How to train your dragon: an introduction to the special issue on treatment programmes for high-risk offenders

The plot of the popular movie How to Train Your Dragon includes several features that are paralleled in the efforts of programme designers and treatment providers who work with the highest risk offenders in criminal justice systems. This introduction to the special feature on programmes for high-risk offenders notes that there are important differences in how treatments are provided for offenders with varying levels of risk, need, and responsivity. It asks if what is known about effective offender intervention – much of it derived from moderately risky offenders – applies to those who are thought to be at high risk of new criminal activity. It observes that the relative lack of intervention theory for these offenders provides an important justification for a feature that focuses primarily on describing a range of these interventions and their theoretical underpinnings. The papers that follow are then introduced.     

Predictors of sex offender treatment dropout: psychopathy,sex offender risk,and responsivity implications

Abstract

We examined sex offender treatment dropout predictors, in particular, the relationship of psychopathy and sex offender risk to treatment dropout in a sample of 154 federally incarcerated sex offenders treated in a high intensity sex offender treatment program. Demographic, criminal history, mental health and treatment-related data as well as data on risk assessment measures including the Static 99, Violence Risk Scale – Sexual Offender version (VRS-SO), and Psychopathy Checklist – Revised (PCL-R) were collected. Logistic regression and discriminant function analyses were used to identify predictors that made significant and unique contributions to dropout among all the variables under study. The Emotional facet of Factor 1 of the PCL-R and never being married were found to be the most salient predictors of treatment dropout and correctly identified about 70% of the cases. The implications of the findings for managing treatment dropout and for the treatment of psychopathic offenders are discussed.     

Performance intelligence,sexual offending and psychopathy

Abstract

Previous studies have suggested that offenders have lowered verbal intelligence compared to their performance intelligence. This phenomenon has been linked traditionally to childhood risk factors (e.g. deficient education, abuse and neglect). Substantial discrepancies between performance intelligence quotients (PIQ) and verbal intelligence quotients (VIQ), however, might also point to neurobiological impairments which may be associated with specific types of criminal behaviour. From the files of 133 male hospitalized offenders, PIQ, VIQ, full scale IQ (FSIQ) scores and Psychopathy Checklist–Revised (PCL-R) scores were derived, along with information about their criminal histories. PIQ over VIQ discrepancies were most pronounced in sexual offenders, particularly in those who had committed sexual crimes against adult victims. Furthermore, PIQ as well as PIQ higher than VIQ discrepancies correlated modestly, but significantly, with PCL-R scores. The results suggest that lower verbal compared to visual and spatial abilities may be connected specifically to egocentric and narcissistic personality traits which, in turn, may be involved in raising the risk of sexual offending.     

The parenting possible selves of young fathers in prison

Abstract

Even when motivated to desist from crime, many high-risk offenders fail quickly following release from prison. One cause may be a lack of preparation for release. Recent research with child-sex offenders has demonstrated that men who avoided reconvictions not only had better plans made for life on parole prior to their release, but plan quality also added significant incremental validity to the prediction of recidivism after controlling for both static and dynamic measures of risk. This study examined release planning in high-risk violent prisoners in an intensive cognitive-behavioural rehabilitation programme. We compared the predictive validity of plan quality with three well-validated risk assessment instruments. Men who were reconvicted had significantly higher scores on all three risk instruments and significantly poorer plans, but plan quality did not significantly improve prediction when risk was controlled. Plan quality was also significantly poorer in men who were reimprisoned, and did significantly improve prediction over and above each risk prediction instrument. Findings suggest that higher quality release plans may protect offenders from being quickly reimprisoned, despite high levels of assessed criminal risk, and that enhancing resources put into release planning may lead to improved parole outcomes.     

Psychopathy, treatment change, and recidivism in high-risk, high-need sexual offenders

The present study investigated 154 consecutive admissions to the Regional Treatment Center (Ontario) Sex Offender Treatment Program with reference to psychopathy and outcome. Ratings of treatment behavior, as well as clinical judgments as to whether risk was reduced, were coded based on treatment reports. With reference to Psychopathy Checklist-revised (PCL-R) scores, survival analyses indicated that high scorers recidivated at significantly higher rates than low scorers. However, offenders who received high PCL-R scores and lower scores on measures of treatment behavior recidivated at the same rate as low scorers on the PCL-R. Furthermore, among high PCL-R offenders, those rated as lower risk at post treatment in fact reoffended at a lower rate than those whose risk was rated as unchanged, although this difference failed to reach significance. Findings are discussed in light of the clinical and research literature.     

Investigation of the Criminal and Conditional Release Profiles of Canadian Federal Offenders as a Function of Psychopathy and Age

Using the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991) diagnostic cutoff score of 30, the complete criminal career and community release profiles of 317 Canadian federal offenders (224 low scorers and 93 scoring within the psychopathic range) were investigated. Adult crimes were coded according to age at commission as well as either violent, nonviolent, or nonsexually violent. Changes in performance following release into the community also were examined. Results indicated that offenders scoring within the psychopathic range consistently committed more violent and nonviolent crimes than their counterparts for about three decades, spanning their late adolescence to their late 40s. Numbers of nonviolent criminal offenses committed by high PCL-R scorers declined considerably after age 30 relative to violent offenses, which declined and then rebounded in the late 30s before a major reduction was evidenced. Throughout adulthood, high PCL-R scorers failed during community release significantly faster than did low scorers. Importantly, from a risk management perspective, the release performance of low PCL-R scorers improved with age, whereas the opposite was seen for high scorers. Further, offenders scoring high on the PCL-R did not show a lower charge to conviction ratio with age, suggesting that they may not have been getting better at manipulating the legal system.     

The effectiveness of electronic monitoring with violent male parolees

Research on electronic monitoring (EM) has ignored its effectiveness with high-risk, violent offenders. This article examines the effectiveness of using EM as a supervision tool for violent male parolees by comparing those who were mandated to such supervision who were released in fiscal year 1996 (N = 128) to a random sample who did not receive such supervision who were released in fiscal year 1995 (N = 158). Effectiveness was assessed by examining return to prison and time to failure within four years of release. The results indicated that, after controlling for relevant demographic and criminal history variables, EM had no direct effect on the likelihood of recommitment to prison or time until failure. Parolees who reported drug problems and those with lower parole-success likelihood scores were more likely to fail and to fail more quickly. Sex offenders on EM were less likely to return to prison than those not on EM, and those on EM who eventually returned to prison remained in the community longer than did those not on EM. Implications for the usefulness of EM as a tool in parole supervision are discussed.     

Psychopathy and intelligence in high-risk violent women

There has been a longstanding debate and mixed evidence on the link between psychopathy and intelligence. Most of the existing research comes from male prisoners, with the literature on female psychopathy and intelligence remaining sparse. Thus, the current study explored the correlational association between psychopathy and intelligence in a sample of high-risk violent female offenders. This is the first study of its kind from the Offender Personality Disorder (OPD) pathway for women in the United Kingdom (UK). The sample includes high-risk violent women presenting with severe personality disorder. In the present study, we conducted a correlational examination between total scores, and the 2-factor and 4-facet structure of the Psychopathy Checklist-Revised (PCL-R) with intelligence using the Wechsler Adult Intelligence Scale (WAIS). No significant associations were found between total PCL-R scores, or factor 2, and intelligence. Positive associations were found between verbal comprehension and factor 1 and the interpersonal facet. Thus, the results suggest high-risk violent female offenders with interpersonal psychopathic traits demonstrate higher levels of verbal comprehension skills. This finding may help explain why psychopathic female offenders, who can be characterized by deceitful and egocentric behaviours, may be able to successfully charm and con others for their own personal gain.     

Challenging the ‘urban myth’ of psychopathy untreatability: the High-Risk Personality Programme

Psychopathy has long been framed as a special challenge in criminal justice contexts, in part due to the supposedly untreatable nature of psychopathic offenders. Indeed, previous failed attempts to ‘treat’ this particular group have resulted in a widespread pessimism about treatment efficacy amongst correctional professionals. This pessimism has focused on the inherent unchangeable nature of psychopathic traits, especially those associated with Psychopathy Checklist-Revised (PCL-R) Factor 1 items and the challenge of developing an effective therapeutic alliance with hostile, manipulative offenders. It is argued that this negative stance is neither unanimous nor justified because of poor consistency of population definition and methodological problems with structural and functional attributes of traditional treatment approaches. This article describes an experimental intervention – the High-Risk Personality Programme (HRPP) – a New Zealand prison-based group intensive treatment programme designed to reduce violence with a psychopathic group, and create opportunities to devise rehabilitative solutions with a challenging group.     

Do PCL-R scores from state or defense experts best predict future misconduct among civilly committed sex offenders?

In a recent study of sex offender civil commitment proceedings, Murrie et al. (Psychol Public Policy Law 15:19-53, 2009) found that state-retained experts consistently assigned higher PCL-R total scores than defense-retained experts for the same offenders (Cohen's d > .83). This finding raises an important question about the validity of these discrepant scores: Which type of score, state or defense evaluator, provides the most useful information about risk? We examined the ability of PCL-R total scores from state and defense evaluators to predict future misconduct among civilly committed sex offenders (N = 38). For comparison, we also examined predictive validity when two state experts evaluated the same offender (N = 32). Agreement between evaluators was low for cases with opposing experts (ICCA,1 = .43 to .52) and for cases with two state experts (ICCA,1 = .40). Nevertheless, scores from state and defense experts demonstrated similar levels of predictive validity (AUC values in the .70 range), although scores from different types of state evaluators (corrections-contracted vs. prosecution-retained) did not. The finding of mean differences between opposing evaluator scores, but similar levels of predictive validity, suggests that scores from opposing experts in SVP cases may need to be interpreted differently depending on who assigned them. Findings have important implications for understanding how rater disagreement may relate to predictive validity.     

A multidimensional scaling analysis of the Hare PCL-R: Unfolding the structure of psychopathy

Abstract

Recent studies examining the Psychopathy Checklist – Revised (PCL-R) have argued for a range of factorial solutions to describe and explain the dimensions of psychopathy. This study details an empirical analysis of North American PCL-R data for 4630 male offenders, using multidimensional scaling (MDS) as a non-linear alternative to factor analysis. The emergent structure of Hare's psychopathy psychometric can be interpreted in more than one way and at different levels of specificity. The multidimensional scalograms reveal a set of facets consistent with the two- and four-factor solutions that emerge from the same data. Equally the structure of the PCL-R can be interpreted through personality theory as a set of core traits and behavioural manifestations, consistent with an evolutionary basis for psychopathic tendencies. These analyses provide support for a multidimensional structure within the PCL-R, and suggest that psychopathy can be viewed as an extreme variant of multiple dimensions of personality.     

Risk of harm: inmates who harm themselves while in prison psychiatric treatment

In this study, 242 randomly selected male offenders who were receiving psychiatric treatment in prison were administered psychological and neuropsychological evaluations and were followed during their treatment in a prison psychiatric hospital. Offenders who harmed themselves in treatment were compared to those who did not harm themselves. Eighteen percent of offenders harmed themselves, the severity of which required medical intervention. Young age, drug abuse, absence of Axis I mental disorder but presence of Axis II borderline personality disorder identified offenders who harmed themselves. Psychopathy checklist-revised (PCL-R) total rating > or = 30 and PCL-R Factor 2 (antisocial lifestyle) rating also identified offenders who harmed themselves. Additionally, offenders who harmed themselves also were 8.36 times more likely than their cohorts to harm treatment staff. Theoretical understanding of offenders who harm themselves, the importance of considering the environmental context in identifying risk factors for self-harm, and implications for treatment are suggested.     

The Chromis programme: from conception to evaluation

Abstract

Offenders with high levels of psychopathic traits present particular challenges to the criminal justice system. These offenders are at high risk of re-offending and have a range of complex issues impacting on their response to treatment. This paper outlines the development, structure and implementation of the Chromis programme: a programme designed specifically to reduce the risk of violence in offenders with high levels of psychopathic traits. It outlines the context in which the programme currently runs and the challenges faced in evaluating its impact. Initial findings and plans for evaluation are discussed.     

Arbitrary decision making in the absence of evidence: an examination of factors related to treatment selection and recidivism for female sexual offenders

ABSTRACT

As criminal justice professionals are asked to assign risk levels and treat females who sexually offend, identifying risk factors for recidivism prediction and treatment targets is important. Although the majority of risk and treatment studies have focused on males, general female offender research and developing research with female sex offenders both provide some evidence for possible factors related to sexual offending behaviour in women. The purpose of this study was to explore what possible factors were related to treatment selection in a sample of 506 females serving prison sentences for a sexual offense, and, in turn, to examine which factors predicted non-sexual and sexual recidivism. Results demonstrated that exploratory variables were significantly related to treatment selection, as opposed to variables previously supported in research. Furthermore, living with a significant other for more than two years, and prior sexual offending arrests predicted sexual recidivism, while decreased age and treatment participation predicted non-sexual recidivism. These findings indicate that while similarities between male and female sexual offenders exist, females still demonstrate gender-specific risk factors.     

Treating high-risk rapists in a New Zealand intensive prison programme

The focus of this article is on the pilot development and implementation of a prison-based intensive treatment programme for high-risk adult-victim rape offenders in New Zealand. Advances in actuarial risk assessment enabled the identification of a group of high-risk adult sex offenders for whom no dedicated treatment programme existed. Based on a review of the treatment literature for rapists, a pilot programme was developed called the Adult Sex Offender Treatment Programme (ASOTP). The programme, based on the risk–need–responsivity and cognitive behavioural therapy principles, also used an adaptation of Young's schema therapy to address personality responsivity issues and specific idiosyncratic schema associated with participant offence pathways identified by the Massachusetts Treatment Centre classification (Version 3 for rapists). Measures of responsivity and dynamic risk administered in the ASOTP indicated some success in addressing treatment needs for the pilot participants (n=10). The programme has subsequently been expanded across prison specialist treatment unit sites and delivered to a further 52 participants. Although intermediate measures continue to indicate change in dynamic risk, recidivism outcome evaluations have not yet been possible, due to low numbers of paroled participants.     

What is grievance thinking and how can we measure this in sexual offenders?

Purpose. This study proposes and examines a three‐stage model of the grievance process, one of the dynamic risk factors related to risk of sexual recidivism, and aims to evaluate some of the existing measures of this construct. Methods. The research used a sample of 322 male sexual offenders who had completed a cognitive–behavioural programme that aims to reduce recidivism in higher‐risk sexual offenders (as measured using a static actuarial tool). Participants completed two questionnaires measuring aspects of grievance thinking pre‐ and post‐treatment. Results. The results indicated some support for stages 1 and 2 of the proposed model. Contrary to the study hypotheses, results indicated that both measures used have similar psychometric properties. Pre‐ to post‐change analyses suggest that the custodial treatment programme may be having some effect on grievance thinking. However, generally offenders' scores on both measures were low pre‐ and post‐treatment and as a result, according to individual change analyses, the majority did not demonstrate reliable or clinically significant change. Those who were classed as high scorers on either measure did, however, demonstrate such change. Conclusions. Further exploration of a three‐stage model of grievance is warranted. It appears that current measures of grievance in sexual offenders are not adequate to capture this concept fully.     

Recidivism is related to psychopathy (PCL-R) in a group of men convicted of homicide

It is well known that psychopaths are a group with high risk for criminality. Despite that, researchers and clinicians have not yet agreed on a general cause of psychopathy. However Raine [Raine, A. (2002). Biosocial studies of antisocial and violent behavior in children and adults: A review. Journal of Abnormal Child Psychology, 30, 311-326.] advocated a biosocial model of violent behaviour where the greatest risk for criminal behaviour occurred when both heredity and environmental risk factors (e.g., social class, childhood history) were present. In this follow-up study, 35 men convicted of homicide were assessed retrospectively for psychopathy according to the Psychopathy Checklist-Revised (PCL-R). Information on personal history, as well as from legal documents and records of offences committed by the subjects was also obtained. Fourteen of the 35 men were classified as psychopaths. Two men, both rated as psychopaths, had criminal parents. Twenty-seven of the men had a social relationship with their victim, and eleven out of these were rated as psychopaths. There was no difference in PCL-R scores between those who had a social relationship with their victim and those who did not. The psychopaths relapsed more frequently than the nonpsychopaths into criminality after their prison term. This result confirms previous research indicating that psychopathy is a risk factor for recidivism. It is, therefore, very important that psychopaths get the best possible treatment, aftercare, and supervision.     

The PCL-R and violent recidivism in a prospective follow-up of a nationwide sample of female offenders

Psychopathy has been linked to violent reoffending in men, but the findings in women have been contradictory. The aim of this study was to examine the predictive validity of the Psychopathy Checklist-Revised (PCL-R) for violent recidivism in a nationwide sample of female violent offenders. The offenders (n = 48) had been assessed by the PCL-R and were followed after their release from prison or a psychiatric hospital. The average follow-up period was 8 years. Of the offenders, 16 (33%) had been reconvicted of a violent crime. Current findings of the performance indicators did not support the use of the PCL-R as a predictive instrument assessing risk of violent recidivism in females. The findings indicate that impulsivity plays a crucial role in female violent recidivism and that the PCL-R should be used with caution in risk assessment with female populations.     

Psychopathy (PCL-R) as a Predictor of Violent Recidivism Among Criminal Offenders with Schizophrenia

Hare's Psychopathy Checklist-Revised (PCL-R) was used to test the hypothesis that psychopathy predicts violent recidivism in a cohort subjected to forensic psychiatric investigation and consisting of male violent offenders with schizophrenia (N = 202). Psychopathy was assessed with retrospective file-based ratings. Mean follow-up time after detainment was 51 months. Twenty-two percent of the offenders had a PCL-R score 26 (cutoff), and the base rate for violent recidivism (reconvictions) during follow-up was 21%. Survival analysis revealed that psychopathy was strongly associated to violent recidivism (log-rank = 17.71, df = 1, p < 0.0001). The area under the curve (AUC) of the receiver operating characteristics (ROC) of PCL-R total score to predict violent recidivism varied between different time frames from .64 to .75. Cox regression analyses revealed that other potential risk factors could not equally well or better explain violent recidivism in the cohort than psychopathy as measured by PCL-R.     

Predictive accuracy of static risk factors for Canadian Indigenous offenders compared to non-Indigenous offenders: implications for risk assessment scales

ABSTRACT

The over-representation of Indigenous offenders in Canadian prisons highlights the importance of research on the generalizability of potential static risk factors for this group. The current investigation examined whether 87 static indicators currently assessed in Canadian federal prisons were differentially present and related to outcomes (revocations, general recidivism, and violent recidivism) for Indigenous (n?=?1500) and non-Indigenous (n?=?6684) male federal offenders. The follow-up was eight months for revocations and five years for any/violent recidivism. Indigenous offenders scored significantly higher risk than non-Indigenous offenders on the majority of the indicators (particularly criminal history indicators). Generally, most criminal history indicators and some offence severity indicators predicted revocations, general, and violent recidivism for Indigenous offenders; however, several of the indicators had significantly lower accuracy for Indigenous offenders (particularly criminal history indicators). Overall, Indigenous offenders are a higher risk population and several static risk indicators do not perform as well for this group as for non-Indigenous offenders. Nonetheless, there were numerous static indicators that did predict outcomes for Indigenous offenders. The current findings suggest that it is possible to meaningfully assess static risk for recidivism among Indigenous offenders.