Academic literature on the topic 'Post-intervention offending behaviour'

Background:dmissions to secure mental health services aim to treat both mental illness and the offending behaviour of service users. Dialectical Behaviour Therapy (DBT) is an emerging therapy within secure services for personality disordered service users. This pilot study explores the impact DBT had with female patients located in a secure service in Wales.Aims:To identify any treatment benefits of DBT for a sample of female forensic patients in Wales.Methods:DBT was adapted to meet the needs of the forensic setting and patient needs. Measures exploring anger, anxiety, depression, hopelessness and social problem solving were gathered from participants pre and post intervention.Results:Results indicated significant reduction in post intervention ratings for depression, hopelessness and anxiety, with large effect sizes in the desired direction reported on other measures, excluding social problem solving.Conclusions and implications for practice:DBT appears to have had a greater impact on the affective experiences of participants and less impact on the cognitive processes related to social problem solving. Findings are discussed in terms of clinical practice significance.

Research has established links between youth firesetting and general antisocial behavior. The current study sought to better understand these links by identifying fire-specific and general risk factors for offending from a national sample of children and adolescent firesetters ( N = 1,790), from a New Zealand Fire Service intervention program, up to 10 years after intervention. Most (62%) had committed an offense post-intervention, primarily moderate or severe offending. Only 5% had committed an arson offense post-intervention. Nearly all measures of victimization, psychosocial/emotional problems, previous conduct problem behavior, and child-welfare history were associated with post-intervention offending and/or offending severity. Pre-intervention offending and being older (aged 12+ years) at intervention were the major independent risk factors for offending. A protective factor was firesetting having occurred at home. Findings highlight young firesetters’ broad patterns of pervasive antisocial behavior and multiple adverse family, environmental, and individual factors that accompany and contribute to wide-ranging, non-fire-related offending.

Background The Systemic Therapy for At Risk Teens (START) trial is a randomised controlled trial of multisystemic therapy (MST) compared with management as usual (MAU). The present study reports on long-term follow-up of the trial (to 60 months). Objectives The primary objective was to compare MST and MAU for the proportion of young people in each group with criminal convictions up to 60 months post baseline. Secondary outcomes included group comparisons of psychological and behavioural factors. An economic analysis was carried out to determine the cost-effectiveness of MST compared with MAU. Two qualitative studies were conducted to better understand the subjective experiences of the participants. Design Primary outcomes (collected up to 60 months) were collected using a centralised police database. Secondary outcomes were evaluated using self-report questionnaires completed by both young people and parents or carers at the 24-, 36- and 48-month follow-ups. Research assistants were blind to treatment allocation. Setting Participants were recruited from participating MST sites in nine areas of England. Secondary outcomes were typically collected within the family home. Participants A total of 684 families were recruited into the START trial and allocated randomly to a treatment group. Of these, 487 remained in the second phase of the trial. Young people were aged, on average, 13.8 years at baseline, with 63% male and 37% female. Interventions MST is a manualised programme for young people exhibiting antisocial behaviour and their families that uses principles from cognitive–behavioural and family therapy to provide an individualised approach. MAU content was not prespecified, but consisted of the standard care offered to young people who met eligibility for the trial. Main outcome measures Young people’s offending was evaluated using the Police National Computer. Secondary measures included validated self-report measures completed by both the young person and their parent or carer. The economic evaluation took a broad perspective and outcomes were assessed in terms of quality-adjusted life-years and offending. Results No significant differences were found in the proportion of offending between the groups (hazard ratio 1.03, 95% confidence interval 0.84 to 1.26; p = 0.78). No differences were found between the groups on secondary outcome measures, with a few exceptions that did not hold up consistently across the follow-up period. The economic analysis did not find evidence to support the cost-effectiveness of MST compared with MAU. Outcomes from the qualitative studies suggest that families mostly felt positive about MST, and that MST was associated with greater maturity in young men. Limitations Some intended evaluations were not possible to deliver. Selective attrition may have influenced the nature of the sample size. It is also unclear how representative the MAU services were of reality. Future research Recommendations are made for the evaluation of MST in populations with more severe behavioural problems, as well as for identifying and testing new moderators. Conclusions The results of the second phase of the START trial do not support the long-term superiority of MST to MAU, but elements of the intervention may be adapted successfully. Trial registration Current Controlled Trials ISRCTN77132214 and London South-East REC registration number 09/H1102/55. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 23. See the NIHR Journals Library website for further project information.

Child sexual abuse is associated with a range of negative consequences, including behavior problems and dissociative and posttraumatic stress symptoms. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has shown to be successful in the treatment of child victims of sexual abuse, but yet presents some challenges with preschoolers. Child sexual abuse has often been associated with insecure attachment among preschool children. Therefore, combining an attachment-based intervention with the TF-CBT may offer a means to optimize therapeutic outcomes. This pilot study examined in a pre/post-test design whether the combination of the Attachment Video-feedback Intervention (AVI) with the TF-CBT led to changes in the well-being of sexually abused preschoolers and their parents. Participants included 33 sexually abused children aged 4 to 6 years old and their non-offending caregivers. Parents completed questionnaires on their child’s behavior problems and dissociative symptoms, and reported on their own psychological distress and posttraumatic symptoms following their child’s disclosure of trauma. Results showed decreases in child internalizing and dissociative symptoms and maternal psychological distress and posttraumatic symptoms after the intervention. This pilot study suggests this combined protocol is a promising tool to foster the recovery of young victims of sexual abuse and their non-offending caregivers.

This article reviews evaluation studies of programs designed to treat sex offenders with intellectual and developmental disabilities (IDD) published in peer-reviewed journals between 1994 and 2014. The design of this study is mirrored after PRISMA (Preferred Reporting of Items for Systematic Reviews and Meta-Analyses) recommendations for conducting a systematic literature review. The study design, study setting, characteristics of participants, type of treatment, and intervention procedures comprise areas of focus for evaluating the implementation of treatment programs. Therapeutic outcomes include changes in attitudes consistent with sex offending, victim empathy, sexual knowledge, cognitive distortions, and problem sexual behaviors. Eighteen treatment evaluation studies were identified from the United States, the United Kingdom, Australia, and New Zealand. Cognitive-behavioral treatments were the most commonly delivered treatment modality to sex offenders with IDD. Other less common treatments were dialectical behavioral therapy, problem solving therapy, mindfulness, and relapse prevention. No randomized controlled trials were identified. The most common designs were multiple case studies and pre- and post-treatment assessments with no control and repeated measures follow-up. Small sample sizes, no control groups, and wide variation in treatment length and follow-up time complicate the qualitative synthesis of study findings. Short follow-up times introduce the potential for bias in conclusions surrounding treatment efficacy for many of the studies reviewed in this analysis. The overall quality of studies examining treatments for sex offenders with IDD is poor and requires further development before rendering firm conclusions about the effectiveness of interventions for this population.

Purpose This pilot study aims to assess the feasibility of conducting shared philosophical inquiry with women at risk of re-offending to improve motivation to change. The philosophy sessions aimed to give participants new ways to think about their lives and to help them have more control over their own mind by learning new ways to think differently. Design/methodology/approach The pilot study adopted a mixed-methods approach to collect and analyse data pre- and post-intervention. Ten women serving a custodial sentence at the Democratic Therapeutic Community (DTC) in HMP Send were recruited to take part in ten weekly sessions of philosophical discussion. The intervention was adjunctive and not meant to replace other treatments an inmate may already be receiving. Findings The results showed that most participants experienced improved levels of well-being and mental health post-intervention, and that the intervention has the potential to help participants better critically assess their own behaviour and ways of thinking. It also suggested that the intervention has the potential to help participants engage more effectively with the therapeutic process. Research limitations/implications The results of this study are limited by the small sample size and the lack of a control group. As such this study cannot rule out that the changes observed in participants were a function of time or the specific therapeutic environment they were in (or both). Originality/value This pilot study is innovative not just for introducing philosophy classes to the women’s prison estate for the first time in England and Wales, but also in its ambition to contribute to the “what works” agenda in offender rehabilitation.

Abstract Background Antisocial personality disorder (ASPD), although associated with very significant health and social burden, is an under-researched mental disorder for which clinically effective and cost-effective treatment methods are urgently needed. No intervention has been established for prevention or as the treatment of choice for this disorder. Mentalization-based treatment (MBT) is a psychotherapeutic treatment that has shown some promising preliminary results for reducing personality disorder symptomatology by specifically targeting the ability to recognize and understand the mental states of oneself and others, an ability that is compromised in people with ASPD. This paper describes the protocol of a multi-site RCT designed to test the effectiveness and cost-effectiveness of MBT for reducing aggression and alleviating the wider symptoms of ASPD in male offenders subject to probation supervision who fulfil diagnostic criteria for ASPD. Methods Three hundred and two participants recruited from a pool of offenders subject to statutory supervision by the National Probation Service at 13 sites across the UK will be randomized on a 1:1 basis to 12 months of probation plus MBT or standard probation as usual, with follow-up to 24 months post-randomization. The primary outcome is frequency of aggressive antisocial behaviour as assessed by the Overt Aggression Scale – Modified. Secondary outcomes include violence, offending rates, alcohol use, drug use, mental health status, quality of life, and total service use costs. Data will be gathered from police and criminal justice databases, NHS record linkage, and interviews and self-report measures administered to participants. Primary analysis will be on an intent-to-treat basis; per-protocol analysis will be undertaken as secondary analysis. The primary outcome will be analysed using hierarchical mixed-effects linear regression. Secondary outcomes will be analysed using mixed-effects linear regression, mixed-effects logistic regression, and mixed-effects Poisson models for secondary outcomes depending on whether the outcome is continuous, binary, or count data. A cost-effectiveness and cost-utility analysis will be undertaken. Discussion This definitive, national, multi-site trial is of sufficient size to evaluate MBT to inform policymakers, service commissioners, clinicians, and service users about its potential to treat offenders with ASPD and the likely impact on the population at risk. Trial registration ISRCTN 32309003. Registered on 8 April 2016.

Abstract Background Young adult offenders represent a third of the UK prison population and are at risk of poor health outcomes including drug and alcohol misuse, self-harm and suicide. Court diversion interventions aim to reduce the negative consequences of formal criminal justice sanctions and focus resources on addressing the root causes of offending. Although diversions are widely used, evidence of their effectiveness has not yet been established. Hampshire Constabulary, working together with local charities, have developed the Gateway programme, an out-of-court intervention aimed at improving the life chances of young adults. Issued as a conditional caution, participants undertake a health and social care needs assessment, attend workshops encouraging analysis of own behaviour and its consequences and agree not to re-offend during the 16-week caution. Methods This is a pragmatic, multi-site, parallel-group, superiority randomised controlled trial with a target sample size of 334. Participants are aged 18–24, reside in Hampshire and Isle of Wight and are being questioned for an eligible low-level offence. Police investigators offer potential participants a chance to receive the Gateway caution, and those interested are also invited to take part in the study. Police officers obtain Stage 1 consent and carry out an eligibility check, after which participants are randomised on a 1:1 basis either to receive Gateway or follow the usual process, such as court appearance or a different conditional caution. Researchers subsequently obtain Stage 2 consent and collect data at weeks 4 and 16, and 1 year post-randomisation. The primary outcome is the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). Secondary outcomes include health status, alcohol and drug use, recidivism and resource use. The primary analysis will compare the WEMWBS score between the two groups at 12 months. Discussion This pioneering trial aims to address the evidence gap surrounding diversion in 18–24-year-olds. The findings will inform law enforcement agencies, third sector organisations, policymakers and commissioners, as well as researchers working in related fields and with vulnerable target populations. Trial registration International Standard Randomised Controlled Trial Register (ISRCTN 11888938).

This systematic review synthesized current knowledge about the prevalence of adverse childhood experiences (ACEs) among young people known to have offended and examined evidence of associations between ACEs, trauma symptoms, and offending behavior. A systematic search of English-language, peer-reviewed studies published from the year 2000 onwards was conducted. A final pool of 124 studies that reported quantitative data were included in the review. The Cambridge Quality Checklist for the assessment of studies on offending was used to assess methodological quality of included studies. Pooled data indicated that almost 87% of justice-involved young people across 13 countries experienced at least one traumatic event. The odds of experiencing at least one ACE were over 12 times greater for justice-involved young people compared with nonjustice-involved young people. Prevalence of individual ACEs ranged from 12.2% for childhood sexual abuse to 80.4% for parental separation among justice-involved young people. Those who reported both a higher number and multiple types of ACEs were more likely to be diagnosed with post-traumatic stress symptoms. However, when considering only high-quality studies, there was minimal evidence to suggest that a higher incidence of ACEs predicted trauma symptoms or that trauma symptoms mediated the association between ACEs and offending behavior. Further research is needed to elucidate factors that differentiate young people exposed to ACEs who go on to offend from those who do not. This research is essential to understanding whether ACEs and trauma are drivers of offending behavior and for informing prevention and intervention strategies.

This thesis employs a broad evaluative framework to examine the impact of the Youth Justice Service (YJS) on the post-intervention offending behaviour of young people on community-based court orders. The YJS is a Queensland government policy initiative that aims to monitor compliance with community-based court orders, and identify and address causes of criminal behaviour. The evaluative framework views policy, implementation and impact as distinct but related dimensions of intervention. Reflecting this framework, three primary research questions are addressed: (1) Does the YJS concept represent a goal-directed, theoretically-informed, executable and assessable juvenile crime prevention policy?, (2) Is the YJS concept realised through service delivery?, and (3) What is the effect of the YJS on future offending behaviour? Three studies, employing qualitative and quantitative methods, examined these questions. Study one examined the YJS concept, drawing on some key themes from literature on policy development and implementation, developmental and life-course criminology and developmental crime prevention. This study synthesised key policy and procedure documents around six themes, including (1) rationale, (2) goals, (3) theory, (4) service delivery model, (5) method of operation, and (6) key performance indicators. Findings indicated that the YJS concept represents only marginal adjustments from the traditional Area Office (AO) model of service delivery, and integrates few new preventative mechanisms that would foreseeably lead to change at the operational level. Moreover, it suffers from goal ambiguity, fails to incorporate some key components of best-practice crime prevention that have proven successful when working with at-risk young people, lacks sufficient process-level specificity to ensure treatment fidelity, and places heightened importance on measuring impacts that have political value rather than benefits for the clients. In the second study, an in-depth case study of the Logan Area Youth Justice Service (LAYJS) was conducted to explore how the YJS operated in reality, and as compared with the policy directive. Information was drawn from a variety of sources including interviews with staff and clients, policy and procedure documents, direct observation, case management files and staff-researcher interaction. Evidence suggested that the LAYJS was focused primarily on ensuring compliance with court orders. Several organisational factors, such as staff workloads, the statutory basis for monitoring compliance, and the capacities of staff, have meant that comparatively little attention has been directed at addressing offending behaviour. For the most part, the LAYJS employs an individualised case management process, as distinct from the collaborative, team-based model that is prescribed in the YJS concept. Caseworkers have little faith in their ability to bring about positive behavioural change in their clients, and subsequently transferred the responsibility for intervention outcomes to the client. While acknowledging the importance of families in preventing offending, caseworkers emphasised that a number of organisational tensions have prevented them from engaging families in the case management process. The final study examined the impact of the YJS on post-intervention offending, controlling for developmental risk factors and key features of the intervention process. A random sample (N=190) of clients from three YJS offices and three AOs was drawn from the population of clients who had active community-based court orders between June 1999 and December 2002. Information from Department of Communities' case management files and rearrest data from the Queensland Police Service were entered into a purpose-designed database, and analysed using bivariate and multivariate methods including logistic regression and survival analysis. High proportions of missing data on non-statutory variables suggested poor record management practices, or alternatively that operational staff do not understand the role of developmental risk and/or protective factors and social contexts in preventing offending behaviour. Results indicated that the YJS was no better than the AO at preventing recidivism, as measured at 18-months post-intervention, even after controlling for risk factors that were significantly related to recidivism. The analyses found that some unmeasured variation in service delivery, even within service types, did impact upon recidivism, supporting the hypotheses of the first study and the contention that variation in intervention practice can influence offending behaviour. The likelihood of recidivism was increased if the client was using drugs or was influenced by delinquent peers, and decreased if he stayed in school until years 11 or 12, or where caseworkers addressed familial problems. This provides some sense of programs that may be appropriate for young offenders in the context of a community-based program. It also highlights the critical importance of incorporating families into case management, not only for the purpose of providing information, but also as viable targets of intervention. Survival analyses indicated that the YJS might have had some temporary deterrent effect, although this effect had dissipated by 18-months post-intervention. This result may reflect the increased focus on ensuring compliance with court orders as found in the LAYJS case study. However, given the hypothesis that the lack of process direction will result in variable practices across offices, it cannot be assumed that all YJSs place equal importance on compliance. Overall, findings suggest that the promise that the YJS would provide an innovative model of service delivery and generate improved outcomes for young offenders has not been realised. This research has added further weight to the perspective that examines both the individual and combined impact of theory, policy and implementation for measuring client outcomes. Deficits in any of these components ultimately have a ripple effect, making it difficult to achieve the predetermined goals of the policy at the operational level.

This thesis employs a broad evaluative framework to examine the impact of the Youth Justice Service (YJS) on the post-intervention offending behaviour of young people on community-based court orders. The YJS is a Queensland government policy initiative that aims to monitor compliance with community-based court orders, and identify and address causes of criminal behaviour. The evaluative framework views policy, implementation and impact as distinct but related dimensions of intervention. Reflecting this framework, three primary research questions are addressed: (1) Does the YJS concept represent a goal-directed, theoretically-informed, executable and assessable juvenile crime prevention policy?, (2) Is the YJS concept realised through service delivery?, and (3) What is the effect of the YJS on future offending behaviour? Three studies, employing qualitative and quantitative methods, examined these questions. Study one examined the YJS concept, drawing on some key themes from literature on policy development and implementation, developmental and life-course criminology and developmental crime prevention. This study synthesised key policy and procedure documents around six themes, including (1) rationale, (2) goals, (3) theory, (4) service delivery model, (5) method of operation, and (6) key performance indicators. Findings indicated that the YJS concept represents only marginal adjustments from the traditional Area Office (AO) model of service delivery, and integrates few new preventative mechanisms that would foreseeably lead to change at the operational level. Moreover, it suffers from goal ambiguity, fails to incorporate some key components of best-practice crime prevention that have proven successful when working with at-risk young people, lacks sufficient process-level specificity to ensure treatment fidelity, and places heightened importance on measuring impacts that have political value rather than benefits for the clients. In the second study, an in-depth case study of the Logan Area Youth Justice Service (LAYJS) was conducted to explore how the YJS operated in reality, and as compared with the policy directive. Information was drawn from a variety of sources including interviews with staff and clients, policy and procedure documents, direct observation, case management files and staff-researcher interaction. Evidence suggested that the LAYJS was focused primarily on ensuring compliance with court orders. Several organisational factors, such as staff workloads, the statutory basis for monitoring compliance, and the capacities of staff, have meant that comparatively little attention has been directed at addressing offending behaviour. For the most part, the LAYJS employs an individualised case management process, as distinct from the collaborative, team-based model that is prescribed in the YJS concept. Caseworkers have little faith in their ability to bring about positive behavioural change in their clients, and subsequently transferred the responsibility for intervention outcomes to the client. While acknowledging the importance of families in preventing offending, caseworkers emphasised that a number of organisational tensions have prevented them from engaging families in the case management process. The final study examined the impact of the YJS on post-intervention offending, controlling for developmental risk factors and key features of the intervention process. A random sample (N=190) of clients from three YJS offices and three AOs was drawn from the population of clients who had active community-based court orders between June 1999 and December 2002. Information from Department of Communities' case management files and rearrest data from the Queensland Police Service were entered into a purpose-designed database, and analysed using bivariate and multivariate methods including logistic regression and survival analysis. High proportions of missing data on non-statutory variables suggested poor record management practices, or alternatively that operational staff do not understand the role of developmental risk and/or protective factors and social contexts in preventing offending behaviour. Results indicated that the YJS was no better than the AO at preventing recidivism, as measured at 18-months post-intervention, even after controlling for risk factors that were significantly related to recidivism. The analyses found that some unmeasured variation in service delivery, even within service types, did impact upon recidivism, supporting the hypotheses of the first study and the contention that variation in intervention practice can influence offending behaviour. The likelihood of recidivism was increased if the client was using drugs or was influenced by delinquent peers, and decreased if he stayed in school until years 11 or 12, or where caseworkers addressed familial problems. This provides some sense of programs that may be appropriate for young offenders in the context of a community-based program. It also highlights the critical importance of incorporating families into case management, not only for the purpose of providing information, but also as viable targets of intervention. Survival analyses indicated that the YJS might have had some temporary deterrent effect, although this effect had dissipated by 18-months post-intervention. This result may reflect the increased focus on ensuring compliance with court orders as found in the LAYJS case study. However, given the hypothesis that the lack of process direction will result in variable practices across offices, it cannot be assumed that all YJSs place equal importance on compliance. Overall, findings suggest that the promise that the YJS would provide an innovative model of service delivery and generate improved outcomes for young offenders has not been realised. This research has added further weight to the perspective that examines both the individual and combined impact of theory, policy and implementation for measuring client outcomes. Deficits in any of these components ultimately have a ripple effect, making it difficult to achieve the predetermined goals of the policy at the operational level.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Criminology and Criminal Justice
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Abstract Water short circuiting leading to early, sudden and massive water breakthroughs in producer wells has been a lingering concern to oil operators for many years. Unfavorable mobility ratio leading to viscous fingering, horizontal wells exhibiting ‘the heel-toe effect’ and fields with fracture-fault activities are more prone to these kinds of unwanted water breakthroughs, suffering from oil production losses and higher operational cost for management of the excessive produced water. A brown field in the south of the Sultanate of Oman was experiencing massive water short circuiting within two of its patterns. [MJO1]While conformance was well established and dynamically confirmed through production performance and artificial lift parameters in most patterns within the field, the complicated inverted nine spot injector-producer pattern scenario[MJO2] was making it difficult to ascertain the offending injectors or unexpected flow paths leading to the condition within the study area. The lower API oil and slightly fractured and faulted geology was exhibiting conditions for injection imbalance and the challenge was to bring the high water-cut wells back to full potential and increase oil output whilst reducing water flow. To investigate the breakthrough occurrences and mitigate the challenge, chemical water tracers were introduced in the reservoir as a part of Integrated Reservoir Management framework to identify flow directions and offending injectors. The Phase-1 of the two-phase study, discussed in this paper, was carried out to determine reservoir conformance that was contributing to short circuiting and once the cause was identified and treated, Phase-2 was carried out post well intervention to validate the success of the treatment. Phase-1 of the tracer study was initiated in October 2019 where two injectors and nineteen producers across two adjacent patterns were traced with two unique chemical water tracers. Massive tracer responses were obtained within the first few days in few wells, directly pointing out towards the offending injector(s). Sampling and analysis for Phase-1 was continued for about six months, after which, a zonal isolation was carried out in one the identified injectors in August 2020. Cement was pumped across all the perforation intervals and a new perforation was performed across the top and bottom of the reservoir avoiding the middle intervals that were taking about 70% of injection as per production logging. Phase-2 of the study was initiated in March 2021 and continued sampling and analyses are still being carried out. With about 15% reduction in water cut and a three-fold increase in oil rate at the target producer, the study validated that an integrated knowledge of reservoir geology and production behavior coupled with tracer studies was a very successful strategy for managing short circuiting in waterflood reservoirs. The study showed that this sequence and combination of methods can be useful in effective treatment for wells experiencing high water cut across the world.