Effectiveness of substance use disorder treatment as an alternative to imprisonment.

INTRODUCTION: Drug courts are criminal justice programs to divert people with substance use disorders from incarceration into treatment. Drug courts have become increasingly popular in the US and other countries. However, their effectiveness in reducing important public health outcomes such as recidivism and substance-related health harms remains ambiguous and contested. We used nationwide register data from Sweden to evaluate the effectiveness of contract treatment sanction, the Swedish version of drug court, in reducing substance misuse, adverse somatic and mental health outcomes, and recidivism. METHODS: In this prospective cohort study, two quasi-experimental designs were used: difference-in-differences and the within-individual design. In the latter, we compared the risk of outcomes during time on contract treatment to, 1) parole after imprisonment and, 2) probation. RESULTS: The cohort included 11,893 individuals (13% women) who underwent contract treatment. Contract treatment was associated with a reduction of 7 percentage points (95% CI: -.088, -.055) in substance misuse, 5 percentage points (-.064, -.034) in adverse mental health events, 9 percentage points (-.113, -.076) in adverse somatic health events, and 3 fewer charges (-3.16, -2.85) for crime in difference-in-differences analyses. Within-individual associations suggested that the same individual had longer times-to-event for all outcomes during contract treatment than on parole or on probation. CONCLUSIONS: Contract treatment is an effective intervention from both public health and criminal justice perspective. Our findings suggest that it is a superior alternative to incarceration in its target group. Further, we find that an implementation approach that is less punitive and more inclusive than what is typical in the US can be successful.

Looking more criminal: It's not so black and white.

Prior research regarding the influence of face structure on character judgments and first impressions reveals that bias for certain face-types is ubiquitous, but these studies primarily used decontextualized White faces for stimuli. Given the disadvantages Black men face in the legal system, this study aimed to investigate whether the criminal face-type presented in the context of crime influenced different legal system-type judgments as a function of perpetrator race. In a mixed-model design, participants saw Black and White computer-generated faces that varied in criminality presented with either violent or nonviolent crime scenarios. At test, participants attempted to identify the original perpetrator from a photo array, along with providing penalty severity judgments for the crime committed. Results indicate that when crimes were violent, participants meted harsher penalties overall to Black faces or to high-criminality faces identified as the perpetrator. Furthermore, for violent crimes, participants were more likely to select a face from the photo array that was higher/equally as high in criminality rating relative to the actual perpetrator when memory failed or when the perpetrator was Black. Overall, the findings suggest that when people are making judgments that could influence another's livelihood, they may rely heavily on facial cues to criminality and the nature of the crime; and this is especially the case for Black faces presented in the context of violent crime. The pattern of results provides further support for the pervasive stereotype of Black men as criminal, even in our racially diverse sample wherein 36% identified as Black.

The cumulative risk of jail incarceration.

Research on incarceration has focused on prisons, but jail detention is far more common than imprisonment. Jails are local institutions that detain people before trial or incarcerate them for short sentences for low-level offenses. Research from the 1970s and 1980s viewed jails as "managing the rabble," a small and deeply disadvantaged segment of urban populations that struggled with problems of addiction, mental illness, and homelessness. The 1990s and 2000s marked a period of mass criminalization in which new styles of policing and court processing produced large numbers of criminal cases for minor crimes, concentrated in low-income communities of color. In a period of widespread criminal justice contact for minor offenses, how common is jail incarceration for minority men, particularly in poor neighborhoods? We estimate cumulative risks of jail incarceration with an administrative data file that records all jail admissions and discharges in New York City from 2008 to 2017. Although New York has a low jail incarceration rate, we find that 26.8% of Black men and 16.2% of Latino men, in contrast to only 3% of White men, in New York have been jailed by age 38 y. We also find evidence of high rates of repeated incarceration among Black men and high incarceration risks in high-poverty neighborhoods. Despite the jail's great reach in New York, we also find that the incarcerated population declined in the study period, producing a large reduction in the prevalence of jail incarceration for Black and Latino men.

Sleep disorders and criminal behavior.

Behaviors that would otherwise be considered criminal acts, but occur in the context of a sleep disorder, pose challenges to the traditional application of legal principles of criminal responsibility. Determining the degree to which consciousness is present during such behaviors becomes a necessary step in assigning criminal culpability. Historically, legal defense theories of unconsciousness, automatism, and insanity have been raised to negate culpability for parasomnia related behaviors. Accordingly, proper assessment of sleep disorders in the context of criminal charges becomes critical in assisting the functions of the justice system. This article reviews principles related to the legal tradition, expert assessment, and elements of expert testimony related to criminal behaviors and sleep disorders.

Examining the Past Injustices Suffered by Those in Corrections and the General Public: A New Therapeutic Approach May Be Necessary.

One under-researched area within corrections is the connection among (a) past adverse events, particularly in the form of injustices against those who now are incarcerated, (b) crimes committed and then (c) healing from the effects of that past adversity of injustice. Might those who have experienced severe injustices against them develop an anger or a hatred that then is displaced onto others, leading to arrest, conviction and imprisonment? This is not to imply that societies condone illegal behaviour but instead to assist in the healing from the adversity so that future crime is reduced. As a first step in this sequence, the study here examined in detail the kinds of injustices suffered by men in a maximum-security correctional institution (N = 103) compared with men in a medium-security environment (N = 37) and in the general public (N = 96). Findings indicated differences between those in the general public and those in the two correctional contexts. The latter two groups had (a) a higher severity of injustices against them (rated by a panel of researchers), (b) a more negative current impact that past injustices are having on them (also rated by a panel of researchers), (c) more reports that the injustices contributed to their choices to harm others, (d) more serious types of hurt (such as sexual abuse), (e) a stronger degree of self-reported hurt and (f) more injustices from family members. Implications for correctional rehabilitation to reduce the negative psychological effects caused by the injustices of others are discussed.

Association of intellectual disability with violent and sexual crime and victimization: a population-based cohort study.

BACKGROUND: Intellectual disability (ID) is associated with violent and sexual offending and victimization, but the importance of neuropsychiatric comorbidity and severity of disability remains unclear. METHODS: In a register-based cohort study of people born in Sweden 1980-1991 (n = 1 232 564), we investigated associations of mild and moderate/severe ID with any, violent and sexual crimes, and with assault victimization, stratified by comorbid autism and attention deficit hyperactivity disorder (ADHD). We defined ID by attendance at a special school or registered diagnosis and obtained data on criminal convictions and injuries or deaths due to assaults from nationwide registers until end of 2013. RESULTS: Compared to people without ID, autism or ADHD, men and women with mild or moderate/severe ID and comorbid ADHD had elevated risks of violent crimes [range of hazard ratios (HRs) 4.4-10.4] and assault victimization (HRs 2.0-7.7). Women with mild ID without comorbidities or with comorbid autism also had elevated risks of violent crimes and victimization (HRs 1.8-4.6) compared to women without ID, autism or ADHD. The relative risks of sexual offending and victimization were elevated in men and women with ID without comorbidities (HRs 2.6-12.7). The highest risks for sexual offending in men (HRs 9.4-11.0) and for sexual assault victimization in women (HRs 11.0-17.1) related to ID and comorbid ADHD. CONCLUSIONS: The elevated risk of violent offending and assault victimization in people with ID is largely explained by comorbid ADHD, whereas ID is independently associated with sexual crimes and victimization, even though absolute risks are low.

Traumatic brain injury and risk of subsequent attempted suicide and violent crime.

BACKGROUND: Traumatic brain injury (TBI) can cause long-lasting sequelae that may increase the risk of suicidal or criminal behaviour, but large-scale longitudinal studies are lacking on the link between TBI and events of suicide attempt and violent crime. This study examined the incidence of suicide attempt and violent crime following hospital contact for TBI in a nationwide cohort study. METHODS: We used nationwide register data covering all individuals aged 10+ living in Denmark during 1980-2016 (n = 7 783 951). Of these, 587 522 individuals had a hospital contact for TBI. Incidence rate ratios (IRR) were calculated by Poisson regression analyses while adjusted for relevant covariates including other fractures and psychiatric diagnoses. RESULTS: Individuals with TBI had higher rates of suicide attempt (females IRR, 2.78; 95% CI 2.71-2.85; males IRR, 3.00; 95% CI 2.93-3.08) compared to individuals without TBI in adjusted analyses. Multiple TBI and temporal proximity to TBI were associated with higher rates of suicide attempt. Individuals with TBI had higher rates of violent crime (females IRR, 2.43; 95% CI 2.36-2.49; males IRR, 1.80, 95% CI 1.78-1.82) compared with individuals without TBI. Higher rates of violent crime were found after multiple TBI and temporal proximity to TBI. CONCLUSIONS: This nationwide cohort study found higher rates of suicide attempt and violent crime among individuals with prior hospital diagnosed TBI, compared with individuals without TBI. This emphasises the need for preventive efforts immediately after TBI diagnosis, which might mitigate the risks of a trajectory toward suicidal or violent behaviours.

Criminal Behaviour After Diagnosis of a Neurocognitive Disorder: A Nationwide Finnish Register Study.

OBJECTIVE: To explore criminal behavior of individuals with Alzheimer's disease (AD), frontotemporal dementia (FTD), or Lewy body dementias (LBD) after the diagnosis. DESIGN: Nationwide register study. SETTING: Information on diagnoses and criminality was received from Finnish registers. Crime types and incidences were compared between disorders and the general population. PARTICIPANTS: All Finnish individuals diagnosed with AD, LBD, or FTD (n = 92 189) during 1998-2015. MEASUREMENTS: Types of crimes and incidences, the standardized criminality ratio (SCR, number of actual crimes per number of expected crimes), numbers of observed cases, and person-years at risk counted in 5-year age groups and for both sexes and yearly. RESULTS: Among men, at least one crime was committed by 2.8% of AD, 7.2% of FTD, and 4.8% of LBD patients. Among women, the corresponding figures were 0.4%, 2.0%, and 2.1%. The most frequent type of crime was traffic offence, followed by property crime. After age adjustment, the relative number of crimes between groups did not differ, except that men with FTD and LBD committed more crimes than those with AD. The SCR (95% CI) among men were 0.40 (0.38-0.42) in AD, 0.45 (0.33-0.60) in FTD, and 0.52 (0.48-0.56) in LBD. Among women, these were 0.34 (0.30-0.38), 0.68 (0.39-1.09), and 0.59 (0.51-0.68). CONCLUSIONS: The diagnosis of a neurocognitive disorder does not increase criminal behavior, but rather reduces it by up to 50%. Differences in crime activity are present between different neurocognitive disorders and between the sexes.

Injuries, Poisonings, and Other External Causes of Morbidity among Drug Crime Offenders: A Follow-Up Study of Former Adolescent Psychiatric Inpatients.

INTRODUCTION: Criminal offenders have high incidences of injury- and substance-related emergency department visits. Very few studies focus on drug crime offenders or the medical specialties involved in treating these offenders. We aimed to study how drug crime offenders' treatment events in specialized health care due to injuries, poisonings, or other external causes of morbidity differed from treatment of non-criminal controls and which of the medical specialties were involved in their care. METHODS: The study population included 508 former adolescent psychiatric inpatients (age 13-17 years), who were followed up through Finnish national registers. A total of 60 had committed a drug crime during the 10-15 years' follow-up. They were matched with 120 non-criminal controls from the study population. Hazard ratios (HRs) with 95% confidence intervals (Cl) for drug crime offending were assessed using a Cox regression model. RESULTS: Almost 90% of drug crime offenders had treatment events in specialized health care due to injuries, poisonings, and other external causes of morbidity, compared to 50% of non-criminals. The majority of the drug crime offenders had been treated for accidental injuries (65% vs. 29%; p < 0.001) in comparison to non-criminal controls. More drug crime offenders had been treated for intentional poisonings (42% vs. 11%; p < 0.001) than non-criminal controls. For drug crime offenders, the lifetime probability of a treatment event due to poisoning was almost doubled (HR: 1.89, 95% CI: 1.26-2.84; p = 0.002), and for treatments due to injury, there was a 2.5-fold increase (HR: 2.54, 95% CI: 1.69-3.82; p < 0.001) in comparison to non-criminal controls. CONCLUSION: In emergency care, substance use screening and referral for appropriate psychiatric and substance abuse treatment services should be considered for all adolescents and young adults attending hospitals due to injuries or poisonings.

Metamnemonic predictions of lineup identification.

After a crime is committed, investigators may query witnesses about whether they believe they will be to identify the perpetrator. However, we know little about how such metacognitive judgments are related to performance on a subsequent lineup identification task. The extant research has found the strength of this relationship to be small or nonexistent, which conflicts with the large body of literature indicating a moderate relationship between predictions and performance on memory tasks. In Studies 1-3, we induce variation in encoding quality by having participants watch a mock crime video with either low, medium, or high exposure quality, and then assess their future lineup performance. Calibration analysis revealed that assessments of future lineup performance were predictive of identification accuracy. This relationship was driven primarily by poor performance following low assessments. Studies 4 and 5 showed that these predictions are not based on a witness's evaluation of their encoding experience, nor on a contemporaneous assessment of memory strength. These results reinforce the argument that variation in memory quality is needed to obtain reliable relationships between predictions and performance. An unexpected finding is that witnesses who made a prediction shortly after encoding evinced superior memory compared to those who made a prediction later.

Biased hate crime perceptions can reveal supremacist sympathies.

People may be sympathetic to violent extremism when it serves their own interests. Such support may manifest itself via biased recognition of hate crimes. Psychological surveys were conducted in the wakes of mass shootings in the United States, New Zealand, and the Netherlands (total n = 2,332), to test whether factors that typically predict endorsement of violent extremism also predict biased hate crime perceptions. Path analyses indicated a consistent pattern of motivated judgment: hate crime perceptions were directly biased by prejudicial attitudes and indirectly biased by an aggrieved sense of disempowerment and White/Christian nationalism. After the shooting at a synagogue in Pittsburgh, Pennsylvania, disempowerment-fueled anti-Semitism predicted lower perceptions that the gunman was motivated by hatred and prejudice (study 1). After the shootings that occurred at two mosques in Christchurch, New Zealand, disempowerment-fueled Islamoprejudice similarly predicted lower hate crime perceptions (study 2a). Conversely, after the tram shooting in Utrecht, Netherlands (which was perpetrated by a Turkish-born immigrant), disempowerment-fueled Islamoprejudice predicted higher hate crime perceptions (study 2b). Finally, after the Walmart shooting in El Paso, Texas, hate crime perceptions were specifically biased by an ethnonationalist view of Hispanic immigrants as a symbolic (rather than realistic) threat to America; that is, disempowered individuals deemphasized likely hate crimes due to symbolic concerns about cultural supremacy rather than material concerns about jobs or crime (study 3). Altogether, biased hate crime perceptions can be purposive and reveal supremacist sympathies.

Restorative solutions for anti-LGBT victimisation experiences: potential pathways for victims' wellbeing and key challenges and needs.

The victims of anti-LGBT hate crimes may have particularly negative experiences which affect their mental health and wellbeing. These incidents affect the victims' self-esteem, dignity and identity, and they also affect indirect victims in similar ways. As opposed to retributive justice, restorative justice may offer a more satisfactory justice experience for those affected, by addressing the harm caused to them. This is due to the fact that restorative processes require flexibility, adequacy and tailor-made design. Drawing on findings from a multi-site qualitative study conducted in six European countries, this article discusses the perceptions and experiences of key professionals regarding the potential of restorative justice to provide for victims of anti-LGBT hate crimes, particularly in relation to repairing the individual and collective harm caused by such crimes.

The interrogator-suspect dynamic in custodial interrogations for high-stakes crimes in Sweden: An application of the interrogation taxonomy framework.

This archival study was the first in Sweden, and the first outside of the US and the UK, to apply the (Kelly et al., Psychology, Public Policy, and Law, 9, 165-178, 2013) taxonomy of interrogation methods framework to repeated police interrogations of adult suspects in high-stakes crimes. Audio/video recordings (N = 19) were collected from the Swedish Police Authority of repeated interrogations of three suspects in three criminal cases. The interaction between interrogators and suspects were scored according to the taxonomy framework (Kelly et al., Psychology, Public Policy, and Law, 9, 165-178, 2013; Kelly et al., Law and Human Behavior, 40, 295-309, 2016). First, there was an association between the use of different domains. Rapport and relationship building was moderately and negatively associated with confrontation/competition and presentation of evidence. Moreover, confrontation/competition was moderately and positively related to emotion provocation and presentation of evidence. Second, changes were observed during the interrogations. Presentation of evidence was lower in the beginning than in the middle block. Suspect cooperation was higher in the beginning than both the middle and end blocks. Third, an ordered logistic regression showed that rapport and relationship building were associated with increased suspect cooperation, and confrontation/competition and presentation of evidence were associated with decreased cooperation. The study's results are mostly in line with other taxonomy studies on high-stakes crimes from the US and the UK. The findings are discussed in light of theoretical frameworks, empirical findings, and current police practice. We also highlight the need for further research.

Partners in crime: A 21-year cohort comparison of people who commit serious crimes together with those who act alone.

BACKGROUND: Perpetrators who act together violently occur frequently in police and media discussions, but are rarely the focus of forensic psychiatric research. AIMS: We aimed to characterise people who act together when committing a serious crime and to map the frequency of such crimes over 21 years in Finland. METHODS: Data for the study were retrieved from the national database of forensic psychiatric examinations for the period 2000-2020, with reports on file for nearly all people charged with serious criminal offences in the country. Index cases were defined as those with two or more perpetrators attacking a single victim; people who acted alone were comparison cases. Sex and age at the time of the crime were extracted together with all diagnoses listed in the reports. RESULTS: Seventy-five multiple perpetrator groups (MPG) were identified, accounting for 165 individuals whose reports were compared with 2494 single-perpetrator (SPR) reports. Most group and solitary offenders were male (87%: 86%, respectively). The index offence was more likely to be homicide among the group perpetrators (mean 1.12) than the solitary offenders (mean 0.83). Proportionately more of the group offenders had personality disorder or substance use disorders (antisocial personality disorder MPG 49%: SPR 32%; any personality disorder MPG 89%: SPR 76%); alcohol (MPG 79%: SPR 69%; cannabis MPG 15%: SPR 9%). By contrast, psychosis was about twice as common among the solitary offenders (MPG 12%; SPR 26%). CONCLUSIONS: The number of group-perpetrated crimes has not increased, according to these Finnish forensic psychiatric report data of 2000-2020, but the relatively high prevalence among them of personality and substance use disorders is a constant. Understanding psychiatric disorders as factors in both leading to and avoiding violent conflicts may help plan new approaches to further diminish group violence.

Being Able to Be Yourself: The Lived Experience of Female Patients in Forensic Psychiatric Care.

People in Sweden who commit at least one crime and suffer from a severe mental disorder can be sentenced to forensic psychiatric care. The aim of this study was to describe and gain a greater understanding of the female patients' experiences of their life situation while being cared for in forensic psychiatric care. Interviews with 15 women were conducted and analyzed with a phenomenological hermeneutical method. The results showed the care and the care environment to be dualistic. The women had to be aware that a close neighbor could also be an enemy. They received care in an environment that was unknown, frightening but at the same time a place where they felt secure, and which was predictable.

Effect of social cohesion on crime control strategies among rural dwellers in Nigeria.

This study examined how social cohesion variables, SCV are associated with effective crime control strategies, CCS in Nigeria's rural areas. With mixed-methods, we collected data from 3408 participants and 12 interviewees in 48 rural areas; the results showed that strong SCV indirectly hindered an effective CCS. Significant correlation was found between SCV and CCS. The SCV are shared emotions, strong-family and religious-ties, mutual-trust, communal cohesion, well-articulated common information network, and longstanding age-group bond. The CCS adopted by the law enforcement agents were largely ineffective; these strategies are indiscriminate arrest or search with/without warrant, secret deployment of informants, liaising with local security guards and prompt documentation of cases. Other strategies include monitoring crime black-spots, collaboration among different security agencies, awareness programs and strong community-police relationship. There is a need for public awareness about the negative effects of communal bond on crime control to have a crime-free society in Nigeria.

The reconvictions of mentally disordered offenders-how, when, and where?

BACKGROUND: Little is known about the recidivism of mentally disordered offenders after discharge from forensic psychiatric services. This is problematic because such knowledge could (i) help professionals who encounter this group to better plan interventions to prevent recidivism, (ii) clarify the rates of recidivism post-discharge from forensic psychiatric care and (iii) further develop instruments for specific risk assessment. The aim of this study was to investigate the new crimes of mentally disordered offenders who had been reconvicted after discharge from forensic psychiatric care. METHODS: Included in this study were all individuals (n = 1142) who had been discharged from forensic psychiatric care in Sweden during 2009-2018, were included in the Swedish National Forensic Psychiatric Register, and had been reconvicted in a criminal court within the follow-up period of 2009-2018 (n = 157, 14% of the population). The follow-up times of the discharged patients within the period varied from 4 to 3644 days, (m = 1697, Md = 1685). Retrospective registry data along with coded data from criminal court judgments (n = 210) were used to create a database. Kaplan-Meier survival analysis and descriptive statistical analysis was performed. RESULTS: 75% of included individuals were reconvicted for at least one violent crime, but only 9 individuals were reconvicted for a serious violent crime, which can be compared to the 44 individuals with serious violent index crimes. The most common crime was "Other violent". The most common sentence was probation. The offender's most common relationship to the victim was having no known relationship, followed by the victim being a person of authority. The most common circumstance of the crime leading to the reconviction was that it occurred without apparent provocation; other common circumstances were related to the exercise of public authority. The most common crime scene was a public place. CONCLUSIONS: Even though the reconvictions of this group included many violent crimes, there were very few serious violent crimes. The findings that the victims of the crimes of mentally disordered offenders are most commonly either unknown to the perpetrator or persons of authority, and that the crimes are often perpetrated without apparent provocation or reason, are important information for all professionals who encounter this group and should be taken into consideration to assess risk more accurately.

Identifying criminals: No biasing effect of criminal context on recalled threat.

To date, it is still unclear whether there is a systematic pattern in the errors made in eyewitness recall and whether certain features of a person are more likely to lead to false identification. Moreover, we also do not know the extent of systematic errors impacting identification of a person from their body rather than solely their face. To address this, based on the contextual model of eyewitness identification (CMEI; Osborne & Davies, 2014, Applied Cognitive Psychology, 28[3], 392-402), we hypothesized that having framed a target as a perpetrator of a violent crime, participants would recall that target person as appearing more like a stereotypical criminal (i.e., more threatening). In three separate experiments, participants were first presented with either no frame, a neutral frame, or a criminal frame (perpetrators of a violent crime) accompanying a target (either a face or body). Participants were then asked to identify the original target from a selection of people that varied in facial threat or body musculature. Contrary to our hypotheses, we found no evidence of bias. However, identification accuracy was highest for the most threatening target bodies high in musculature, as well as bodies paired with detailed neutral contextual information. Overall, these findings suggest that while no systematic bias exists in the recall of criminal bodies, the nature of the body itself and the context in which it is presented can significantly impact identification accuracy.

Personal infidelity and professional conduct in 4 settings.

We study the connection between personal and professional behavior by introducing usage of a marital infidelity website as a measure of personal conduct. Police officers and financial advisors who use the infidelity website are significantly more likely to engage in professional misconduct. Results are similar for US Securities and Exchange Commission (SEC) defendants accused of white-collar crimes, and companies with chief executive officers (CEOs) or chief financial officers (CFOs) who use the website are more than twice as likely to engage in corporate misconduct. The relation is not explained by a wide range of regional, firm, executive, and cultural variables. These findings suggest that personal and workplace behavior are closely related.

A perspective review of cannabis use and sexual offenses.

Substance abuse is an established risk factor for crime and violence, including sexual violence. Nevertheless, the link between cannabis use and sexual offenses remains poorly understood. Cannabis use has a broad effect on sexual functioning and can have both acute and lasting adverse effects on psychological functioning, which in turn can elevate the risk of sexual offending behavior. Yet there is a scarcity of studies that have examined the link between cannabis use and sexual offending. To help fill the gap, this perspective review investigates the link between substance use and crime with a particular emphasis on cannabis use and its effects on sexual and psychological functioning. It then explores how these mechanisms may contribute to sexual offenses and recidivism, with a final discussion on how cannabis use should be conceptualized as a risk factor for sexual violence.