Evaluation of the improving access to psychological therapies for offenders programme at HMP Lincoln: a three year prospective cohort study

The mental health needs of prisoners are significant with a high incidence of common mental health problems including anxiety and depression. Extending national initiatives such as the National Health Service Improving Access of Psychological Therapies programme to people in prison offers a valuable opportunity to address these mental health problems and improve continuity of care from prison to the community. This study adopts an observational, prospective cohort design and evaluates an IAPT for offenders service over the first three years of operation within a male Category B prison holding remand/convicted prisoners. The evaluation found large effect sizes for changes in anxiety and depression with clinical recovery being achieved in 55% of depression and 52% of anxiety cases. On average, prisoners were treated in less than five sessions employing a low-intensity cognitive-behavioural approach. The lack of established formal diagnoses and a control group limits the findings.     

Does Authoritarianism Breed Corruption? Reconsidering the Relationship Between Authoritarian Governance and Corrupt Exchanges in Bureaucracies

This article advocates for ethnographic and historical study of the political roots of corruption. Focusing on informal economies of Belarusian universities, it reexamines two theoretical propositions about corruption in autocracies. The first proposition is that authoritarianism breeds bureaucratic corruption; the second is that autocrats grant disloyal subjects corruption opportunities in exchange for political compliance. Using qualitative data, the author finds that autocracies can generate favorable as well as unfavorable preconditions for bureaucratic corruption. The author argues that lenient autocratic governance, characterized by organizational decoupling, creates favorable conditions for bureaucratic corruption. In contrast, consolidated autocracy, defined by rigid organizational controls, is unfavorable to such corruption. The author also concludes that in autocracies, disloyal populations may be cut off from rather than granted opportunities for bureaucratic corruption. These findings suggest that the relationship between autocratic governance and corruption is more complex than current studies are able to reveal due to their methodological limitations.     

Child sexual abuse: an Italian perspective

The problem of child sexual abuse is a growing reality in Italy. The experience of over 200 children seen by the SVS (Soccorso Violenza Sessuale) Centre in Milan (the first Italian large-scale study) may give more information on the European situation. This study is a retrospective study based on information contained in the files of children beneath the age of 14 seen at the SVS Centre between May 1996 and May 2003, who arrived with a suspicion of child sexual abuse. Over 80% of all cases fell within the normal-aspecific category according to Adams' 2001 classification. This first Italian survey, though not based on substantiated cases but only on cases of suspected sexual abuse, supplies a perspective on a large northern European city such as Milan. Data seem similar to those published in other non-European studies, particularly as regards clinical signs observed. Thus, the results of this study, with all their limitations, start to give a perspective on the frequency and type of child population reaching this Italian center, what the scenarios are, what signs the children present and how infrequent it is to find clinical anogenital signs concerning for sexual abuse.