Examining a Triple Threat: The Intersection of Mental Health, Substance Use, and Re-entry of a Sample of Justice-Involved Persons.

Having a mental health (MH) or substance use (SU) issue can make the transition from prison to the community a challenging process. Despite this, few studies have quantified how justice-involved individuals with mental health issues only, substance use only, those with both struggles, and those with neither are uniquely affected. Using a sample of re-entering men who were released from twelve state prisons in the United States, we assessed the effects of having MH and SU issues on their drug use during re-entry. Furthermore, we examined their differing coping reactions to housing insecurity, joblessness, and family tension after release. The results demonstrated that respondents' risk of SU during re-entry was associated with MH and SU issues measured at release. Those with co-occurring MH and SU challenges were at the highest risk of SU during re-entry. Furthermore, challenging life situations during re-entry exerted an amplified effect on SU for respondents with both anxiety and SU issues. The findings suggest that post-incarcerated individuals with co-occurring MH and SU issues have the highest risk of SU, and their reaction to re-entry barriers is distinct from their peers. Quality services to address co-occurring MH and SU may be needed to facilitate a smooth transition from prison to the community.

Advancing Research: An Examination of Differences in Characteristics of Sexual and Non-Sexual Offense Recidivism Using a 10-Year Follow-Up.

In this article, we examine our current understanding of adverse childhood experiences (ACEs) and the intersection of mental health challenges and substance use on sexual and non-sexual recidivism. This study uses administrative data and comprehensive case files of a sample of 626 individuals who were incarcerated for a sexual offense. Each case was standardized to a 10-year post-release follow-up time for criminal history review. Findings reveal that ACEs, mental health challenges, and substance use disorder, along with a variety of other factors, affect the pathway to re-offending differently. Interestingly, despite the recent legislative push to utilize one standardized predictor of risk, individuals who commit sexual offenses (ICSOs) had very different re-offending patterns based on historic life events. This research will inform the current legislative debate by providing relevant empirical data on a large sample of ICSOs followed for a substantial period of time.

Firearm Use in Violent Crime: Examining the Role of Premeditation and Motivation in Weapon Choice.

Although there is a plethora of research documenting the relationship between firearms and violence, we know little about the influence of offenders' motivation and premeditation as they relate to the choice of weapon for the commission of a violent crime. In this study, we examined a sample of 375 violent crime inmates incarcerated in the New Jersey Department of Corrections. We addressed two research questions: what variables influence the use of a firearm in a violent crime, and do premeditation and motivation increase the odds that an offender will use a firearm in a violent crime? We found that premeditation and motivation are robust covariates of firearm use, which aligns with Rational Choice Theory; this suggests that firearms are used as tools to gain compliance and facilitate the commission of a crime. As a result, prevention strategies that focus on restricting access to firearms to at-risk populations and those that focus on interrupting the cycle of violence may help reduce firearm-related violence, particularly in premeditated events.

Do Views on Sex Offending Vary by Nationality? A Comparative Analysis of Community Sentiment Toward Sex Offense Legislation in the United States and United Kingdom.

Much attention has been paid to the examination of community sentiment regarding convicted sex offenders and the policy that governs these offenders' behavior. This literature, however, has largely been absent of international comparisons of sex offender community sentiment. The current study seeks to fill this gap by drawing from the results of surveys (n = 333) conducted in both the United States (US) and the United Kingdom (UK). Results indicate that sex offender policy is generally supported in both the US and the UK. Contrary to our expectations, we found that participants from the UK were less tolerant of sex offenders residing in their neighborhoods than participants from the US. Additionally, there is support for the notion that sex offender policy holds a symbolic value for both study locations. Theoretical and practical implications of these findings are discussed.

Criminal Recidivism in Inmates with Mental Illness and Substance Use Disorders.

The relative contributions of mental illness and substance use disorders to criminal recidivism have important clinical and policy implications. This study reviewed 36 months of postrelease data for nearly 10,000 New Jersey state inmates released in 2013 to ascertain the rearrest rate of those diagnosed with mental illness, substance use disorders, both, or neither. We also examined whether certain characteristics suggestive of higher risk of psychiatric decompensation were associated with higher rates of rearrest. Released inmates who were diagnosed with a substance use disorder (without a mental illness) while incarcerated had the highest rate of rearrest upon release, followed by inmates diagnosed with both mental illness and substance use disorder together, inmates with neither a substance use disorder nor a mental illness, and lastly by inmates diagnosed with mental illness alone. These differences were statistically significant only between inmates with substance use disorders and those without a substance use disorder. Among those with a diagnosed mental disorder, there were no statistically significant differences in recidivism based on diagnosis or based on prescription of antipsychotic medication, injectable antipsychotic medication, or involuntary antipsychotic medication. These results support correctional institutions assertively addressing substance use disorders, especially for individuals returning to the community.

Sexual Offense Legislation Across the Pond: A Review of Community Sentiment Toward the United Kingdom's Implementation of Sarah's Law.

Within both the United States and the United Kingdom, laws have been implemented that govern the behavior of individuals convicted of certain sexually based offenses. Thus, research has naturally gravitated toward examining the public perceptions of these laws. Although both the United States and United Kingdom have laws regarding convicted sex offenders, and although these laws vary, research into the perceptions of these laws has largely been concentrated within the United States. The current study seeks to fill this gap through a survey of U.K. residents that assesses their perceptions of the implementation of Sarah's Law. Respondents were gathered through convenience sampling methods in both Bristol and London, England (n = 140). Overall, respondents were fairly supportive of Sarah's Law and its current implementation. However, as opposed to respondents in the United States, U.K. respondents were also open to the idea of providing a degree of privacy to convicted sex offenders and were more tolerant of sexual offenders living near them. Finally, age, race, and parental status of the respondents were found to be statistically significant predictors among four identified dependent variables testing support of the law. Implications from these results are discussed, and a direction for future comparative research is highlighted.

Prison Experience and Reoffending: Exploring the Relationship Between Prison Terms, Institutional Treatment, Infractions, and Recidivism for Sex Offenders.

Given that sex offenders have been found to serve longer prison terms compared with other types of violent criminals, it has been suggested that the influence of imprisonment may impact subsequent reoffending. However, institutional factors are often overlooked in risk assessment studies and very few risk assessment instruments include institutional items within their models. The current study explores prison experience explanations for recidivism among convicted sex offenders and indicates that, with respect to time served, both institutional treatment and institutional infractions demonstrate a significant impact. Findings indicate that misconduct in custody was positively associated with revocation and sexual recidivism. Moreover, longer periods of incarceration significantly increase postrelease reoffending for high-risk sex offenders. Policy implications are made regarding further modifications to risk assessment instruments that will take into account institutional risk factors.

Examining the Continuity of Juvenile Sex Offending Into Adulthood and Subsequent Patterns of Sex and General Recidivism.

Current sex offending legislation and public opinion present an image of sexual offenders as specialized predators who are likely to exhibit continued sexually deviant behavior over the life-course. Although sex offending continuity and post-release recidivism has been independently assessed in prior research, the potential link between sex offending continuity and post-release recidivism has yet to be investigated. Using data collected at two different time points from a sample of sex offenders who served a prison sentence for an adult sex offense, the present study examines the prevalence of sex offending continuity, and its potential linkages with subsequent sex and general recidivism as well as identifying risk factors related to these outcomes. The multivariate results indicate a low rate of sex offending continuity in general but suggest the presence of identifiable risk factors that predict sex offending continuity. Specifically, non-sexual juvenile offending is the most notable of the numerous risk factors found to be associated with those displaying sex offending continuity from adolescence into adulthood. Subsequent analyses also reveal a significant association between sex offending continuity and sexual recidivism but not general recidivism. Policy implications, study limitations, and directions for future research are also discussed.

Community Protection Policies and Repeat Sexual Offenses in Florida.

The purpose of this study was to investigate the impact of sexual offender management policies on sex crime repeat arrest rates in Florida. Aggregate data for the period 1990 to 2010 were provided by the Florida Department of Law Enforcement. The repeat offense rate was defined as the proportion of arrests each year that were committed by individuals with a previous conviction in the same crime category. The average yearly repeat offense rate for sex crimes was 6.5%, which was consistently and significantly lower than rates for other crimes: 8.3% for non-sex assaults, 15.1% for robbery, 29.8% for drug offenses, and 11.6% for DUI. The average annual sexual repeat arrest rate prior to and after the implementation of sexual offender registration laws in 1997 was 4.9% and 7.5%, respectively, indicating a statistically significant increase. The average annual repeat arrest rates for non-sex assaults, robberies, drug crimes, and DUIs also increased after 1997. No significant differences were found when comparing the average annual percent change for sexual re-arrest (+3.47%) with non-sexual assault (+3.93%), robbery (-.73%), drug offenses (+1.59%), and DUI (+1.14). Sex crime repeat arrests in Florida do not appear to show a decline attributable to sex offender management policies implemented since 1997.

The Adam Walsh Act: An Examination of Sex Offender Risk Classification Systems.

This study was designed to compare the Adam Walsh Act (AWA) classification tiers with actuarial risk assessment instruments and existing state classification schemes in their respective abilities to identify sex offenders at high risk to re-offend. Data from 1,789 adult sex offenders released from prison in four states were collected (Minnesota, New Jersey, Florida, and South Carolina). On average, the sexual recidivism rate was approximately 5% at 5 years and 10% at 10 years. AWA Tier 2 offenders had higher Static-99R scores and higher recidivism rates than Tier 3 offenders, and in Florida, these inverse correlations were statistically significant. Actuarial measures and existing state tier systems, in contrast, did a better job of identifying high-risk offenders and recidivists. As well, we examined the distribution of risk assessment scores within and across tier categories, finding that a majority of sex offenders fall into AWA Tier 3, but more than half score low or moderately low on the Static-99R. The results indicate that the AWA sex offender classification scheme is a poor indicator of relative risk and is likely to result in a system that is less effective in protecting the public than those currently implemented in the states studied.

An empirical assessment of the overlap between sexual victimization and sex offending.

There has been a recent proliferation in the number of studies that are investigating the phenomenon that has been coined the victim-offender overlap. There has been noticeably less attention toward examining the sexual victimization and sex offending overlap. Acknowledging this gap in the literature, the present study provides an assessment of this overlap among a large sample of male prisoners with a focus on the cycle of violence hypothesis. Bivariate results reveal a considerable degree of overlap between sexual victimization and sex offending, and multivariate results estimated from a series of bivariate probit models simultaneously assessing both outcomes suggest that experiencing emotional abuse early on in the life-course is a robust risk factor for experiencing sexual victimization and demonstrating sex offending behavior. Furthermore, being physically neglected and witnessing family violence also emerged as significant risk factors for sexual victimization. Study limitations and policy implications are also discussed.

A longitudinal examination of sex offender recidivism prior to and following the implementation of SORN.

The goals of the present study were to examine the recidivism rates of two matched samples of sexual offenders, those released prior to and after sex offender registration and notification (SORN) in New Jersey. The pre-SORN group (1990-1994) included 247 offenders, while the post-SORN group (1996-2000) included 248 offenders. The longitudinal analysis demonstrated that for sex offenders released from prison both prior to and after implementation of SORN, there are clearly two distinguishable groups of sex offenders in relation to patterns of recidivism. More than three-quarters of sex offenders were identified as at low risk of recidivism, with low rates of repeat criminal offenses. By contrast, the high-risk group of offenders was not only more likely to commit future criminal offenses, including sex offenses, but they were also more likely to commit significantly more offenses and to do so fairly quickly following release. Analyses also include an examination of the influence of demographics, substance abuse and mental health issues, treatment history, sex offense incident characteristics, and criminal history on recidivism. Finally, SORN status was not a significant predictor of sex or general recidivism. The study limitations and policy implications are discussed.

Failure to register as a predictor of sex offense recidivism: the big bad wolf or a red herring?

This quasi-experimental study analyzed the recidivism outcomes of 1,125 sexual offenders in two groups. The first group comprised 644 registered sex offenders who were convicted of a sex crime and at some point failed to register after release from prison. The comparison group contained 481 registered sex offenders released from prison during a similar time frame who did not fail to register after their release. The groups were then tracked for both sexual and nonsexual offenses to determine whether failure to register under Megan's Law is predictive of reoffending. Failure to register was not a significant predictor of sexual recidivism, casting doubt on the belief that sex offenders who are noncompliant with registration are especially sexually dangerous. Few differences between groups were detected, but FTR offenders were more likely to have sexually assaulted a stranger and to have adult female victims, further challenging the stereotype of the child predator who absconds to evade detection. Potential policy implications are discussed.

Trauma and life event stressors among young and older adult prisoners.

This study examined lifetime trauma and life event stressors among young and older prisoners. A stratified random sample of young (age 18 to 24 years) and older (age 55 and above) male prisoners was drawn from the New Jersey Department of Corrections. Fifty-eight participants completed a modified version of the Trauma and Stressful Life Experiences Screening Inventory during face-to-face interviews. Approximately 40% of young and older adult prisoners reported exposure to violent victimization. Young prisoners were significantly more likely to report witnessing physical assault, whereas older prisoners were significantly more likely to report experiencing a natural disaster, life-threatening illness, or the death of a loved one. Information about the frequency of lifetime trauma and life event stressors can be used to develop or improve trauma-informed services that target age-specific needs, especially for young and older prisoners.

Trauma, stress, health, and mental health issues among ethnically diverse older adult prisoners.

The United States' older adult prison population is growing rapidly. This study identifies and describes important psychosocial characteristics, particularly trauma, life-event stressors, health, mental health, and substance abuse, among older adults in prison. Data were collected using case record reviews of 114 prisoners aged 55 or older in the New Jersey Department of Corrections. Findings revealed that the study participants are a diverse group with varied psychosocial issues and needs, including trauma and stress histories, substance use, and health and mental health issues. Most had childhood or adult trauma, such as physical or sexual abuse. Family problems were common in childhood and adulthood. Understanding the problems and needs of older adult prisoners may help improve practice, promote advocacy, and prompt research that can enhance the quality of life of this population.

Perceptions and coping with punishment: how registered sex offenders respond to stress, internet restrictions, and the collateral consequences of registration.

This study examines how registered sex offenders (RSOs) experience, respond to, and attribute stress regarding sex offender registration and notification process and policies. In addition, the frequency and reasons for Internet access is assessed, with a focus on how new legislation in New Jersey (P.L. 2007, C.219) limits or blocks such access. Drawing on survey data from a random sample of 1,000 RSOs in New Jersey, responses from 107 RSOs show significant levels of stress, significant losses due to restrictions on Internet access, and coping methods associated with higher and lower stress levels. The most significant loss reported by the sample related to employment search difficulties. Factors associated with increased levels of stress include using self-distraction for coping and not accepting the situation. Surprisingly, being forced to move because of financial reasons is associated with lower levels of stress.