The relationship between risk,deviance, treatment outcome and sexual reconviction in a sample of child sexual abusers completing residential treatment for their offending

Abstract

The study investigated the relationship between static and dynamic risk and reconviction in a sample of child sexual abusers who had completed a long-term residential treatment programme for their sexual behaviour problems. Results found that only High/Very High risk men as measured by a static risk assessment schedule (Risk Matrix 2000) were reconvicted for sexual offences (17% over a 2-year period, 42% over a 5-year period). Results also showed that it was generally men who were rated as a high level of dynamic risk that were reconvicted for a sexual offence (13% versus 5% over a 2-year period; 44% versus 10% over a 5-year period). The study also indicated the benefits of residential treatment for such High risk/High Deviance men in that no men who left the programme having responded to treatment had been reconvicted for sexual offences at either follow-up period.     

Long-term cost effectiveness of addiction treatment for criminal offenders

This paper extends previous research that performed a cost-effectiveness analysis (CEA) of the Amity in-prison therapeutic community (TC) and Vista aftercare programs for criminal offenders in southern California. To assess the impact of treatment over time for this unique sample of criminal offenders, a 5-year follow-up CEA was performed to compare the cost of an offender's treatment—starting with the in-prison TC program and including any community-based treatment received post-parole—and the effectiveness of treatment in terms of days reincarcerated. The average cost of addiction treatment over the baseline and 5-year follow-up period was $7,041 for the Amity group and $1,731 for the control group. The additional investment of $5,311 in treatment yielded 81 fewer incarceration days (13%) among Amity participants relative to controls—a cost-effectiveness ratio of $65. When considering the average daily cost of incarceration in California ($72), these results suggest that offering treatment in prison and then directing offenders into community-based aftercare treatment is cost-effective policy tool.     

Risk factors for recidivism among spousal assault and spousal homicide offenders

Abstract

The Spousal Assault Risk Assessment Guide (SARA; Kropp et al., 1995) is a 20-item checklist for the structured professional assessment of risk for partner violence. This study reported on a retrospective follow-up of file-based SARA assessments of offenders convicted 1988–1990 in Sweden. A total of 88 male batterers referred for court-ordered forensic psychiatric evaluations were included. During the 7-year follow-up, twenty-five (28%) were re-convicted of spousal assault. A few SARA items were statistically significantly associated with increased risk of recidivism, namely: Items #3, Past violation of conditional release or community supervision, #10 Personality disorder with anger, impulsivity, or behavioural instability (psychopathy), and #16 Extreme minimisation or denial of spousal assault history. The severity of the index crime (#18 Severe and/or sexual assault) was negatively related to risk for recidivism during follow-up. Offenders scoring above the median on the SARA were at more than 2.5 higher the risk for recidivism than those scoring below the median. In terms of predictive validity, the SARA actuarial score exhibited a marginal but statistically significant improvement over chance in this sample.     

Community re-entry and the path toward desistance: A quasi-experimental longitudinal study of dynamic factors and community risk management of adult sex offenders

PurposeA successful community re-entry is a step toward desistance from sex offending. The re-entry phase is critical because it can trigger dynamic risk factors that can lead to a re-offense. In that context, community risk management is seen as pivotal to moderate the impact of community re-entry and associated stressors. The current study, therefore, examines the dynamic factors associated with a successful community re-entry, taking into account the type of community supervision offenders were subjected to.MethodologyThis prospective longitudinal study is based on a quasi-experimental research design where offenders (n = 169) were subjected to different types of community supervision (intensive supervision versus regular probation services). Community re-entry outcomes were assessed through the presence of technical violations and/or a new criminal offence.FindingsCox proportional hazards showed that offenders with negative community re-entry outcomes were younger, at-risk of sexual violence, under intensive community supervision, and had more negative social influences and self-regulation deficits. Of importance, intensive community supervision significantly moderated the impact of negative social influences but negatively impacted those with self-regulation deficits.ConclusionsThe study provides evidence that dynamic risk factors are important during re-entry and may operate differently under different supervisory conditions.     

Risk,reconviction and “sexually risky behaviour” in sex offenders

Abstract

The Challenge Project is a community assessment and treatment programme in southeast London. The Project has been evaluated extensively in relation to community failure, with consideration of static risk prediction tools and the role of key developmental variables. This current paper is an extension of earlier evaluations, considering an extended range of outcomes with a longer-term follow-up period of more than nine years at risk in the community. The official sexual reconviction rate for this sample of sex offenders (of whom 275 were at risk in the community) was 12%. A wider definition of “sexually risky behaviours” as an outcome variable, drawn from a range of police intelligence, suggested a “truer” sexual re-offending rate of 20%. Although static tools were moderately predictive of community failure, the accuracy of risk prediction was enhanced if static tools were considered in conjunction with developmental variables.     

Psychosexual characteristics of sexual offenders and the relationship to sexual reconviction

Abstract

The purpose of this study was to determine if the Multiphasic Sex Inventory (MSI) could be used to predict sexual reconviction. The MSI was administered to 119 convicted male sex offenders. Reconviction data were analysed using the receiver operating characteristic (ROC) over 2-, 5- and 10-year follow-up periods. The MSI scales Sexual Obsession and Paraphilia (Atypical Sexual Outlet) obtained good accuracy in predicting sexual reconviction over 2- and 5-year follow-up periods. A confirmatory factor analysis of the MSI scales yielded a four-factor solution: Sexual Deviance, Sexual Desirability, Dysfunctional/Justification, and Normal. The Sexual Deviance factor demonstrated good accuracy in predicting sexual reconviction at 2-year follow-up while the Normal factor was a poor predictor of sexual reconviction. Compared against an actuarial risk assessment measure for sexual offenders, the Sexual Obsession, Sexual/Social Desirability, and Sexual Dysfunction scales, and Sexual Deviance factor made a statistically significant contribution independent of the risk scale in predicting sexual reconviction. It is argued that rather than using the MSI solely as an assessment measure of psychosexual characteristics of sexual offenders in treatment programmes, it can be used to provide additional information as part of an assessment of risk of sexual reconviction.     

An experimental evaluation of a nationally recognized employment-focused offender reentry program

Objectives

The need for re-entry assistance is widely acknowledged, but specifics about what services actually lead to reduced recidivism are hard to find—at least among rigorous studies. This is a critical issue: at a time when there appears to be unprecedented support for expanding rehabilitative programs for offenders, there is a dearth of rigorously vetted program options from which to choose.

Methods

Collaborating with a nationally known employment-focused reentry program in Southern California, the authors compared employment, housing, and recidivism outcomes of reentering offenders (n?=?217) who were either randomized into the program or simply provided with a list of community resources. This approach was possible because the number of applicants at the time exceeded program capacity. Outcomes were based on self-report interviews conducted 1-year post-randomization and arrest records reflecting a 2-year follow-up period. The follow-up rate for interviews was 87 %.

Results

No significant differences were found for any of the between-group comparisons on any of the major intervention outcomes.

Conclusions

Findings from the study suggest a greater need to apply randomized designs to more carefully evaluate current reentry efforts. Methodological challenges of field experiments are also discussed.     

Religious programs and recidivism among former inmates in Prison Fellowship programs: A long-term follow-up study

In the mid-1990s, Prison Fellowship (PF), a nonprofit religious ministry to prisoners, commissioned a study to determine the relationship, if any, between religious programming and recidivism. Subsequent research found no difference between PF and non-PF inmates on measures of recidivism. Inmates most active in PF Bible studies, however, were significantly less likely to be arrested during a 1-year follow-up period. This study extends and improves on previous research by: (1) increasing the recidivism window from 1 to 8 years; (2) incorporating new approaches to measuring program participation; (3) including two measures of recidivism—rearrest and reincarceration; and (4) using survival analysis and proportional hazards modeling to present and analyze the data. Results from survival analyses indicate: (1) no difference in median time to rearrest or reincarceration between PF and non-PF groups throughout the 8-year study period; (2) participants with higher levels of participation in Bible studies were less likely to be rearrested at 2 and 3 years after release, though the effect diminishes over time; (3) statistical differences across groups only border significance at 2 and 3 years for reincarceration; and (4) proportional hazards modeling shows that high participation in Bible studies significantly reduces the hazard of rearrest at years 2 and 3.     

To what extent does civil commitment reduce sexual recidivism? Estimating the selective incapacitation effects in Minnesota

PurposeThis study examines the selective incapacitation effects of civil commitment on sexual reoffending among 105 Minnesota sex offenders who were civilly committed between 2004 and 2006.MethodsThe Minnesota Sex Offender Screening Tool-3, a sexual recidivism risk assessment instrument, was used to estimate what the four-year sexual recidivism rate would have been for these offenders had they been released to the community. Integration of Survival with Quality of Life (iSQoL) software was used to extrapolate the survival curves over a 50-year period to develop a lifetime sexual recidivism estimate.ResultsIf the 105 civilly committed sex offenders had been released to the community, an estimated nine percent would have been reconvicted of a new sex offense within four years. Civilly committing these offenders therefore likely reduced the overall four-year sexual recidivism rate by 12 percent. The results further suggest that if these offenders had been released to the community, an estimated 28 percent would be rearrested for another sex offense within their lifetime.ConclusionsTo better align the costs of civil commitment with its public safety benefits, states operating these programs should emphasize the use of intermediate alternatives in the community for a more positive return on investment.     

For whom does prison-based drug treatment work? Results from a randomized experiment

Objectives

Prison-based therapeutic community (TC) drug treatment followed by community aftercare is widely recognized as the most effective treatment paradigm for drug-dependent offenders. However, few randomized experiments have addressed this question and fewer studies have examined how interactions between treatment modality and individual characteristics may explain variations in outcomes.

Methods

Using a randomized experimental design, this study examined the effects of treatment modality [TC vs. Outpatient (OP) group counseling], individual psychosocial characteristics (e.g., risk, negative affect), and interactions on reincarceration over a 3-year follow-up period. Survival analysis using Cox regression with covariates was used to analyze data obtained from 604 subjects at a specialized drug treatment prison.

Results

The expected advantage of TC failed to emerge. Critical and heretofore unexamined interactions between treatment modality (TC vs. OP), inmate levels of risk, and negative effect help explain these unexpected findings.

Conclusion

The superiority of prison TC to less intensive OP counseling was not supported. The effects of TC appear to be conditioned by critical responsivity factors that have received little empirical attention.     

Low recidivism rates of child sex offenders in a Finnish 7-year follow-up

ABSTRACT

This study examines the recidivism rates of Finnish child sex offenders convicted in 2010 (n = 361) over a follow-up period of seven years. The results indicate that while reoffending for other types of offences was common (34%), offenders had very low sexual crime recidivism rates (1%). In terms of more persistent criminal careers, less than a quarter of the offenders had both a previous criminal history and at least one subsequent offence during the follow-up period. Offenders with child sexual abuse material-related crimes reoffended more rarely than did others. Study limitations and implications for policymaking, media and rehabilitation are discussed.     

Characteristics and outcome of patients brought to an emergency department by police under the provisions (Section 10) of the Mental Health Act in Victoria,Australia

ObjectiveThe aim of this study is to describe the characteristics and outcome of patients brought to an emergency department by police under Section 10 of Mental Health Act (Victoria, Australia).MethodsRetrospective medical record review. Patients referred under Section 10 provisions treated in calendar year 2009 were identified from ED database. Data collected included demographics, incident details, patient management, final diagnosis and disposition. Primary outcomes of interest were ED diagnosis and disposition. Secondary outcomes were length of stay in ED and use of restraint or sedation.ResultsOne hundred and ninety seven presentations by 164 patients were identified. Patients were predominantly male (58%) with median age of 35 years (IQR 22–44, range 16–69). The most common presenting complaint (65%) was threat of self harm. No sedation or restraint was used in 61%. Sixty seven percent were deemed safe for discharge home while 26% were admitted to a psychiatric ward (equally divided between voluntary and involuntary admission). The predominant discharge diagnosis was self harm ideation or intent (35%). Median ED length of stay was 156 min (inter-quartile range 79–416).ConclusionMost patients brought to ED by police under Section 10 provisions were for threat of self harm and did not require sedation or restraint. The majority are discharged home. Further work exploring less restrictive or traumatic processes to facilitate psychiatric assessment of this group of patients is warranted.     

Responding to youth sexual offending: a field-based practice model that “closes the gap” on sexual recidivism among Indigenous and non-Indigenous males

Abstract

Most studies that have explored the impact of youth sexual offender treatment on recidivism have not assessed whether effectiveness varies for important subgroups. The present study evaluated the impact of treatment provided by the Griffith Youth Forensic Service (GYFS) on 104 adjudicated youth sexual offenders referred between 2006 and 2012. Sexual, violent and “other” offending outcomes were examined, based on Australian Indigenous cultural heritage and whether the youth resided in a remote community, over an average 2.5-year follow-up timeframe. The findings indicated that GYFS treatment was equally effective for Indigenous and non-Indigenous youth for preventing sexual recidivism and, for youth residing in remote and non-remote locations, for preventing sexual, violent and “other” recidivism. Treatment was less effective in preventing violent and “other” recidivism for Indigenous youth. The core components of the GYFS treatment programme therefore appear particularly well suited for reducing sexual recidivism by Indigenous offenders and those residing in remote communities.     

Comparison of outcomes of patients with personality disorder to patients with mental illness,following discharge from medium secure hospital: systematic review

Background: Medium secure hospitals (MSHs) are costly yet outcome studies, particularly regarding the differential effects of diagnosis, are scant. Research Question: Are there differences in outcomes after MSH discharge for patients with PD compared to patients with mental illness (MI): systematic review. Method: Systematically reviewed studies which distinguished outcomes for patients with PD from those with MI, regarding reconvictions, readmissions and/or mortality rates. Results: From eight studies, comprising 1017 patients, mean reconviction rates per 100,000 person-years for patients with PD were higher (14,369) than those with MI (7799). However, mean readmission and mortality rates were lower (8403 and 668 per 100,000 person-years) compared to those with MI (13,390 and 1083) per 100,000 person-years. Conclusions: Diagnosis appears to differentially impact on reconviction, readmission and mortality rates. Services could tailor pathways to prioritise symptom management and promoting healthy lifestyles for patients with MI, and reducing reoffending for patients with PD.     

Transitioning youth with sexually harmful behaviour back into the community

Abstract

The current study aimed to examine the transitioning experiences of adolescents with sexually harmful behaviour following treatment and to explore whether additional services are needed to facilitate their successful transition into the community. Qualitative methods were employed on data collected from in-depth interviews with 12 adolescents and 16 parent/caregivers. The age of adolescent participants at the time of interview ranged from 17 to 21 (average = 18.6 years). The results identified four key transitioning areas—accommodation, education/employment, social life and leisure, and emotional support. Several main overarching themes were also identified: reaching out for help is hard; adolescents need a focus and something to strive for; advice on financial management/budgeting would be useful; and adolescent motivation was important for successful transition. In addition, follow-up would be advantageous, as would mentors/role models during the transition period. The results are discussed in relation to current transitioning literature on similar at-risk populations, and recommendations are made to inform transitioning practice.     

Restoring (dis)order: Sanctions,resolutions, and "social control" in anarchist communities

This essay explores the restorative implications of anarchist communities through an analysis of processes such as norm formation, sanctioning, conflict resolution, and economic exchange. The study explores ways in which anarchist communities employ various restorative measures to maintain group cohesion and achieve a modicum of social control through the application of natural phenomena such as diffuse power, fluid authority, community consensus and mutual aid. Drawing upon studies of communities manifesting anarchist tendencies--Aincluding utopian experiments, indigenous cultures, and the unique case of the Rainbow Family of Living Light--a picture begins to emerge wherein conceptions of property and the social dynamics that inhere within a community are inextricably linked, suggesting the propensity of anarchist communities to promote an organic synthesis of self, society, and nature. In the end, by exploring tenets associated with the nascent restorative justice paradigm, it is observed that anarchist communities manifest principles that challenge the dominant conceptions of criminality and legality, providing a framework for envisioning models of justice-in-practice that appear on the horizon of possibility and potentiality.     

Interpreting “Percent Black”

Abstract

Time series analysis is employed to assess the relationship between “percent Black” and violent crime in Washington D.C. over a 40-year period. Race-disaggregated violent crime arrest data are also examined. It is concluded that while there is some indication of a positive relationship between violent crime and “percent Black” over time, that relationship is not robust when disaggregated by race and crime type and may be limited to Black robbery offending. Further, it appears that “percent Black” may be serving as a proxy for other social problems. An exploration of possible correlates of racial disparity in violent arrests suggests that they are associated with a variety of factors, including social problems and their disparities.     

Appeals against detention in conditions of excessive security: outcomes and decision-making

The Mental Health (Care and Treatment) Scotland Act 2003 introduced the right for patients to appeal against detention in conditions of excessive security initially to those in high security. Aim: to further investigate appeal outcomes and to examine Tribunal decision-making. Results: responsible medical officer support, being on the transfer list and not having a diagnosis of learning disability increased the chances of a successful appeal. Qualitative analysis of the Tribunal’s decision-making produced 5 themes and 17 subthemes. These were used to develop a ‘checklist’ framework to improve understanding of relevant appeal factors. Conclusions: Neither appeal outcomes nor patient characteristics have changed over time. The checklist may be useful as a training tool and clinical guide. This study is timely given that the Mental Health (Scotland) Act 2015 extended the right of appeal against excessive security to patients detained within medium secure units from November 2015.     

The neighborhood enhancement team: Contemporary initiatives in community-oriented policing

Determined to combat high levels of crime in two neighborhoods, a southern city implemented the Neighborhood Enhancement Team (NET) to focus on gang and drug activity through a combination foot and bicycle patrol. With the support and assistance of the community and its various agencies, the program's initiatives and outcomes have been successful. Compared to arrest rates before the implementation of NET, the communities experienced declining arrest numbers far surpassing those of national trends: The total number of arrests for these two communities over the first five years of NET implementation declined by 40%. Furthermore, the annual arrest numbers are continuing their downward trend. Since the inception of the NET program, many youth are now choosing alternatives to gang affiliations, and as a result, social order is returning to the communities. It is the purpose of this article to delineate those initiatives and present findings of the outcomes. Authors' Note: Ferris Byxbe, Ph.D., is Associate Professor, Director of Criminal Justice and Graduate Coordinator, in the Division of Social Sciences, Criminal Justice Program, Delta State University, Cleveland, MS 38733. Philip Carlan, Ph.D., is Assistant Professor, Department of Social Work & Criminal Justice, University of North Alabama, Florence.     

Multilevel Longitudinal Impacts of Incivilities: Fear of Crime, Expected Safety, and Block Satisfaction

Several aspects of the incivilities thesis, or the role of social and physical disorder in encouraging crime and fear, deserve further testing. These include examining individual- and streetblock-level impacts on reactions to crime and local commitment over time, and testing for lagged and co-occurring impacts at each level. We model these four types of impacts on three reactions to crime and community satisfaction using a panel study of residents (n = 305) on fifty streetblocks, interviewed two times a year apart. At the individual level, incivilities showed unambiguous, lagged impacts on satisfaction, fear, and worry; furthermore, changes in perceived incivilities accompanied changes in resident satisfaction and fear. At the streetblock level: incivilities failed to demonstrate expected lagged impacts on either of the two outcomes where data structures permitted such impacts; changing incivilities, however, were accomp-anied by changing community satisfaction and changing perceptions of relative risk. Before we conclude that lagged ecological impacts of incivilities are weaker than previous theorizing suggests, we must resolve some outstanding theoretical and methodological issues.