“…In relation to the perceived impact of services, providers in prisons prioritize some domains (e.g., symptom awareness and management, medication adherence, and institutional functioning) over others (e.g., emotion management, re-entry planning, or criminogenic risks and needs; Bewley & Morgan, 2011). Some acknowledge that harsh environments, institutional goals of containment, and values of obedience may conflict with therapeutic efforts to empower inmates, while impeding collaboration between correctional officers and mental health staff (des Cruser & Diamond, 1996; Kita, 2011; Nurse et al, 2003; Wright, Jordan, & Kane, 2014). Structurally, staffing limitations can hinder care continuity, critical access to clinicians in times of crises, and therapeutic relationships (Nurse et al, 2003; Wright et al, 2014).…”