The need for effective mental health interventions for specific offender populations has become clear in recent decades. In particular, individuals who engage in stalking and harassment have increasingly attracted the attention of the public and mental health and criminal justice professionals, however no evidence-based treatment currently exists for this population. We adapted Dialectical Behavior Therapy (DBT) for the treatment of this offender group, in part because of the high prevalence of personality disorders. This study describes the application of a 6-month treatment program to a sample of 29 individuals, 14 of whom completed treatment. Treated offenders were significantly less likely to re-offend with another stalking offense (0 of 14) compared to treatment drop-outs (26.7%) or to published recidivism data (47%). Measures intended to help determine the nature of changes revealed increased thought suppression, but are qualified by the high degree of defensive responding. These preliminary data suggest that DBT holds promise for reducing stalking behaviors and warrants further study.

Few diagnoses generate as much therapeutic pessimism as antisocial personality disorder (APD) or psychopathy. Frequently, clinicians maintain a pervasive belief that individuals with an antisocial or psychopathic personality style cannot be successfully treated. Whether because of these individuals' lack of motivation to change, the absence of psychological distress that typically drives treatment engagement, or an impaired ability to form meaningful relationships, clinicians often assume that treatment will be inherently frustrating and ultimately unsuccessful.This chapter briefly reviews the nature and distinctions between these related disorders, 1 as well as the research literature pertaining to their treatability. Following this review, an application of dialectical behavior therapy (DBT) is presented as a promising framework for the treatment of individuals with APD or serious antisocial behaviors. The specific adaptation of DBT 'Although we are aware that psychopathy is not currently classified by the DSM-IV-TR (American Psychiatric Association, 2000) as a mental disorder (i.e., it is not one of the 10 personality disorders listed), the language of disorder will be used in this chapter both for simplicity and because it accurately captures the nature of this phenomenon.

Suicide is the leading cause of death in jails across the United States, making suicide prevention a priority of jail mental health care. Nonsuicidal self-injury (NSSI) is also concerning during jail incarceration. This chapter reviews terminology, rates, and statistics of suicide and NSSI behaviors across jail settings, as well as risk and protective factors. We discuss unique considerations for jail settings (e.g., motivations for suicidal behaviors and NSSI) and reentry into the community after jail incarceration. In addition, we review guidelines for practice, including suicide risk screening and assessment, and suicide risk management, with a focus on the development and implementation of suicide prevention and intervention plans for mental health, correctional, and administrative staff team, including sentinel event reviews. We also provide sample clinical scenarios for consideration. Approaching suicide prevention and intervention as a collaborative team effort across staff roles within the jail system is vital.

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