Donald N. Bersoff (1939-2024).

This article memorializes Donald N. Bersoff (1939-2024), who provided a foundational influence on the development of American law-psychology and served as the 2013 president of the American Psychological Association (APA). Don had a long and meaningful career as a psychologist and a lawyer. One of Don's greatest interests was in training psychologist-lawyers who would make meaningful contributions to either field. After a decade as APA general counsel, he was recruited to direct the law-psychology program at Hahnemann University and Villanova School of Law. He was elected as the president of the APA in 2013; two of the major themes of his presidency involved encouraging service to military veterans and their families, and promoting diversity within the ranks of psychology to better serve an increasingly diverse population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

What's risk got to do with it: Judges' and probation officers' understanding and use of juvenile risk assessments in making residential placement decisions.

OBJECTIVE: This hypothetical vignette-based experiment was designed to better understand judges' and probation officers' interpretations and use of juvenile risk assessment tools in their decision-making around restrictive sanctions and confinement of youths on the basis of the youths' risk level and race. HYPOTHESES: We expected that estimates of the probability of juvenile recidivism would significantly mediate the relationship between a categorical risk descriptor and decisions regarding the ordering confinement of youths. We also hypothesized that youths' race would serve as a significant moderator in the model. METHOD: Judicial and probation staff (N = 309) read a two-part vignette about a youth who was arrested for the first time; in this vignette, race (Black, White) and risk level (low, moderate, high, very high) of the youth were varied. Participants were asked to estimate the likelihood that the youth would recidivate in the following year and their likelihood of ordering or recommending residential placement. RESULTS: Although we found no simple, significant relationship between risk level and confinement decisions, judicial and probation staff estimated higher likelihoods of recidivism as risk-level categories increased and ordered out-of-home placements at increased rates as their estimations of the youth's likelihood of recidivation increased. The youth's race did not moderate the model. CONCLUSION: The greater the probability of recidivism, the more likely each judge or probation officer was to order or recommend out-of-home placement. However, importantly, legal decisionmakers appeared to apply categorical risk assessment data to their confinement decisions using their own interpretations of risk category rather than being guided empirically on the basis of risk-level categories. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The detrimental impact of alcohol intoxication on facets of Miranda comprehension.

OBJECTIVE: Law enforcement officers often encounter alcohol-intoxicated suspects, suggesting that many suspects are presented with the challenge of grasping the meaning and significance of their Miranda rights while intoxicated. Such comprehension is crucial, given that Miranda is intended to minimize the likelihood of coercive interrogations resulting in self-incrimination and protect suspects' constitutional rights. Yet, the effects of alcohol on individuals' ability to understand and appreciate their Miranda rights remain unknown-a gap that the present study sought to address. HYPOTHESES: Informed by alcohol myopia theory (AMT), we predicted that intoxicated individuals would demonstrate impaired Miranda comprehension compared to sober individuals and those who believed they were intoxicated (but were in fact not; i.e., placebo participants). METHOD: After health screenings, participants completed the Wechsler Abbreviated Scale of Intelligence-Second Edition verbal subtests, rendering a Verbal Comprehension Index (VCI) score. We randomly assigned participants to consume alcohol (n = 51; mean breath alcohol concentration [BrAC] = 0.07%), a placebo condition (n = 44; BrAC = 0.00%), or a sober control condition (n = 41; BrAC = 0.00%). All participants (N = 136) completed the Miranda Rights Comprehension Instruments (MRCI), which measured participants' understanding of the Miranda warnings, recognition of the warnings, appreciation of their rights in interrogation and court settings, and understanding of Miranda-related vocabulary. RESULTS: We found a significant effect of intoxication condition on participants' understanding of Miranda warnings (η²p = .14) and Miranda-related vocabulary (η²p = .05) when controlling for VCI scores. Specifically, intoxicated participants received lower scores for understanding of warnings compared to sober and placebo participants, and lower scores for understanding of Miranda vocabulary compared to sober participants. Alcohol did not significantly impact Miranda rights recognition or appreciation. CONCLUSIONS: Alcohol intoxication may detrimentally impact some facets of Miranda comprehension. Thus, it is important that law enforcement consider refraining from questioning intoxicated suspects. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Keeping kids in school through prearrest diversion: School disciplinary outcomes of the Philadelphia Police School Diversion Program.

OBJECTIVES: Developed to keep youth in school and out of court, the Philadelphia Police School Diversion Program allows youth to avoid arrest for specified school-based summary and misdemeanor offenses. This study examined whether diverted youth were also less likely to experience exclusionary discipline, both in response to the referring incident and in the following calendar year. HYPOTHESES: We predicted that diverted youth-compared to youth arrested in schools the year before program implementation-would have been less likely to receive a suspension for their school-based incident, receive a suspension in the year following the incident, and be referred for permanent school removal in the year following the incident. METHOD: Using a quasi-experimental design, we examined data from 1,281 diverted youth and 531 comparable youth arrested in Philadelphia schools in the year before program implementation. These 1,812 students (67% male, 75% Black) ranged from 10 to 22 years of age. After using propensity score matching techniques, we conducted mixed-effects logistic regression analyses to compare the matched groups on 3 outcomes: incident-related suspension, postincident suspension, and postincident referral for permanent school removal. RESULTS: No statistically significant group differences in likelihood of incident-related suspension emerged; however, age and gender moderated the relationship between diverted/arrested status and incident-related suspension. Diverted youth were less likely than matched arrested youth to experience both postincident suspension and postincident permanent school removal referral. CONCLUSIONS: The Philadelphia Police School Diversion Program shows promise in reducing the likelihood that youth will experience future exclusionary discipline following a school-based incident. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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).

Patterns of voiding following laparoscopic hysterectomy.

OBJECTIVE: Clarify the normal patterns of voiding after minimally invasive hysterectomy. We also aim to identify perioperative factors associated with delayed time to void immediately following hysterectomy. DESIGN: Retrospective cohort study SELECTION: Women undergoing laparoscopic hysterectomy between September 2012 to October 2018 at a single academic university hospital. RESULTS: 450 minimally invasive hysterectomies were included in the final analysis, 274 (60.9%) robotically-assisted, and 176 (39.1%) conventional laparoscopy. The overall median postoperative time-to-void following a retrograde bladder filling of 150 mL normal saline was 179 min. Based on the 50th percentile of the distribution of the time-to-void, two groups were created. Demographic characteristics between the groups were similar, except those who were above the 50th percentile were more likely to be older, have a reported history of previous myomectomy, and had a longer postoperative PACU stay compared to those below or equal to the 50th percentile. The mean time-to-void following conventional laparoscopic hysterectomy was less than that of robotic surgery (187.3 vs 200.5 min) however the difference was not statistically significant (p=.22). The use of hydromorphone intraoperatively and the combination of oxycodone-acetaminophen postoperatively were more likely to be associated with the group of patients above the 50th percentile but there was no significant difference in perioperative utilization of median morphine milliequivalents (MME) between the two groups. CONCLUSIONS: Following laparoscopic hysterectomy (either conventional or with robotic-assistance) with a retrograde bladder fill of 150 mL normal saline most patients will void within 4 h after surgery. This is consistent with historic data on normal voiding patterns facilitating safe same day discharge without prolonged time in the PACU.

Reproductive health in an inpatient psychiatric unit: A retrospective chart review.

OBJECTIVE: The purpose of this study was to evaluate the degree to which reproductive health issues are discussed with women of child-bearing age on an inpatient psychiatric unit. We hypothesized that preconception care is limited, and that contraceptive status of patients is rarely elicited. For this sub-analysis, we focused on counseling related to potential impacts of psychotropic medications on pregnancy, and on contraceptive status, especially when prescribed teratogenic medications. METHODS: A retrospective search was conducted for women between the ages of 18 to 49 years at the time of admission, over a 6-month period. One hundred and forty-eight unique encounters were identified, and electronic charts were reviewed for information regarding: discharge medications, medication counseling, contraceptive use, pregnancy and relationship status, pregnancy history, nature of obstetrics and gynecology consults, substance use, and diagnoses. RESULTS: Almost a fifth (n = 29) of encounters included discharge on at least one potentially teratogenic medication and more than 50% had recent substance use. However, less than 10% of all encounters had documentation of contraceptive status and only one case had documented discussion of reproductive effects of medication; this despite the fact that roughly one third (33.8%) had at least one documented prior pregnancy and two patients were pregnant at the time of admission. CONCLUSION: Few women of reproductive age admitted to the inpatient psychiatric unit had chart-documented counseling on reproductive health, including known side effects of teratogenic medications. This indicates an urgent need for inclusion of reproductive health, including counseling on the risks and benefits of taking psychotropics during the peripartum period, into inpatient mental health care.

Shifting probation culture and advancing juvenile probation reform through a community-based, participatory action research-informed training.

Many jurisdictions are currently transforming their juvenile probation systems to reflect research-informed, developmentally based case management approaches. Training, developed through a community-based, participatory action research (CBPAR) framework and guided by a community-academic partnership, may promote probation staff's readiness for such change. This paper examined whether such training could serve as an effective method to impact organizational culture by exploring shifts in probation staff's knowledge, attitudes, and beliefs about graduated response - a structured juvenile probation case management system that aligns with research on adolescent development and youth behavior change. Data came from 559 juvenile probation staff trained in graduated response theory and practice between 2016 and 2019. Results demonstrated that at the end of a 1-day, CBPAR-grounded training program, participating staff reported significantly more buy-in to graduated response, greater knowledge of this new system, and attitudes more strongly in favor of graduated response and intended behaviors. Study findings revealed important shifts indicative of readiness for change within juvenile probation departments. Additional implementation strategies are needed to extend training gains and overcome organizational- and system-level barriers to change.

A Methodological Study of Order Effects in Reporting Relational Aggression Experiences.

Unlike the overt nature of physical aggression, which lends itself to simpler and more direct methods of investigation, the often-masked nature of relational aggression has led to difficulties and debate regarding the most effective tools of study. Given concerns with the accuracy of third-party relational aggression reports, especially as individuals age, self-report measures may be particularly useful when assessing experiences with relational aggression. However, it is important to recognize validity concerns-in particular, the potential effects of item order presentation-associated with self-report of relational aggression perpetration and victimization. To investigate this issue, surveys were administered and completed by 179 young adults randomly assigned to one of four survey conditions reflecting manipulation of item order. Survey conditions included presentation of (a) perpetration items only, (b) victimization items only, (c) perpetration items followed by victimization items, and (d) victimization items followed by perpetration items. Results revealed that participants reported perpetrating relational aggression significantly more often when asked only about perpetration or when asked about perpetration before victimization, compared with participants who were asked about victimization before perpetration. Item order manipulation did not result in significant differences in self-reported victimization experiences. Results of this study indicate a need for greater consideration of item order when conducting research using self-report data and the importance of additional investigation into which form of item presentation elicits the most accurate self-report information.

Applying the National Council of Juvenile and Family Court Judges' Resolution to Juvenile Probation Reform.

In 2017, the National Council of Juvenile and Family Court Judges (NCJFCJ) passed a resolution advocating for empirically supported juvenile probation reform nationwide. Here, we review the adolescent development and behavioral decision-making research underlying the principles enumerated in the NCJFCJ resolution and describe several of its critical elements. Then, to provide guidance to jurisdictions seeking to revise local policy and practice, we suggest a series of steps that would help juvenile justice professionals translate NCJFCJ resolution principles into innovative probation reform. Finally, we describe how two jurisdictions-Pierce County, Washington and Philadelphia County, Pennsylvania-have engaged in ongoing juvenile probation reform efforts to provide real-world models of how this translational work can be carried out successfully.

Evaluation of the Pediatric Research Participation Questionnaire for Measuring Attitudes Toward Cancer Clinical Trials Among Adolescents and Young Adults.

Purpose: Reasons for the relatively low rates of adolescent and young adults (AYA) enrollment in cancer clinical trials in the United States require further empirical examination. In addition to structural factors such as lack of access and insurance barriers, attitudes toward clinical trials may be important to consider. This study aimed to evaluate and validate the Pediatric Research Participation Questionnaire (PRPQ)-a measure of attitudes to clinical trials adapted for AYA (15-29) with cancer and their caregivers. Methods: One hundred twenty-four AYA and 94 caregivers completed the PRPQ-AYA and measures of clinical trial knowledge and developmental/emotional maturity. Factor analysis evaluated the PRPQ-AYA structure, interitem reliability was computed, and Pearson correlations examined associations of validation measures with factor scores and computed scores reflecting perceived barriers, perceived benefits, and decision balance. Results: Confirmatory factor analysis did not confirm the prior PRPQ factor structure. Exploratory factor analysis suggested a new four-factor structure for: AYA (1) trust/mistrust, (2) barriers/costs, (3) support for participation, and (4) incentives; and caregivers (1) trust/access, (2) mistrust/costs, (3) support for participation, and (4) risks to AYA. Factor scores and barriers, benefits, and decision balance scores demonstrated acceptable interitem reliability and were significantly correlated with clinical trial knowledge and emotional maturity in the expected direction. Conclusion: PRPQ-AYA factor structure for AYA and caregivers varied and should be interpreted cautiously due to limited power. Simple solutions of perceived benefits, perceived barriers, and decision balance were reliable and valid and provide important information to address and engage AYA through the clinical trial informed consent process.

Impact of community-based provider reports on juvenile probation officers' recommendations: Effects of positive and negative framing on decision making.

This study examined whether varying the presentation of information about a youth's compliance with probation requirements in community provider reports influenced juvenile probation officers' (JPOs) perceptions and court recommendations. This study used an experimental design to explore the impact of report framing (positive, neutral, negative) and youth risk level (low, high) on JPOs' decision making. Pennsylvania-based JPOs (N = 209) participated in an anonymous, online study. Participants read one of six community provider reports about a hypothetical probationer and answered five questions about impressions of the youth and their recommendations to the court. JPOs who read negatively framed information rated compliance and effort significantly lower than those who read positively or neutrally framed information. JPOs who read negatively framed information reported lower likelihood of recommending positive court responses and greater likelihood of recommending negative court responses, particularly when considering probation revocation for youth identified as high risk. JPOs rated compliance significantly higher for youth identified as low risk than for youth identified as high risk. Mediation analyses revealed that JPOs' perceptions of youth significantly mediated the pathway between report framing and court recommendations, but did not mediate the pathway from youth risk level to JPOs' recommendations. Findings suggest that JPOs differentially interpret identical behaviors depending on the framing of information. Given that negatively framed information evoked significantly more unfavorable impressions and punitive recommendations, practitioners should consider how youths' progress on probation is communicated among court personnel, particularly as ongoing juvenile probation reform efforts seek to promote consistent treatment across youth. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Police endorsement of color-blind racial beliefs and propensity to interact with youth of color.

The beliefs of police, as the point of first contact with the justice system, may help to explain disproportionate minority contact between police and young people. Color-blind racial beliefs, a form of implicit racism in which racial differences are denied, are more strongly endorsed by police than by laypeople. Using a 2 (youth race) × 3 (offense severity) experimental design, 339 officers participated in an online study examining the influence of youth race, offense severity, and officers' color-blind racial beliefs on officers' reported likelihood of interacting with young people. Officers with lower levels of color-blind beliefs reported they would be less likely to interact with Black youth. Additionally, attrition analyses indicated that officers assigned to the Black youth condition were more likely to drop out when asked to complete the measure of color-blind beliefs. Policy and practice implications are discussed, with a focus on promoting greater discussion of color-blind ideologies in multicultural trainings for police officers and increasing frank discussions about race and racial issues.

In vivo characterization of connective tissue remodeling using infrared photoacoustic spectra.

Premature cervical remodeling is a critical precursor of spontaneous preterm birth, and the remodeling process is characterized by an increase in tissue hydration. Nevertheless, current clinical measurements of cervical remodeling are subjective and detect only late events, such as cervical effacement and dilation. Here, we present a photoacoustic endoscope that can quantify tissue hydration by measuring near-infrared cervical spectra. We quantify the water contents of tissue-mimicking hydrogel phantoms as an analog of cervical connective tissue. Applying this method to pregnant women in vivo, we observed an increase in the water content of the cervix throughout pregnancy. The application of this technique in maternal healthcare may advance our understanding of cervical remodeling and provide a sensitive method for predicting preterm birth.

Transvaginal fast-scanning optical-resolution photoacoustic endoscopy.

Photoacoustic endoscopy offers in vivo examination of the visceral tissue using endogenous contrast, but its typical B-scan rate is ∼10 Hz, restricted by the speed of the scanning unit and the laser pulse repetition rate. Here, we present a transvaginal fast-scanning optical-resolution photoacoustic endoscope with a 250-Hz B-scan rate over a 3-mm scanning range. Using this modality, we not only illustrated the morphological differences of vasculatures among the human ectocervix, uterine body, and sublingual mucosa but also showed the longitudinal and cross-sectional differences of cervical vasculatures in pregnant women. This technology is promising for screening the visceral pathological changes associated with angiogenesis.

Juvenile Justice Anger Management (JJAM) Treatment for Girls: Results of a randomized controlled trial.

This study examined the efficacy of the Juvenile Justice Anger Management (JJAM) Treatment for Girls, an anger management and aggression reduction treatment designed to meet the unique needs of adolescent girls in residential juvenile justice facilities. This randomized controlled trial of JJAM compared changes in levels of anger and aggression among girls who participated in the JJAM treatment with those of girls who participated in treatment as usual (TAU) at the facilities. This study also investigated the theoretical model underlying the JJAM treatment, which proposed that reductions in hostile attribution biases, development of emotion regulation skills, and improvement in social problem solving would serve as mechanisms of action in JJAM. Participants were 70 female youth who ranged in age from 14 to 20 years (M = 17.45, SD = 1.24) and were placed at 1 of 3 participating juvenile justice facilities; 57 youth completed the study and were included in analyses. Results revealed greater reductions in anger, reactive physical aggression, and reactive relational aggression among girls in the JJAM treatment condition when compared to girls in the TAU control condition. The proposed theoretical model was partially supported via significant mediation findings; changes in hostile attribution bias were identified as a significant mechanism of action in the JJAM treatment. Results suggest that JJAM is a promising treatment to effectively reduce anger and reactive aggression among adolescent girls in juvenile justice placements. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Can We Hasten Development? Effects of Treatment on Psychosocial Maturity.

Research continues to highlight factors associated with developmental immaturity, including persistent delinquency. This article examines whether aspects of developmental immaturity, psychosocial maturity, and emotion regulation are responsive to therapeutic intervention. Fifty-seven female youth in secure residential juvenile justice facilities participated in a randomized controlled trial of the Juvenile Justice Anger Management (JJAM) Treatment for Girls, an intervention that targets skills relevant to psychosocial maturity, including problem-solving, coping, and emotion regulation. Participants in JJAM showed increases in temperance, providing evidence that intervention might stimulate psychosocial development. Implications for treatment, evaluation, and measurement of psychosocial maturity are discussed.

The Sequential Intercept Model and Juvenile Justice: Review and Prospectus.

Behavioral health needs in justice-involved adolescents are an increasing concern, as it has been estimated that two-thirds of youths in the juvenile justice system now meet the criteria for one or more psychological disorders. This article describes the application of the Sequential Intercept Model (SIM), developed to describe five "points of interception" from standard prosecution into rehabilitation-oriented alternatives for adults (Munetz & Griffin, 2006), to juvenile justice. The five SIM intercepts are: (1) first contact with law enforcement or emergency services; (2) initial hearings and detention following arrest; (3) jails and courts (including problem-solving courts); (4) re-entry from jails, prisons and forensic hospitals; and (5) community corrections and community support, including probation and parole. Modifying the SIM for application with justice-involved adolescents, this article describes three examples of interventions at different intercepts: Intercept 1 (the Philadelphia Police School Diversion Program), Intercept 3 (problem-solving courts for juveniles), and Intercept 5 (juvenile probation). Relevant research evidence for each example is reviewed, and the further application of this model to juveniles is described. Copyright © 2017 John Wiley & Sons, Ltd.

[The assessment of competence to stand trial in juveniles]. / La evaluación de la capacidad juvenil para desempeñarse en proceso judicial.

INTRODUCTION: Despite the relevance of adolescents' psycholegal capacities to judicial decisions, no assessment tool exists in Latin America to evaluate these competence-related abilities. OBJECTIVE: To explore aspects of the reliability of the Test de competencia para el desempeño en proceso del fuero de responsabilidad penal juvenil MacArthur: Versión Argentina - MacCAT-CA:VA, wich is the Argentinian adaptation of the MacArthur Competence Assessment Tool-Criminal Adjudication (MacCAT-CA). METHOD: Mental health professionals trained in the use of MacCAT-CA:VA administered the instrument to 46 adolescents (23 court-ordered to a secure facility; 23 public high school students). Prior to data collection, the instrument was translated, back-translated, and adapted for use in Argentina; the publisher of the original version authorized the translation of the instrument and use of the adapated version for this study. Descriptive statistics and reliability indicators were generated. RESULTS: Cronbach's alpha coeficients were 0.69, 0.67, and 0.75 for the Understanding, Reasoning and Appreciation scales, respectively. The intraclass correlation coefficient for each item was within the good to excellent range (mean ICC=0.71; median ICC=0.75; ICC range=0.40-0.90); for the Understanding, Reasoning, and Appreciation scales, ICC values indicated excellent internal consistency (0.84, 0.81, 0.85, respectively). Compared with the student subsample, a greater proportion of the court-ordered adolescents in secure placement demonstrated significant clinical impairment.

Predicting probation revocation and residential facility placement at juvenile probation review hearings: Youth-specific and hearing-specific factors.

Although most justice-involved youth receive probation as a community-based alternative to residential facility placement, many of these youth are later committed to residential facilities when their probation dispositions are revoked at probation review hearings. The limited research investigating predictors of facility placement following juvenile probation revocation has focused primarily on youth-specific factors rather than on factors that can change from hearing to hearing, such as noncompliance with court-imposed probation conditions. The current study addressed this gap, using generalized estimating equation analyses with 77 youths' archived public defender files--providing data from 268 review hearings--to evaluate the role of both youth-specific factors (e.g., demographic characteristics) and hearing-specific factors (e.g., noncompliance with imposed probation requirements) in residential facility commitment. Results revealed that youth who were absent from the examined review hearing, were rearrested, failed to comply with school-related probation requirements, or failed to appear as directed at the prior review hearing were more likely to have probation revoked and be placed in a juvenile correctional facility. Such findings might help identify groups of youth at greater risk for facility commitment and might inform the guidance provided to juvenile probationers by their families, attorneys, and probation officers.