviews compliance midway through supervision, allowing local authorities discretion in implementation.

Research involved stakeholder interviews and administrative data analysis in both states to evaluate implementation and effects. Findings indicate that those granted earned discharge serve significantly shorter supervision sentences compared to those completing supervision traditionally. Rates of earned discharge vary within states due to discretion in policy design. Additionally, individuals discharged through earned credits show similar recidivism rates as those completing supervision traditionally.

Recommendations include clarifying eligibility criteria for earned discharge and reducing discretion in determining eligibility to ensure fairness and consistency.

AN EYE ON REFORM: EXAMINING DECISIONS, PROCEDURES, AND OUTCOMES OF THE OREGON BOARD OF PAROLE AND POST-PRISON SUPERVISION RELEASE PROCESS 

Report Link: https://olis.oregonlegislature.gov/liz/2023R1/Downloads/PublicTestimonyDocument/82096 

Date of Publication: September 2022 

Principle Investigator (s):  

  • Christopher M. Campbell, Ph.D. 
  • Mieke de Vrind, J.D 
  • Aliza B. Kaplan, J.D. 
  • Caroline Taylor 

Institutional Affiliation

  • Lewis & Clark Law School's Criminal Justice Reform Clinic  
  • Portland State University 

Description The Criminal Justice Reform Clinic at Lewis & Clark Law School initiated a project in November 2020, funded by Arnold Ventures, to investigate potential reforms in the Oregon Board of Parole and Post-Prison Supervision's release process. This large-scale research study, using both qualitative and quantitative methods, aims to understand how the Board's decisions affect incarcerated individuals seeking parole and those under parole supervision. The study also examines the relationship between Board decisions/processes and outcomes such as initial release and supervision failure, with a focus on racial/ethnic disparities. The research goals include identifying patterns in release decisions, differences across cases, impacts on eligible individuals/parolees, and the accuracy of release decisions in predicting recidivism. Below are summaries of each goal and key takeaway messages.​


FATAL AND NONFATAL OPIOID OVERDOSE RISK FOLLOWING RELEASE FROM PRISON: A RETROSPECTIVE COHORT STUDY USING LINKED ADMINISTRATIVE DATA. 

Report Link: Fatal and non-fatal opioid overdose risk following release from prison: A retrospective cohort study using linked administrative data - PMC (nih.gov) 

Date of Publication: April 2023 Journal of Substance Use and Addiction Treatment 

Principle Investigator (s):  

  • Daniel M. Hartung 
  • Caitlin M. McCracken,  
  • Thuan Nguyen 
  • Katherine Kempany, Oregon Department of Corrections 
  • Elizabeth Needham Waddell 

Institutional Affiliation: Oregon Health and Science University 

Description: Among individuals who are released from prison, opioid overdose is a leading cause of death with a risk more than ten-fold the general population. Although the epidemiology of opioid-related fatalities has been described, few studies have characterized both fatal and nonfatal opioid-related poisonings. The objective of this study was to estimate risk of fatal and nonfatal opioid overdose among adults released from prison.  

REDUCING OVERDOSE AFTER RELEASE FROM INCARCERATION (ROAR): STUDY PROTOCOL FOR AN INTERVENTION TO REDUCE RISK OF FATAL AND NON-FATAL OPIOID OVERDOSE AMONG WOMEN AFTER RELEASE FROM PRISON 

Report Link: (PDF) Reducing overdose after release from incarceration (ROAR): Study protocol for an intervention to reduce risk of fatal and non-fatal opioid overdose among women after release from prison (researchgate.net) 

Date of Publication: July 2020 Health & Justice (8)1 

Principle Investigator (s):  

  • Elizabeth Needham Waddell, Oregon Health and Science University 
  • Robin Baker, Oregon Health and Science University 
  • Daniel M. Hartung 
  • Christi Hildebran, Comagine Health 

Institutional Affiliation: Oregon Health and Science University 

Description: Drug overdose is the leading cause of death after release from prison, and this risk is significantly higher among women compared to men. Within the first 2 weeks after release, the risk of death from drug overdose is 12.7 times higher than the general population, with risk of death further elevated among females. Although female inmates have higher rates of opioid use disorder and post-release overdose fatality, justice-involved women are under-represented in studies of medications for opioid use disorder. The Reducing Overdose After Release from Incarceration (ROAR) pilot intervention and evaluation (recruitment June 2019 through December 2020) aims to reduce opioid overdose among women released to the community following incarceration in state prison. The evaluation further assesses induction, acceptance, and effectiveness of extended-release naltrexone in a female post-prison population. Methods/design: In the week prior to their release, female adults in custody with moderate to severe opioid use disorder start treatment with extended-release naltrexone, an injectable opioid antagonist that blocks the effects of opioids for up to 1 month. All ROAR participants receive training to use naloxone rescue kits and are provided nasal naloxone at release. Ongoing support from a certified recovery mentor to facilitate sustained engagement with treatment for substance use disorders begins in the month prior to release from prison and continues for 6 months in community. We evaluate the association between ROAR participation and the primary outcome of opioid overdose. Using administrative data provided by the Oregon Department of Corrections and the Oregon Health Authority, we compare the odds of overdose among ROAR participants versus a comparison group of females released from prison during the study period. Evaluation activities in community includes survey and qualitative interviews for 6 months post release, as well as a review of clinic records to assess retention on medication among the pilot cohort (N = 100). Discussion: ROAR is a collaboration between Oregon's public health, criminal justice, and medical communities. The ROAR intervention and evaluation provide critical information on improving interventions to prevent opioid overdose and improve retention on treatment in community in an overlooked, high-risk population: incarcerated women re-entering the community. 

 


REDUCING INSIGHT TO WELLBEING: A PILOT RANDOMIZED TRIAL OF A 3 PRINCIPLES INTERVENTION TO THE ALLEVIATION OF PSYCHOLOGICAL SUFFERING AMONG INCARCERATED WOMEN 

Report Link: Insight to wellbeing: a pilot randomized trial of a 3 principles intervention to the alleviation of psychological suffering among incarcerated women: Journal of Offender Rehabilitation: Vol 62 , No 8 - Get Access (tandfonline.com) 

Date of Publication: October 2023 Journal of Offender Rehabilitation 

Principle Investigator (s):  

  • Tyree Dingle 
  • Jenna Flowers 
  • Sarah Bowen 

Institutional Affiliation: Pacific University 

Description: Evidence suggests incarcerated individuals have high rates of mental health difficulties, and that incarcerated women face greater trauma-related than incarcerated males. The current study investigated efficacy of an acceptance-based, insight-oriented treatment approach to alleviate mental health challenges in incarcerated women. 


THE RESOURCE TEAM: A CASE STUDY OF A SOLITARY CONFINEMENT REFORM IN OREGON 

Report Link: The resource team: A case study of a solitary confinement reform in Oregon | PLOS ONE 

Date of Publication: July 2023 

Principle Investigator:  

  • David H. Cloud, JD, MPH 
  • Craig Haney, JD, PhD 
  • Dallas Augustine, PhD 
  • Cyrus Ahalt, MPA 
  • Brie Williams, MD, MS 

Institutional Affiliation: Oregon Health & Science University 

Description: The continued use of solitary confinement has sparked international public health and human rights criticisms and concerns. This carceral practice has been linked repeatedly to a range of serious psychological harms among incarcerated persons. Vulnerabilities to harm are especially dire for persons with preexisting serious mental illness ("SMI"), a group that is overrepresented in solitary confinement units. Although there have been numerous calls for the practice to be significantly reformed, curtailed, and ended altogether, few strategies exist to minimize its use for people with SMI and histories of violence against themselves or others. This case study describes the "Oregon Resource Team" (ORT), a pilot project adapted from a Norwegian officer-led, interdisciplinary team-based approach to reduce isolation and improve outcomes for incarcerated persons with SMI and histories of trauma, self-injury, and violence against others. We describe the ORT's innovative approach, the characteristics and experiences of incarcerated people who participated in it, its reported impact on the behavior, health, and well-being of incarcerated persons and correctional staff, and ways to optimize its effectiveness and expand its use. 

REFORMING SOLITARY CONFINEMENT: THE DEVELOPMENT, IMPLEMENTATION, AND PROCESSES OF A RESTRICTIVE HOUSING STEP DOWN REENTRY PROGRAM IN OREGON 

Report Link: (PDF) Reforming solitary confinement: the development, implementation, and processes of a restrictive housing step down reentry program in Oregon (researchgate.net) 

Date of Publication: August 2021 Health & Justice 9(1) 

Principle Investigator:  

  • Ryan M. Labrecque, RTI International 
  • Jennifer J. Tostlebe, University of Nebraska at Omaha 
  • Bert Useem, Purdue University 
  • David C. Pyrooz, University of Colorado Boulder 

Institutional Affiliation: Oregon Health & Science University 

Description: Background Over the past decade there have been numerous and impassioned calls to reform the practice of solitary confinement in U.S. prisons. This article examines the development, implementation, and processes of a restrictive housing reentry program in the Oregon Department of Corrections. It draws on data from official documents, site observations, and interviews with 12 prison officials and 38 prisoners. The Step Up Program (SUP) seeks to improve the living conditions in restrictive housing over business-as-usual, alleviate physiological and psychological harms of solitary confinement, and use rehabilitative programming to increase success upon returning to the general prison population or community. Results The impetus to change the culture and structure of restrictive housing was primarily the result of internal administrative reform. Prisoners assigned at random to housing assignments offered accounts of their daily activities suggesting that the SUP provides more time out-of-cell and greater access to other services and activities. Program participants preferred the living conditions in the SUP because they had more opportunities for social interaction and incentives for compliant behavior. However, views on the value of programming among respondents were mixed. Conclusions The launch of the SUP occurred in early 2020, which was soon followed by the COVID-19 pandemic. As a result, the program was never fully implemented as intended. As Oregon returns to more normal operations, it is possible that the SUP will be able to include even more out-of-cell time, greater socialization opportunities, and increased access to programming and other beneficial activities. As we await the opportunity to conduct prospective psychological and behavioral analyses, this study provides tentative support for the use of step down reentry programs in restrictive housing units. Trial registration Open Science Framework, Preparing adults in custody for successful reentry: An experimental study of a restrictive housing exit program in Oregon. 

TAKING STOCK: A META-ANALYSIS OF THE PREDICTORS OF RESTRICTIVE HOUSING 

Report Link: "Taking Stock: A Meta-Analysis of the Predictors of Restrictive Housing" by Ryan M. Labrecque (pdx.edu) 

Date of Publication: October 2016 

Principle Investigator:  

  • Ryan M. Labrecque 

Institutional Affiliation: Portland State University 

Description: Two competing views on the use of restrictive housing have emerged in the literature. The first position has argued that restrictive housing helps make correctional institutions safer and more secure environments, largely by incapacitating violent and dangerous inmates. In contrast, a second perspective has maintained that restrictive housing not only causes serious psychological damage and increases criminal coping, but also that it has served as a mechanism for officials to punish certain groups of inmates unfairly. This study tests these competing hypotheses by meta-analyzing the literature on the predictors of placement in restrictive housing. The results of this investigation provide support for both perspectives. The implications of the study's findings are discussed. 

 

THE SAFE ALTERNATIVES TO SEGREGATION INITIATIVE: FINDINGS AND RECOMMENDATIONS FOR THE OREGON DEPARTMENT OF CORRECTIONS 

Report Link: Final Report_ODOC-Vera_Safe Alternatives to Segregation Initiative_Oct2016 

Date of Publication: October 2016 

Principle Investigator:  

  • Allison Hastings 
  • Elena Vanko 
  • Jessi LaChance 

Institutional Affiliation: Vera Center on Sentencing & Corrections 

Description: The continued use of solitary confinement has sparked international public health and human rights criticisms and concerns. This carceral practice has been linked repeatedly to a range of serious psychological harms among incarcerated persons. Vulnerabilities to harm are especially dire for persons with preexisting serious mental illness ("SMI"), a group that is overrepresented in solitary confinement units. Although there have been numerous calls for the practice to be significantly reformed, curtailed, and ended altogether, few strategies exist to minimize its use for people with SMI and histories of violence against themselves or others. This case study describes the "Oregon Resource Team" (ORT), a pilot project adapted from a Norwegian officer-led, interdisciplinary team-based approach to reduce isolation and improve outcomes for incarcerated persons with SMI and histories of trauma, self-injury, and violence against others. We describe the ORT's innovative approach, the characteristics and experiences of incarcerated people who participated in it, its reported impact on the behavior, health, and well-being of incarcerated persons and correctional staff, and ways to optimize its effectiveness and expand its use. 


​​SECURITY THREAT MANAGEMENT IN PRISON: REVALIDATION AND REVISION OF THE INMATE RISK ASSESSMENT FOR SEGREGATION PLACEMENT 

Report Link: Reducing Institutional Disorder: Using the Inmate Risk Assessment for Segregation Placement (RASP) to Triage Treatment Services at the Front-End of Prison Sentences | Request PDF (researchgate.net) 

Date of Publication:  January 2022 The Prison Journal 

Principle Investigator (s):  

  • Ryan M.Labrecque, RTI International 
  • Paula Smith, University of Cincinnati 

Institutional Affiliation: University of Central Florida 

Description: Most correctional scholars and policy-makers agree that prison authorities should use restrictive housing less, yet few studies exist to provide guidance on how to do so while also ensuring institutional order. This study advances the idea that proactively providing rehabilitative programming to inmates at the front-end of prison sentences will help reduce institutional disorder. In so doing, we create and validate a risk assessment instrument to predict inmate likelihood for placement in restrictive housing during one's commitment. The findings of this study support the predictive validity of the tool. We argue authorities can use this assessment to make more informed and targeted programming decisions during the intake process that will help reduce institutional misconduct and the need for restrictive housing. 

THE DEVELOPMENT AND VALIDATION OF THE ADULT DYNAMIC VALIDATED INSTRUMENT FOR SEX OFFENSE RECIDIVISM (ADVISOR) 

Report Link: Reducing Institutional Disorder: Using the Inmate Risk Assessment for Segregation Placement (RASP) to Triage Treatment Services at the Front-End of Prison Sentences | Request PDF (researchgate.net) 

Date of Publication:  April 2023 Justice Evaluation Journal 

Principle Investigator (s):  

  • Grant Duwe, Minnesota Department of Corrections 
  • KiDeuk Kim  
  • Ashlin Oglesby-Neal 

Institutional Affiliation: The Urban Institute 

Description: This study describes the development and validation of the Adult Dynamic Validated Instrument for Sex Offense Recidivism (ADVISOR), which is designed to predict two types of recidivism—repeat sexual offending and failure to register (FTR)—specific to people convicted of sex offenses. Developed and internally validated on more than 40,000 men and women convicted of sex offenses who had been released from prison, the ADVISOR had adequate predictive performance, achieving an AUC of 0.71 for sex offense recidivism and 0.73 for FTR recidivism. The ADVISOR performed especially well for females for sex offense recidivism, obtaining an AUC of 0.78 in the internal validation and an AUC of 0.82 in the external validation. 


​EVALUATING THE IMPACT OF A HEALING GARDEN ON ADULTS IN CUSTODY AT THE OREGON STATE PENITENTIARY 

Report Link: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/191696/Charney%2c%20Tom_Practicum.pdf?sequence=1&isAllowed=y 

Date of Publication: December 2023 

Principle Investigator: Charney, Thomas 

Institutional Affiliation: University of Michigan 

Description: There is an established and ever-growing body of literature that supports the use of green space for both treating and preventing illnesses both physical and psychological for the general public. An arm of this research has suggested that green space can also help to normalize carceral environments and make them more conducive to addressing the trauma of Adults in Custody (AIC) and reducing recidivism rates. However, more research is necessary for many stakeholders in the department of corrections to invest in green space for AIC. Thus, existing projects such as the Memorial Healing Garden (MHG) at the Oregon State Penitentiary (OSP) provide valuable opportunities to investigate potential impacts and gain insight into how green spaces could be incorporated into carceral settings and accordingly make informed decisions. Through this study, I seek to increase our understanding of the garden's impact from several angles: To what extent does the MHG benefit the well-being of AIC? Does the MHG have a distinguishably different effect on well-being than other outdoor spaces at OSP? What elements or garden features are most supportive of the well-being of incarcerated individuals? These questions were explored through Likert scale surveys with text and photo prompts related to the MHG that were distributed to AIC. Factor analysis of survey responses was then employed to determine overall trends. Findings reveal that the MHG has a distinguishably positive effect on AIC well-being and even more so among acutely stressed individuals. Water features and culturally inspired elements were the most endorsed aspect of the garden. These findings advocate for the inclusion of high quality green space in prisons and to reconsider operations to maximize its use in daily operations. Through their skill set for making impactful green spaces, landscape architects and designers should take this opportunity to expand the profession's positive impact on society. 

DEFINING IMPACT OF STRESS AND TRAUMATIC EVENTS ON CORRECTIONS OFFICERS COMPETITION 

Report Link: Defining Impact of Stress and Traumatic Events on Corrections Officers Competition | National Institute of Justice (ojp.gov) 

Date of Publication: October 2022 

Principle Investigator: Kerry S Kuehl, M.D., Dr.P.H. 

Institutional Affiliation: Oregon Health & Science University 

Description Two inter-related objectives were 1) to perform a prospective 18-month observational study of approximately 400 COs to relate their stress levels to a) correctional work-related contributors to stress and b) impacts of stress on work higher (n=30) sub-cohort for objective 2, which evaluated a higher (n=30) and lower (n=30) stress sub-cohort for an extensive analysis to determine 1) how stress levels among COs related to work performance and 2) what were the relationships between fMRI, biomarker tests, and stress in higher and lower stress sub-cohorts. The study was a cross-sectional survey assessment of Oregon corrections professionals working directly with adults in custody. 

DEFINING STRESS AMONG CORRECTIONS PROFESSIONALS 

Report Link: Defining Stress among Corrections Professionals | National Institute of Justice (ojp.gov) 

Date of Publication: June 2021 

Principle Investigator:  

  • Jessica Ballin 
  • Meike Niederhausen 
  • Kerry S. Kuehl 
  • Diane L. Elliot 
  • Wendy McGinnis 
  • Carol De Francesco 

Institutional Affiliation: Oregon Health & Science University 

Description: Corrections professionals experience high levels of acute and chronic work-related stress. This stress leads to increased mental and physical illness, early disability and mortality, and increased healthcare costs. Reducing stress requires identifying and prioritizing factors that contribute to it. Corrections professionals (n = 296) working at six different Oregon Department of Corrections facilities completed a cross-sectional survey, including demographics, work history and validated stress and occupational constructs. The outcome of perceived stress was measured using the Perceived Stress Scale (PSS-4 Short Form). Using a linear mixed effects regression model, we found that perceived stress increases with increased work-related stress (p = 0.02), work hours (p = 0.03), operational stressors (p = 0.002), and lack of procedural injustice (p = 0.03) and decreases with more time employed at current facility (p = 0.06), improved job satisfaction (p < 0.001), and among married or partnered individuals (p = 0.05). Identifying these predictors of stress can inform the development of policy changes to mitigate the stress of this challenged work force. 


INSIGHT TO WELLBEING: A PILOT RANDOMIZED TRIAL OF A 3 PRINCIPLES INTERVENTION TO THE ALLEVIATION OF PSYCHOLOGICAL SUFFERING AMONG INCARCERATED WOMEN 

Report Link: Insight to wellbeing: a pilot randomized trial of a 3 principles intervention to the alleviation of psychological suffering among incarcerated women | Request PDF (researchgate.net) 

Date of Publication: October 2023 Journal of Offender Rehabilitation 

Principle Investigator:  

  • Tyree Dingle 
  • Jenna Flowers 
  • Sarah Bowen 

Institutional Affiliation: Pacific University 

Description: Evidence suggests incarcerated individuals have high rates of mental health difficulties, and that incarcerated women face greater trauma-related than incarcerated males. The current study investigated efficacy of an acceptance-based, insight-oriented treatment approach to alleviate mental health challenges in incarcerated women.  

ADAPTING CUSTODIAL PRACTICES TO REDUCE TRAUMA FOR INCARCERATED WOMEN 

Report Link: Adapting Custodial Practices to Reduce Trauma for Incarcerated Women (urban.org) 

Date of Publication: October 2020  

Principle Investigator:  

  • Evelyn F. McCoy 
  • Jahnavi Jagannath 
  • Janeen Buck Willison 
  • Mel Langness  
  • Janine Zweig 

Institutional Affiliation: Urban Institute 

Description: Without intentionally changing custodial practices to consider women's histories of victimization and reduce further trauma, correctional facilities will continue to trigger, retraumatize, and harm the women in their custody. This report details how departments of corrections (DOCs) and women's prisons adapt operational philosophies and custodial practices to reduce trauma and victimization. Most study participants recognized that women have unique needs, pathways to incarceration, and victimization histories that must be considered in policies and practices, and incorporated gender-responsive training into their core staff curricula. Some adapted processes for body searches and discipline, sanctions, and incentives. However, incarcerated women we spoke with indicated that custodial practices are highly dependent on officer discretion and that officers do not always follow protocols. Beyond some accommodations for pregnant people, places struggled to adapt the use of restraints, force, and restrictive housing. Although places overwhelmingly demonstrated that they are trauma informed, they struggle to be trauma responsive, facing challenges in developing and implementing policies and practices to consider trauma in all operational practices and in their correctional culture. Importantly, facilities and DOCs that participated in this study did demonstrate a willingness to improve practices and a need for support and additional resources to do so. This report concludes with recommending ways corrections professionals can take more gender-responsive and trauma-informed approaches to working with women. 


​THE SUICIDE PREVENTION STUDY 

Report Link: Inmate Suicide Prevention Study Report  

Date of Publication:  May 2009 

Institutional Affiliation: Oregon Department of Corrections 

Description: The Suicide Prevention report is a compilation of 3 studies. The information gleaned from these studies was used as the main foundation in developing the Automated Suicide Awareness Tool (ASAT). This automated assessment is available on the DOC400 data system to help DOC employees assess an AIC's risk of suicide.  

The following report includes research behind the equations used to develop the ASAT, the Case Review—used for assessment purposes: what questions to ask, what behaviors to watch for, what AIC requests to pay attention to, and what information to know. The third study includes interviews with AICs who have attempted suicide. This report shows all three studies were congruent, and explains the differences found between studies. The report also explains how staff may use an automated risk tool in unison to what they already know.