Probable posttraumatic stress disorder in a sample of urban jail detainees

This study examined the nature and extent of probable posttraumatic stress disorder (PTSD) among men in a substance abuse treatment program in a large urban jail. Specifically, it explored the prevalence of probable PTSD and other psychiatric problems among jail detainees, the types of trauma detainees experienced during different phases of their lives, and how those experiences might have contributed to the development of probable PTSD. Results showed that psychiatric problems were quite serious; nearly one-quarter of the sample reported previous psychiatric hospitalization, and nearly 10% were being currently treated with psychiatric medication. In addition, 21% of the sample met the criteria for probable PTSD, a rate five times greater than that in the general population. The current study suggests that the presence of probable PTSD among male detainees should be incorporated into the creation and implementation of jail-based behavioral healthcare services, including screening, assessment, and clinical interventions. Furthermore, in-custody drug treatment programs should adopt trauma-informed strategies for all program participants as the expected standard of care.     

Implementing the Key Components of Specialized Drug Treatment Courts: Practice and Policy Considerations

The perceived need for specialized drug courts emerged from the most recent "war on drugs." Courts were no longer able to handle such cases effectively because of an overwhelming volume of drug arrests and prosecutions. The increased emphasis on drug enforcement also revealed that many of the most serious criminally involved drug‐using offenders were undeterred by threats of incarceration, but were amenable to substance abuse treatment. Drug court professionals have identified several "key components" that must be in place for these courts to achieve their goals of reducing drug use and crime. Through the lens of these key drug court components, we examine the development and initiation of specialized drug treatment courts in Cook County (Chicago), Illinois. By exploring and documenting Cook County's experiences, we elucidate several of the basic policy and organizational issues surrounding the implementation and operations of specialized drug treatment courts in the United States.     

Walking the line: Specialized and standard probation officer perspectives on supervising probationers with serious mental illnesses

Specialized probation programs were developed to more effectively address the unique needs of probationers with serious mental illnesses. Probation officers are tasked with serving both law enforcement and rehabilitative functions, and officers play an important gatekeeper function in helping probationers with serious mental illnesses avoid long incarceration sentences. The purpose of this paper was to explore specialized and standard probation officers' work in supervising probationers with serious mental illnesses. Twenty-one probation officers (11 specialized and 10 standard) participated in semi-structured interviews. Qualitative analyses examined: 1 — beliefs on the relationship between mental illness and crime; 2 — purpose of specialized and standard probation units; and 3 — approaches to supervising probationers with serious mental illnesses. Implications for developing more effective probation supervision programs are discussed.     

The effects of specialized probation and recovery management checkups (RMCs) on treatment participation,substance use,HIV risk behaviors,and recidivism among female offenders: main findings of a 3-year experiment using subject by intervention interaction analysis

Objectives

To examine the effects of specialized probation and recovery management checkups (RMCs) on participation in substance use treatment, substance use, HIV risk behaviors, and recidivism.

Methods

Women (n?=?480) released from the Cook County Jail’s Department of Women’s Justice Services were randomly assigned to either an RMC or control condition and interviewed quarterly for 3 years (greater than 90% completion per wave). At the beginning of each quarter, women were classified as currently on probation (n?=?1984) or not (n?=?2516). Current probation (subject) and experimental condition (intervention nested within probation status) at the beginning of the quarter were used to predict outcomes in the next quarter. Data included self-reports, urinalysis findings, and county and state arrest records.

Results

In the quarter after being on probation (or not), women offenders reported higher rates of participation in substance use treatment and recovery support services, as well as lower rates of substance use and HIV risk behaviors. Nevertheless, they were more likely to commit crimes and be rearrested or reincarcerated. During quarters when the women were not on probation, RMCs were associated with significant increases in participation in substance use treatment and significant reductions in substance use and HIV risk behaviors. However, RMCs had no additional quarterly benefits when women were on probation. Higher levels of substance use treatment, self-help engagement, and reduced substance use predicted reduced recidivism.

Conclusions

This study demonstrates the effects of specialized probation and RMCs (when not on probation) on favorable outcomes for criminally involved women with substance use disorders.

     

Exploring the dimensions of trust in the police among Chicago juveniles

Youths' opinions about the police matter and can affect officers' ability to perform their duties. The relationship between police officers and youths, however, is often highly strained. Despite the importance of trust in effective police programming, little is known about youngsters' trust in the police and the association between trust and other views and experiences of adolescents. In a quantitative multivariate model, the current study assessed several correlates of Stoutland's (2001) dimensions of police trust in a large sample of Chicago youths. The study examined the relationship between youths' trust in the police and their attitudes, beliefs, experiences, behaviors, and background characteristics. Supportive of Stoutland's (2001) results, the investigation found that trust in the police was a multidimensional construct. The current study also found a relationship between vicarious experiences and trust and evidence for the negativity or asymmetrical bias that has appeared in previous studies of police-citizen contacts.     

The effects of self-control, gang membership, and parental attachment/identification on police contacts among Latino and African American youths

This study assessed the correlates of self-control and police contact in a sample of Chicago public high school students. The investigation examined the effects of parental attachment/identification, family structure, and peer association on self-control and the effects of parental attachment/identification, family structure, peer association, and self-control on police contact. Differences between African American and Latino youth on the predictors of the two dependent measures were tested in separate regression models. Weak parental attachment/identification and gang affiliation (peer association) predicted low self-control among all students. Among African American youth, only weak maternal attachment/identification predicted low self-control; both weak maternal attachment/identification and gang affiliation predicted low self-control among Latino youth. Gang affiliation predicted police stops (delinquency) among African Americans but not among Latinos. However, both African American and Latino students with lower self-control were more likely to be stopped by the police than those with higher self-control.     

Standardized assessment of substance-related, other psychiatric, and comorbid disorders among probationers

This study examined the prevalence of alcohol- and substance-related disorders in a random sample of 627 adult probationers in Illinois. The investigation also explored the prevalence of major psychiatric disorders and their co-occurrences with alcohol and substance use disorders. To detect the presence of psychiatric disorders, researchers employed standardized assessment tools based on Diagnostic and Statistical Manual of Mental Disorders criteria. Overall, results showed that probationers had significantly higher rates of psychiatric disorders, substance use disorders, and co-occurring disorders compared with persons in the general population. In light of these findings, probation administrators are urged to invest more resources in treating drug use, mental illness, and codisorders, the latter of which is associated with a higher risk of violent behaviors.     

Judges’ Perceptions of Screening,Assessment, Prevention,and Treatment for Substance Use, Mental Health,and HIV among Juveniles on Community Supervision: Results of a National Survey

Juvenile Justice‐Translational Research on Interventions for Adolescents in the Legal System (JJ‐TRIALS) National Survey was funded in part to describe the current status of screening, assessment, prevention and treatment for substance use, mental health, and HIV for youth on community supervision within the US juvenile justice system. Surveys were administered to community supervision agencies and their primary behavioral healthcare providers, as well as the juvenile or family court judge with the largest caseload of youth on community supervision. This article presents the findings from the judges’ survey. Survey results indicated juvenile and family court judges were open to innovations for improving the court's performance, rated their relationships with collaborators highly, and appreciated the impact of screening, assessment, prevention, and treatment on judicial practices.     

Parenting and Intimate Relationship Effects on Women Offenders' Recidivism and Noncompliance with Probation

This study disentangled the effects of intimate relationships and parenting on women probationers’ noncompliance. Data from a sample of 257 women were analyzed using logistic and negative binomial regression. Women with nonconforming intimate partners missed treatment more frequently, had a higher likelihood of missing a probation appointment, and had a higher chance of a new arrest for substance abuse or misdemeanor crimes during a 3-year follow-up period. Women parenting children had fewer missed probation appointments. Missed probation appointments increased the risk of recidivism for all crime categories except driving under the influence. Implications of these findings are discussed.