A Pilot RCT of a Values-Based Mindfulness Group Intervention with Jail Inmates: Evidence for Reduction in Post-Release Risk Behavior
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This study pilot-tested a values and mindfulness-based intervention (Re-Entry Values and Mindfulness Program: REVAMP) in a sample of male jail inmates. REVAMP aimed to reduce post-release risky behavior by targeting dimensions of mindfulness (e.g., willingness/acceptance) and associated proximal outcomes/ mechanisms of action (emotion regulation, self-control, shame/guilt). Inmates were randomly assigned to REVAMP (n = 21) or treatment as usual (TAU, n = 19). Attendance and feedback supported REVAMP’s feasibility and acceptability. At post-treatment, ANCOVAs showed that the REVAMP group increased more on willingness/acceptance, self-judgment, and shame relative to TAU. Relative increases in willingness/acceptance persisted at 3-month post-release. Criminal activity was assessed by self-report at 3 months post-release and official criminal records at 3 years post-release. At both time points, there was a marginally statistically significant trend of medium effect size for lower criminal recidivism in the REVAMP group compared to TAU. There were no statistically significant differences in self-reported post-release substance misuse. This pilot RCT indicated mindfulness-based interventions may hold promise for reducing inmates’ post-release risky behavior and encourages future research in this area.
KeywordsMindfulness Criminal behavior Substance abuse Jail inmates Values
Compliance with Ethical Standards
All participants underwent a process of informed consent, which stressed the voluntary nature of participation and the confidentiality of data. Data are protected by a Certificate of Confidentiality from Department of Health and Human Services. All research procedures were approved by the Institutional Review Board at the researchers’ university. This research was supported by a grant from the Center for Consciousness and Transformation (CCT) at George Mason University and by two grants from the National Institute on Drug Abuse (NIDA): #R01 DA14694 to June P. Tangney and #F31DA029397 to Elizabeth Malouf. The authors declare that they have no conflict of interest.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: Author.Google Scholar
- Bowen, S., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T. L., Ostafin, B. D., Larimer, M. E., Blume, A. W., Parks, G. A., & Marlatt, G. A. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 20, 343–347.CrossRefGoogle Scholar
- Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for addictive behaviors: a clinician’s guide. New York: Guilford.Google Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates.Google Scholar
- Harty, L., Youman, K., Malouf, E., Appel, M., Hall, S., Pilafova, A., & Tangney, J. P. (2009). Mindfulness inventory: nine dimensions (MI:ND). Fairfax: George Mason University.Google Scholar
- Leonard, N. R., Jha, A. P., Casarjian, B., Goolsarran, M., Garcia, C., Cleland, C. M., Gwadz, M. V., & Massey, Z. (2013). Mindfulness training improves attention task performance in incarcerated youth: a group randomized controlled intervention trial. Frontiers in Psychology, 4, 792–802.CrossRefPubMedPubMedCentralGoogle Scholar
- Lewis, H. B. (1971). Shame and guilt in neurosis. New York: International Universities Press.Google Scholar
- Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality. New York: Guilford.Google Scholar
- Malouf, E. T., Youman, K., Harty, L., Schaefer, K., & Tangney, J. P. (2013). Accepting guilt and abandoning shame: a positive approach addressing moral emotions among high-risk, multi-need individuals. In T. B. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance, and positive psychology: the seven foundations of well-being (pp. 215–239). Oakland: New Harbinger.Google Scholar
- Malouf, E.T., Witt, E.A., Monfort, S., Yarbro, J., Youman, K., Harty, L., Nightingale, V., Stuewig, J., & Tangney, J.P., (2016). Reliability, validity, and predictive utility of the Mindfulness Inventory: Nine Dimensions (MIND). Manuscript in preparation.Google Scholar
- Minton, T. D. (2011). Jail inmates at midyear 2010—statistical tables (NCJ 233431). Washington, DC: Bureau of Justice Statistics. Retrieved from http://bjs.gov/index.cfm?ty=pbdetail&iid=2375.
- Morey, L. C. (1991). The personality assessment inventory professional manual. Odessa: Psychological Assessment Resources.Google Scholar
- Simpson, D. D., & Knight, K. (1998). Texas Christian University data collection forms for correctional residential treatment. Fort Worth: Texas Christian University, Institute of Behavioral Research.Google Scholar
- Tangney, J. P., Stuewig, J., Krishnan, S., Youman, K., Appel, M., Roop, L., & Durbin, K. M. (2008). The test of self-conscious affect—version 4 (TOSCA-4). Fairfax: George Mason University.Google Scholar
- West, H. C., Sabol, W. J., & Greenman, S. J. (2010). Prisoners in 2009 (NCJ 231675). Washington, DC: Bureau of Justice Statistics. Retrieved from http://bjs.ojp.usdoj.gov/content/pub/pdf/p09.pdf.
- Youman, K., Malouf, E., Tangney, J. P., & Harty, L. (2010). REVAMP: The re-entry values and mindfulness program manual. George Mason University.Google Scholar