Interventions with women offenders: a systematic review and meta-analysis of mental health gain

Currently, a conjunction of policy, legislative change in health and social care and the criminal justice system, combined with funding for innovative services make it opportune to assess the evidence base for interventions with women offenders. Women offenders have a distinctive criminological, health and social profile and a gender specific approach to their difficulties is advocated. This systematic review and meta-analysis focus on mental health gain in adult women offenders in forensic health settings, criminal justice institutions and in the community, following therapeutic interventions. Interventions were assessed in terms of specific outcome measures of depression, trauma symptomatology and global mental health status. Comprehensive search strategies yielded 3018 articles, from which we obtained 199 full text articles. Seventeen articles were included in the final review, of which six were excluded from the meta-analysis as there was no comparator group. There is a modest, but increasing, body of evidence for the utility of some interventions, notably those addressing the consequences of earlier trauma, including interventions which also address comorbid substance misuse. This does not amount, to date, to a robust evidence base. Limitations of these studies are discussed and include small sample sizes, their restriction mainly to prison populations and that they were substantially undertaken in the US. Variations in outcome measures follow-up and the difficulties inherent in measuring change in this complex population are also detailed. However, the review delineates definite avenues for further work. To achieve this, those responsible for policy, practice and purchase of services should both be mindful of existing evidence and promote additional, high quality research into interventions which are designed around a coherent, theoretical approach.     

Evaluation of the improving access to psychological therapies for offenders programme at HMP Lincoln: a three year prospective cohort study

The mental health needs of prisoners are significant with a high incidence of common mental health problems including anxiety and depression. Extending national initiatives such as the National Health Service Improving Access of Psychological Therapies programme to people in prison offers a valuable opportunity to address these mental health problems and improve continuity of care from prison to the community. This study adopts an observational, prospective cohort design and evaluates an IAPT for offenders service over the first three years of operation within a male Category B prison holding remand/convicted prisoners. The evaluation found large effect sizes for changes in anxiety and depression with clinical recovery being achieved in 55% of depression and 52% of anxiety cases. On average, prisoners were treated in less than five sessions employing a low-intensity cognitive-behavioural approach. The lack of established formal diagnoses and a control group limits the findings.     

Speaking about sexual abuse in British South Asian communities: offenders,victims and the challenges of shame and reintegration

Abstract

Cultural dynamics have a significant impact on how sexual matters, including sexual abuse, are discussed in British South Asian communities. The ways in which these communities talk about sexual violence often reinforce patriarchal norms and values, especially those concerned with honour and shame. As a result, victims are either silenced or the blame for the sexual violence they have suffered is laid at their own feet. Addressing the fact that these problems are rooted in patriarchal norms and values is key to understanding how to tackle sexual offending effectively in such communities. Both retributive and restorative justice are necessary in responding to sex crimes; retributive approaches help to recognise victims’ suffering, while restorative approaches offer promising avenues for encouraging victims and offenders alike to speak about their experiences. Both approaches are essential components to reintegrating victims and offenders into their communities.     

Lifestyle and the Depoliticisation of Agency: Sex as Power in Women's Magazines

Sex, due to its connotations of dangerousness and the non-traditional, has been used heavily in women's magazines and other mass media to signify core values of power and freedom as part of their brands. Through this process, other forms of agency for women have tended to be excluded. In these magazines women are shown to be assertive, powerful and independent, not through the political views that they hold, not through the way that they act upon society, but through the way that they seduce men and behave sexually. We show, using a number of examples, that for this to happen a fantasy space has to be created: a space where real-world obstacles and meanings are erased, allowing a repertoire of theatrical sexual play to operate. This is typical of the lifestyle society in which we now live. In this society, we define ourselves not on the basis of who we are, in an older sense of gender or social class, but in terms of what we do and the values we hold. The way we communicate these values is often through our use of consumer products, which allows us to align ourselves with the core values and meanings with which the products have been loaded. But while lifestyle itself may be a matter of choice, the choices available to us are often created to serve the interests and needs of large corporations, of consumerism. Sex is one such choice of which we must be very careful.     

Methods of sex trafficking: findings of a case study in Turkey

The underground sex industry in Turkey has increasingly become dependent on the foreign women, predominantly coming from the former Soviet Union. Some of these women became victims of sex trafficking. However, little is known about how they are recruited, transferred to, and exploited in Turkey. This article attempts to enlighten this process and makes use of police-recorded victim interviews (N?=?430), as well as key personnel interviews (N=?18) as primary data. Various methods and tactics are found to be used in sex trafficking operations in Turkey. Most victims are recruited by persons known to them proposing attractive job possibilities, especially in the entertainment business. The majority of victims enter Turkey with legal documents and with various transportation means. Traffickers obtain girls and sell them to customers in public and private settings using methods to control the victims, such as debt bondage, violence, confinement, confiscation of travel documents, and threats.     

(Re)Drawing the Lines on Marriage and Sexuality

The campaign for same‐sex marriage is animated by two, contradictory impulses: a libertarian‐egalitarian strain that continually expands the boundaries of what is publicly legitimate; and a conservative one that seeks to reinforce traditional boundaries. Democratic polities would benefit from public discussion on whether to retain normative, sexual boundaries, and if so, what they should reasonably be. I outline a moderately conservative agenda that would limit public legitimacy to sexually exclusive monogamy (heterosexual or homosexual), but informally tolerate most, consenting, nonconventional sexual practices. A spirit of humility, empathy and tragedy will help us to exercise reasonable judgement as we redraw the lines on marriage and sexuality.     

Sex Estimation of Infants Between Birth and One Year Through Discriminant Analysis of the Humerus and Femur

Estimation of sex when investigating subadult skeletal remains is largely problematic because of unreliable and inaccurate results. Despite the limitations encountered with skeletal material, the medical literature clearly demonstrates differences between males and females in utero that persist through life. The current study investigates sexual dimorphism in the long bones of the humerus and femur for individuals between birth and 1 year of age. A radiographic sample amassed from Erie County Medical Examiner's office includes 85 femoral and 45 humeral images for analysis in relation to sex. Measurements for lengths and breadths were collected through tpsDig software. Discriminant analysis proved to be the most successful method, with error rates of 3% when utilizing maximum breadth at midshaft of the femur and 11% with humerus maximum distal breadth. This research demonstrates that it is possible to correctly classify sex of unknown subadult remains when comparing them to a known sample.     

Sex Determination from the Second Cervical Vertebra: A Test of Wescott’s Method on a Modern American Sample*

Abstract: Numerous methods for establishing a biological profile exist; however, many of these methods rely on the recovery of several specific bones or on fragile skeletal elements that are sometimes irrecoverable. It is for this reason new methods utilizing other previously under‐documented bones should be established and tested by the forensic anthropological community. This study tests the accuracy of Wescott’s (J Forensic Sci 2000;45(2)) method for determining sex from the second cervical vertebra. Specimens were drawn from the donated skeletal collection curated at the Hamilton County Forensic Center (n = 57) and the William M. Bass Donated Skeletal Collection (n = 243). Both intra‐ and inter‐observer error rates were low and accurate classifications ranged from 78% (females‐Function 1) to 90.6% (males‐Function 5). Of the five functions, Function 4 achieved the highest overall accuracy, with 260 individuals (86.7%) falling into the correct category. Overall, this method is an effective classificatory tool for sex estimation.     

Sex and Capacity: The Management of Monsters?

The first consideration by a civil court of the test of capacity to engage in sexual relations – X City Council v MB, NB and MAB – is as recent as 2005. This article places this and subsequent cases in the historical context of the way in which the law has constructed the sexuality of persons with intellectual impairment. The article argues that, beginning with a series of rape cases in the mid to late nineteenth century, which recognised the concept of consent given through the expression of animal instincts, the law has accepted and deployed a model of intellectual impairment which understands expressions of sexuality in terms of an increasingly unstable opposition between vulnerability and danger, understood as the presence or absence of instinct, and as indicating an underlying ‘monstrosity’. The article argues that the historical continuity apparent in the modern case law is unfortunate and should be rectified.     

Paying to Be Punished: A Statutory Analysis of Sex Offender Registration Fees

Over the last 20 years, sex offender policies, specifically in terms of community corrections, have increased in scope. One of the most controversial and pervasive sex offender policies is that of registration. In response to the consumption of already limited resources, jurisdictions have imposed increasingly higher community supervision fees onto the offenders, requiring them to pay for their own re-entry. However, to date no research study has examined the statutory language associated with registration fees collected post release from formal community sanctions. Using a statutory analysis within the United States, this research finds and quantifies the imposition of a registration fee on offenders who are legally compelled to pay these registration costs, regardless of whether they are still currently under community supervision. Results show that more than half of U.S. states (n?=?28) incorporate statutory language authorizing registration fees, ranging anywhere from $5 per registration to up to $250 per year. These findings, as well as suggestions for future research and policy recommendations, are discussed.