The Disturbed Disruptive Inmate: Where does the Bus Stop?

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Abstract
Among least understood prison inmates are the “disturbed disruptive” inmates (DDIs)—those who simultaneously pose disciplinary and mental health problems. Such inmates are at times viewed as “disruptive” by mental health staff and as “disturbed” by custody personnel. They are also disproportionately subjected to “bus therapy” because no special programs are available for them. This article reviews the institutional careers of several “DDIs,” and it discusses some treatment-relevant links between disturbed behavior and disruptive behavior that emerge from such scrutiny.

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