Archive 07/19/2020

New Female ‘PTSD’ Integrated Treatment (FIT) Program; Available at FCI Danbury

The FIT Program is an evidence-based approach designed to ensure that each participant has an individually tailored treatment plan and receives a full-range of services to address their needs. The program will combine three psychology treatment programs, including the Residential Drug Abuse Program, for those who are eligible.

Women are twice as likely as men to experience PTSD, according to the World Health Organization. A woman’s chances of experiencing trauma are higher — 10% of women will experience PTSD versus 4% for men. “It’s tough to say there are sure symptoms of PTSD, since no two people will have the same experience,” Pereau says.

DSM-V Revisions to Signs and Symptoms of PTSD

In the most recent publication of the DSM, the DSM-V, PTSD symptoms are grouped into five different clusters. One or more symptoms are required from each of these clusters in order for a patient to receive a full diagnosis.

Those clusters include:

  1. Stressor– (one required) The person was exposed to injury or severe illness that was life-threatening, which includes actual or threatened injury or violence. This may include at least one of the following:
    • Direct exposure to the trauma
    • Witnessing a trauma
    • Exposure to trauma by being a first responder, such as police, firefighter, medic, or crisis counselor
    • Learning that someone close to you experienced the trauma
  2. Intrusion Symptoms(one required) – The person who was exposed to a trauma then re-experiences the trauma in one or more ways, including:
    • Flashbacks
    • Nightmares
    • Distressing and intense memories
    • Distress or physical reactions after being exposed to reminders, known as “triggers”
  3. Unpleasant Changes to Mood or Thoughts(two required) –
    • Blaming self or others for the trauma
    • Decreased interest in things that were once enjoyable
    • Negative feelings about self and the world
    • Inability to remember the trauma clearly
    • Difficulty feeling positive
    • Feelings of isolation
    • Negative affect, and difficulty feeling positive
  4. Avoidance(one required) – This occurs when a person tries to avoid all reminders of the trauma, including:
    • Avoiding external reminders of what happened
    • Avoiding trauma-related thoughts or emotions, sometimes through the use of drugs or alcohol
  5. Changes in Reactivity(two required) – This occurs when a person becomes more easily startled and reacts to frightful experiences more fully, including symptoms of:
    • Aggression or irritability
    • Hypervigilance and hyper-awareness
    • Difficulty concentrating
    • Difficulty sleeping
    • Heightened startle response
    • Engaging in destructive or risky behavior
    • Difficulty sleeping or staying asleep

All of these symptoms must have persisted for at least one month, and they must be causing distress or functional impairment of some kind. These symptoms must not be related to any substance use, illness, or medications.

Also seen:

Guilty and Facing Prison, Now What? Critical 1st steps that will determine your future…

Critical 1st steps that will determine your future are in the PSR.

To support your attorney’s efforts, please contact me, Dr. M. Blatstein:, or call 240.888.7778 (leaving a brief message).

While I cover preparing for BOP placement, medical issues could apply to both state and federal agencies.

  1. Having attorney representation is critical, and if expenses are an issue there are Federal Public Defenders 2020.
  2. Before the sentencing hearing, if your attorney identifies medical (or mental healthcare) issues, now is when a professional consult is recommended.
  3. If you have a history with any medical specialty or drug clinic etc.; getting your records is especially important.
  4. Religious Diet – Accommodation Form (BP A700.53).
  5. First Time Offenders (NACDL)– Alternatives to Incarceration
  6. Do any of these mental health issues apply to the defendant? Federal prison placement includes Medical and Mental Healthcare needs to be implemented through the BOP CARE LEVELS I-IV along with there Structured Psychological Treatment Programs.
    • I) Brave Program A first-timer young male offender 32 years of age or younger, facing a sentence of 60 months or more
    • II) Challenge Program A male inmate facing a high-security penitentiary with a current diagnosis of either: Mood, Anxiety, Schizophrenia, Delusion and/or a Substance-induced Psychotic Disorders
    • III) Mental Health Step Down A male or female who lacks the skills to function in a general population prison setting and is willing to work with Psychiatry Services.
    • IV) Resolve: A male or female with a current diagnosis of a mental illness related to physical, mental and/or intimate domestic violence or traumatic PTSD
    • V) Skills A significant functional impairment due to intellectual disabilities, neurological and/or remarkable social skills deficits such as Autism Spectrum Disorder, Obsessive Compulsive Disorder, Epilepsy, Alzheimer’s, Parkinson’s or Traumatic Brain Injuries (TBIs) to mention just a few.
    •  VI) Stages  A male inmate with a serious mental illness and a primary diagnostic of Borderline Personality Disorder, along with a history of unfavorable institutional adjustment.
    • VIIa) Sex Offender Non-Residential Single Sex Crime, or first time Internet Sex Offense
    • VIIb) Sex Offender Residential Multiple sex crimes.
    • VIIc) Butner’s Commitment and Treatment Program for Sexually Dangerous Persons, Page 12Is considered for sexually dangerous persons with the possibility of criminal recidivism
    • VIII) Female Integrated Treatment Is a female with substance abuse (RDAP Eligibility Possible), trauma-related disorders, and other mental illnesses. (FIT) Program
  7.  COVID-19:

Unfortunately, prisons and jails are perfect petri dishes for contagions to spread into their communities via the corrections staff and inmates. Masks along with 6’ of separation are unlikely and problematic to implement.