Violent Behavior Preceding Hospitalization Among Persons with Severe Mental Illness

The need to better understand and manage risk of violent behavior among persons with severe mental illness (SMI) in community care is increasingly being recognized. Of particular concern is a subset of the SMI population characterized by a revolving door pattern of institutional recidivism and poor adherence to outpatient treatment. Little empirical research exists which examines the specific dimensions of violent incidents and their surrounding context in this population. The present paper describes characteristics of violent behavioral events in a sample of 331 people with psychotic or major mood disorders who were placed on involuntary outpatient commitment in North Carolina. By pooling baseline data from respondents' self-report, collateral informant interviews, and hospital records, the study found violent behavior to be a problem affecting over half the sample in a 4-month period preceding hospitalization. The study also found considerable variability in the frequency of violent events, severity, weapon use, subjective state when incidents occurred, initiation of fights, settings, relationship to others involved, and associated threat of victimization. Multivariable analyses showed that cooccurring substance abuse problems, history of criminal victimization, and age (being younger) were significantly associated with violent behavior when all sources of data were taken into account. Clinical diagnosis and symptom variables were not related to violence in this sample. Implications of these findings for service delivery priorities and future research are discussed.     

限定刑事责任能力评定量表在暴力案件中的应用

目的研究《限定刑事责任能力评定量表》在暴力案件中的使用情况。方法对103例暴力犯罪案件中的被鉴定人分别使用《限定刑事责任能力评定量表》、《暴力作案刑事责任能力评定量表》进行评定,并同专家结论进行比较:使用BPRS对精神症状评分:对被评定为限定责任能力的案例进行三级划分。结果量表总分的组内相关系数ICC=0.9073:全量表同质信度Cronbachα=0.9572,分半相关系数分别为0.994和0.991,二者相关系数r=0.969。《限定刑事责任能力评定量表》总分和《暴力作案刑事责任能力评定量表》总分相关较高.r=0.946。量表结论与专家结论的一致性高,Kappa=0.95。限定责任能力案件得分与专家分级意见的一致性高:Kappa=0.97。《限定刑事责任能力评定量表》总分和BPRS总分相关性高,r=-0.797。结论《限定刑事责任能力评定量表》在暴力案件的鉴定中具有可用性。     

Prevalence of Criminal Thinking among State Prison Inmates with Serious Mental Illness

To examine the prevalence of criminal thinking in mentally disordered offenders, incarcerated male (n = 265) and female (n = 149) offenders completed measures of psychiatric functioning and criminal thinking. Results indicated 92% of the participants were diagnosed with a serious mental illness, and mentally disordered offenders produced criminal thinking scores on the Psychological Inventory of Criminal Thinking Styles (PICTS) and Criminal Sentiments Scale-Modified (CSS-M) similar to that of non-mentally ill offenders. Collectively, results indicated the clinical presentation of mentally disordered offenders is similar to that of psychiatric patients and criminals. Implications are discussed with specific focus on the need for mental health professionals to treat co-occurring issues of mental illness and criminality in correctional mental health treatment programs.     

A Feasibility Pilot Intervention Program to Teach Parenting Skills to Mothers of Poly-Victimized Children

The Parceria (Partnership) Project is a Brazilian intervention program designed for mothers with an intimate partner violence (IPV) history. Its short term goal is to teach parenting skills to abused women, and in the long term, to prevent behavioral problems in their children. The objective of this pilot study was to evaluate the feasibility of the Parceria Project with mothers of children who had experienced multiple forms of maltreatment (poly-victimization), as it was expected that most of the mothers would also have a history of IPV. Seventeen Brazilian mothers took part in this intervention. They completed several types of evaluation. The intervention program using a cognitive-behavioral model took place in each family’s home. All mothers completed the intervention and evaluated the project positively. The study showed that it is feasible to conduct interventions with families who face severe psychosocial risk such as family violence.     

Correctional Policy for Offenders with Mental Illness: Creating a New Paradigm for Recidivism Reduction

Offenders with mental illness have attracted substantial attention over the recent years, given their prevalence and poor outcomes. A number of interventions have been developed for this population (e.g., mental health courts). They share an emphasis on one dimension as the source of the problem: mental illness. Their focus on psychiatric services may poorly match the policy goal of reducing recidivism. In this article, we use research to evaluate (a) the effectiveness of current interventions, and (b) the larger viability of psychiatric, criminological, and social psychological models of the link between mental illness and criminal justice involvement. We integrate theory and research to offer a multidimensional conceptual framework that may guide further research and the development of efficient interventions that meaningfully reduce recidivism. We hypothesize that the effect of mental illness on criminal behavior reflects moderated mediation (i.e., the effect is direct in the case of one subgroup, but fully mediated in another); and that the effect of mental illness on other “recidivism” is partially mediated by system bias and stigma. We use this framework to propose three priorities for advancing research, articulating policy, and improving practice.     

The Recurring Victimization of Individuals with Mental Illness: A Comparison of Trajectories for Two Racial Groups

Objective

This study explores whether the trajectories of recurring victimization of Black persons diagnosed with major mental illnesses vary from the trajectories of their White counterparts. Further, the study examines whether the risk factors for recurring victimization among persons with major mental illness vary by race.

Methods

Using data from the MacArthur Violence Risk Assessment Study (MacRisk), two separate hierarchical binomial regression models were estimated to compare the recurring victimization trajectories of Black and White MacRisk participants. Cross-level interaction terms were also estimated to determine if the coefficients for each of the time-varying covariates included in the analyses were significantly different across race.

Results

The findings indicate that the trajectories of recurring victimization for Black persons with serious mental illness are significantly different from those of White persons with serious mental illness. Specifically, Black persons’ trajectories remain relatively stable over time, while the risk of recurring victimization declines for Whites as time since release from the hospital increases. Further, the effects of alcohol abuse on revictimization risk vary by race.

Conclusion

The findings suggest that the life experiences of Black persons with mental illness may be different from their White counterparts, which is likely to contribute to distinct patterns of recurring victimization over time. Future research should continue to explore recurring victimization among diverse samples to identify potential sources of the variation in revictimization trajectories across race.

     

Evaluating an Online Program to Help Children Exposed to Domestic Violence: Results of Two Randomized Controlled Trials

The current study reports the results of two randomized controlled trials investigating effects of an online program (Change A Life) designed to educate individuals about children’s exposure to domestic violence (DV), and to increase individuals’ self-efficacy for providing support to children exposed to DV. In both a community sample (n = 110) and a college student sample (n = 146), participants who completed Change A Life, compared to those who completed a control program, reported increased knowledge about children’s exposure to DV. In the community sample, but not the college student sample, those who completed Change A Life also reported increased self-efficacy for helping children exposed to DV. Neither participant sex nor history of exposure to domestic violence moderated intervention effects.     

The Effectiveness of a Mental Health Court in Reducing Recidivism in Individuals with Severe Mental Illness and Comorbid Substance Use Disorder

The current study examined the efficacy of a specialized mental health court in reducing recidivism for severely mentally ill defendants with comorbid substance use disorders. There is a wealth of research supporting the efficacy of mental health courts in reducing recidivism for those with severe mental illness; however, the benefit of these courts for individuals with severe mental illness and comorbid substance use disorders has received limited empirical attention. Participants were 514 defendants enrolled in either a traditional adversarial court or a specialized mental health court. Recidivism was assessed across different outcome variables, including frequency of reoffending, severity of new offenses, and length of time to reoffend. When compared to participants in the traditional adversarial court, enrollment in mental health court was associated with a greater length of time to rearrest and fewer participants were rearrested in the mental health court than the traditional court. Group differences between those with and without comorbid substance use disorders who were enrolled in the mental health court were not found across recidivism outcome metrics. Results of the current study are particularly promising given that defendants with substance use disorders are at a greater risk for reoffending.     

论刑释解教人员的心理状态及帮教对策

帮教工作一手牵两头,繁琐复杂,要做出一点成绩很不容易。虽然在我国,特别是在上海建立了一整套帮教体系,但还面临一些较严峻的问题,如何在新的历史条件下,真正使帮教工作落到实处,做出效果,有待于社会各界,特别是帮教工作者的努力,帮教工作任重而道远。笔者认为帮教工作的有效性,很大程     

The Relation of Parenting Styles and Inconsistencies to Adaptive Functioning for Children in Conflictual and Violent Families

Research of parenting in conflictual and violent families suggests that battered mothers (i.e., those experiencing verbal and/or physical abuse by their partner) may not parent very differently from demographically similar nonbattered mothers. However, battered mothers do report being less consistent in their discipline. In the present study, 104 mothers and their children from community nonviolent and violent families and shelter violent and violent abusive families participated in interviews to obtain information about child functioning and authoritative, authoritarian, and permissive parental practices. It was the case that authoritative practices were associated with more positive child functioning and that parental inconsistency, defined in terms of endorsing conflictual parenting practices, was associated with poorer child outcome. Groups of mothers were identified that fit different patterns of parenting practices, and these patterns were differentially related to children's functioning.     

Study: The Lack of Significant Association of the Catechol-O-Methyl Transferase (COMT) Gene Polymorphism in Violent Offenders with Mental Retardation

Abstract:  Little is known about criminality of cognitively impaired people and also there have been no reports on the relationship between catechol- O -methyl transferase (COMT) and committed Mental Retardation (MR) subjects. In the present study, the association between committed (violent offences) MR subjects and genetic variants of COMT were investigated by using polymerase chain reaction and based restriction fragment length polymorphism methods. During 6 years of follow-up, 36 violent offenders with mild MR were investigated. Thirty-six control volunteers were included in the study as a control group. H/L polymorphism of the COMT gene was investigated in these two groups. In conclusion, the COMT gene genotype distribution and allele frequency is not significantly different between the two groups ( p  > 0.05). This result suggests that the H/L polymorphism of the COMT gene does not show an association with the potential of "commits-violent offense" of Turkish subjects with mental retardation, compared with control group.     

Children of the American Prison Generation: Student and School Spillover Effects of Incarcerating Mothers

Formal equality and judicial neutrality can lead to substantive inequality for women and children, with social costs that extend beyond individuals and families and spill over into the larger social settings in which they are located. We consider the uniquely damaging effects of an “equality with a vengeance” (Chesney‐Lind & Pollack 1995) that resulted from “tough on crime” policies and the 1980s federal and state sentencing guidelines that led to the incarceration of more women and mothers. We argue that legal equality norms of the kind embedded in the enforcement of sentencing guidelines can mask and punish differences in gendered role expectations. Paradoxically, although fathers are incarcerated in much greater numbers than are mothers, the effect threshold is lower and the scale of effect on educational outcomes tends to be greater for maternal incarceration. We demonstrate both student‐ and school‐level effects of maternal incarceration: the damaging effects not only affect the children of imprisoned mothers but also spill over to children of nonincarcerated mothers in schools with elevated levels of maternal incarceration. We find a 15 percent reduction in college graduation rates in schools where as few as 10 percent of other students' mothers are incarcerated. The effects for imprisoned fathers are also notable, especially at the school level. Schools with higher father incarceration rates (25 percent) have college graduation rates as much as 50 percent lower than those of other schools. The effects of imprisoned mothers are particularly notable at the student level (i.e., with few children of imprisoned mothers graduating from college), while maternal imprisonment effects are found at both student and school levels across the three measured outcomes. We demonstrate these effects in a large, nationally representative longitudinal study of American children from the 1990s prison generation who were tracked into early adulthood.     

论人工生殖子女父母身份之认定

传统民法中父母子女关系的建立,血缘与怀胎是母亲同时具备的要素,法律上兼以二者作为认定母子关系的指标。随着医学科技的发达,人工生殖技术使得血缘与怀胎间的相连性不再理所当然,不孕夫妻可以借用他人的精卵通过体内或体外受精,使妻孕育分娩子女,甚至可以将不孕夫妻的受精卵植入他人的子宫怀胎分娩,使得人类的繁衍可以在血缘之外的母体进行。生殖科技对现行法律制度提出了诸多挑战,人工生殖子女之父母身份的认定问题尤为突出。为避免因采用特殊规则形成人工生殖子女为特殊子女的不当认识,立法上应力求采用与自然生殖同样的父母认定标准确定人工授精子女的亲子关系,即依据出生事实确定谁是母亲,根据婚生推定及否认制度确定谁是父亲,丈夫的术前同意限制其对子女的婚生否认权的行使;立足于有限性开放代理孕母的观点,确定代孕子女的父母身份时,法律应突破传统的分娩者为母亲的观念,通过特殊立法规定遗传父母为代孕子女之法律父母。     

Variations in Behavior Problems of Preschoolers Exposed to Domestic Violence: The Role of Mothers’ Attunement to Children’s Emotional Experiences

The purpose of this study was to identify aspects of family relationships that may protect young children from the pathogenic effects of family violence. Using a sample of 30 preschool-age children whose mothers were physically abused by a partner, we investigated the associations between children’s externalizing and internalizing behavior problems and: (1) the quality of the mother–child relationship, and (2) mothers’ attunement to their child’s sad and angry emotions. Results indicated that clinician ratings of the mother–child relationship, and mothers’ attunement to their child’s experience of emotion each made a unique contribution to the prediction of children’s externalizing behavior. These relationships remained robust, even after taking the severity of domestic violence reported by mothers into consideration. Maternal attunement, however, did not mediate the relationship between marital conflict and children’s behavior problems. No significant link was found between children’s internalizing behavior and maternal attunement to their children’s sadness and anger. Additional findings suggested that mothers with a PTSD diagnosis tended to be less attuned to their child’s experience of sadness. This investigation was supported by grants from the Irving B. Harris Foundation, the Pinewood Foundation, the Miriam and Peter Haas Foundation, and a REAC Award from the University of California, San Francisco to the second author.