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1.
Campbell Syst Rev ; 20(2): e1386, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38618172

RESUMO

Background: Increasingly, counter-radicalisation interventions are using case management approaches to structure the delivery of tailored services to those at risk of engaging in, or engaged in, violent extremism. This review sets out the evidence on case management tools and approaches and is made up of two parts with the following objectives. Objectives: Part I: (1) Synthesise evidence on the effectiveness of case management tools and approaches in interventions seeking to counter radicalisation to violence. (2) Qualitatively synthesise research examining whether case management tools and approaches are implemented as intended, and the factors that explain how they are implemented. Part II: (3) Synthesise systematic reviews to understand whether case management tools and approaches are effective at countering non-terrorism related interpersonal or collective forms of violence. (4) Qualitatively synthesise research analysing whether case management tools and approaches are implemented as intended, and what influences how they are implemented. (5) Assess the transferability of tools and approaches used in wider violence prevention work to counter-radicalisation interventions. Search Methods: Search terms tailored for Part I and Part II were used to search research repositories, grey literature sources and academic journals for studies published between 2000 and 2022. Searches were conducted in August and September 2022. Forward and backward citation searches and consultations with experts took place between September 2022 and February 2023. Studies in English, French, German, Russian, Swedish, Norwegian and Danish were eligible. Selection Criteria: Part I: Studies had to report on a case management intervention, tool or approach, or on specific stages of the case management process. Only experimental and stronger quasi-experimental studies were eligible for inclusion in the analysis of effectiveness. The inclusion criteria for the analysis of implementation allowed for other quantitative designs and qualitative research. Part II: Systematic reviews examining a case management intervention, tool or approach, or stage(s) of the case management process focused on countering violence were eligible for inclusion. Data Collection and Analysis: Part I: 47 studies were eligible for Part I. No studies met the inclusion criteria for Objective 1; all eligible studies related to Objective 2. Data from these studies was synthesised using a framework synthesis approach and presented narratively. Risk of bias was assessed using the CASP (for qualitative research) and EPHPP (for quantitative research) checklists. Part I: Eight reviews were eligible for Part II. Five reviews met the inclusion criteria for Objective 3, and seven for Objective 4. Data from the studies was synthesised using a framework synthesis approach and presented narratively. Risk of bias was assessed using the AMSTAR II tool. Findings: Part I: No eligible studies examined effectiveness of tools and approaches. Seven studies examined the implementation of different approaches, or the assumptions underpinning interventions. Clearly defined theories of change were absent, however these interventions were assessed as being implemented in line with their own underlying logic. Forty-three studies analysed the implementation of tools during individual stages of the case management process, and forty-one examined the implementation of this process as-a-whole. Factors which influenced how individual stages and the case management process as a whole were implemented included strong multi-agency working arrangements; the inclusion of relevant knowledge and expertise, and associated training; and the availability of resources. The absence of these facilitators inhibited implementation. Additional implementation barriers included overly risk-oriented logics; public and political pressure; and broader legislation. Twenty-eight studies identified moderators that shaped how interventions were delivered, including delivery context; local context; standalone interventions; and client challenges. Part II: The effectiveness of two interventions - mentoring and multi-systemic therapy - in reducing violent outcomes were each assessed by one systematic review, whilst three reviews analysed the impact that the use of risk assessment tools (n = 2) and polygraphs (n = 1) had on outcomes. All these reviews reported mixed results. Comparable factors to those identified in Part I, such as staff training and expertise and delivery context, were found to shape implementation. On the basis of this modest sample, the research on interventions to counter non-terrorism related violence was assessed to be transferable to counter-radicalisation interventions. Authors' Conclusions: The effectiveness of existing case management tools and approaches is poorly understood, and research examining the factors that influence how different approaches are implemented is limited. However, there is a growing body of research on the factors which facilitate or generate barriers to the implementation of case management interventions. Many of the factors and moderators relevant to countering radicalisation to violence also impact how case management tools and approaches used to counter other forms of violence are implemented. Research in this wider field seems to have transferable insights for efforts to counter radicalisation to violence. This review provides a platform for further research to test the impact of different tools, and the mechanisms by which they inform outcomes. This work will benefit from using the case management framework as a way of rationalising and analysing the range of tools, approaches and processes that make up case managed interventions to counter radicalisation to violence.

2.
Campbell Syst Rev ; 19(1): e1301, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36911862

RESUMO

This systematic review consists of two parts. Part I seeks to synthesise evidence from primary or secondary research studies examining the implementation and effectiveness of case management tools and approaches currently being used to counter radicalisation to violence. Part II is an 'overview of reviews' that seeks to identify relevant and transferable lessons from systematic reviews and meta-analyses of case management tools and approaches used in the broader field of violence prevention that could be applied to counter-radicalisation practice.

4.
Campbell Syst Rev ; 17(2): e1162, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37131922

RESUMO

Background: Multiagency responses to reduce radicalisation often involve collaborations between police, government, nongovernment, business and/or community organisations. The complexities of radicalisation suggest it is impossible for any single agency to address the problem alone. Police-involved multiagency partnerships may disrupt pathways from radicalisation to violence by addressing multiple risk factors in a coordinated manner. Objectives: 1.Synthesise evidence on the effectiveness of police-involved multiagency interventions on radicalisation or multiagency collaboration 2.Qualitatively synthesise information about how the intervention works (mechanisms), intervention context (moderators), implementation factors and economic considerations. Search Methods: Terrorism-related terms were used to search the Global Policing Database, terrorism/counterterrorism websites and repositories, and relevant journals for published and unpublished evaluations conducted 2002-2018. The search was conducted November 2019. Expert consultation, reference harvesting and forward citation searching was conducted November 2020. Selection Criteria: Eligible studies needed to report an intervention where police partnered with at least one other agency and explicitly aimed to address terrorism, violent extremism or radicalisation. Objective 1 eligible outcomes included violent extremism, radicalisation and/or terrorism, and multiagency collaboration. Only impact evaluations using experimental or robust quasi-experimental designs were eligible. Objective 2 placed no limits on outcomes. Studies needed to report an empirical assessment of an eligible intervention and provide data on mechanisms, moderators, implementation or economic considerations. Data Collection and Analysis: The search identified 7384 records. Systematic screening identified 181 studies, of which five were eligible for Objective 1 and 26 for Objective 2. Effectiveness studies could not be meta-analysed, so were summarised and effect size data reported. Studies for Objective 2 were narratively synthesised by mechanisms, moderators, implementation, and economic considerations. Risk of bias was assessed using ROBINS-I, EPHPP, EMMIE and CASP checklists. Results: One study examined the impact on vulnerability to radicalisation, using a quasi-experimental matched comparison group design and surveys of volunteers (n = 191). Effects were small to medium and, aside from one item, favoured the intervention. Four studies examined the impact on the nature and quality of multiagency collaboration, using regression models and surveys of practitioners. Interventions included: alignment with national counterterrorism guidelines (n = 272); number of counterterrorism partnerships (n = 294); influence of, or receipt of, homeland security grants (n = 350, n = 208). Study findings were mixed. Of the 181 studies that examined mechanisms, moderators, implementation, and economic considerations, only 26 studies rigorously examined mechanisms (k = 1), moderators (k = 1), implementation factors (k = 21) or economic factors (k = 4).All included studies contained high risk of bias and/or methodological issues, substantially reducing confidence in the findings. Authors' Conclusions: A limited number of effectiveness studies were identified, and none evaluated the impact on at-risk or radicalised individuals. More investment needs to be made in robust evaluation across a broader range of interventions.Qualitative synthesis suggests that collaboration may be enhanced when partners take time to build trust and shared goals, staff are not overburdened with administration, there are strong privacy provisions for intelligence sharing, and there is ongoing support and training.

5.
Appl Ergon ; 89: 103223, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32755741

RESUMO

Darknet marketplaces have emerged as a facilitator of identity crime and trading. This study aimed to (1) understand the entities and control and feedback mechanisms that influence identity crime prevention and occurrence on the darknet in the Australian system and to (2) comprehensively identify the implications of control failures across all system levels. The Systems-Theoretic Accident Model and Processes (STAMP) was used to develop an identity crime control structure in consultation with subject matter experts and then the Systems-Theoretic Process Analysis (STPA) was applied. The STPA identified 310 risk states, resulting from control failures and which were associated with the range of agencies, organisations, and individuals present across system levels. As darknet marketplaces rapidly evolve, alignment between these entities is necessary to enable agile system responses. STAMP and STPA have promise in understanding the potential for intervention across all system levels in preventing societal issues such as identity crime.


Assuntos
Comércio , Roubo de Identidade , Internet , Modelos Teóricos , Análise de Sistemas , Acidentes , Humanos , Medição de Risco
6.
Campbell Syst Rev ; 16(3): e1111, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37131910

RESUMO

Background: Police can play a role in tackling violent extremism through disrupting terrorist plots and by working with communities to identify individuals at risk of radicalisation. Police programmes to tackle violent extremism can involve a range of approaches and partnerships. One approach includes efforts to improve community connectedness by working to address social isolation, belonging, economic opportunities and norms and values that may lead people to endorse or support violent extremist causes and groups. The assumption is that the risk of an individual being radicalised in the community can be reduced when police work in pothe international legal ordersitive ways with community members and groups to mobilise and support activities that help generate a sense of belonging and trust. Police programmes that build a sense of belonging and trust may help ensure individuals are not influenced by activities that violent extremists use to attract support for their cause. Objectives: The review aimed to systematically examine whether or not police programmes that seek to promote community connectedness are effective in reducing violent extremist behaviours, attitudes and beliefs. The review also sought to identify whether effectiveness varied by the intervention type and location. Search Methods: Using terrorism-related terms, we searched the Global Policing Database to identify eligible published and unpublished evaluations between January 2002 and December 2018. We supplemented this with comprehensive searches of relevant terrorism and counter-terrorism websites and research repositories, reference harvesting of eligible and topic-relevant studies, forward citation searches of eligible studies, hand-searches of leading journals and consultations with experts. Selection Criteria: Eligible studies needed to include an initiative that involved the police, either through police initiation, development, leadership or where the police were receivers of the programme (such as a training programme) or where the police delivered or implemented the intervention. The initiative also needed to be some kind of a strategy, technique, approach, activity, campaign, training, programme, directive or funding/organisational change that involved police in some way to promote community connectedness. Community connectedness was defined as being community consultation, partnership or collaboration with citizens and/or organisational entities. Eligible outcomes included violent extremism, along with radicalisation and disengagement which are considered to be attitudinal and belief-based components of violent extremism. These outcomes could be measured via self-report instruments, interviews, observations and/or official data. To be included, studies could utilise individuals, micro- or macroplaces as the participants. Finally, studies needed to provide a quantitative impact evaluation that utilised a randomised or quasi-experimental design with a comparison group that either did not receive the intervention, or that received "business-as-usual" policing, no intervention or an alternative intervention. Data Collection and Analysis: The systematic search identified 2,273 records (after duplicate removal). After systematic screening across two stages (title/abstract and full-text), just one study (reported in two documents) met the review eligibility criteria. Standardised mean differences (SMD) were used to estimate intervention effects for this single study and risk of bias was assessed using the Cochrane Risk of Bias in Non-Randomised Studies-Interventions tool (ROBINS-I). Results: The single eligible study (n = 191) was a quasi-experimental evaluation of the Muslim-led intervention-World Organisation for Resource Development Education (WORDE)-conducted in the United States in 2015. The intervention comprised three components: community education, enhancing agency networks and multicultural volunteerism activities. Self-report data were collected from youth and adults who were civically engaged, sensitised to issues of violent extremism and who had existing cooperative relationships with law enforcement and social services. The comparison group comprised matched participants who had not engaged with the WORDE programme. The outcomes most closely aligned with conceptual definitions of deradicalization, specifically levels of acceptance and/or engagement with cultural and religious differences or pluralistic views and modification of group or personal identity. Based on single survey items, the SMD ranged from small to medium in favour of the treatment group aside from one item which favoured the comparison group ("I make friends with people from other races", SMD = -0.51, 95% CI: -0.82, -0.19). However, of the nine SMDs calculated, six had confidence intervals including zero. These effects should be interpreted with caution due to the study's overall serious risk of bias. It is important to note that it is not explicitly clear whether the evaluation participants in the treatment group were all directly exposed to the two intervention components that involved police. Hence, these evaluation outcomes may not be direct measures of how effect police were at countering violent extremism by promoting community connectiveness. Conclusions: The aim of this systematic review was to examine whether or not police programmes that seek to promote community connectedness are effective in reducing violent extremist behaviours, attitudes and beliefs. There is insufficient evidence available to ascertain whether such interventions achieve these outcomes. This finding is the result of the fact that interventions that have been evaluated tend to be characterised by evaluation designs that do not adopt experimental or quasi-experimental approaches or use outcomes that are outside of scope for this review. While the volume of studies identified provide support for the assertion that police can play a role in tackling violent extremism by participating in, and implementing, programmes that promote community connectedness, it is unclear at this time if such approaches work in reducing violent extremism. Whilst we conclude that investment needs to be made in more robust methods of evaluation to test for programme effectiveness, we acknowledge that conducting evaluation and research in the area of counter-terrorism/violent extremism is challenging.

8.
Campbell Syst Rev ; 16(1): e1076, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37133272

RESUMO

Community engagement and connectedness are identified as potential mitigating factors for those at risk of engaging in violent extremism. Police have a critical role in promoting social inclusion and social connectedness and thereby preventing violent extremism. Thus, it is essential to understand the effectiveness of policing programs aimed at promoting community connectedness and their impact on reducing violent extremism. To date, there has been no systematic synthesis of the evaluation evidence for these policing approaches and their impact on violent extremism. This is the protocol for a review that will include any policing intervention that aims to promote community connectedness. The present proposed review is necessary to ascertain whether policing interventions that seek to promote community connectedness are effective for reducing violent extremism behaviour, attitudes and beliefs.

9.
Ergonomics ; 62(9): 1134-1149, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31117925

RESUMO

Darknet markets provide an anonymous, online platform for users to trade illicit drugs, fraudulent identity data, and other commodities. Although law enforcement agencies have been successful in seising many markets, the Darknet is an agile and dynamic environment and market activities often persist and emerge in a new form. Given this constantly changing environment, new ways of disrupting darknet markets are required. This study used Event Analysis of Systemic Teamwork (EAST) to analyse market activity and understand vulnerabilities to disruption. This involved using the EAST broken-links approach to assess the effects of compromising the transmission of information between tasks and between agents. The analysis identified critical vulnerabilities in the system, which included information involved in registering, depositing funds, communicating listing details to buyers, and communicating dispute resolution messages. This study indicates that systems ergonomics methods-in particular, EAST-can provide insight into system vulnerabilities that might be targeted for disruption. Practitioner summary This study provides a conceptualisation of the processes, people, structures, and information involved in the buying and selling of goods on a darknet market. Law enforcement agencies may use broken-links analyses to systematically consider the effects of their interventions.


Assuntos
Ergonomia , Aplicação da Lei , Análise de Sistemas , Comércio/métodos , Comportamento do Consumidor , Humanos , Drogas Ilícitas , Internet
10.
Subst Use Misuse ; 53(14): 2439-2443, 2018 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-29979910

RESUMO

BACKGROUND: Prior research indicates that patterns of combined alcohol and methamphetamine use may be associated with experiencing subjective feelings of aggression or hostility during methamphetamine use episodes. OBJECTIVES: This study examines whether subjective effects of methamphetamine use (i.e., aggression or hostility and paranoia) are associated with aggressive behavior while under the influence of any illicit drugs, controlling for combined alcohol and methamphetamine use and a number of other potential predictors. METHODS: Data from a population-based sample of Australian young adult methamphetamine users (n = 101) collected in 2010 was analyzed. A prediction model of aggressive behavior under the influence of illicit drugs was developed using penalized maximum likelihood logistic regression. RESULTS: Over one-third (34.7%) of methamphetamine users had engaged in verbal and/or physical aggression under the influence of illicit drugs in the last 12 months. In the prediction model, recurrent feelings of aggression or hostility attributed to methamphetamine use (≥3 times in the last 12 months) were associated with aggressive behavior (adjusted odds ratio 4.95, 95% confidence interval 1.67, 14.69). This association was independent of methamphetamine-attributed paranoia, combined alcohol and methamphetamine use, methamphetamine, ecstasy, cocaine, and cannabis use patterns, heavy episodic drinking, gender, and age. No association was found for combined alcohol and methamphetamine use. CONCLUSIONS: These findings indicate a link between methamphetamine-related subjective feelings of aggression or hostility and self-reported aggressive behavior while under the influence of illicit drugs. This suggests that subjective feelings of aggression or hostility may distinguish those who are involved in aggression from other methamphetamine users.


Assuntos
Agressão/psicologia , Consumo de Bebidas Alcoólicas/psicologia , Drogas Ilícitas , Metanfetamina , Austrália , Emoções , Feminino , Hostilidade , Humanos , Masculino , Adulto Jovem
11.
Int J Drug Policy ; 56: 64-72, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29609152

RESUMO

BACKGROUND: While young adults who engage in recreational drug use are at increased risk of contact with police, their experiences of police contact have been largely overlooked. METHOD: In-depth qualitative interviews were conducted with 70 young adult amphetamine-type stimulant (ATS; i.e., ecstasy [MDMA] and methamphetamine) users who had experienced intensive alcohol and other drug-related police contact (e.g., being arrested, charged, or raided by police). These interviews focused on perceptions of personal experiences of alcohol and other drug-related police contact and general perceptions of police and policing and were conducted as part of a larger longitudinal study of drug use among a population-based sample of young adults from South-East Queensland, Australia. RESULTS: ATS users' perceptions of their personal interactions with police and general perceptions of police and policing were influenced by a number of factors, including police behaviour, prior contact with police, friends and family members' contact with police, and perceptions of their own behaviour leading to their contact with police. While a majority of ATS users reported that their contact with police had either a neutral or negative impact on their general perceptions of police and policing, some ATS users reported that police contact had a positive impact. For 70% of ATS users, police contact was reported to have had an impact on their substance use behaviours, resulting in either modification of their substance use behaviours to avoid further police contact or reduction in their substance use. CONCLUSIONS: These findings suggest that police contact among young adult ATS users can impact on both perceptions of police and policing and substance use behaviours, emphasising the importance of the quality and nature of police contact and its potential role in harm reduction.


Assuntos
Usuários de Drogas/psicologia , Polícia/psicologia , Adulto , Anfetaminas/administração & dosagem , Austrália , Controle de Medicamentos e Entorpecentes/métodos , Feminino , Humanos , Drogas Ilícitas , Estudos Longitudinais , Masculino , Estudos Prospectivos , Pesquisa Qualitativa , Queensland , Assunção de Riscos , Transtornos Relacionados ao Uso de Substâncias
12.
Addict Behav ; 70: 27-34, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28182965

RESUMO

INTRODUCTION: Illicit stimulants are often combined with alcohol in nightlife entertainment districts, an environment where aggressive behaviour commonly occurs. While alcohol and methamphetamine use are each associated with aggressive behaviour, relatively little is known about the impact of the combined use of alcohol and amphetamine-type stimulants (i.e., ecstasy [MDMA] and methamphetamine) on aggression. METHOD: Analysis of longitudinal data from a population-based sample of Australian young adult amphetamine-type stimulant users (n=248) to examine: (a) prevalence and timing of simultaneous alcohol and amphetamine-type stimulant use and (b) predictors of ecstasy- and methamphetamine-related aggression and hostility. Prediction models of ecstasy- and methamphetamine-related aggression and hostility were developed using multivariate logistic regression. RESULTS: Simultaneous alcohol consumption and amphetamine-type stimulant use was prevalent, with drinking generally occurring before consuming amphetamine-type stimulants and while 'high'. Methamphetamine-related aggression and hostility was significantly associated with recurrent risky simultaneous methamphetamine and alcohol use (Adjusted Odds Ratio [AOR] 2.74, 95% CI 1.09-6.89), a high frequency and increasing use methamphetamine trajectory (AOR 7.23, 95% CI 1.27-41.03), and high trait aggression (AOR 5.78, 95% CI 2.53-13.20). In contrast, only trait aggression (moderate: AOR 3.01, 95% CI 1.55-5.84; high: AOR 5.02, 95% CI 2.38-10.61) was associated with ecstasy-related aggression and hostility. CONCLUSIONS: These findings indicate a link between risky patterns of simultaneous alcohol and methamphetamine use and methamphetamine-related aggression and hostility, independent of separate use of alcohol, methamphetamine and cannabis, trait aggression, psychosis, and gender. The policy challenges of amphetamine-type stimulant and alcohol use require a targeted, multidisciplinary approach.


Assuntos
Agressão/efeitos dos fármacos , Etanol/farmacologia , Metanfetamina/farmacologia , N-Metil-3,4-Metilenodioxianfetamina/farmacologia , Adulto , Consumo de Bebidas Alcoólicas , Austrália/epidemiologia , Depressores do Sistema Nervoso Central/farmacologia , Estimulantes do Sistema Nervoso Central/farmacologia , Feminino , Alucinógenos/farmacologia , Humanos , Estudos Longitudinais , Masculino , Adulto Jovem
13.
Int J Offender Ther Comp Criminol ; 60(1): 21-37, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25179662

RESUMO

Finding stable employment has been identified as one of the best predictors of post-release success among prisoners. However, offenders face a number of challenges in securing employment when released from prison. This article examines processes that shape the abilities and motivations of parolees to secure gainful employment by examining interview data collected from parolees in Queensland, Australia (n = 50). We explore the role of social networks and commercial employment providers in helping parolees find work, the perceived value of institutional work and training, and the meanings, challenges, and impact of managing the disclosure of one's criminal past to employers. Findings highlight that the role and influence of employment on a parolee's reintegration is conditional on his or her supportive social networks, ability to manage stigma, and personal changes in identity, which elevate the importance of work in a parolee's life. Our findings also show how employment provides opportunities for offenders to self-construct and articulate new identities.


Assuntos
Emprego , Prisioneiros , Adulto , Revelação , Feminino , Humanos , Entrevistas como Assunto , Masculino , Queensland , Estigma Social , Apoio Social
14.
Child Abuse Negl ; 37(5): 303-9, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23352083

RESUMO

OBJECTIVE: Determine whether a history of family social disadvantage and/or child abuse and neglect explain the overrepresentation of Indigenous Australian young people in youth detention. METHODS: Maternal survey data from the Mater University Study of Pregnancy was linked with child abuse and neglect and youth justice data from the Queensland Department of Families, Youth and Community Care. RESULTS: Indigenous Australian children were 1.81 times more likely to be notified to child protection authorities for maltreatment and 1.77 times more likely to have that maltreatment substantiated. Indigenous Australian young people were 3.07 times more likely to have a youth justice history. When adjusted for social disadvantage, the odds of the Indigenous Australian youth having had involvement with the youth justice authorities remained 2.51 times that of their non-Indigenous peers. When adjusted for substantiated maltreatment, the odds of the Indigenous Australian youth having had involvement with the youth justice authorities remained 2.83 times that of their non-Indigenous peers. When adjusted for both social disadvantage and substantiated maltreatment, the odds of the Indigenous Australian youth having had involvement with the youth justice authorities remained 2.48 times that of their non-Indigenous peers. CONCLUSIONS: The overrepresentation of Australian Aboriginal and Torres Strait Islander young people in the youth justice system, including Youth Detention, is only partly explained by their greater social disadvantage and by their greater experience of substantiated maltreatment, either separately or combined.


Assuntos
Maus-Tratos Infantis/psicologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Poder Familiar/psicologia , Grupos Populacionais/psicologia , Adolescente , Austrália , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Estudos de Coortes , Feminino , Humanos , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Grupos Populacionais/estatística & dados numéricos , Gravidez , Complicações na Gravidez , Prisioneiros/psicologia , Queensland , Fatores de Risco , Fatores Socioeconômicos
15.
J Paediatr Child Health ; 48(10): 896-901, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22957977

RESUMO

AIM: To determine whether there are different health needs associated with differences between Indigenous and non-Indigenous youth in detention in Brisbane, Queensland, Australia. METHODS: All records of young people (aged 10 to 21 years) taken into detention in Brisbane Queensland over the period 1 July 2001 to 30 June 2009 were reviewed, and data were extracted documenting the mental health and related behaviours of those referred to the Mental Health, Alcohol, Tobacco and Other Drugs Service. International Statistical Classification of Diseases and Related Health Problems - Tenth Revision (ICD-10) criteria were applied to a clinical interview. ICD-10 diagnostic outcomes and reason for referral are presented by Indigenous status and age. RESULTS: Young male (under 14 years of age) Indigenous respondents are substantially over-represented in youth in detention. Indigenous youth in detention are disproportionately referred and diagnosed with a substance use problem. Referral and diagnosis of substance use problems was not as commonly found for non-Indigenous youth. CONCLUSIONS: Young Indigenous persons are substantially over-represented in those taken into detention in Queensland. This study shows significant differences in relation to mental health and substance use assessment outcomes for Indigenous and non-Indigenous young people in youth detention in Queensland. Further research focusing on service delivery for Indigenous young people should focus on their specific needs.


Assuntos
Transtornos Mentais/etnologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Prisioneiros/psicologia , Adolescente , Distribuição por Idade , Criança , Feminino , Humanos , Masculino , Transtornos Mentais/diagnóstico , Serviços de Saúde Mental , Avaliação das Necessidades , Queensland , Encaminhamento e Consulta , Distribuição por Sexo , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/etnologia , Adulto Jovem
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