She claims to spend 85 to 90 percent of her time on mental health issues, though she admits on the stand that she has no official mental health training. She discusses negotiating with Teamsters, maneuvering through the labyrinth of budget limitations, and being affected by public perceptions and misperceptions about prisons. She constantly finds ways to focus on the positive effects of WCCW's quality management program, and she expresses deep concern for inmates like Dorine Crawford. For every complaint offered by the prosecution, the defense has an answer. He brings up WCCW's excellent gynecological care system, and the recently implemented multi-disciplinary teams that address inmates' requests and complaints.
Prison is a tough environment psychologically.
Inmates, sealed off from the outside world, have to deal with two lives. One life occurs crammed inside a controlled space with hundreds of people of the same sex. The other consists of family and friends who are aging, having children, and moving on, and who may or may not visit often enough. There are very few distractions in prison. At WCCW, there are 900 volunteers a week who show up to talk with inmates and hold meetings of various sorts.