Medicine as an Inadequate Form of Treatment for Major Depressive Disorder in Federal Prisons

Major Depressive Disorder (MDD) is alarmingly common in the federal prison setting and depressive symptoms are often exacerbated due to the naturally challenging and isolating prison environment. Acknowledging inmates' right to mental health care is crucial to uphold basic human rights as well as aiding in successful rehabilitation and reentry efforts. The standard treatment for MDD generally involves antidepressant medications, but administration to inmates in federal prisons presents several challenges, including risks of abuse, diversion, and other environmental obstacles. Cognitive Behavior Therapy (CBT), a popular and effective approach to treating depression, would be the superior remedy in a federal prison setting due to its pro-social productive nature, aiding in developing skills to manage depressive symptoms and challenge negative thought patterns common in prison environments. 

        This study examines the effectiveness of CBT in a federal prison setting by comparing data on the use of CBT, the use of medication, and the treatment of mental illness in the prison setting. To fully utilize the benefits of CBT within the Federal Bureau of Prisons (BOP), the Department of Justice should amend prison reform policies. Rather than providing mental health care based on assigned care levels, basic mental health services should be offered to all inmates. Offering CBT services to all inmates, regardless of mental health status, will provide adequate holistic, rehabilitation oriented care, better preparing them for reentry into society and reducing the risk of recidivism. 

Senior Legacy Symposium Presentation - Lexi Dibrizzi.pdf

Lexi DiBrizzi

Lexi DiBrizzi (she/her) is a senior from Westchester, Illinois, majoring in Criminology & Criminal Justice with a minor in Psychology. She is finishing her final year of undergraduate education as well as her second semester in the Accelerated Criminology & Criminal Justice Masters Program with a focus on Treatment and Rehabilitation. Lexi was also recently awarded a Graduate Assistantship position, where she will work on research with Dr. Popy Begum for the 2024-2025 academic year. 

Dr. Zlatic played an influential role in developing my presentation. Throughout this semester, he not only instilled his vast knowledge in me but also his passion and enthusiasm for this field. His guidance and mentorship went beyond the confines of academia; he challenged me to explore different perspectives, encouraged me during moments of doubt, and pushed me to grow to become a stronger student. His unwavering support and belief in my potential inspired me to push boundaries and pursue excellence in my field. His influence extends far beyond the development of my presentation and he has motivated significant personal growth in me.