Forensic Social Work Ethics in Prolonged Solitary Confinement: A Struggle with Dual Loyalty

Main Article Content

Ali Winters, DSW, LCSW
Mary Buser, LCSW

Abstract

Substantial evidence on the damaging psychiatric and health-related effects of prolonged solitary confinement has been well-documented in decades of research and civil rights litigation. The emerging ethical dilemma for forensic social work concerns the dual loyalty when social workers are tasked with providing services to clients in restrictive housing. Using Frederic Reamer’s ethical decision-making framework, in concert with the NASW Code of Ethics and the NOFSW Specialty Guidelines on Values and Ethics, the ethical dilemma of dual loyalty in this practice context is explored. Forensic social workers experiencing this unique ethical dilemma are encouraged to consider rational and mindful decision making guided by social work ethical codes and principles of social justice.  

Article Details

How to Cite
Winters, A., & Buser, M. (2022). Forensic Social Work Ethics in Prolonged Solitary Confinement: A Struggle with Dual Loyalty. Journal of Forensic Social Work, 6(1), 11–21. https://doi.org/10.15763/issn.1936-9298.2022.6.1.11-21
Section
Articles

References

Ahalt, C., Haney, C., Rios, S., Fox, M. P., Farabee, D., & Williams, B. (2017). Reducing the use and impact of solitary confinement in corrections. International Journal of Prisoner Health, 13(1), 41-48. DOI: https://doi.org/10.1108/IJPH-08-2016-0040

Beck, A. (2015). Use of Restrictive Housing in U.S. Prisons and Jails, 2011-12. Office of Justice Programs: Bureau of Justice Statistics.

Brown, E. (2020). A systematic review of the effects of prison segregation. Aggression and Violent Behavior, 52, 101389. DOI: https://doi.org/10.1016/j.avb.2020.101389

Browne, A., Cambier, A., & Agha, S. (2011). Prisons Within Prisons: The Use of Segregation in the United States. Federal Sentencing Reporter, 24(1), 46-49. DOI: https://doi.org/10.1525/fsr.2011.24.1.46

Buser, M. (2015). Lockdown on Rikers: Shocking Stories of Abuse and Neglect at New York's Notorious Jail. New York: St. Martin's Press. ISBN 9781466890169.

Brinkley-Rubinstein L, Sivaraman J, Rosen D., et al. (2019). Association of Restrictive Housing During Incarceration With Mortality After Release. JAMA Network Open, 2(10):e1912516. DOI: https://doi.org/10.1001/jamanetworkopen.2019.12516

Cloud, D., Drucker, E., Browne, A., & Parsons, J. (2015). Public Health and Solitary Confinement in the United States. American Journal of Public Health, 105(1), 18-26. DOI: https://doi.org/10.2105/AJPH.2014.302205

Congress, E. (2000). What Social Workers Should Know About Ethics: Understanding and Resolving Ethical Dilemmas. Advances in Social Work, 1(1), 1-22. DOI: https://doi.org/10.18060/124

Department of Justice. (2016). Report and Recommendations Concerning the Use of Restrictive Housing. Washington, DC

Dolgoff, R., Loewenberg, F. & Harrington, D. (2009). Ethical decisions for social work practice. (8th ed). Belmont, CA: Brooks/Cole.

Grassian, S. (2006). Psychiatric Effects of Solitary Confinement. Washington University Journal of Law & Policy, 22, 325-384. Retrieved from: https://openscholarship.wustl.edu/law_journal_law_policy/vol22/iss1/24

Gordon, S. E. (2014). Solitary confinement, public safety, and recidivism. University of Michigan Journal of Law Reform, 47(2), 495-528. Retrieved from https://repository.law.umich.edu/mjlr

Government Accountability Office. (2013). Bureau of Prisons: Improvements needed in Bureau of Prisons' monitoring and evaluation of impact of segregated housing.

U.S. Government Accountability Office Publication, GAO-13-429. Retrieved from http://www.gao.gov/assets/660/654349.pdf.

Haney, C. (2003). Mental Health Issues in Long-Term Solitary and "Supermax" Confinement. Crime & Delinquency, 49(1), 124-156. DOI: https://doi.org/10.1177/0011128702239239

Haney, C. (2012), Testimony of Professor Craig Haney, Senate Judiciary Subcommittee on the Constitution, Civil Rights, and Human Rights Hearing on Solitary Confinement. Retrieved from https://www.judiciary.senate.gov/imo/media/doc/12-6-19HaneyTestimony.pdf

Haney, C. (2018). Restricting the use of solitary confinement. Annual Review of Criminology, 1, 285-310. DOI: https://doi.org/10.1146/annurev-criminol-032317-092326

Houser, K., & Belenko, S. (2015). Disciplinary responses to misconduct among female prison inmates with mental illness, substance use disorders, and co-occurring disorders. Psychiatric Rehabilitation Journal, 38(1), 24-34. DOI: https://doi.org/10.1037/prj0000110

Kaba, F., Lewis, A., Glowa-Kollisch, S., Hadler, J., Lee, D., Alper, H., & Venters, H. (2014). Solitary Confinement and Risk of Self-Harm Among Jail Inmates. American Journal of Public Health, 104(3), 442-447. DOI: https://doi.org/10.2105/AJPH.2013.301742

Kupers, T. (2017). Solitary: The Inside Story of Supermax Isolation and How We Can Abolish It. Oakland, CA: University of California Press. ISBN: 9780520292239 DOI: https://doi.org/10.1525/9780520965737

Lanes, E. (2011). Are the "Worst of the Worst" Self-Injurious Prisoners More Likely to End Up in Long-Term Maximum-Security Administrative Segregation? International Journal of Offender Therapy and Comparative Criminology, 55(7), 1034-1050. DOI: https://doi.org/10.1177/0306624X10378494

Méndez, J. (2013). Interim report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment. United Nations General Assembly Document A/68/295. Retrieved from https://www.unodc.org/documents/justice-and-prison-reform/SPECIAL_RAPPORTEUR_EN.pdf

Metzner, J., Trestman, R., Hurt, B., & Hamilton, J. (2016). Alternatives to long-term solitary confinement. Correctional Law Reporter, 28(3), 39-52.

National Association of Social Workers. (n.d.). History of the NASW Code of Ethics. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/History

National Association of Social Workers. (2021). NASW Code of Ethics. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

National Organization of Forensic Social Work. (2021). National Organization of Forensic Social Work Specialty Guidelines for Values and Ethics. Retrieved from https://www.nofsw.org/_files/ugd/f468b9_20e60b0830ed4a51808154902b7e9f20.pdf

Pont, J., Stover, H., & Wolff, H. (2012). Dual loyalty in prison health care. American Journal of Public Health, 102(3), 475-480. DOI: https://doi.org/10.2105/AJPH.2011.300374

Reamer, F. (2018). Social Work Values and Ethics. (5th ed). New York: Columbia University Press. ISBN: 9780231188296 DOI: https://doi.org/10.7312/ream18828

Robertson, J. (2016). Alternatives to solitary confinement for protective custody inmates. Correctional Law Reporter, 28(3), 37-48.

Shalev, S. (2014). 5. Solitary confinement as a prison health issue. In S, Enggist, L. Møller, G. Galea & C. Udesen (Eds.), Prisons and Health (27-35). Copenhagen, DK: World Health Organization. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0005/249188/Prisons-and-Health.pdf

Winters, A. (2018). Alone in isolation: A clinician's guide to women in solitary confinement. Criminal Behaviour and Mental Health, 28(3), 217-222. DOI: https://doi.org/10.1002/cbm.2079

Winters, A. (2019). The ethical conflicts of working in solitary confinement. Journal of Social Work Values and Ethics, 16(2), 18-27. Retrieved from: https://jswve.org/download/fall_2019_volume_16_no._2/articles/18-Ethical-conflicts-in-solitary-confinement-16-2-Fall-2019-JSWVE.pdf

Williams B. (2016). Older Prisoners and the Physical Health Effects of Solitary Confinement. American Journal of Public Health, 106(12), 2126-2127. DOI: https://doi.org/10.2105/AJPH.2016.303468

Zyvoloski, S. (2018). Impacts of and Alternatives to Solitary Confinement in Adult Correctional Facilities. Social Work Master's Clinical Research Papers. 838. Retrieved from https://ir.stthomas.edu/ssw_mstrp/838