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1.
Crim Behav Ment Health ; 27(3): 238-253, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28677902

RESUMO

BACKGROUND: The London Pathway Project (LPP) is an innovative whole-systems approach to addressing the needs of offenders who have severe personality disorder, with the goal of reducing their risk of harm. Previous research has evaluated the initial implementation of the LPP. AIMS: This paper focused on evaluating the impact of the LPP on a number of criminogenic needs over time and its impact on the risk of reoffending and harm compared with a similar group who did not experience the pathway. METHOD: Data for men who had been identified for the LPP were used to explore changes in key criminogenic needs an average of 11 months after commencing on the pathway. In addition, Offender Assessment System data was used to match men who had experienced the LPP for at least 12 months to a comparison group on key demographic and criminal history variables. Changes in validated risk assessment devices and changes in practitioners' perception of risk were examined. RESULTS: The LPP was associated with desirable within-individual change for most of the criminogenic needs explored. However, strong non-desirable changes in lifestyle and associates were also identified, but this was particularly the case for those sentenced to prison. When compared with a matched group, those identified for the pathway showed a significant reduction on an objective measure of risk of reoffending but were rated as having significantly increased risk of harm on the basis of practitioner's perceptions. There was no evidence that greater progression along the pathway was associated with greater benefits. CONCLUSIONS: This is the first impact evaluation of the LPP, and the results were generally positive in terms of its relation to criminogenic needs and risks. Much more research that clearly links project inputs to actual behavioural outcomes, such as later reoffending, is needed. IMPLICATIONS: This initial evaluation of the impact of the LPP could be used as baseline data to examine the impact of the pathway over time, and with greater precision (e.g. matching on personality features). Copyright © 2017 John Wiley & Sons, Ltd.


Assuntos
Criminosos/psicologia , Transtornos da Personalidade/terapia , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Humanos , Londres , Masculino , Transtornos da Personalidade/psicologia , Prisões , Medição de Risco/métodos , Adulto Jovem
2.
Crim Behav Ment Health ; 27(3): 222-237, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28677910

RESUMO

BACKGROUND: The London Pathways Partnership (LPP) Community Service is an approach to mainstreaming the identification of offenders with severe personality disorder to address their needs and reduce their risk. AIMS: To evaluate the result of the full-scale implementation of the LPP and evaluate factors associated with an offender's progression on the pathway. METHOD: The data collected as part of the LPP project and Offender Assessment System data were used to evaluate who was screened into the pathway and their progression on the pathway. RESULTS: Over 3,400 offenders were screened into the pathway in the first 48 months of implementation but fewer were recorded as having progressed. It was not possible to determine whether this attrition reflected appropriate pathway action, inefficient service provision or weak recording procedures. Certain types of offenders were represented at progressive stages of the pathway. Those who had violent or sexual offences, had received custodial sentences, had more personality disorder indicators and were of higher risk were more likely to be found at progressive stages of the pathway. When probation areas began implementing the service was also found to be related to pathway movement. Also, those of Non-White ethnicity were no less likely than those of White ethnicity to be recommended or referred for services but were significantly less likely to start services. CONCLUSIONS: The LPP attempts to balance breadth (covering all offenders being convicted in London) with depth (developing a feasible pathway for all offenders identified with severe personality disorder) and has done so with some success. IMPLICATIONS: Future research should examine the continued rollout of the LPP service, and importantly the relationship between salient individual, risk and personality features, pathway inputs and measures of later reoffending. Copyright © 2017 John Wiley & Sons, Ltd.


Assuntos
Criminosos/psicologia , Transtornos da Personalidade/terapia , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Feminino , Humanos , Londres , Masculino , Serviços de Saúde Mental/organização & administração , Desenvolvimento de Programas , Risco , Delitos Sexuais/estatística & dados numéricos , Seguridade Social
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