Preschool Outcomes of Children Who Lived as Infants in a Prison Nursery

DOI10.1177/0032885514524692
Date01 June 2014
Published date01 June 2014
AuthorMary W. Byrne,Barbara Blanchard-Lewis,Lorie S. Goshin
Subject MatterArticles
The Prison Journal
2014, Vol. 94(2) 139 –158
© 2014 SAGE Publications
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DOI: 10.1177/0032885514524692
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Article
Preschool Outcomes
of Children Who Lived
as Infants in a Prison
Nursery
Lorie S. Goshin1, Mary W. Byrne2, and
Barbara Blanchard-Lewis3
Abstract
This study examined long-term outcomes of children who spent their first
1 to 18 months in a U.S. prison nursery. Behavioral development in 47
preschool children who lived in a prison nursery was compared with 64
children from a large national dataset who were separated from their mothers
because of incarceration. Separation was associated with significantly worse
anxious/depressed scores, even after controlling for risks in the caregiving
environment. Findings suggest that prison nursery co-residence with
developmental support confers some resilience in children who experience
early maternal incarceration. Co-residence programs should be promoted
as a best practice for incarcerated childbearing women.
Keywords
prison nursery, maternal incarceration, behavioral development
Eight U.S. states currently allow eligible incarcerated women to care for their
infants in special segregated nursery units within prisons (Carlson, 2009;
1Hunter-Bellevue School of Nursing, New York, NY, USA
2Columbia University School of Nursing, New York, NY, USA
3Columbia University Center for Children and Families, New York, NY, USA
Corresponding Author:
Lorie S. Goshin, Hunter-Bellevue School of Nursing, 425 East 25th Street, 428W, New York,
NY 10010, USA.
Email: lgoshin@hunter.cuny.edu
524692TPJXXX10.1177/0032885514524692The Prison JournalGoshin et al.
research-article2014
140 The Prison Journal 94(2)
Women’s Prison Association [WPA], 2009). Concerns remain regarding
whether prison nurseries are in these children’s best interest (Pösö, Enroos, &
Vierula, 2010). Long-term developmental outcomes of children who co-
resided with their mothers in prison nurseries have not previously been
described. Post-release results are needed to determine the full effectiveness
of prison nurseries as a policy option for incarcerated childbearing women.
This article reports preschool (3-5 years of age) behavior outcomes of chil-
dren who spent their first 1 to 18 months with their mothers in a prison nurs-
ery. Development in children who co-resided is compared with a subsample
of preschool children from a large national dataset who were separated from
their mothers at some point during infancy or toddlerhood because of incar-
ceration. Results are analyzed in the context of ecological risks associated
with both criminal justice involvement and adverse child development
outcomes.
Children of mothers involved in the criminal justice system are a vulner-
able group. Preschoolers and young school-aged children separated from
their mothers due to incarceration show disproportionately high rates of inse-
cure attachment to their mothers or alternate primary caregiver (Poehlmann,
2005b). Results of research on older children and adolescents strongly sug-
gest a link between maternal incarceration and worse mental health (Dallaire
& Wilson, 2009; Hagen, Myers, & Mackintosh, 2005; Hanlon et al., 2005)
and academic outcomes (Cho, 2009; Trice & Brewster, 2004). As adults, chil-
dren of mothers with a history of incarceration are more likely to have crimi-
nal justice contact than their peers whose mothers do not have this history
(Huebner & Gustafson, 2007).
Child development is affected by ecological risks known to be associated
with both incarceration and child development (Kjellstrand & Eddy, 2011).
Preschoolers and younger school-aged children whose mothers have a his-
tory of incarceration are also more likely than their peers whose mothers do
not have this history to live in environments characterized by material hard-
ship and residential instability (Geller, Garfinkel, Cooper, & Mincy, 2009;
Poehlmann, 2005a). When compared with the children of incarcerated
fathers, this group has a larger number of ecological risks in their lives
(Johnson & Waldfogel, 2004) and is more likely to witness their parents’
illegal activity, arrest, or sentencing (Dallaire & Wilson, 2009). Aspects of
the environment can also support positive development. Staying with one
caregiver for an extended period and less risk in the home environment are
associated with better intellectual and attachment outcomes in this group
(Poehlmann, 2005a, 2005b).
Children of incarcerated mothers are most often cared for by a grandpar-
ent, followed by the father, another relative, friend of the mother, or a foster

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