Saturday, July 20, 2019

Neuro Note on TBIs in the Criminal Justice System


I chose to watch a TED Talk called “The Surprising Connection between Brain Injuries and Crime;” the speaker was Kim Gorgens. I chose this video because the title caught my attention, and I was curious to see the relationship between Traumatic Brain Injuries and the people in the criminal justice system. To further my knowledge while watching, I took notes to stay actively engaged and tried to think of ways it could apply to the Neuro Aspects course, as well as occupational therapy in general.
In the video, the lecturer stated that “50 to 80 percent of people in criminal justice have a traumatic brain injury,” which is much more than the “less than five percent” the general public population has. Furthermore, she discussed that the rates are even higher in women in the criminal justice system, especially repeated brain injuries. I learned that the criminal justice system is often a recurrent step in an ongoing cycle for people with TBIs. For instance, once someone is released, they may be on probation and need to attend various court dates and appointments, however they do not. Because of this, they end up back in jail, and keep repeating the cycle. The lecturer brought up an interesting point that due to the high rates of TBIs, many of these individuals could be experiencing deficits that could making memorizing dates and staying organized difficult. In her research, her and her colleagues conducted neuropsychological test on inmates who have sustained TBIs to identify their strengths and weaknesses. After this, they completed recommendations for the people interacting with the inmates, like correctional officers, and strategies for the inmates on how to best manage their condition. The examples that she gave included recommendations for the courts to provide handouts for people who have auditory memory deficits, for inmates with auditory memory deficits to keep a notebook to write things in, having released inmates with organizational and memory deficits use reminders on their phone and for inmates with organizational deficits to break down tasks into smaller steps to make completing the task more attainable.
All of these recommendations remind me of what many occupational therapists might do with clients who have sustained a TBI. Considering this, I see a role that occupational therapists could have in the criminal justice setting! Helping inmates become more rehabilitated not only prevents the likelihood of them ending up back in jail, but allows them to reintegrate into the public – finding stable jobs, being with their family, etc. I believe that this is not only good for the inmates, but for society as a whole.
Bearing in mind the deficits  we’ve discussed in class related to TBIs and the different lobes of the brain’s function, it makes sense that these inmates are experiencing these difficulties. For instance, someone with damage to their frontal lobe could experience problems with impulse control; helping them find strategies to manage this could increase their likelihood of a successful reintegration into society. Like many of the examples listed, memory deficits could be another area for improvement; damage to the temporal lobe could likely be the source of the deficit.
            I would definitely recommend this video to others because it is engaging and informative. Additionally, it opens up your mind to the possibilities of improvement in the criminal justice system and what we can do about it as a society and as occupational therapists!


Reference
Gorgens, K. (2018, June). The surprising connection between brain injuries and crime [Video file]. Retrieved from https://www.ted.com/talks/kim_gorgens_the_surprising_connection_between_brain_injuries_and_crime#t-689738

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