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Evidence suggests incarcerated individuals have high rates of mental health difficulties, and that incarcerated women face greater trauma-related than incarcerated males. The current study investigated efficacy of an acceptance-based, insight-oriented treatment approach to alleviate mental health challenges in incarcerated women. Incarcerated females ( N  = 90) were recruited from a medium security facility and were randomized to either the treatment condition ( n  = 49) or a waitlist control ( n  = 41). Emotion dysregulation, psychological inflexibility, global mental health, and trauma symptoms were assessed at baseline, post-course, and 6-month follow-up. A significant main effect of treatment was found for all primary outcomes at post-course and 6-month follow-up. Results yielded significant mean differences between time points for the treatment condition for all primary outcomes from baseline to post-course, and baseline to 6-month follow-up. Results suggest the acceptance-based, insight-oriented treatment approach is efficacious for incarcerated women. A purposed mechanism of the intervention is discussed.

Insight to wellbeing: a pilot randomized trial of a 3 principles intervention to the alleviation of psychological suffering among incarcerated women