The Moving Home Effect: A Quasi Experiment Assessing Effect of Home Location on the Offence Location

Objectives

This study aims to test whether the home location has a causal effect on the crime location. To accomplish this the study capitalizes on the natural experiment that occurs when offender??s move, and uses a unique metric, the distance between sequential offenses, to determine if when an offender moves the offense location changes.

Methods

Using a sample of over 40,000 custodial arrests from Syracuse, NY between 2003 and 2008, this quasi-experimental design uses t test??s of mean differences, and fixed effects regression modeling to determine if moving has a significant effect on the distance between sequential offenses.

Results

This study finds that when offenders move they tend to commit crimes in locations farther away from past offences than would be expected without moving. The effect is rather small though, both in absolute terms (an elasticity coefficient of 0.02), and in relation to the effect of other independent variables (such as the time in between offenses).

Conclusions

This finding suggests that the home has an impact on where an offender will choose to commit a crime, independent of offence, neighborhood, or offender characteristics. The effect is small though, suggesting other factors may play a larger role in influencing where offenders choose to commit crime.     

Psychiatric correlates of medical care costs among veterans receiving mental health care

Research on increased medical care costs associated with posttraumatic sequelae has focused on posttraumatic stress disorder (PTSD). However, the provisional diagnosis of Disorders of Extreme Stress Not Otherwise Specified (DESNOS) encompasses broader trauma-related difficulties and may be uniquely related to medical costs. We investigated whether DESNOS severity was associated with greater nonmental health medical care costs in veterans receiving mental health care. Participants were 106 men and 105 women receiving VA outpatient mental health treatment. A standardized interview assessed DESNOS severity. The dependent variables consisted of primary and specialty medical treatment costs. Sequential zero-inflated negative binomial regression was used to evaluate the variance in medical costs accounted for by DESNOS severity, controlling for PTSD severity and established predisposing, enabling, and need-based health care factors. Contrary to our hypothesis, in fully adjusted models, DESNOS severity independently added a significant amount of variance to lower specialty medical care costs, whereas PTSD did not consistently account for significant variance in medical care costs. Greater DESNOS severity appears to be associated with lower specialty medical care costs but not primary care costs. These findings may indicate that patients with DESNOS symptoms are at risk for being underreferred for specialty care.