Pub Date : 2022-11-16DOI: 10.1080/14999013.2022.2147254
C. Rousseau, R. Frounfelker, C. Ngov, A. Crocker
Abstract The association of ideologically motivated violence with mental health disorders raises specific challenges for security agencies and clinical services. The aim of this paper is to describe the clientele of a specialized intervention program based in Montreal, Quebec, in terms of type of violent ideology and clinical presentation. We conducted a retrospective chart review of 156 individuals referred for violent extremism who received clinical services between 2016 and 2021. Univariate statistics were used to present a description of client sociodemographic and clinical characteristics. Roughly a third of clients referred for violent extremism presented non-ideologically based violence (32.6%), followed by 31.4% affiliated with far-right extremist ideology and over a quarter (25.6%) holding extremist views on gender. Over a third of these individuals had a stress-related (35.7%) and/or mood and anxiety disorder (36.9%), followed by 28% with an autism spectrum disorder diagnosis. The majority had some previous contact with mental health services. A significant number of clients displaying extremist discourses and/or actions needed psychiatric services but often failed to receive them because of the reluctance of clinicians to work with individuals perceived as high risk; in addition, individuals may be reluctant to engage in services perceived to be part of a socio-political system they reject. Specialized services are important as a means to provide mental health care to this group and also to develop knowledge and best practices for working with this clientele and provide consultation to mainstream mental health service providers.
{"title":"Clinical Services Addressing Violent Extremism: The Quebec Model","authors":"C. Rousseau, R. Frounfelker, C. Ngov, A. Crocker","doi":"10.1080/14999013.2022.2147254","DOIUrl":"https://doi.org/10.1080/14999013.2022.2147254","url":null,"abstract":"Abstract The association of ideologically motivated violence with mental health disorders raises specific challenges for security agencies and clinical services. The aim of this paper is to describe the clientele of a specialized intervention program based in Montreal, Quebec, in terms of type of violent ideology and clinical presentation. We conducted a retrospective chart review of 156 individuals referred for violent extremism who received clinical services between 2016 and 2021. Univariate statistics were used to present a description of client sociodemographic and clinical characteristics. Roughly a third of clients referred for violent extremism presented non-ideologically based violence (32.6%), followed by 31.4% affiliated with far-right extremist ideology and over a quarter (25.6%) holding extremist views on gender. Over a third of these individuals had a stress-related (35.7%) and/or mood and anxiety disorder (36.9%), followed by 28% with an autism spectrum disorder diagnosis. The majority had some previous contact with mental health services. A significant number of clients displaying extremist discourses and/or actions needed psychiatric services but often failed to receive them because of the reluctance of clinicians to work with individuals perceived as high risk; in addition, individuals may be reluctant to engage in services perceived to be part of a socio-political system they reject. Specialized services are important as a means to provide mental health care to this group and also to develop knowledge and best practices for working with this clientele and provide consultation to mainstream mental health service providers.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49202547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-09DOI: 10.1080/14999013.2022.2140227
Kayo Matsuura, D. Timmons, A. Takano
Abstract This study aimed to authenticate the validity and reliability of the 40-item Japanese version of the Forensic Psychiatric Nursing Competence (FPNC-J) scale. We used the FPNC-J scale and conducted anonymous online surveys with 213 nurses who worked in the forensic psychiatric wards, assessed the internal consistency, test–retest reliability, and structural and convergent validities. The goodness-of-fit indices showed a poor fit. An exploratory factor analysis identified four factors. Cronbach’s a and Intraclass Correlation Coefficient indicated moderately good reliability. This suggests that the FPNC-J scale is useful for measuring competence in forensic mental health nursing practice.
{"title":"A Survey for Examining the Validity and Reliability of the Japanese Version of the Forensic Psychiatric Nursing Competence Scale","authors":"Kayo Matsuura, D. Timmons, A. Takano","doi":"10.1080/14999013.2022.2140227","DOIUrl":"https://doi.org/10.1080/14999013.2022.2140227","url":null,"abstract":"Abstract This study aimed to authenticate the validity and reliability of the 40-item Japanese version of the Forensic Psychiatric Nursing Competence (FPNC-J) scale. We used the FPNC-J scale and conducted anonymous online surveys with 213 nurses who worked in the forensic psychiatric wards, assessed the internal consistency, test–retest reliability, and structural and convergent validities. The goodness-of-fit indices showed a poor fit. An exploratory factor analysis identified four factors. Cronbach’s a and Intraclass Correlation Coefficient indicated moderately good reliability. This suggests that the FPNC-J scale is useful for measuring competence in forensic mental health nursing practice.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-20DOI: 10.1080/14999013.2022.2134946
Jack Tomlin, M. Tonkin
Abstract Ward atmosphere is an important aspect of forensic mental health care. Positive perceptions have been linked to satisfaction during treatment, quality of life, autonomy, involvement in care, emotional expression and lower rates of aggression. The EssenCES is one of the most widely used measures of ward atmosphere. This study sought to add to the psychometric evidence base for the EssenCES and improve our understanding of how perceptions of ward atmosphere are associated with patient-level factors. N = 233 patients in English low, medium and high security hospitals completed the EssenCES, and data were collected on patient age, length of stay in current institution, level of security, ethnicity, Mental Health Act 1983 section, and mental health diagnosis. We used Mokken scaling, confirmatory factor analysis and multiple linear regression. Our analysis supports the three-factor structure of the EssenCES but signposts areas for improvement, specifically, revising and retesting items 10, 13 and 16. We found that Black, Asian and Minority Ethnic patients report lower Experienced Safety domain scores and that patients with a personality disorder diagnosis report lower Therapeutic Hold domain and EssenCES total scores, when controlling for other variables. We suggest future lines of research and situate our findings in the wider literature.
{"title":"The EssenCES Measure of Ward Atmosphere: Mokken Scaling, Confirmatory Factor Analysis, and Investigating Patient-Level Characteristics","authors":"Jack Tomlin, M. Tonkin","doi":"10.1080/14999013.2022.2134946","DOIUrl":"https://doi.org/10.1080/14999013.2022.2134946","url":null,"abstract":"Abstract Ward atmosphere is an important aspect of forensic mental health care. Positive perceptions have been linked to satisfaction during treatment, quality of life, autonomy, involvement in care, emotional expression and lower rates of aggression. The EssenCES is one of the most widely used measures of ward atmosphere. This study sought to add to the psychometric evidence base for the EssenCES and improve our understanding of how perceptions of ward atmosphere are associated with patient-level factors. N = 233 patients in English low, medium and high security hospitals completed the EssenCES, and data were collected on patient age, length of stay in current institution, level of security, ethnicity, Mental Health Act 1983 section, and mental health diagnosis. We used Mokken scaling, confirmatory factor analysis and multiple linear regression. Our analysis supports the three-factor structure of the EssenCES but signposts areas for improvement, specifically, revising and retesting items 10, 13 and 16. We found that Black, Asian and Minority Ethnic patients report lower Experienced Safety domain scores and that patients with a personality disorder diagnosis report lower Therapeutic Hold domain and EssenCES total scores, when controlling for other variables. We suggest future lines of research and situate our findings in the wider literature.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44529437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-13DOI: 10.1080/14999013.2022.2129524
L. Hoogsteder, P. Oomen, N. Sweers, J. Hendriks
Abstract Introduction: Effectiveness of Responsive Outpatient Aggression Regulation Therapy (ReART-Outpatient) for juveniles with severe aggression problems was investigated. Methods: Re-ART-Outpatient for juveniles (n=44) was compared with a control group (n=48) receiving treatment as usual on several treatment outcome measures. Results: Re-ART-Outpatient showed significantly better results on risk of violent recidivism, impulsivity, motivation, handling anger, self-reported aggressive behavior, and cognitive distortions. Discussion: This could be explained because Re-ART is systemic and individualistic, targeting various aggression-related criminogenic risk factors. Further research with adequate sample sizes, randomized, at multiple locations, with data on actual recidivism, is recommended.
{"title":"A Study on the Effects of Responsive Outpatient Aggression Regulation Therapy for Juveniles","authors":"L. Hoogsteder, P. Oomen, N. Sweers, J. Hendriks","doi":"10.1080/14999013.2022.2129524","DOIUrl":"https://doi.org/10.1080/14999013.2022.2129524","url":null,"abstract":"Abstract Introduction: Effectiveness of Responsive Outpatient Aggression Regulation Therapy (ReART-Outpatient) for juveniles with severe aggression problems was investigated. Methods: Re-ART-Outpatient for juveniles (n=44) was compared with a control group (n=48) receiving treatment as usual on several treatment outcome measures. Results: Re-ART-Outpatient showed significantly better results on risk of violent recidivism, impulsivity, motivation, handling anger, self-reported aggressive behavior, and cognitive distortions. Discussion: This could be explained because Re-ART is systemic and individualistic, targeting various aggression-related criminogenic risk factors. Further research with adequate sample sizes, randomized, at multiple locations, with data on actual recidivism, is recommended.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48644991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-07DOI: 10.1080/14999013.2022.2128111
B. Heylen, M. Caulet, A. Lemieux, M. Seto, T. Nicholls, A. Crocker
Abstract In this article, we explore which configurations of risk and protective factors explain recovery in a sample of 60 forensic psychiatric patients 6 months after they have been discharged from a psychiatric institution. In line with the recovery-oriented paradigm that emerged in psychiatry, we focus on the role dynamic risk factors and dynamic protective factors play in recovery. Using fuzzy set qualitative comparative analysis, we explore which configurations of conditions explain recovery in conjunction with each other. This entails that the configurations of conditions are codependent sets of conditions, in the sense that the conditions in the configuration explain recovery only in the presence of the other conditions in the configuration, with important implications for research and practice. Our results suggest that the absence of dynamic risk factors is a necessary condition for recovery, and that both the absence of dynamic risk factors and the presence of dynamic protective factors play a pivotal role in recovery, often in combination with other factors, such as absence of symptoms, absence of historical risk factors, and absence of alcohol dependence. We conclude by stressing the important role dynamic risk and protective factors play in recovery, and underline their co-dependence on other factors.
{"title":"What Happens after Discharge from a Forensic Psychiatric Hospital?: An Analysis of Causally Complex Patterns of Recovery among People Found Non-criminally Responsible on Account of Mental Disorder","authors":"B. Heylen, M. Caulet, A. Lemieux, M. Seto, T. Nicholls, A. Crocker","doi":"10.1080/14999013.2022.2128111","DOIUrl":"https://doi.org/10.1080/14999013.2022.2128111","url":null,"abstract":"Abstract In this article, we explore which configurations of risk and protective factors explain recovery in a sample of 60 forensic psychiatric patients 6 months after they have been discharged from a psychiatric institution. In line with the recovery-oriented paradigm that emerged in psychiatry, we focus on the role dynamic risk factors and dynamic protective factors play in recovery. Using fuzzy set qualitative comparative analysis, we explore which configurations of conditions explain recovery in conjunction with each other. This entails that the configurations of conditions are codependent sets of conditions, in the sense that the conditions in the configuration explain recovery only in the presence of the other conditions in the configuration, with important implications for research and practice. Our results suggest that the absence of dynamic risk factors is a necessary condition for recovery, and that both the absence of dynamic risk factors and the presence of dynamic protective factors play a pivotal role in recovery, often in combination with other factors, such as absence of symptoms, absence of historical risk factors, and absence of alcohol dependence. We conclude by stressing the important role dynamic risk and protective factors play in recovery, and underline their co-dependence on other factors.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44525371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-07DOI: 10.1080/14999013.2022.2130478
Karolina Lieser, Sapphire-Violet Rossdale
Abstract Recent findings have highlighted unique risk factors for female-perpetrated violence as well as limitations in its risk assessment. To address these shortcomings, the Female Additional Manual (FAM) was designed as a complementary tool for the gender-neutral framework of the Historical, Clinical, Risk Management-20 (HCR-20). Little research has been undertaken exploring the predictive validity of the FAM, particularly when used with the most recent version of the HCR-20 (HCR-20v3), leaving equivocal evidence in regards of its use in clinical practice. The present study compared the predictive validity of the HCR-20v3 with and without the FAM for inpatient violence. The sample consisted of 42 female forensic psychiatric patients in a low to medium secure unit in the UK. Results revealed a significant difference in the predictive validity of the HCR-20v3 compared to the FAM when assessing for physical violence and no significant differences between the instruments’ validity in predicting nonphysical and any violence. In line with existing literature, the HCR-20v3 was an overall good predictor of violence. While the FAM was less accurate than the HCR-20v3 at predicting physical violence, it achieved moderate to large effect size in predicting each category of violence. The findings provide a degree of support for using the HCR-20v3 when assessing the risk of violence in women but do not demonstrate improved predictive power when adding the FAM.
{"title":"Predictive Validity of the HCR-20v3 Compared to the HCR-20v3 with the FAM in Women","authors":"Karolina Lieser, Sapphire-Violet Rossdale","doi":"10.1080/14999013.2022.2130478","DOIUrl":"https://doi.org/10.1080/14999013.2022.2130478","url":null,"abstract":"Abstract Recent findings have highlighted unique risk factors for female-perpetrated violence as well as limitations in its risk assessment. To address these shortcomings, the Female Additional Manual (FAM) was designed as a complementary tool for the gender-neutral framework of the Historical, Clinical, Risk Management-20 (HCR-20). Little research has been undertaken exploring the predictive validity of the FAM, particularly when used with the most recent version of the HCR-20 (HCR-20v3), leaving equivocal evidence in regards of its use in clinical practice. The present study compared the predictive validity of the HCR-20v3 with and without the FAM for inpatient violence. The sample consisted of 42 female forensic psychiatric patients in a low to medium secure unit in the UK. Results revealed a significant difference in the predictive validity of the HCR-20v3 compared to the FAM when assessing for physical violence and no significant differences between the instruments’ validity in predicting nonphysical and any violence. In line with existing literature, the HCR-20v3 was an overall good predictor of violence. While the FAM was less accurate than the HCR-20v3 at predicting physical violence, it achieved moderate to large effect size in predicting each category of violence. The findings provide a degree of support for using the HCR-20v3 when assessing the risk of violence in women but do not demonstrate improved predictive power when adding the FAM.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47046818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-28DOI: 10.1080/14999013.2022.2105992
Krystle Martin, Sayani Paul, Erin Campbell, K. Bickle
Abstract Restorative justice has long been considered an important alternative lens to approach illegal and harmful behavior compared to traditional criminal justice approaches. Despite this widespread and successful application, efforts to use this approach within forensic mental health settings have seemingly been minimal. This review aimed to synthesize the available information on the application, evidence for use, and barriers or unique considerations for restorative justice practices within forensic mental health settings. The PRISMA extension for scoping reviews checklist guided our reporting of the results. After conducting an extensive review of the literature, six peer-reviewed articles and five gray literature documents were included. Our results demonstrate that restorative justice approaches in forensic mental health settings are being used by a small number of committed individuals and are not broadly accepted or part of typical care services. The evidence for use of this approach is extremely sparse but do suggest that these interventions could be appropriate in forensic mental health settings as reports for positive impacts are available on three levels, with patients, victims, and organizations. Information about the unique considerations that should be made and how restorative justice in forensic mental health differs from use in other populations is discussed.
{"title":"Restorative Justice Practices in Forensic Mental Health Settings – A Scoping Review","authors":"Krystle Martin, Sayani Paul, Erin Campbell, K. Bickle","doi":"10.1080/14999013.2022.2105992","DOIUrl":"https://doi.org/10.1080/14999013.2022.2105992","url":null,"abstract":"Abstract Restorative justice has long been considered an important alternative lens to approach illegal and harmful behavior compared to traditional criminal justice approaches. Despite this widespread and successful application, efforts to use this approach within forensic mental health settings have seemingly been minimal. This review aimed to synthesize the available information on the application, evidence for use, and barriers or unique considerations for restorative justice practices within forensic mental health settings. The PRISMA extension for scoping reviews checklist guided our reporting of the results. After conducting an extensive review of the literature, six peer-reviewed articles and five gray literature documents were included. Our results demonstrate that restorative justice approaches in forensic mental health settings are being used by a small number of committed individuals and are not broadly accepted or part of typical care services. The evidence for use of this approach is extremely sparse but do suggest that these interventions could be appropriate in forensic mental health settings as reports for positive impacts are available on three levels, with patients, victims, and organizations. Information about the unique considerations that should be made and how restorative justice in forensic mental health differs from use in other populations is discussed.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47305899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-14DOI: 10.1080/14999013.2022.2098423
R. Hornsveld, F. Kraaimaat
Abstract This follow-up study presents psychometric data and norms of the Adapted Version of the Picture-Frustration Study (PFS-AV) from 422 male violent forensic psychiatric in- and outpatients, 101 male violent long-term prisoners, and 319 secondary vocational students (160 males and 159 females). The PFS-AV is a production instrument to measure hostility with 12 items. A diagnostician scored the responses on a seven-point scale, running from not at all hostile (0) to extremely hostile (7). Support was found for the PFS-AV construct, concurrent, and discriminant validity in all three samples. Therefore, the present results underline the generalizability and applicability of the PFS-AV in different populations. Furthermore, for clinical diagnosis, norms are presented for the three samples, just as examples for the scoring on the Likert scale. Also, Dutch, English, and German versions of the PFS-AV with scoring instructions are available.
{"title":"A follow-up of the PFS-AV, an assessment instrument for hostility","authors":"R. Hornsveld, F. Kraaimaat","doi":"10.1080/14999013.2022.2098423","DOIUrl":"https://doi.org/10.1080/14999013.2022.2098423","url":null,"abstract":"Abstract This follow-up study presents psychometric data and norms of the Adapted Version of the Picture-Frustration Study (PFS-AV) from 422 male violent forensic psychiatric in- and outpatients, 101 male violent long-term prisoners, and 319 secondary vocational students (160 males and 159 females). The PFS-AV is a production instrument to measure hostility with 12 items. A diagnostician scored the responses on a seven-point scale, running from not at all hostile (0) to extremely hostile (7). Support was found for the PFS-AV construct, concurrent, and discriminant validity in all three samples. Therefore, the present results underline the generalizability and applicability of the PFS-AV in different populations. Furthermore, for clinical diagnosis, norms are presented for the three samples, just as examples for the scoring on the Likert scale. Also, Dutch, English, and German versions of the PFS-AV with scoring instructions are available.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43587168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.1080/14999013.2022.2095583
Victoria DiSciullo, E. Krackow, Merideth D. Smith
Abstract This study employed a quasi-experimental design to evaluate the impact of a modified START NOW program + behavioral level system (BLS) in a self-contained therapeutic community (SCTC) on inmate misbehavior at a correctional facility. The SCTC included a modified START NOW manualized mental health treatment, recreation groups, process groups as needed, and a level system on which to base the attainment of privileges. Inmate data was evaluated at 3-months pre- and post-SCTC to determine if there were differences in the number of mental health referrals for misbehavior, referrals to the restrictive housing unit, write-ups, instances of spontaneous use of force by correctional officers, and placement on suicide precaution status compared with a control group of inmates who were placed in restrictive housing during the same time frame. Analyses examined differences between these two groups comparing variables from pre-intervention to post-intervention timepoints. Both the modified START NOW + behavioral intervention group and the control group improved significantly from pre-to-post intervention on the number of placements in restrictive housing and number of write-ups for misbehavior but did not significantly improve on the remaining outcome measures. Study strengths and limitations are discussed.
摘要:本研究采用准实验设计，评估了一个改良的START NOW项目+行为水平系统(BLS)在一个独立治疗社区(SCTC)对监狱囚犯不良行为的影响。SCTC包括修改后的START NOW手动心理健康治疗，娱乐小组，根据需要的过程小组，以及基于特权获得的水平系统。在sctc之前和之后的三个月对囚犯数据进行了评估，以确定与同一时间段内被安置在限制性住房的对照组囚犯相比，在因行为不端而被转介到限制性住房的人数、被转介到限制性住房的人数、被记录的人数、狱警自发使用武力的情况以及被安置在自杀预防状态方面是否存在差异。分析了两组之间的差异，比较了干预前和干预后时间点的变量。从干预前到干预后，改良的START NOW +行为干预组和对照组在限制性住房安置数量和不良行为记录数量上都有显著改善，但在其余结果测量上没有显著改善。讨论了研究的优势和局限性。
{"title":"An Examination of a Modified START NOW Dialectical Behavior Therapy-Based Intervention and a Behavioral Level System on Male Inmate Misbehavior, Aggressive Behavior, and Suicide Precaution Status","authors":"Victoria DiSciullo, E. Krackow, Merideth D. Smith","doi":"10.1080/14999013.2022.2095583","DOIUrl":"https://doi.org/10.1080/14999013.2022.2095583","url":null,"abstract":"Abstract This study employed a quasi-experimental design to evaluate the impact of a modified START NOW program + behavioral level system (BLS) in a self-contained therapeutic community (SCTC) on inmate misbehavior at a correctional facility. The SCTC included a modified START NOW manualized mental health treatment, recreation groups, process groups as needed, and a level system on which to base the attainment of privileges. Inmate data was evaluated at 3-months pre- and post-SCTC to determine if there were differences in the number of mental health referrals for misbehavior, referrals to the restrictive housing unit, write-ups, instances of spontaneous use of force by correctional officers, and placement on suicide precaution status compared with a control group of inmates who were placed in restrictive housing during the same time frame. Analyses examined differences between these two groups comparing variables from pre-intervention to post-intervention timepoints. Both the modified START NOW + behavioral intervention group and the control group improved significantly from pre-to-post intervention on the number of placements in restrictive housing and number of write-ups for misbehavior but did not significantly improve on the remaining outcome measures. Study strengths and limitations are discussed.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41919425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-15DOI: 10.1080/14999013.2022.2081743
J. Davies, Aisling O’Meara, L. Broome
Abstract Models of offender motivation to change exist, however there is a lack of theory-driven psychometric tools that measure motivational constructs to support offenders in positive life goal pursuits. This research extends the Personal Concerns Inventory (Offender Adaptation), presenting a Goals and Plans tool that supports users to: identify and prioritize goals in life domains of importance to them; detail how a goal can be attained; and consider obstacles to attainment. Literature informed the benchmark for the tool, which was evaluated through implementation in Prisons (n = 62) and Approved Premises (n = 105) across Wales, UK. Results indicate that goals in the life domains of Home & Future Living, Relationships, Physical & Mental Health and Learning & Working were prioritized. Goal attainment/restrictions were influenced by perceived control over a goal. Goals that relied upon external factors (i.e., services) reflected a more maladaptive motivational structure, whereas those that relied upon internal (self-focused) barriers to participation reflected an adaptive structure. This research offers practitioners a tool to assist users to ‘plan for the future’ and monitor progress by capturing motivations and assessing factors that might impact the likelihood of a goal being pursued.
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