Cognitive‐behavioural treatment for imprisoned offenders: An evaluation of HM Prison Service's cognitive skills programmes

Purpose. The effectiveness of prison‐based cognitive‐behavioural treatment programmes was evaluated using reconviction as the outcome measure. Method. Reconviction rates were compared between two groups of adult male offenders who were serving a custodial sentence of 2 years or more in Her Majesty's Prison Service, England and Wales. The treatment group (N =667) consisted of offenders who had voluntarily participated in one of two treatment programmes that targeted 'cognitive deficits' related to offending behaviour. The comparison group (N =1,801) was made up of offenders who had not participated in the treatment programme but were “matched” to the treatment group on a number of empirically relevant variables. Results. Treatment produced a robust reduction in the probability of reconviction (p < .001) when other relevant variables were controlled for. For treated offenders, the percentage point reduction in reconviction was 14% in medium‐lowrisk offenders and 11% in medium‐high‐risk offenders. Conclusion. These outcome results demonstrate that the principles of effective practice in the field of offender rehabilitation, which were identified through meta‐analytical research predominately in North America, can be applied to a UK offender population to similar effect.     

Service v. Security Focus in Training Assessments

ABSTRACT

As jails have moved to professionalize their staffs the role of the correctional officer has become broader in scope and now encompasses both service and security functions. However, some research suggests that female correctional staff may have more of a “service” orientation than males. In our analysis of one dataset from exclusively women's jail facilities we investigate correctional officer preferences for training (service v. security) to see if they differ by gender. We find that both male and female correctional officers generally rank service type training over security and that they differ little in their overall assessment of initial training provided and usefulness of in-service training. We also find that minority officers may be more likely to value service training than their nonminority counterparts.     

MDS use with crime scene data replicates poorly: response to Goodwill,Alison, and Humann (this issue) and Davis (this issue)

Abstract

Examinations of treatment attrition form an important – although sometimes neglected – component of evaluating a correctional programme's effectiveness in reducing recidivism. Previous research has identified offender characteristics that predict non-completion. This study investigated non-completion in 138 high-risk, violent male prisoners attending an intensive cognitive–behavioural programme. Almost one-third of men who commenced it did not complete the 7-month programme. Most asked to leave of their own accord, or were removed for ongoing offending. In contrast to previous research, no support was found for the hypothesis that those who terminated treatment prematurely were more in need of intervention than those who completed the programme; non-completers did not differ from completers on static estimates of criminal risk, PCL-R scores, demographic variables or self-report scales measuring dynamic risk factors. It was concluded that successful prediction using variables related to criminal risk and criminogenic need depends both on the characteristics of programme participants, and on contextual factors such as programme policies: when high-risk high needs offenders are a programme's target clientele, variables related to risk and need will have limited predictive utility. From a practice perspective, the programme was successful in retaining through to completion a relatively untreatable group: high-risk offenders with moderate to high PCL-R scores.     

The construction and validation of a scale to assess psychological risk and well‐being in sex offender treatment providers

Purpose . Since 1991 over 1,400 Prison Service personnel have been trained in the delivery of therapeutic interventions with men convicted of sexual abuse. In that time anecdotal evidence of psychological difficulties experienced by treatment providers has emerged. However, empirical support for this evidence is sparse, and reflects a disproportionately low level of research into the impact on treatment providers of their work when compared with the efficacy of the treatment they deliver. One of the consistent shortcomings of the available research has been the lack of a valid and reliable psychometric assessment of the psychological well‐being of treatment providers, and this paper reports on the construction and validation of a scale designed to assess the personal and professional effects of working therapeutically with sex offenders. Method . A scenario technique was used to elicit items. Exploratory factor analysis of the responses of 182 active facilitators yielded a three‐factor scale comprising 61 items. The structure was replicated on an independent sample of 165 facilitators. Results . Negative reactivity to offenders (NRO) described generally adverse responses to offenders, ruminative vulnerability (RV) was characterized by emotional pre‐occupation with work and increasing sensitivity to emotional issues, and organizational dissatisfaction (OD) included items relating to lack of collegial and managerial support. Concurrent validation showed that the three factors were systematically related to a range of relevant variables. Conclusion . The new assessment of dynamic adaptation (ADA) scale should provide an invaluable tool for evaluating the effectiveness of SOTP training programmes.     

Screening offenders for risk of drop‐out and expulsion from correctional programmes

Purpose. The goal of the present research was to develop a screening measure to assist in identifying offenders at risk for drop‐out or expulsion from correctional programmes. Methods. Non‐Aboriginal male offenders (N = 5,247) were randomly divided into a development sample (N = 2,617) and a validation sample (N = 2,630). In the development sample, individual predictors were identified through univariate and multivariate analyses, weighted based on their relationship with drop‐out/expulsion, and combined into a composite measure we called the drop‐out risk screen (DRS). Results. The DRS consists of five items, including static and dynamic risk factors for recidivism as well as motivation for intervention. It significantly predicted drop‐out/expulsion in the development sample (area under the receiver operating characteristic curve [AUC]= .72) and performed similarly in the validation sample (AUC = .70). Conclusions. The results indicate that the DRS is a valid screening instrument for risk of drop‐out/expulsion. Prior to commencement of a treatment programme, offenders with high scores on the DRS could be more thoroughly assessed and, if necessary, targeted with pre‐treatment efforts to increase their motivation and general readiness for treatment.     

Using clinical variables to evaluate treatment effectiveness in programmes for sexual offenders

Abstract

Typically, sex offender programmes are evaluated using recidivism, a distal outcome measure. This paper proposes that sex offender programmes also incorporate proximal variables to evaluate treatment effectiveness. Proximal variables assess within treatment changes immediately following the intervention. To demonstrate this approach, the effectiveness of a sex offender treatment programme is evaluated using proximal variables, specifically locus of control, empathy, cognitive distortions and acceptance of responsibility. We provide the findings of this evaluation and discuss the implications of this approach. In particular, we conclude with the importance of identifying relevant treatment targets and selecting suitable proximal measures of those targets in evaluating treatment effectiveness.     

NEUROPSYCHOLOGICAL MEASURES OF EXECUTIVE FUNCTION AND ANTISOCIAL BEHAVIOR: A META‐ANALYSIS*

A meta‐analysis was performed to quantify the association between antisocial behavior (ASB) and performance on neuropsychological executive functioning (EF) measures. This meta‐analysis built on Morgan and Lilienfeld's (2000) meta‐analysis of the same topic by including recently published studies and by examining a wider range of EF measures. A total of 126 studies involving 14,786 participants were included in the analyses. Antisocial groups performed significantly worse on measures of EF compared with controls, with a grand mean effect size of d= .44. Significant variation occurred in the magnitude of effect sizes calculated across studies. The largest effect sizes were found for criminality (d= .61) and externalizing behavior disorder (d= .54) ASB groups, whereas the smallest effect sizes were found for antisocial personality disorder (d= .19) groups. Larger differences in EF performance were observed across studies involving participants from correctional settings and with comorbid attention deficit and hyperactivity problems. Overall, the results indicated that a robust association exists between ASB and poor EF that held across studies with varied methodological approaches. The methodological issues in the research literature and the implications of the meta‐analysis results are discussed, and the directions for future research are proposed.     

Accreditation of offending behaviour programmes in HM Prison Service: ‘What Works’ in practice

Purpose. This study assessed the short‐term impact of offending behaviour programmes in relation to certain key features of programme delivery identified by an accreditation system. The aim was to further inform the debate on ‘What Works’ in practice by establishing whether well‐delivered programmes are more effective. Method. The sample consisted of 5,255 offenders serving custodial sentences in prisons across England and Wales who completed one of two accredited cognitive skills programmes during the financial year 2001/2002. The relationship between a battery of assessment measures, tutor experience, drop‐out rates, audit observations and the quality of programme delivery was explored. Results. A positive short‐term impact was observed on the majority of assessment measures across both programmes. Patterns of change were broadly similar across gender, age, and ethnic groupings. This short‐term impact of the programmes was significantly greater for a group of high‐need prisoners and at those sites where tutors were delivering more frequently. Tutor delivery rates were also found to be related to drop‐out rates and the quality of programme delivery. Attempts to establish a relationship between ratings of tutor performance from video‐monitoring and the short‐term impact of the course were unsuccessful. However, at the programme site level, positive correlations were observed between the quality of delivery and other measures of the site's performance. Conclusion. This study shows that programmes do have a short‐term impact and that this is greater for higher‐need prisoners and at sites where tutors were delivering more frequently. Furthermore, the accreditation system has highlighted key aspects of programme delivery which do appear to influence the short‐term effectiveness of the programmes.     

Comprehensive evaluation: a holistic approach to evaluating domestic violence offender programmes

This article argues that the focus on behavioural outcomes in evaluations of domestic violence offender programmes has been too narrow, and that a more holistic approach incorporating investigation of the psychological characteristics of offenders and treatment characteristics may be required to determine what works, for whom, and under what circumstances. To this end, one interpretation of a comprehensive evaluation framework is outlined. The article hypothesises the insights to be gained by assessing the contribution of several potential mediating variables of the treatment process in the evaluation of these programmes. These variables are the heterogeneity of treatment targets in the target population; motivation to change; programme integrity variables; and therapeutic factors. The article concludes that only by implementing theoretically informed, multifaceted evaluations will we move closer to understanding the process of successful rehabilitation.     

Staff Quality and Treatment Effectiveness: An Examination of the Relationship between Staff Factors and the Effectiveness of Correctional Programs

Although a growing body of research has focused on identifying the characteristics of effective interventions, relatively little research has looked at the impact that staff factors have on treatment effectiveness. The current research conceptualizes staff quality via three domains: staff characteristics, staff training, and staff supervision. Process and outcome evaluations of 54 community correctional facilities are used to examine the relationship between staff quality and reduced recidivism of program participants. The results suggest that measures of all three domains maintain substantively meaningful relationships with program effectiveness.     

Correctional Treatment Programmes for Young Offenders in Europe: A Survey of Routine Practice

This article presents the results of an international survey of European correctional treatment programmes for young offenders. Questionnaires gathering data on programmes’ design, implementation, structure, and evaluation were collected from 112 programme administrators in 25 European Union countries. Results demonstrated that although there was a commitment to young offender rehabilitation in almost every country, programmes adopted many different approaches and were implemented with varying levels of adherence to evidence-based principles of ‘best practice.’ The majority of programmes adopted a cognitive-behavioural approach, and clinical discretion was prioritised over systematised, empirically validated assessment instruments. Most programmes were administered by centralised government agencies; however, process and outcome evaluation was rare. These findings suggest a strong need for improved systematic evaluation in most European countries.     

Prison staff and work stress: The role of organizational and emotional influences

Previous research has well established the influence of demographics and work environment variables on the experience of job stress for correctional officers. However, the literature examining this phenomenon for other correctional staff is just beginning to emerge. Scant attention has also been previously devoted to the potential role of emotional issues, such as emotional dissonance, work environment variables of perceived organizational fairness, and feedback regarding job performance. The present research adds to this emerging literature through use of survey data from a sample of correctional staff employed in two prisons in Kentucky. Bivariate and multivariate analyses reveal that influences on perceived work stress are primarily organizational issues, including role conflict, emotional dissonance, and task control. Contrary to popular belief, the percent of one’s work time spent in contact with inmates reduces the experience of work stress.     

Rehabilitating serious violent adult offenders: an empirical and theoretical stocktake

Extensive meta-analyses of the correctional programme evaluation literature have generated developments in the technology of programme design. However, the risk, need and responsivity principles do not constitute a rehabilitation theory and cannot answer specialist offender programme design questions. After more than a decade of involvement in programmes for seriously violent offenders, we decided to reassess the empirical evidence underpinning violence rehabilitation in adult men. We focused on both mixed and violent offender samples, reviewing the outcome data from nine evaluations of cognitive–behavioural interventions. Despite a plethora of methodological difficulties, it appears that most of the programmes had small to large effects on violent and non-violent recidivism. Little could be concluded from these evaluations about the most promising theoretical framework for future programme development. Most programmes contained only scant information on their underlying theory base. None referred to multivariate aggression or crime theories. We conclude that there is a pressing need for additional evaluative research, and theory development. To date, the case for specialist violent offending programmes has not been made.     

Variables affecting parole outcomes

A comparison of parole officers and parole violators perceptions on factors related to recidivism was conducted to provide information which could contribute to increasing parole effectiveness and the development of correctional treautment strategies. The total population of parole viotators from a medium security correctional institution, and a systmatic random sample of parole officers were selected to form the research sample. The study consisted of 54 parole violators and 50 parole officers. The study necessitated the construction of a questionnaire. The variables under study included police and courts, society, parole supervision, imprisonment selfcontrol, personal attitude, and employment. A oneway analysis was conducted to compare the perceptions of the sample of parole officers and parole violators. Analysis of the data indicated that parole officers and parole violators view factors related to recidivism in markedly different ways. The author expresses special thanks for assistance and support to Dr. Billy Bramlett, Dr. Greg Riede, Dr. George Beto and Dr. Rodney Henderson, all of the College of Criminal Justice Institute, Sam Houston University.     

The role of the psychiatrist in evaluating a prison mental health system in litigation

Federal courts during the past 14 years have recognized that many prisons in the United States have provided constitutionally inadequate medical and psychiatric services. Our recent national survey indicates that at least 20 states have had at least one part of their correctional system included in a certified class action suit that alleged insufficient mental health services for inmates. This article reviews the role of the expert psychiatric witness during the phases of litigation that involve proposed remedial plans and compliance in implementing remedial plans. Available epidemiologic data about psychiatric disorders among prison inmates, standards for correctional mental health care, and various mental health system models are briefly reviewed. A comprehensive approach to evaluating proposed remedial plans and assessing issues of compliance with accepted plans is described. Special attention is directed toward psychiatric issues unique to a correctional system.     

Triggers for alcohol‐related violence in young male offenders

Purpose. Improving the effectiveness of offender treatment programmes is important and one approach is to attend to their content. The aim here was to identify triggers to alcohol‐related violence to inform the development of programmes to treat this problem. Method. Information from 149 young male offenders’ accounts of incidents of alcohol‐related violence was studied using thematic analysis. Results. Sixteen triggers for violence were identified and these were organized into six themes: (1) being offended by someone, (2) seeing an opportunity for material gain, (3) seeing others in need of help, (4) perception of threat, (5) distress, and (6) wanting a fight. Discussion. The implications of the results for developing treatments for alcohol‐related violence are presented. First, identifying triggers should be part of the treatment programme and ways of avoiding triggers should be addressed. Second, changing values, specifically hypermasculine and antisocial values, could attenuate the rewards signalled by the triggers. Third, methods of reducing the potency of triggers would be of value and would include addressing issues of need for respect and responses to perceived disrespect. Fourth, non‐violent ways of helping people who are in trouble need to be introduced. Fifth, coping with threat cues through distraction and increasing self‐awareness would reduce the effects of ‘alcohol myopia’. Sixth, seeking fights for excitement could be reduced by examining the costs through motivational procedures. Finally, and self‐evidently, a primary target of treatment programmes to reduce alcohol‐related violence should be to reduce the level and frequency of alcohol intoxication.     

The Correctional Experiences of Youth in Adult and Juvenile Prisons

This article analyzes data from interviews with inmates to examine the correctional experiences of young men incarcerated through criminal (adult) courts in a large Northeastern state. The sample (N = 95) includes respondents from five correctional institutions; some of these inmates have been sentenced to adult department of corrections facilities, and some to juvenile facilities operated by the state's children's services bureau. Relative to the adult facilities, the juvenile facilities are smaller, have much lower inmate‐to‐staff ratios, and they place greater emphasis (in their official guidelines) on treatment, counseling, education, and mentoring of inmates. As a result, one might expect juvenile‐facility inmates to report a relatively more supportive, mentoring‐focused style of staff–inmate interactions than adult‐facility inmates. Yet surprisingly, inmates in adult facilities report better access to education and treatment/counseling services offered in their facilities.     

Drug Prevention and the DARE Programme in Britain

An increasing interest in drug prevention has led to the growth in various programmes, most of which have been imported from the United States. The programmes receiving the most acclaim are the so-called resistance training programmes, of which Drug Abuse Resistance Education (DARE) is the most widely used whether in America or elsewhere. It has also been surrounded by controversy. Resistance training programmes are given to schoolchildren, the aim of which is to teach them skills to resist pressure to take drugs. DARE has recently been introduced in Britain in Nottinghamshire; another similar programme, Chemical Abuse Resolution Lies in Education (Project Charlie), operates in Hackney, London. The aim of this paper is to review the data on the effectiveness of these programmes. The conclusion is that drug resistance programmes have had a mixed response in the US, but that Project Charlie has had reasonable success in London and that DARE in Nottinghamshire needs a long-term evaluation to determine its effectiveness. Such an evaluation could have an impact on drugs prevention policy over the next decade.     

Capacity Building for New Parliamentarians: Survey of Orientation and Induction Programmes

This article reports original research which built on conceptual issues previously identified by the authors. A survey of national parliaments sought information on orientation and induction programmes offered to first term members and on members' perceptions of those programmes. An overview of findings is presented and significant issues identified. Most programmes provided passive development through information and a handbook rather than active skill development. Few used training processes and techniques that were based on contemporary adult learning principles. There were sharp divisions over training and development in dealing with ethical issues. The findings suggest considerable potential for the further development of programmes and for sharing information about programmes in order to assist capacity building for parliamentarians and thereby enhance the performance of parliaments and individual members.     

The treatment ideal and detention reality: Demographic,professional/ occupational and organizational influences on detention worker punitiveness

For some time, corrections researchers have focused on the punitive and rehabilitative orientations of correctional officers. Relatively little research attention, however, has been devoted to understanding the support for these orientations among correctional workers responsible for the care and custody of juvenile delinquents. Based on survey data drawn from a sample of detention care workers (DCWs) in two facilities in a Southeastern state (N=109), this paper examines the extent to which, and why, DCWs adopt a punitive orientation to youth in detention despite policies and training that discourage this view. Findings, that contrast the relative impact of demographic, occupational/professional and organizational environment variables in accounting for variation in punishment/control orientation among DCWs, suggest that demographic indicators (i.e., age, gender) and organizational environment contribute disproportionately to explained variance in punitive orientation once other variables are controlled. Implications for detention policy, staff recruitment and training are discussed.