‘Monsters don’t bother me anymore’ forensic mental health service users’ experiences of acceptance and commitment therapy for psychosis

Acceptance and Commitment Therapy for psychosis (ACTp) is an approach that aims to change the relationship an individual with psychosis has with difficult thoughts, emotions and experiences. It promotes the use of acceptance, defusion, mindfulness and focussing on valued outcomes as opposed to struggling with psychotic experiences. This service evaluation project explored service users’ experiences and meanings of ACTp within a medium secure mental health service. Thematic analysis was used to analyse interviews with 10 male service users. Four main themes emerged from the data: ‘Recovery’, ‘Insight’, ‘Developing Skills’ and ‘Accessibility’. Overall, service users viewed their experience of ACTp positively and identified encouraging therapeutic outcomes. These findings suggest that ACTp is an approach that should be considered a therapeutic option within forensic mental health contexts. These outcomes were compared with previous research findings. Limitations of the study, clinical implications and ideas for future research have been discussed.     

“Supporting me through emotional times,all different kinds of behaviour.” Forensic mental health service users understanding of positive behavioural support

This service evaluation project explored service users’ experiences of positive behavioural support (PBS) within a medium secure mental health service. Interpretative phenomenological analysis (IPA) was used to analyse interviews with ten service users. Four main themes emerged from the data: My plan; How I understand PBS; How PBS has helped me, the benefits; and Making the plan work. Overall, service users viewed their experience of having a PBS plan positively. They reflected that the plans offered staff greater understanding of their behaviours and needs, enabling them to receive appropriate support. Service users valued the experience of being involved in the process, offering important insights into their experiences. They also expressed frustrations about staff not following the plan and not understanding why they had a plan whilst others did not. Limitations of the study, clinical implications and ideas for future research have been discussed.     

Corruption in cultural context: Contradictions within the Korean tradition

Appreciating the many, varied and sometimes ambiguous elements within what may be called ‘Korean culture’ is crucial to a balanced assessment of its relationship to corruption. In particular, it is important to recognise its multivocality and thus its paradoxical relationship with its environment, its tendency to be shaped as well as shape modern institutions and the degree to which it is open to interpretation and contestation and thus to being compromised or altered to meet historical contingencies or political objectives. This approach provides the basis for the type of cultural analysis that can identify some of the cultural influences not only on some forms of corruption but on how a society understands the norms of good governance and what constitutes a deviation from these norms and thus what political corruption involves and why. It may also help us to understand how corruption can be disguised or justified within the Korean context.     

Predictive accuracy of static risk factors for Canadian Indigenous offenders compared to non-Indigenous offenders: implications for risk assessment scales

ABSTRACT

The over-representation of Indigenous offenders in Canadian prisons highlights the importance of research on the generalizability of potential static risk factors for this group. The current investigation examined whether 87 static indicators currently assessed in Canadian federal prisons were differentially present and related to outcomes (revocations, general recidivism, and violent recidivism) for Indigenous (n?=?1500) and non-Indigenous (n?=?6684) male federal offenders. The follow-up was eight months for revocations and five years for any/violent recidivism. Indigenous offenders scored significantly higher risk than non-Indigenous offenders on the majority of the indicators (particularly criminal history indicators). Generally, most criminal history indicators and some offence severity indicators predicted revocations, general, and violent recidivism for Indigenous offenders; however, several of the indicators had significantly lower accuracy for Indigenous offenders (particularly criminal history indicators). Overall, Indigenous offenders are a higher risk population and several static risk indicators do not perform as well for this group as for non-Indigenous offenders. Nonetheless, there were numerous static indicators that did predict outcomes for Indigenous offenders. The current findings suggest that it is possible to meaningfully assess static risk for recidivism among Indigenous offenders.     

Older African American Women and Barriers to Reporting Domestic Violence to Law Enforcement in the Rural Deep South

Victims of domestic violence are legally entitled to police protection, but multiple barriers exist in contacting law enforcement. In this study, we used Federal Bureau of Investigation data, key informant interviews, and focus groups to examine barriers to reporting domestic violence among older African American women in the rural Deep South. Three primary barriers were identified: gender roles, age dependency, and mistrust of law enforcement. The main finding was that reports of domestic violence were deterred by fears of being stigmatized by church, family, and community. The one compelling and feasible resolution is for law enforcement to take a leadership role in educating clergy and other community leaders about domestic violence as a crime against older women.     

Turning Off the Tap: Urban Water Service Delivery and the Social Construction of Global Administrative Law

This article explores the development of a cross-border dimensionto the delivery of urban water services as an arena for thesocial construction of global administrative law. When companiesfrom one country deliver water services in another country underdecades-long concession contracts, the ensuing political andlegal struggle engages one of the central strands of administrativelaw traditionally understood: the question of participationin decision-making processes that affect vital individual interests.Moreover, it does so in an arena that embeds public and privateactors in hybrid routines of both formal and informal participationat multiple levels of governance. Using Argentinian and SouthAfrican case studies, the article teases out in detail the interplaybetween international and domestic levels of the forms and processes(both formal and informal) that facilitate participation intransnational urban water services governance. The process ofsocially constructing global administrative law is centred initerative interaction between formal legal and informal politicalmodes of participation, especially social protest and politicalnegotiations. It is a process with two modes, political andtechnical, and the political salience of global administrativelaw is shaped first by differential capacities to deploy bothmodes, and secondly by the capacity to switch between nationaland international levels of governance.