Using the Referral Decision Scale to Screen Mentally Ill Jail Detainees: Validity and Implementation Issues

The prevalence of serious mental illnesses in jail populations is significantly greater than in the general population. Identifying individuals who warrant psychiatric evaluations is important and benefits correctional staff as well as detainees. One widely used screening instrument intended for this task is the Referral Decision Scale (RDS). This paper reviews the development and validation of the RDS. Using data from a multisite study which assessed postrelease outcomes for detainees with mental illness, various types of validity are addressed. The results confirm that the RDS has some inherent characteristics that seriously limit its practical application as a screening instrument for use by correctional staff.     

Loss Due to Death and its Association with Mental Disorders in Juvenile Detainees

This study investigated the prevalence of loss due to death and its association with mental disorders in a random sample of 898 newly detained adolescents in Chicago, Illinois. Nearly 90% of youth experienced the loss of an important person; most had also experienced a “high‐risk” loss (e.g., loss due to violence, sudden loss). Minority youth were at particular risk. Youth with any loss or multiple losses were more likely to have mood disorders and ADHD/behavioral disorders, respectively, than youth who had no such losses. Interventions focusing on modifiable protective factors following loss may increase positive outcomes in this vulnerable population.     

Recidivism Outcomes for Suburban Mental Health Court Defendants

Mental health courts have recently emerged as one means to reduce the number of persons with mental illness in the criminal justice system. Using a post-test only comparison group design, this study examined rearrest rates for 1 year post discharge among three groups meeting admission criteria for a municipal mental health court. The rearrest rate of defendants who successfully completed the program (N = 351) was 14.5%, compared to 38% among defendants negatively terminated from the program (N = 137), and 25.8% among defendants who chose not to participate (N = 89). This positive result held even when controlling for a range of variables in a Cox regression survival analysis. Factors associated with rearrest are identified for each of the three groups.     

Recognizing Perspectives on Community Reentry From Offenders With Mental Illness: Using the Afrocentric Framework and Concept Mapping with Adult Detainees

By using concept mapping techniques and incorporating the Afrocentric framework, the study demonstrated that people with mental illnesses, when asked and provided the means to participate, can engage in meaningful identification of their needs, service conceptualization and prioritization. They provided 13 service area needs that included 104 indicators of their success when returning to the community. The identification of these indicators of success is helpful to program developers so that they can address the challenges of the consumer and move offenders with mental illness toward independent living. Implications of the findings for social workers and public health professionals working in the corrections field were explored and discussed.     

Recidivism and Psychiatric Symptom Outcomes in a Juvenile Mental Health Court

Few researchers have examined outcomes in Juvenile Mental Health Courts. Recidivism rates were assessed among 108 predominantly African American (95.3%) youth. Ages ranged from 12 to 18 (M = 15.85, SD = 1.45). Substantially fewer re‐convictions, along with re‐arrests, were exhibited among the treatment group (n = 54) compared to the control group (n = 54) after one year of participation or probation supervision. Psychiatric symptomatology among 21 youth was assessed pre‐ and post‐ intervention using the Comprehensive Behavior Rating Scales‐Self Report. Cohen's d effect sizes indicated substantial reductions in mental health symptoms (.33 ≥ d ≤ .88). Results are consistent with the previous studies of problem‐solving court efficacy.     

Screening of Women in Jail for Health Risks and Needs

Abstract

In order to address the relative lack of services for women who come into contact with the criminal justice system, there is a need to develop quick and easily administered screening tools. This pilot study was conducted with 110 women in two urban county jails in Ohio. The purpose of the project was to develop and pilot a quick multidimensional screening instrument for women in jail to identify risk and rehabilitative needs. The project resulted in a 15-item screening tool which can be used in urban crowded jail settings to identify women at risk for health, substance abuse, mental health, family, employment or housing risks.     

Family Environment Characteristics and Mental Health Outcomes for Youth in Foster Care: Traditional and Group-Care Placements

Journal of Family Violence - Foster care is meant to provide a safe, temporary out-of-home placement for children exposed to maltreatment, yet little is known about how youth and foster caregivers...     

A comparison of actuarial methods for identifying repetitively violent patients with mental Illnesses

This is a progress report on the development of practical methods for the actuarial prediction of violence. The literature indicates that actuarial prediction is more accurate than clinical prediction, but in practice actuarial methods seem to be used rarely. Here we address two obstacles to the clinical use of actuarial prediction methods. First, clinicians may be averse to actuarial methods that require calculations. To remedy this, we developed a regression tree screen that presents actuarial information about violence in a series of yes/no questions. Second, using actuarial methods to identify the small minority of violent patients in a general psychiatric population may be too costly. To remedy this, we developed a method to prescreen patients for intensive evaluation using an inexpensive assessment. We evaluated regression trees and two-stage screening by comparing their accuracies against conventional actuarial methods. The results showed that actuarial predictions based on regression trees and two-stage screens were as accurate as regression-based methods in identifying repetitively violent patients. These easier-to-use methods may therefore be useful techniques for actuarial predictions.     

Mental Health Court Outcomes: A Comparison of Re-Arrest and Re-Arrest Severity Between Mental Health Court and Traditional Court Participants

Mental health courts have been proliferating across the country since their establishment in the late 1990's. Although numerous advocates have proclaimed their merit, only few empirical studies have evaluated their outcomes. This paper evaluates the effect of one mental health court on criminal justice outcomes by examining arrests and offense severity from one year before to one year after entry into the court, and by comparing mental health court participants to comparable traditional criminal court defendants on these measures. Multivariate models support the prediction that mental health courts reduce the number of new arrests and the severity of such re-arrests among mentally ill offenders. Similar analysis of mental health court completers and non-completers supports the prediction that a "full dose" of mental health treatment and court monitoring produce even fewer re-arrests.     

Jail suicides by hanging. An epidemiological review and recommendations for prevention

This article reviews 17 cases of jail suicide occurring in Oklahoma in calendar years 1981 through 1983. Significant variables are reviewed, and recommendations for prevention are presented.     

服刑人员未成年子女的现状及救助体系

服刑人员未成年子女指父母服刑后留下的未满18周岁的儿童。近年来,服刑人员未成年子女的现状及救助问题逐渐引起了社会的关注。据统计,截止到2005底,在我国监狱服刑的156万名在押犯中,有未成年子女的服刑人员近46万人,占押犯总数的30%左右,监狱服刑罪犯的未成年子女总数逾60万人①。这些孩子的父母一方或双方都处在服刑状态,难以对他们的子女进行必要的监护。服刑人员未成年子女由于缺少父母的必要监护以及社会救助体系不完善等原因,其现状令人堪忧。分析这些现状问题,     

Stressful Childhood Experiences and Clinical Outcomes in People with Serious Mental Illness: a Gender Comparison in a Clinical Psychiatric Sample

Objective: This study examines stressful childhood experiences (SCE) including childhood abuse and family context in a cohort of 183 people diagnosed with serious mental illness (SMI) and compares gender specific rates of SCE and clinical outcome variables. Methods: 111 men and 72 women with SMI were interviewed regarding SCE and posttraumatic stress disorder (PTSD) symptoms, dissociative symptoms, risk for self-harm, and adult re-victimization. Results: Both genders endorse high rates of SCE. Cumulative SCE (the sum of seven SCE) are linked to increased levels of all four outcome variables after adjusting for demographic factors. Conclusions: The study addresses the need to assess cumulative SCE in a population with SMI and its effects on clinical outcomes in both genders.     

Training Parents Reported for or at Risk for Child Abuse and Neglect to Identify and Treat Their Children's Illnesses

Parents at-risk or reported for child abuse or neglect may demonstrate deficits in infant and child health care skills, placing their children at greater risk for health problems. Research assistants, caseworkers, and a nurse provided health care skills training to parents at risk or reported for child abuse or neglect. A health reference guide and other training materials were validated by health care professionals. Training involved teaching parents to follow a series of steps to identify symptoms, use reference and record-keeping materials, determine the best form of treatment, and either treat the illness at home, consult a physician, or seek emergency treatment. Skill acquisition was assessed through observations of parent behavior in simulated health care scenarios. A series of multiple baselines across parents demonstrated effectiveness of this training in the context of these scenarios. Six out of seven parents met the 100% mastery criterion. All parents provided positive ratings of the content of the training program, the training strategies, and the counselors who provided training.     

Enhancing Treatment Outcomes for Male Adolescents with Sexual Behavior Problems: Interactions and Interventions

This exploratory study identifies patterns of multidisciplinary interactions and interventions that aim to improve outcomes for juvenile sex offenders (JSOs). With a response rate of 63.45% at two major statewide conferences in Texas, data from 336 JSO service providers suggest that interactions among service providers should occur before the delivery of interventions. Factor analyses indicated that Protocol (26%), Collaboration (17%), and Role Clarity (15%) explain 58% of the variance in “Multidisciplinary Interactions,” while Counseling (13%), Treatment Placement (11%), and Self-Discipline (10%) explain 34% of the variance in “Interventions.” Treatment staff preferred the implementation of cognitive and person-centered treatment approaches. Additional research is needed to establish objectivity and increase awareness about the importance of service diversity with a common goal within this multidisciplinary community.     

咬痕个体识别的比对方法

目的 建立一个牙模数据库,为通过牙齿、咬痕进行个人识别的研究及其在法医实践中的应用提供一种新方法。方法 经过对400例牙模进行分析、计算,将牙齿的形状、排列转换成数字型(X,Y)坐标,通过计算出每颗牙关键点与坐标原点的相对位置,在DOS系统下运用Borland C++5.0语言编写程序,快速地计算出牙齿和牙弓的特征。结果 能对牙模进行自动识别,达到排除与认定。其比对精度长度为1.3mm,角度3°;可取的最少牙点位数目为12～14较为合理,大致需要5～7个完整的牙痕。结论 该方法是研究咬痕与牙模比对的基础。     

公益诉讼模式比较与选择

公益诉讼是为了保护社会公共利益而提起的诉讼。但是 ,我国至今还没有关于公益诉讼的立法。随着我国社会各方面的发展 ,特别是法治国家进程逐步展开 ,人民群众法治观念日益增强 ,关涉社会公共利益的行为和活动越来越引起人们的关注 ,因此而产生的公益诉讼问题也越来越突出尖锐。显然 ,公益诉讼立法只是个时间问题。然而 ,在我国现今的社会历史条件下 ,如何建立起一个可以操作的、行之有效的公益诉讼制度 ?作者在此为我们简练地介绍并勾画了国外公益诉讼制度的模式和操作机制 ,并且在此基础上指出了我国作为以公有制为主体的社会主义国家 ,应该予以选择和确立的制度模式。     

刑事和解:误读与澄清——以与恢复性司法比较为视角

在西方,刑事和解是恢复性司法的起源与模式之一。在我国,刑事和解起源于轻伤害案件处理方式的改革,是民事赔偿责任的和解,更强调当事人双方矛盾的化解,而非社会关系的全面恢复,属于原发性的而非继发性的、整体性的而非平行性的司法举措。