{"id":162922,"date":"2016-05-30T11:07:46","date_gmt":"2016-05-30T15:07:46","guid":{"rendered":"http:\/\/www.rochester.edu\/newscenter\/?p=162922"},"modified":"2016-05-31T14:53:00","modified_gmt":"2016-05-31T18:53:00","slug":"restrictive-housing-for-juveniles-punitive-not-rehabilitative","status":"publish","type":"post","link":"https:\/\/www.rochester.edu\/newscenter\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\/","title":{"rendered":"Restrictive housing for juveniles: punitive, not rehabilitative"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-162942\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella.jpg\" alt=\"Kevin Fiscella\" width=\"240\" height=\"240\" srcset=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella.jpg 240w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella-32x32.jpg 32w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella-50x50.jpg 50w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella-64x64.jpg 64w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella-96x96.jpg 96w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/Kevin-Fiscella-128x128.jpg 128w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/>Restrictive housing\u2014popularly referred to as \u201csolitary confinement\u201d\u2014is widely employed in U.S. prisons and jails. In an editorial for <em>CorrectCare<\/em>, the quarterly magazine of the National Commission on Correctional Health Care, Kevin Fiscella and coauthor Robert Morris of UCLA examine the risks of restrictive housing, especially for juvenile offenders.<\/p>\n<p>Fiscella is a professor in the Department of Family Medicine in the School of Medicine and Dentistry. His research centers on practical approaches for addressing health care disparities, and his work is aimed at empowering patients across socioeconomic lines. This includes those patients who find themselves in the correctional system.<\/p>\n<p>Adolescents in the system, Fiscella and Morris contend, may be especially vulnerable to the effects of social isolation and seclusion.<\/p>\n<blockquote><p>The adolescent brain, which is still developing and highly sensitive to social and peer effects, is arguably especially sensitive to social isolation. Adolescents learn to self-regulate their emotions by interacting with peers and acquiring their norms. Social isolation undermines the establishment of emotional regulation, potentially increasing the risk for self-harm and hindering the adolescent self-regulatory development needed to adapt to society. In addition, restrictive housing may foster and reinforce an adolescent\u2019s identity as a \u201cbad kid.\u201d Once such an identity takes hold, it can be difficult to change.<\/p><\/blockquote>\n<p>Research has shown higher rates of psychological distress, psychiatric disorders, and self-harm associated with the practice of restrictive housing. Although correlation is not necessarily causation, \u201cthe implication that restrictive housing is harmful is consistent with the science on social isolation and sensory deprivation as well as observational studies,\u201d the authors write.<\/p>\n<p>Fiscella and Morris note viable alternatives to restrictive housing. They also identify steps that jails, prisons, and detention facilities can take to reduce, and ultimately eliminate, restrictive housing and other non-short term means of segregating and isolating inmates. The end goal is to help offenders\u2014both young and old\u2014successfully reenter and reintegrate with society.<\/p>\n<p><strong><a href=\"http:\/\/www.corrections.com\/news\/article\/43503-restrictive-housing-for-juveniles-punitive-not-rehabilitative?utm_source=CCNN_ezine&amp;utm_medium=email&amp;utm_campaign=CCNN_ezine_2016May25\">Read more from <em>CorrectCare<\/em> &gt;&gt;<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Restrictive housing\u2014popularly referred to as \u201csolitary confinement\u201d\u2014is widely employed in U.S. prisons and jails. Kevin Fiscella of the Department of Family Medicine examines the risks of restrictive housing, especially for juvenile offenders. \/ <em>CorrectCare<\/em><\/p>\n","protected":false},"author":372,"featured_media":162932,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29212],"tags":[9846,18432],"class_list":["post-162922","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-voices-opinion","tag-children","tag-school-of-medicine-and-dentistry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Restrictive housing for juveniles: punitive, not rehabilitative<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rochester.edu\/newscenter\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Restrictive housing for juveniles: punitive, not rehabilitative\" \/>\n<meta property=\"og:description\" content=\"Restrictive housing\u2014popularly referred to as \u201csolitary confinement\u201d\u2014is widely employed in U.S. prisons and jails. Kevin Fiscella of the Department of Family Medicine examines the risks of restrictive housing, especially for juvenile offenders. \/ CorrectCare\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rochester.edu\/newscenter\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\/\" \/>\n<meta property=\"og:site_name\" content=\"News Center\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-30T15:07:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-05-31T18:53:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2016\/05\/fea-Kevin-Fiscella.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"240\" \/>\n\t<meta property=\"og:image:height\" content=\"144\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Sofia Tokar\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sofia Tokar\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\\\/\"},\"author\":{\"name\":\"Sofia Tokar\",\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/#\\\/schema\\\/person\\\/6e2aecfd2d62aca26a6a82e0f0153199\"},\"headline\":\"Restrictive housing for juveniles: punitive, not rehabilitative\",\"datePublished\":\"2016-05-30T15:07:46+00:00\",\"dateModified\":\"2016-05-31T18:53:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\\\/\"},\"wordCount\":329,\"image\":{\"@id\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/restrictive-housing-for-juveniles-punitive-not-rehabilitative\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.rochester.edu\\\/newscenter\\\/wp-content\\\/uploads\\\/2016\\\/05\\\/fea-Kevin-Fiscella.jpg\",\"keywords\":[\"children\",\"School of Medicine and Dentistry\"],\"articleSection\":[\"Voices &amp; 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