The mentally retarded offender in the criminal justice system

The problem of the mentally retarded offender begins at the first encounter with the criminal justice system and continues through the correctional system. A recent survey compared attitudus of police and mental health professional. Police (78%) felt that disturbed person (including mentally retarded offenders) should be handcuffed when being transported. In contrast, mental health professionals (84%) felt no individual should be handcuffed. The mentally retarded offenders, once incarcerated, are a group that is confronted with problems beyond those usually associated with prison life. The authors examine the complex issued stemming from the special conditions of the MRO and suggest recommendations for developing rational attitudes and policies within the criminal justice system.     

The assessment of continued threat to the community in a mentally ill offender program

Community based outpatient treatment for Mentally Disordered Sex Offenders and those found not guility by reason of insanity are based on controversial empirical grounds. The present research examines how mental health evaluators determine when an offender is or is not a threat to the community for purposes of program continuance. Of 13 variables identified by the staff of the offenders' program or from the literature as important in making this prediction, three were found to be related to the evaluation decision: initial psychiatric diagnosis, the presence of supportive relationships in the community, and improvement in therapy. These findings are discussed in terms of the empirical and philosophical literature on psychiatric detention and treatment.     

The criminal act of commercial surrogacy in Australia: a call for review

Australian surrogacy legislation punishes the pursuit of a commercial surrogacy arrangement as a criminal offence. Such legislation was first introduced in Victoria in 1986 and has since been applied in every Australian jurisdiction except for the Northern Territory. The current application of criminal law is based upon this 1980s policy which has never been subject to public debate. This article argues that the continued application of criminal penalties to commercial surrogacy requires review.     

A profile of mentally disordered offenders admitted to inpatient psychiatric services in the United States

This research note presents data about mentally disordered offenders (MDOs) treated in inpatient psychiatric services. Data are derived from 1980 admission surveys by the Survey and Reports Branch, National Institute of Mental Health (NIMH). These data report for the first time inpatient services provided to MDOs by non-Federal general and private hospitals. A total of 31,773 MDOs were admitted, with 85% going to state and county mental hospitals. The largest group, including admissions for evaluation, was ISTs (58%), followed by mentally disordered prisoners (32%), NGRIs (8%), and MDSOs (3%). Women and whites tended to be overrepresented among MDOs as compared to prison and jail inmates. Clear diagnostic differences by legal status were found, with schizophrenia predominant among NGRIs (81%) and alcohol and drug abuse disorders more frequent among ISTs. Overall, state and county hospitals in both 1967 and 1980 were the primary locus of care for mentally disordered offenders.     

Time for a change: applying the good lives model of rehabilitation to a high-risk violent offender

In this article we operationalise the theoretical concepts of the Good Lives Model (GLM) of offender rehabilitation by providing a step-by-step framework for assessment, formulation, treatment planning, and monitoring with a high-risk violent offender residing in the community. The case study illustrates how the GLM can be applied to complement and enhance traditional Risk-Management interventions and shows how the GLM's clinical relevance extends from sex offending to broader offending typologies.     

A systematic review and meta-analysis on the effects of young offender treatment programs in Europe

Objectives

To examine the effectiveness of young offender rehabilitation programs in Europe as part of an international project on the transnational transfer of approaches to reducing reoffending.

Methods

A literature search of approximately 27,000 titles revealed 25 controlled evaluations that fulfilled eligibility criteria, such as treatment of adjudicated young offenders below the age of 25, equivalence of treatment and control groups, and outcomes on reoffending. In total, the studies contained 7,940 offenders with a mean age of 17.9 years.

Results

Outcomes in the primary studies ranged widely from odds ratio (OR)?=?0.58 to 6.99, and the mean effect was significant and in favor of treatment (OR?=?1.34). Behavioral and cognitive-behavioral treatment ranked above average (OR?=?1.73), whereas purely deterrent and supervisory interventions revealed a slightly negative outcome (OR?=?0.85). Programs that were conducted in accordance with the risk–need–responsivity principles revealed the strongest mean effect (OR?=?1.90), which indicates a reduction of 16 % in reoffending against a baseline of 50 %. Studies of community treatment, with small samples, high program fidelity, and conducted as part of a demonstration project had larger effects; high methodological rigor was related to slightly smaller outcomes. Large effect size differences between evaluations from the UK and continental Europe disappeared when controlling for other study characteristics.

Conclusions

Overall, most findings agreed with North American meta-analyses. However, two-thirds of the studies were British, and in most European countries there was no sound evaluation of young offender treatment at all. This limits the generalization of results and underlines the policy need for systematic evaluation of programs and outcome moderators across different countries.     

The effects of statutory change on the civil commitment of the mentally ill

Several states have revised their civil commitment statutes in recent years. A majority of the recent revisions reflect judicial directives to provide more explicit commitment criteria, but in some instances, criteria have been broadened in reaction to the difficulty of getting some individuals hospitalized under strict criteria. Such statutory changes have impacted considerably on both process and outcome of the civil commitment system. Adoption of explicit commitment criteria has resulted most visibly in substantial reduction of hospital admissions and census. The present study examines the impact of explicit changes in commitment criteria in Florida following the 1982 enactment of amendments to the Baker Act. A total of 80 commitment hearings are reviewed before and after the law took effect to determine procedural effects of the law on degree of defense counsel advocacy, client dispositions, and on the court's adherence to more explicit criteria. State hospital admissions, discharge, and census information is examined in order to identify the larger impact of 1982 statutory changes on the commitment system. Evidence from hearings and state data suggests that changes in the Florida law impacted significantly on both process and outcome of the civil commitment system. Clients referred to commitment hearings are more dangerous, and may represent a new hard-core group remaining after more explicit eligibility criteria are applied by local intake, and emergency detention facilities. State hospital admissions and census in Florida declined significantly following enactment of the 1982 law, consistent with findings from other states enacting similar statutory reforms. Implications for deinstitutionalization policy and administration are discussed.