A qualitative investigation of treatment components for families of youth who have sexually offended

ABSTRACT

Traditional treatment approaches for youth who commit sexual crimes are generally understudied and lack consideration for youths’ evolving context and development. A holistic model is important in service delivery, whereby multiple socio-ecological risk and protective factors are targeted in treatment. Family treatment, a key component of holistic practices, has not been well-defined for families of youth who have committed sexual crimes. Better understanding of the practical techniques used in service agencies can inform family services for youth. Using an inductive grounded theory approach, this qualitative study interviews service providers (N?=?19) to understand components of family treatment. Findings suggest components including problem solving, communication skills, and working through the pain meet certain goals of restructuring and uniting families. The therapeutic relationship was a component that meets all goals of family treatment and helps families and youth overcome stigma of sexual offending. Findings have implications for developing and testing models of family treatment for sexually abusive youth.     

Violent backgrounds of economically disadvantaged youth: Risk factors for perpetrating violence?

Adolescent Job Corps residents (n=474) reported the violence they had experienced, witnessed, and perpetrated with regards to parents, siblings, friends, and strangers. Results indicated that there was a high prevalence of all types of violence in this atrisk adolescent sample. Moreover, the majority of adolescents who reported violent experiences indicated threat or use of a weapon was involved. Gender differences were obtained such that boys reported perpetrating more aggression against friends and strangers than girls. Girls reported witnessing more parental aggression than boys. No gender differences in parental victimization rates were obtained. Contrary to prediction, parental victimization did not significantly predict perpetration towards siblings, friends, or strangers for either gender. However, parental victimization did predict increased violence towards parents. Surprisingly, for females especially, witnessing parental violence reduced the likelihood of violence towards parents. These findings support the need to include conflict resolution skills as a component of Job Corps training.     

Hearing parties' voices in Coordinated Family Dispute Resolution (CFDR): An Australian pilot of a family mediation model designed for matters involving a history of domestic violence

This paper discusses the Coordinated Family Dispute Resolution (family mediation) process piloted in Australia in 2010–2012. This process was evaluated by the Australian Institute of Family Studies as being ‘at the cutting edge of family law practice’ because it involves the conscious application of mediation where there has been a history of family violence, in a clinically collaborative multidisciplinary and multi-agency setting. The Australian government's failure to invest resources in the ongoing funding of this model jeopardises the safety and efficacy of family dispute resolution practice in family violence contexts, and compromises the hearing of the voices of family violence victims and their children.     

The Development of Posttraumatic Stress Disorder (PTSD) in a Sample of Child Witnesses to Mother Assault

This exploratory study examined the relationship between the development of posttraumatic stress disorder (PTSD) and a number of coping variables in child witnesses to mother assault. The sample consisted of 84 children (mean age 11 years) who had been referred from shelters for battered women and child welfare agencies. Comparisons of those who met PTSD criteria (n = 47) and those who did not meet PTSD criteria (n = 37) found significant differences on variables of age, duration, and frequency of witnessing children. Child self-report instruments indicated that the PTSD group differed significantly from the non-PTSD group on the basis of assault anxiety, depression, dissociation, anger, and negative attributions. Hierarchical multiple regression analysis indicated that factors related to negative attributions and assault variables each contributed significantly to explaining 71% of the variance of PTSD symptoms, after the variables of age and sex were controlled. Discriminant function analysis correctly classified 84.3% of the respondents. The relevance of PTSD to child witnesses is considered, along with study limitations.     

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.     

Enhancing judicial skills in domestic violence cases: the development,implementation, and preliminary evaluation of a model US programme

ABSTRACT

The overwhelming number and complexity of domestic violence cases in criminal and family courts has resulted in the development of education programmes to assist judges. There is limited research on judicial education in this area. This paper reviews one such initiative entitled ‘Enhancing Judicial Skills in Domestic Violence Cases’ (EJS) that has been developed and implemented over the last 20 years by the National Judicial Institute on Domestic Violence, a partnership of the US Department of Justice Office on Violence Against Women, National Council of Juvenile and Family Court Judges and Futures Without Violence. We present findings of a preliminary evaluation of the programme based on the self-reports of 480 judges who had taken the four-day workshop between 2006 and 2010. Overall, judges reported the programme to be engaging and effective. At a six-month follow‐up, most of the judges identified specific benefits and behavior changes in the areas of access to justice, judicial leadership, victim safety, and abuser accountability as a result of participating in the programme. Critical issues in judicial education are highlighted based on the authors’ experiences in the development and implementation of this programme.     

Introduction of a standardized "paternity index" for the statistical evaluation of blood group findings in paternity testing

The introduction of a standardized paternity index (PI) for the statistical evaluation of blood group findings in cases of disputed paternity is proposed and explained. By using the PI $\text{X}\text{Y}$ as parameter, it is not necessary to give the information of the probability of paternity in percent. The PI includes the full information of the blood group findings. In addition to that, by using the suggested standardization based on the probabilities of error according to Schulte Mönting and Walter the test volume is also taken into account. The interpretation of the mathematical result is given by verbal predicates, the limitations of which are orientated by the verbal predicates for the probabilities of error according to Schulte Mönting and Walter, published by us elsewhere. Besides the essential fact that the test volume is taken into account, the most important advantage of this procedure is that the mathematical result is involved in the court decision only by the PI (which is free of any valuation) and its verbal predicate and not by sometimes relatively high percentages, which may be misunderstood by laymen.     

Towards a common framework for assessing the activity and associations of groups who sexually abuse children

Abstract

Extensive social psychological research emphasises the importance of groups in shaping individuals' thoughts and actions. Within the child sexual abuse (CSA) literature criminal organisation has been largely overlooked, with some key exceptions. This research was a novel collaboration between academia and the UK's Child Exploitation and Online Protection Centre (CEOP). Starting from the premise that the group is, in itself, a form of social situation affecting abuse, it offers the first systematic situational analysis of CSA groups. In-depth behavioural data from a small sample of convicted CSA group-offenders (n =3) were analysed qualitatively to identify factors and processes underpinning CSA groups' activities and associations: group formation, evolution, identity and resources. The results emphasise CSA groups' variability, fluidity and dynamism. The foundations of a general framework are proposed for researching and assessing CSA groups and designing effective interventions. It is hoped that this work will stimulate discussion and development in this long-neglected area of CSA, helping to build a coherent knowledge-base.     

Agreement between ratings from self-rating scales and assessments by treatment staff concerning a group of adolescent males who have sexually offended

Abstract

Despite problems of validity, self-report measurements are used in clinical practice and research. The aim here was to compare self-ratings by adolescent males who had sexually offended with assessments of the same adolescents made by professionals. Results of two self-report questionnaires were compared with staff estimates. It was assumed that observability of behaviour, social desirability of the adolescents' responses, intellectual difficulties and the presence of neuropsychiatric problems would affect the level of agreement between participant and professional responses. Agreement between staff estimates and self-ratings was generally low. However, some results supported the assumptions: i.e. higher levels of agreement on observable behaviour, higher levels of agreement for adolescents scoring low on social desirability and, most obviously, lower levels of agreement for boys with neuropsychiatric diagnoses. Discrepancies between what adolescents say about themselves through self-ratings and how professionals perceive them cause problems in assessments that rely on self-rating measurements.     

Streetwork at the crossroads: An evaluation of a street gang outreach intervention and holistic appraisal of the research evidence

Spurred by the success of public health violence interventions, and accelerated by policy pressure to reduce violence without exacerbating overpolicing and mass incarceration, streetwork programs—those that provide anti-violence services by neighborhood-based workers who perform their work beyond the walls of parochial institutions—have positioned themselves as the most important non–law-enforcement violence prevention option available to urban policy makers. Yet despite their importance, the state of the field seems difficult to interpret for academics and practitioners alike. In this article, we make several contributions that bring forth new findings and deliver new perspectives on streetwork as a violence reduction strategy. First, we offer an extended analytic review of the streetwork evaluation literature that connects the study of contemporary public health violence interventions to a preceding tradition of criminologically inspired streetwork studies. Second, we present the results of an impact evaluation of StreetSafe Boston (SSB)—a multiyear streetwork intervention that served 20 Boston gangs. We find that the SSB intervention had no detectable effect on violence among the gangs that it served. We conclude by offering a framework for understanding a field at multiple crossroads: past and present, proclaimed successes and failures, help and harm.     

A comprehensive 5-year evaluation of project 12-ways: An ecobehavioral program for treating and preventing child abuse and neglect

Evaluations of services designed to ameliorate the problems associated with child abuse and/or neglect (CAN) are relatively rare. The present investigation examines the impact of ecobehavioral services provided to families with extensive histories of CAN and examines the demographics of two groups of families. Project 12-Ways provides in-home ecobehavioral treatment to families referred by the state protective service agency. Impact data were collected and compared from families served by Project 12-Ways and families served by the stale protective service agency and other community programs. These data focused on the rates of CAN, placement of children outside of the parental home, and permanent termination of parental rights. Comparisons were made on pretreatment, treatment, and post-treatment rates. It was determined that both samples experienced significant decrements in CAN. While the two samples were equivalent in rates of CAN, data were presented showing differences in severity and priority of CAN which suggest that ecobehavioral services can be successful in reducing CAN. Thus, a heuristic model is available for evaluating CAN, including the manner in which the data were collected, the range of independent variables included, and the considerable span of the families' lives covered in the evaluation. These results suggest some modification of the way in which follow-up data are collected and used to change policy and practice.     

Predicting dropout of court-mandated treatment in a British sample of domestic violence offenders

Abstract

Prior to starting a pro-feminist domestic violence rehabilitation programme, 120 British male domestic violence offenders completed psychometric and attitudinal measures that assessed pro-domestic violence attitudes, anger, locus of control, self-reported emotional and psychological abuse of a partner, interpersonal dependency and social desirability. Offenders who completed the programme were compared to those who dropped out on these measures and demographic variables. Just under one-third (32.5%) of offenders failed to complete the programme. Of those variables that discriminated between completers and dropouts (age, previous custodial sentences, age at first conviction, marital status, self-reported abuse, and diagnosis of depression), only age (being young), having previously received a custodial sentence and self-reported low levels of physical abuse of a partner predicted attrition. These results are discussed with reference to probation supervision.     

A Descriptive Analysis of Same-Sex Relationship Violence for a Diverse Sample

This study contributed to the data about same-sex relationship violence with a large sample (n = 499) of ethnically diverse gay men, lesbians, and bisexual and transgendered people. Physical violence was reported in 9% of current and 32% of past relationships. One percent of participants had experienced forced sex in their current relationship. Nine percent reported this experience in past relationships. Emotional abuse was reported by 83% of the participants. Women reported higher frequencies than men for physical abuse, coercion, shame, threats, and use of children for control. Across types of abuse, ethnic differences emerged regarding physical abuse and coercion. Differences across age groups were found regarding coercion, shame, and use of children as tools. Higher income was correlated with increased threats, stalking, sexual, physical, and financial abuses. Preliminary patterns of same-sex relationship abuses were examined for bisexual and transgendered people.     

Examining the Behavior of a System: An Outcome Evaluation of a Coordinated Community Response to Domestic Violence

One goal of a coordinated community response (CCR) to domestic violence is to create an infrastructure that will facilitate systems-level, and ultimately societal-level change. This study evaluated whether a CCR implemented in two counties in Georgia would be effective at increasing criminal justice system sanctions for male domestic violence offenders (i.e., arrests, prosecutions, convictions, sentencing, and referrals to batterer intervention programs). Time series analyses revealed that, in both counties, there was a significant increase in arrests of male offenders; however, law enforcement agencies also arrested more women following the intervention. More men were sentenced to probation and to attend a batterer’s intervention program post-intervention in one county; in the second county, there was no change in these outcomes. Results highlight the importance of examining how a CCR may affect the behavior of criminal justice systems, especially in terms of the unintended consequences for women.     

Programs for Men who Perpetrate Domestic Violence: An Examination of the Issues Underlying the Effectiveness of Intervention Programs

This review paper seeks to explore some of the reasons why rehabilitation programs for male perpetrators of domestic violence appear to be less effective in reducing recidivism than programs for other offender groups. It is argued that while the model of systems response to domestic violence has predominated at the inter-agency level, further consideration might be given to way in which men’s intervention groups are both designed and delivered. It is concluded that the program logic of men’s domestic violence programs is rarely articulated leading to low levels of program integrity, and that one way to further improve program effectiveness is to incorporate some of the approaches evident in more general violence prevention programs and from what is know about good practice in general about offender rehabilitation.

Mindful yoga as an adjunct treatment for forensic inpatients: a preliminary evaluation

Although emerging evidence of yoga interventions shows benefits for people with schizophrenia, research is lacking regarding yoga interventions among forensic inpatients. This pilot study investigated the acceptability and effectiveness of an eight-week mindful yoga programme in improving psychological outcomes in 26 forensic inpatients. Outcome measures included the Five Facet Mindfulness Questionnaire, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale and the Clinical Outcomes in Routine Evaluation – Outcome Measure as well as a qualitative component post-intervention and at two-month follow-up. Trends in the predicted direction suggested reductions in clinical symptoms over time, specifically anxiety. Key themes revealed increased body awareness, relaxation and self-directed yoga practices and breathing techniques for anxiety management. Ninety-two percent reported acceptance of the programme. Preliminary findings are encouraging and warrant further research into the application of mindful yoga in the management of distress and risk with forensic inpatients.     

The family law detection of overall risk screen (FL-DOORS): Utility as a repeated measure for assessing change in family violence risk over time

Conflicted parental separation is associated with risks to safety and wellbeing for all family members. The Family Law DOORS (FL-DOORS; Detection of Overall Risk Screen) is a standardized screening framework to assist identification, evaluation, and response to family safety risks. The FL-DOORS has previously been validated in two large Australian samples (N = 6089) and found fit-for-purpose as an indicator of family violence and wellbeing risks in separated families. Now, using pilot data from a community mediation context, we examine its utility as a repeated measure for detecting change in safety and wellbeing over time. A pilot cohort of 67 parents engaged in a mediation service for parenting and/or property disputes completed the FL-DOORS at intake (T1) and approximately 8 weeks later (T2). We assessed T1-T2 change scores and correlations in change between variables and used MANOVA to determine if clusters of related scales discriminated change across time. Findings support the psychometric capacity of the FL-DOORS for use as a repeated measure in risk monitoring. We also note possible effects of this early screening process for reducing risk prior to engagement in mediation input. We discuss implementation utility for family law services to monitor change in risk type and magnitude over time.