ABSTRACT
Justice-involved individuals who reach the end of their full prison sentence no longer benefit from the supervision and rehabilitation services offered by probation or parole. Some of these individuals, who have been assessed to be a high risk for sexual and violent reoffending and deemed to pose a significant violence risk in the community if released, are placed on a judicial order in Canada, and police are asked to supervise and manage the risk of these individuals. In the current study, the files of 45 high-risk, justice-involved individuals, who completed their sentences, were released from a Canadian prison into the province of Alberta, and supervised by police under a judicial order, were reviewed for the presence of criminogenic and non-criminogenic needs over the first year of release. The associations between these needs and proximal reintegration outcomes were examined. Our findings revealed that basic needs and responsivity issues were prevalent in the early part of supervision; however, these factors were unrelated to proximal reintegration success. In contrast, criminogenic needs were prevalent and associated with poorer reintegration. This study reinforces the role that police can play in monitoring and addressing criminogenic needs with the goal of reducing recidivism and employing the help of non-police supports to address non-criminogenic needs.
ABSTRACT
The cerebellum is known to play an important role in the coordination and timing of limb movements. The present study focused on how reach kinematics are affected by cerebellar lesions to quantify both the presence of motor impairment, and recovery of motor function over time. In the current study, 12 patients with isolated cerebellar stroke completed clinical measures of cognitive and motor function, as well as a visually guided reaching (VGR) task using the Kinarm exoskeleton at baseline (â¼2 weeks), as well as 6, 12, and 24-weeks post-stroke. During the VGR task, patients made unassisted reaches with visual feedback from a central 'start' position to one of eight targets arranged in a circle. At baseline, 6/12 patients were impaired across several parameters of the VGR task compared to a Kinarm normative sample (n = 307), revealing deficits in both feed-forward and feedback control. The only clinical measures that consistently demonstrated impairment were the Purdue Pegboard Task (PPT; 9/12 patients) and the Montreal Cognitive Assessment (6/11 patients). Overall, patients who were impaired at baseline showed significant recovery by the 24-week follow-up for both VGR and the PPT. A lesion overlap analysis indicated that the regions most commonly damaged in 5/12 patients (42% overlap) were lobule IX and Crus II of the right cerebellum. A lesion subtraction analysis comparing patients who were impaired (n = 6) vs. unimpaired (n = 6) on the VGR task at baseline showed that the region most commonly damaged in impaired patients was lobule VIII of the right cerebellum (40% overlap). Our results lend further support to the notion that the cerebellum is involved in both feedforward and feedback control during reaching, and that cerebellar patients tend to recover relatively quickly overall. In addition, we argue that future research should study the effects of cerebellar damage on visuomotor control from a perception-action theoretical framework to better understand how the cerebellum works with the dorsal stream to control visually guided action.