A scalable empathic supervision intervention to mitigate recidivism from probation and parole.

Incarceration is a pervasive issue in the United States that is enormously costly to families, communities, and society at large. The path from prison back to prison may depend on the relationship a person has with their probation or parole officer (PPO). If the relationship lacks appropriate care and trust, violations and recidivism (return to jail or prison) may be more likely to occur. Here, we test whether an "empathic supervision" intervention with PPOs-that aims to reduce collective blame against and promote empathy for the perspectives of adults on probation or parole (APPs)-can reduce rates of violations and recidivism. The intervention highlights the unreasonable expectation that all APPs will reoffend (collective blame) and the benefits of empathy-valuing APPs' perspectives. Using both within-subject (monthly official records for 10 mo) and between-subject (treatment versus control) comparisons in a longitudinal study with PPOs in a large US city (NPPOs = 216; NAPPs =∼20,478), we find that the empathic supervision intervention reduced collective blame against APPs 10 mo postintervention and reduced between-subject violations and recidivism, a 13% reduction that would translate to less taxpayer costs if scaled. Together, these findings illustrate that very low-cost psychological interventions that target empathy in relationships can be cost effective and combat important societal outcomes in a lasting manner.

Evaluating e-Connect: Mitigating Race by Gender Disparities in Behavioral Health Referral Among Youths on Probation, Northeast United States, 2019.

Addressing the behavioral health needs of youths involved in the justice system is key to reducing recidivism risk and preventing long-term system involvement. However, rates of treatment referral and initiation remain low, especially among minoritized youths and boys. The e-Connect System, a digital, clinical decision support system, addresses this problem by increasing rates of behavioral health treatment referral and initiation rates among youths on probation. In this study, we examine whether e-Connect helps improve equity in referral and treatment initiation outcomes. (Am J Public Health. 2023;113(12):1267-1270. https://doi.org/10.2105/AJPH.2023.307417).

Attending to the Positive: A Retrospective Validation of the Structured Assessment of Protective Factors-Sexual Offence Version.

Sexual recidivism risk assessment tools focus almost exclusively on risk factors associated with increased rates of recidivism and do not attend to protective factors that might mitigate reoffense risk. The present study investigated the predictive validity of the Structured Assessment of Protective Factors - Sexual Offence version (SAPROF-SO), developed to assess hypothesised protective factors against sexual recidivism in adult males. The SAPROF-SO pilot version contains 24 items across two domains: Personal and Professionally Provided Support. SAPROF-SO scores were rated retrospectively from a review of archived case files of 210 men with convictions for child sexual offenses, using the SAPROF-SO pilot manual and a supplementary retrospective scoring guide developed for the current study. SAPROF-SO Total and Personal domain scores were significantly predictive of sexual recidivism after an average follow-up period of 12.24 years (AUC = .81), and to a lesser extent, violent and general recidivism. SAPROF-SO Total and Personal scores additionally provided significant incremental validity over Static-99R scores in the prediction of sexual recidivism. Results support the predictive validity of protective factors for reduced sexual recidivism and invite future research examining how to integrate the SAPROF-SO alongside contemporary sexual recidivism risk assessment tools.

Correctional treatment as an economically sound approach to reducing the high costs of recidivism: A review of the research.

BACKGROUND: Prior research indicates that correctional treatment programmes can be highly effective in reducing reoffending. Less studied, however, is whether such programmes are economically efficient. AIMS: To review the research literature on the economic efficiency of correctional treatment programmes. METHODS: A review of cost-benefit analyses of correctional treatment programmes from 2004 to the present was carried out. To be included in the review, studies must have attempted to measure monetary costs and benefits of correctional treatment programmes and be based on experimental or quasi-experimental evaluations. RESULTS: A total of 22 cost-benefit studies of correctional treatment programmes met the criteria for inclusion in the review, 19 of which estimated (or allowed estimation of) benefit-to-cost ratios. All 19 studies yielded a favourable benefit-to-cost ratio. CONCLUSIONS: Correctional treatment programmes appear to be economically efficient, with the monetary benefits produced by such programmes substantially exceeding their monetary costs. This finding appears to hold across a variety of different intervention types, and offers policy-makers and practitioners ample evidence in favour of providing additional resources for correctional treatment programmes.

The impact of resource facilitation on recidivism for individuals with traumatic brain injury: A pilot, non-randomized controlled study.

OBJECTIVE: Research has shown that as many as 60% of adults in the criminal justice system have a history of traumatic brain injury (TBI), but the examination of effective interventions to reduce recidivism has only just begun. The present study explored the extent to which resource facilitation (RF) may decrease recidivism among those individuals with TBI. METHODS: Over a 2-year period, a prospective, non-randomized controlled study was conducted that included 1,504 justice-involved individuals exiting the Indiana Department of Corrections (IDOC). Participants were screened for a history of TBI as they entered parole or community corrections, with 211 (14%) offenders screening positive for moderate-to-severe TBI. Thirty-one of the 211 offenders offered RF chose to participate in the intervention, while 180 declined and served as the comparison group. RESULTS: Participants in RF were found to recidivate significantly less often at 6 and 12 months post-release when looking at rearrests or return to incarceration combined between the two groups. CONCLUSION: Our findings suggest that the increased risk for reincarceration in those individuals with TBI could be mitigated by the use of RF.

Balancing Political and Criminogenic Needs: Evaluating the New Zealand Department of Corrections' Response to Men Assessed With a Below Average Risk for Sexual Recidivism.

Current research provides little evidence for the effectiveness of treatment in reducing sexual offence recidivism amongst low-risk populations. However, in real-world correctional settings, program delivery rarely occurs in a vacuum, treatment may be politically mandated and unidimensional measures of program success may preclude recognition of broader benefits. The current study investigated the effectiveness of a low-intensity treatment program, both in terms of participants' recidivism outcomes and in terms of broader organizational/systems impacts. The results demonstrated low base rate recidivism across both program participants (n = 311) and a comparison group of men who were assessed as demonstrating similar static sexual offence recidivism risk (n = 391), and little evidence of reduced recidivism following treatment. However, program administration led to many potential participants being identified as demonstrating higher levels of dynamic risk and overridden to more intensive treatment options (n = 101). Given evidence that such options do effectively reduce recidivism in higher risk populations, these findings may suggest an overall positive net effect.

Change Your Face, Change Your Life? Prison Plastic Surgery as a Way to Reduce Recidivism.

The paper explores the history and ethics of prison plastic surgery programs, which ran from the 1950s through as late as 1988 in the UK, the US, and Canada. I focus in particular on the Oakalla Prison, the Haney Young Offenders Correctional Unit, and the Kingston Penitentiary in Canada; the Huntsville Penitentiary in Texas; the Camp Hill Borstal in England; and the collaboration between Montifiore Hospital and Sing-Sing Prison in New York. Sometimes federally funded, these programs were designed to reduce rates of recidivism, operating under the notion that a changed face could lead to a changed character. The surgeries were rooted in a commitment to rehabilitation through medicine, offering participants access to surgery in exchange for good behavior, participation in an experimental protocol, and in some cases, providing training for medical students and residents. As I show, these programs were consonant with prevailing experimental and ethical ethos, and maintain deep continuity with the idea that changes in appearance could lead to changes in behavior.

Lifting the Bar: A Relationship-Orienting Intervention Reduces Recidivism Among Children Reentering School From Juvenile Detention.

When children return to school from juvenile detention, they face a severe stigma. We developed a procedure to orient educators and students toward each other as positive relationship partners during this period. In Study 1, through a structured exercise, students reentering school powerfully articulated to an educator of their choosing their prosocial hopes for school as well as challenges they faced. In a preliminary field trial (N = 47), presenting this self-introduction to this educator in a one-page letter via a third-party requesting the educator's help reduced recidivism to juvenile detention through the next semester from 69% to 29%. In Study 2 (preregistered), the letter led experienced teachers (N = 349) to express greater commitment to, anticipate more success for, and feel more love and respect for a student beginning their reentry into school, potentially initiating a better trajectory. The results suggest how relationship-orienting procedures may sideline bias and make school more supportive for students facing stigma.

Sexual Violence Risk Assessment With Indigenous Men: Context, Controversies, and Current Findings.

PURPOSE OF REVIEW: We review the issues, controversies, and main findings from the sexual violence risk assessment literature with Indigenous men. An argument is presented for the incorporation of structured and validated risk assessment measures as part of a comprehensive assessment to inform risk management and the prevention of sexual violence. RECENT FINDINGS: Extant research demonstrates that Canadian Indigenous men convicted for sexual offenses tend to score higher on sexual violence risk measures and to have higher rates of sexual and violent recidivism. Established static and dynamic tools, however, have moderate predictive accuracy for sexual and violent recidivism and changes in risk from treatment or other change agents are associated with decreases in recidivism. Static-99R and the Violence Risk Scale-Sexual Offense version demonstrate acceptable properties of calibration for indigenous men with respect to sexual recidivism, although Indigenous men continue to show higher rates of violent recidivism associated with risk scores. The extant literature provides support for the discrimination and calibration properties of established static and dynamic sexual violence risk tools with Indigenous men; use of a dynamic tool is critical to inform risk management interventions and evaluate change. Risk measures are one component of a comprehensive and integrated assessment process that incorporates responsivity considerations, conducted in a culturally competent, ethical, and humane manner.

Preventing school-based arrest and recidivism through prearrest diversion: Outcomes of the Philadelphia police school diversion program.

OBJECTIVES: Created to combat the school-to-prison pipeline, the Philadelphia Police School Diversion Program offers voluntary community-based services to eligible youth accused of minor school-based offeses in lieu of arrest. This study evaluated program effectiveness in accomplishing goals related to reductions in school-based arrests, serious behavioral incidents, and recidivism. HYPOTHESES: We expected the annual number of school-based arrests in Philadelphia schools to decrease over the program's first 5 years and predicted that the annual number of serious behavioral incidents would not increase. Further, we expected that diverted youth-compared to youth arrested in schools the year before Diversion Program implementation-would have significantly lower rates of recidivism arrests in the 2 years following their school-based incidents. METHOD: Using a quasi-experimental design, we examined data from 2,302 public school students (67.0% male; 76.1% Black; age range: 10-22 years) who were either diverted from arrest through the Diversion Program or arrested in Philadelphia schools in the year prior to Diversion Program implementation. We compared rate of recidivism arrest, number of arrests, and time to arrest between diverted and arrested youth. We also used district-wide descriptive statistics to examine 5-year trends in school-based arrests and serious behavioral incidents. RESULTS: Since program implementation, the annual number of school-based arrests in Philadelphia has declined by 84% and the number of serious behavioral incidents has declined by 34%. Diverted youth demonstrated less recidivism than arrested youth in the 2 years following their initial incident; however, after propensity score matching, we no longer observed significant differences. CONCLUSIONS: Findings indicate that a prearrest diversion program can safely reduce school-based arrests and suggest a need for future research regarding the role of demographic and incident-related characteristics in recidivism outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Neighborhood Risk Factors for Recidivism: For Whom do they Matter?

Justice-involved people vary substantially in their risk of reoffending. To date, recidivism prediction and prevention efforts have largely focused on individual-level factors like antisocial traits. Although a growing body of research has examined the role of residential contexts in predicting reoffending, results have been equivocal. One reason for mixed results may be that an individual's susceptibility to contextual influence depends upon his or her accumulated risk of reoffending. Based on a sample of 2218 people on probation in San Francisco, California, this study draws on observational and secondary data to test the hypothesis that individual risk moderates the effect of neighborhood factors on recidivism. Results from survival analyses indicate that individual risk interacts with neighborhood concentrated disadvantage and disorder-and these factors increase recidivism among people relatively low in individual risk, but not those at higher risk. This is consistent with the disadvantage saturation perspective, raising the possibility that some people classified as low risk might not recidivate but for placement in disadvantaged and disorderly neighborhoods. Ultimately, residential contexts "matter" for lower risk people and may be useful to consider in efforts to prevent recidivism.

Testosterone-Lowering Medication and Its Association With Recidivism Risk in Individuals Convicted of Sexual Offenses.

For a particular subgroup of individuals with severe paraphilic disorders and a high risk of sexual recidivism, the combination of sex drive-reducing medications and psychotherapy is a promising treatment approach. The present quasi-experimental study aims at comparing differences in clinical characteristics and dynamic risk factors between persons receiving (+TLM, n = 38) versus not receiving (-TLM, n = 22) testosterone-lowering medications (TLMs). Individuals receiving TLM were more frequently diagnosed with paraphilic disorders. Neither the criminal history nor average risk scores differed between the two groups. In the +TLM, Stable-2007 scores showed a stronger decrease after TLM treatment was started. This accounted especially for the general and sexual self-regulation subscales. Individual variations in risk, however, were not predicted by TLM but were significantly related to treatment duration and Psychopathy Checklist-Revised (PCL-R) Factor I. Paraphilic patients with problems in self-regulatory abilities seem to profit most from pharmacological sex drive-reducing treatment. Furthermore, therapists seem to underestimate deviant sexual fantasies in medicated patients.

[Preventing recidivism: as easy as a phone call?] / Prévenir la récidive : simple comme un coup de fil ?

Created in 2015 in the Nord-Pas-de-Calais region by Professor Guillaume Vaiva, the VigilanS system for maintaining a post-hospital link with suicidal patients is the result of a long process of maturation. Its effectiveness in reducing recidivism and suicidal mortality has led the Ministry of Health and Solidarity to request its extension to the entire country by 2022. Supported by a new type of caregiving, it can only be legitimate if it is integrated into the various measures of the global and multimodal suicide prevention policy.

Eliminating Gaps in Medicaid Coverage During Reentry After Incarceration.

This commentary explores the health and social challenges associated with gaps in Medicaid health insurance coverage for adults and youths exiting the US criminal justice system, and highlights some potential solutions.Because a high proportion of recently incarcerated people come from low-income backgrounds and experience a high burden of disease, the Medicaid program plays an important role in ensuring access to care for this population. However, the Medicaid Inmate Exclusion Policy, or "inmate exclusion," leads to Medicaid being terminated or suspended upon incarceration, often resulting in gaps in Medicaid coverage at release. These coverage gaps interact with individual-level and population-level factors to influence key health and social outcomes associated with recidivism.Ensuring Medicaid coverage upon release is an important, feasible component of structural change to alleviate health inequities and reduce recidivism. High-yield opportunities to ensure continuous coverage exist at the time of Medicaid suspension or termination and during incarceration prior to release.

Effectiveness of a Modular Cognitive-Behavioral Skills Curriculum in High-Risk Justice-Involved Youth.

The aim of this study was to evaluate the effectiveness of a flexible modular cognitive-behavioral theory (CBT) skills curriculum delivered by paraprofessionals in a community organization targeting high-risk justice-involved youth. Programmatic data were collected from 980 high-risk young men (Mage, 21.12; SD, 2.30), and Cox proportional hazards regression was used. The results showed that compared with young men with no CBT encounters, those with one or more CBT encounters had a 66% (hazard ratio [HR], 0.34; 95% confidence interval [CI], 0.28-0.42; p < 0.001) lower risk of unenrolling from programming, 65% (HR, 1.65; 95% CI, 1.29-2.12; p < 0.001) higher risk of obtaining a job, and no difference in risk of engaging in new criminal activity while enrolled in programming (HR, 0.99; 95% CI, 0.78-1.25; p = 0.918), despite higher risk factors. Training paraprofessionals to deliver CBT skills to high-risk populations is effective and has scalability potential.

Lost in translation: "Risks," "needs," and "evidence" in implementing the First Step Act.

In this article, we focus on two highly problematic issues in the manner in which the First Step Act of 2018 is being implemented by the Bureau of Prisons: an uncritical separation of "dynamic risks" and "criminogenic needs"; and a spurious reliance on "evidence-based" interventions to reduce recidivism risk. We argue that if the Act is to live up to its promise of being a game-changing development in efforts to reduce crime while simultaneously shrinking mass incarceration, "needs assessment" must be subject to vastly increased empirical attention, variable and causal risk factors must be identified and validly assessed, and interventions to reduce risk must be rigorously evaluated both for their fidelity of implementation and impact on recidivism. Rather than further proliferating programs that ostensibly reduce risk, we believe that serious consideration should be given to the Bureau of Prisons offering one signature, well-established cognitive-behavioral program that can simultaneously address multiple risk factors for moderate and high-risk prisoners.

Would God Forgive? Public Attitudes Toward Sex Offenders in Places of Worship.

Previous research has explored the impact of faith and religion on recidivism. However, it focused primarily on violent offenders, drug users, tax evaders, and so on. Missing is an examination of registered sex offenders (RSOs) and the role religion and religiosity play in facilitating reentry. Religiosity and religious organizations may play a role in increasing social bonds and reducing isolation in RSOs. In addition, being surrounded by a faith-based community could act as a catalyst for identity transformation from a RSO to a community member. Using a national online sample of U.S. adults, this research investigates individual's support of policies controlling sex offenders in religious communities and how demographic characteristics affect these views. Results suggest that Protestants and Other (non-Catholic) Christians are the most accepting of RSOs in places of worship. In addition, the stronger an individual's faith, the less accepting they are of RSOs. Older, liberal, and educated respondents are more accepting of RSOs.

The impact of a brief RNR-based training on Turkish juvenile probation officers' punitive and rehabilitative attitudes and recidivism risk perceptions.

The present quasi-experimental study examined the impact of a brief training program based on the risk-need-responsivity (RNR) model on Turkish juvenile probation officers' (JPOs) punitive and rehabilitative attitudes toward justice-involved youth and recidivism risk perceptions. Fifty-nine JPOs were recruited through three probation offices in Istanbul, Turkey. Thirty-six JPOs, who received a 1-day training in the RNR model of offending behavior, were compared to JPOs in a wait-list control condition (n = 23). Participants in both conditions completed surveys at baseline and 1-week posttraining. Mixed-factorial analysis of variances revealed a significantly higher decrease in JPOs' punitive attitudes from pre- to posttest, in the training condition compared to the control group, with a medium effect size. Rehabilitative attitudes decreased in both conditions, while recidivism risk perceptions did not change from pre- to posttest in either condition. Future research could expand on these promising results using a more intensive training program and a randomized-controlled design in a larger sample of JPOs.

Valid or voodoo? A qualitative study of attorney perceptions of risk assessment in sentencing and plea bargaining.

Prior research largely has explored judicial perceptions of risk assessment in sentencing. Little is known about how other court actors, specifically, prosecutors and defense attorneys, perceive risk assessments in the sentencing process. Here, we report a qualitative study on the use of risk assessment by prosecutors and defense attorneys in Virginia. A prior survey (n = 70) pointed to a statistically significant difference in how prosecutors and defense attorneys view the role of recidivism risk in sentencing. On the basis of the results of this quantitative study, we collected follow-up qualitative data via interview (n = 30) to explain this unexpected difference. Analysis confirmed the survey findings that prosecutors and defense attorneys differ in their perceptions of risk assessment in sentencing. Results suggest that court actor perceptions vary as a function of professional role in the service of the identified client (the community or the defendant) and their interests. Although perceptions diverged on utility risk assessment in sentencing, both prosecutors and defense attorneys were outspoken in their skepticism of the Nonviolent Risk Assessment instrument that is used to predict recidivism risk in Virginia. This latter finding identifies obstacles that may emerge as jurisdictions adopt a risk-based approach to sentencing. We conclude with recommendations for addressing these barriers that may provide useful guidance on the implementation process.

The Effectiveness of Mental Health Courts in Reducing Recidivism and Police Contact: A Systematic Review.

Mental health courts were created to help criminal defendants who have a mental illness that significantly contributes to their criminal offense. The purpose of this systematic literature review is to assess the current evidence to address the question, "How effective are mental health courts in reducing recidivism and police contact?" Systematic literature searches of eight electronic databases were performed. A total of 2590 unique citations were identified. Of these, 20 studies were included in the final analysis. The results of this systematic review suggest there is some evidence to show that mental health courts help to reduce recidivism rates, but the effect on police contact is less clear. Results also suggest case managers or access to vocational and housing services may be important components of effective mental health courts.