Testing hot-spots police patrols against no-treatment controls: Temporal and spatial deterrence effects in the London Underground experiment

Our understanding of causality and effect size in randomized field experiments is challenged by variations in levels of baseline treatment dosage in control groups across experiments testing similar treatments. The clearest design is to compare treated cases with no-treatment controls in a sample that lacks any prior treatment at baseline. We applied that strategy in a randomized test of hot-spots police patrols on the previously never-patrolled, track-level platforms of the London Underground (LU). In a pretest–posttest, control-group design, we randomly assigned 57 of the LU's 115 highest crime platforms to receive foot patrol by officers in 15-minute doses, 4 times per day, during 8-hour shifts on 4 days a week for 6 months. The effect of 23,272 police arrivals at the treatment hot spots over 26 weeks was to reduce public calls for service by 21 percent on treated platforms relative to controls, primarily when police were absent (97 percent of the measured effect). This effect was six times larger than the mean standardized effect size found in the leading systematic review. This finding provides a benchmark against the baseline counterfactual of no patrol in hot spots, with strong evidence of residual deterrence and no evidence of local displacement.     

Abusive Pediatric Thoracolumbar Fracture Due to Forced Hyperextension: Case Report,Biomechanical Considerations,and Review of the Literature

Pediatric thoracolumbar fractures are rare due to the physiological differences which afford greater resilience to the immature spine. Most pediatric thoracolumbar fractures occur as the result of high energy trauma, such as motor vehicle accidents, and modes of reasonable accidental injuries are limited by age and developmental capabilities of the child. These fractures can occur as the result of inflicted blunt force trauma and child abuse, and in most cases, the mechanism of injury to the spine is not known. We report the death of a 29-month-old man due to blunt force trauma to the back and forced hyperextension of the thoracolumbar spine causing fracture of the fourth lumbar (L4) vertebral body. A complete forensic examination revealed a previous healing fracture of the anterior aspect of the L4 vertebral body, with acute disruption of the anterior longitudinal ligament overlying the fracture site, complete fracture of the vertebral body, and fatal retroperitoneal hemorrhage. We present a review of the biomechanical considerations of the pediatric spine, a survey of pediatric spinal fractures, and a review of the literature on pediatric abusive thoracolumbar fractures. In this case, there was never a provided explanation for how the injury occurred; however, understanding the biomechanics of the pediatric spine allowed for the determination of the mechanism, force required to produce this specific pattern of abusive spinal injury, and the manner of death.     

Trends in dating patterns and adolescent development

A developmental scheme has been proposed which recognizes clusters of variables of adolescent behavior in the area of heterosexual object relationship development. These periods-(I) stage of sexual awakening (13–15), (II) stage of practicing (14–17), (III) stage of acceptance (16–19), (IV) stage of permanent object choice (18–25)-reflect the developing capacity of object relationship and are a a recapitulation on a higher level of functioning of the separation-individuation operations of the infant. The dating patterns at these levels of development provide a sensitive indication of growth, and unworked-through development is reflected in immature patterns. The current trends in dating described are considered to be a function of the prolongation of adolescence and not pathological.Graduate of the Chicago Medical School, psychiatric training at The University of Michigan Neuropsychiatric Institute and the Institute for Juvenile Research, Chicago. Major interests research in child and adolescent development and the affective disorders.Graduate of Woman's Medical College, Philadelphia. Psychiatric training at the Menninger Foundation and the Psychosomatic and Psychiatric Institute, Michael Reese Hospital, Chicago. Pediatric training at the University of Iowa Hospitals. Current interest child development.     

Short-term effects of restorative justice conferences on post-traumatic stress symptoms among robbery and burglary victims: a randomized controlled trial

Objectives

To examine the impact of face-to-face restorative justice conference (RJC) meetings led by police officers between crime victims and their offenders on victims’ post-traumatic stress symptoms.

Methods

Two trials conducted in London randomly assigned burglary or robbery cases with consenting victims and offenders to either a face-to-face restorative justice conference (RJC) in addition to conventional justice treatment or conventional treatment without a RJC. Post-traumatic stress symptoms (PTSS) were measured with the Impact of Event Scale-Revised (IES-R) within 1 month of treatment for 192 victims. We assessed the prevalence and severity of PTSS scores following treatment, using independent sample t tests and chi square statistics. We further measured the magnitude of the differences between the groups, using effect size analyses.

Results

Analyses show that PTSS scores are significantly lower among victims assigned to RJC in addition to criminal justice processing through the courts than to customary criminal justice processing alone. There are overall 49 % fewer victims with clinical levels of PTSS, and possible PTSD (IES-R?≥?25). Main treatment effects are significant (t?=?2.069; p?Conclusions Findings suggest that restorative justice conferences reduce clinical levels of PTSS and possibly PTSD in a short-term follow-up assessment. Future research should include longer follow-up, larger and more stratified samples, and financial data to account for the cost benefit implications of RJ conferences compared to ordinary PTSS treatments.