Using civil representation to reduce delinquency among troubled youth

Team Child is designed to provide civil legal representation for very troubled delinquent youth to improve their access to needed education programs, mental health services, and family services. Better provision of these services is intended to reduce delinquency and potentially avoid the long-term incarceration of these youth. This article uses an incidental truncation model to evaluate two Team Child programs in Florida. The authors find the programs not to be effective in reducing recidivism among the youth but to be effective in reducing the arrest rate of the recidivating juveniles. The results indicate a reduction of 11% to 23% of arrests after treatment for the Team Child group.     

The role of social isolation of elders in recidivism of self-neglect cases at San Francisco Adult Protective Services

This study examined the relationship between social isolation of elders and recidivism of self-neglect cases at San Francisco Adult Protective Services. Of secondary interest was an examination of other risk factors: mental health concerns, cognitive deficits, and substance/alcohol abuse. A secondary chart review was conducted on 704 elder clients with confirmed cases of self-neglect in 2004. Bivariate and multivariate analyses showed a positive relationship between substance/ alcohol abuse and recidivism, and a negative relationship between cognitive decline and recidivism. No significant relationships were found for social isolation or mental health concerns and recidivism. This study supports previous research suggesting significant relationships between substance abuse and self-neglect, further demonstrating a need for more substance/alcohol abuse programs for elders.     

Desistance-Focused Treatment and Asset-Based Programming for Juvenile Offender Reintegration: A Review of Research Evidence

Research indicates that juvenile delinquency, if not intervened earlier, could potentially lead to the youth’s future involvement with the criminal justice system as an adult. This study identifies research evidence to support the building of a desistance-focused pathway for juvenile offenders positively reentering society. It examines the “desistance” components of treatment programs and assets that help ex-offending adolescents achieve success in reintegrating back to the community. A review of research evidence summarized the empirical data from twelve studies published between 2007 and 2017. Diverse service components were found in addressing the treatment needs of young offenders, indicating that multiple services are needed to lower their recidivism rate. These diverse components were benchmarked with the 40-asset model developed by the Search Institute, providing additional support that these service components are resilience-based and desistance-focused. Both internal and external assets were emphasized in these reviewed studies. Highlighted are the holistic nature of asset-based programs and service components for helping juveniles gain internal awareness and access external resources. A balanced treatment model is recommended with an emphasis on building assets for designing a holistic plan of reintegration to help juveniles reenter society and stay crime-free.     

Costs of Treating Depression With Individual Versus Family Therapy

Depression is one of the most common concerns that bring clients to treatment. Although marriage and family therapy has been shown to be an effective treatment, little research exists regarding the cost‐effectiveness of related services. In this study, we examined claims data for 164,667 individuals diagnosed with depression to determine (a) differences in the cost of treating depression according to type of therapy and license type, (b) differences in recidivism rates by age, gender, type of therapy, and type of mental health professional, and (c) differences in cost‐effectiveness by therapy modality and type of professional. The results showed that services provided by marriage and family therapists resulted in the lowest recidivism rate, and family therapy services were the least expensive.     

Cost/effectiveness analysis of alcoholism and drug abuse treatment programs: the relevance of recidivism and resource absorption.

Cost/effectiveness measures are increasingly being applied to alcoholism and drug abuse treatment programs. Program evaluators usually regard readmissions as inadequate for assessing outcome, and resource absorption is rarely examined; this paper presents the argument that increased attention to recidivism and resource absorption is integral to the program evaluation process. Readmissions formed 53% of admissions to U.S. drug abuse programs, and in alcoholism treatment centers, 4% of the patients accounted for 24% of the detoxications. Problems with assessing cost/effectiveness are associated with duration of treatment, average cost, time span of analyses, quasi-experimental designs, multiple episodes of treatment, "silting up", and extrapolation. Five approaches to dealing with these problems are suggested: analyzing existing program data bases for recidivism and resource absorption, considering recidivism when evaluating programs, tempering clinical enthusiasm with skepticism, matching patients with levels of care appropriate to previous treatment history, and assessing additional benefit derived from increasing amounts of care per patient as part of cost/effectiveness analysis.     

Availability of treatment to youth offenders: Comparison of public versus private programs from a national census

Across the United States, the availability of mental health, substance abuse, and recidivism reduction programs in the juvenile justice system (JJS) varies from none or few to a rich variety of programs. Within the last decade, prison privatization in the adult correctional system has influenced the onset of privatization in the JJS. The differences between public and private sectors in their availability of mental health services and treatment programs to juvenile offenders are understudied. In this article, a secondary analysis of a national census of 3163 juvenile facilities was conducted to determine differences in treatment availability as well as the impact of treatment accessibility on the event of a suicide. Results indicate private facilities more likely to offer treatment services and schedule mental health personnel more frequently. Those facilities reporting family counseling treatment programs were less likely to have reported a suicide event. Policy implications and a review of progress towards improvement in the JJS are presented.     

The development and field testing of a vocational education evaluation model

Reported is the development and field testing of an evaluation model used to evaluate the vocational education programs at the Metropolitan Community Colleges (MCC) of Kansas City, Missouri which can be implemented on vocational programs at other institutions. The model evaluated a vocational program on the following six criteria: (1) program's relationship to job market profile; (2) program's level of community support; (3) program's success in meeting vocational aspirations of clientele; (4) program's success in terms of student performance; (5) program 's cost-effectiveness; and (6) program 's success in reaching the handicapped and disadvantaged. The evaluation model provides a strategy and a set of procedures for assessing the quality of existing vocational education programs of study at any post-secondary institution. The model can be easily and inexpensively implemented, thus providing a data base which is useful for administrative planning and decision making.     

Calculating DWI/DWAI recidivism with limited data: using state driver license file for drinking and driving research.

One major research issue in drinking-driving is the volume of DWI/DWAI recidivism in a political unit during a given period of time. This article addresses a methodological issue: How can limited data from the official driver license file be used to calculate drinking-driving recidivism rates? New York State maintains one of the most comprehensive driver license files in the nation, but a dynamic process purges records on the file that are more than ten years old. The magnitude of the recidivism rate calculated from this file, thus, is influenced by the number of data points included: the more years of data included, the higher the rate. We used OLS to examine the impact of the dimension of the data on the recidivism rate and mathematically extended the file to the point where the impact of the data dimension is minimum. We, then, calculated the New York State DWI/DWAI recidivism with an "extended dimension."     

Recidivism,Redemption, and Desistance: Understanding Continuity and Change in Criminal Offending and Implications for Interventions

As the US incarceration rate has reached an unprecedented level, so has the number of people leaving prison and returning to the community. Faced with the prison population growth together with the economic downturn and budget crises, many states are seeking ways to break the increasing cycle of recidivism. Although research on recidivism and desistance has not always learned from each other, recently, there is an increasing convergence of these two streams of research. This convergence has been stimulated by a variety of factors, but most notably, it draws from emerging research on redemption, which focuses on the inverse relationship between recidivism risk and time since previous contact with the criminal justice system. Although the concepts of recidivism, desistance, and redemption are all about continuity and change in criminal offending over time, the relationship between the three has not been examined. In this paper, we discuss the interface between recidivism and desistance research with a particular focus on redemption research; point out one emerging consensus from both recidivism and desistance research, namely, the importance of offenders' motivation and individual internal change; and discuss new ideas to effectively improve our approaches of reducing recidivism and facilitating desistance.     

Alternative solutions to the problem of selection bias in an analysis of federal residential drug treatment programs

In an evaluation of prison-based residential drug treatment programs, the authors use three different regression-based approaches to estimating treatment effects. Two of the approaches, the instrumental variable and the Heckman approach, attempt to minimize selection bias as an explanation for treatment outcomes. Estimates from these approaches are compared with estimates from a regression in which treatment is represented by a dummy variable. The article discusses the advantage of using more than one method to increase confidence in findings when possible selection bias is a concern. Three-year outcome data for 2,315 federal inmates are used in analyses where the authors separately examine criminal recidivism and relapse to drug use for men and women. Statistical tests lead the authors to conclude that treatment reduces criminal recidivism and relapse to drug use. The treatment effect was largest when the inference was based on the Heckman approach, somewhat smaller when based on the instrumental variable approach, and smallest when based on the traditional dummy variable approach. Treatment effects for females were not statistically significant.     

Report on the cost-benefit/effectiveness of treatment at the Johns Hopkins Center for Pathological Gambling

It is mandatory that programs, particularly social programs, generate evidence of efficacy, safety, and cost-effectiveness of the treatment of illness. Thus a study was conducted to determine the cost-effectiveness of treatment of pathological gamblers at the Johns Hopkins Center for Pathological Gambling. This Center provides two types of treatment programs: an intensive residential program, and an out-patient program. Although abstinence is but one measure of the success of these programs, they have demonstrated an 80 percent and 90 percent abstention rate respectively, measured at an average of six months after completion of treatment for the residential programs and after six months while in treatment in the out-patient program. Similar high success rates were obtained for the stabilization, maintenance, and/or restoration of families, initiation and maintenance of restitution, indictments saved by restitution or other plans, and return to employment. Data from the Johns Hopkins Center for Pathological Gambling, indicates the benefit to cost ratio of treatment in excess of 20:1. Pathological gambling not only ranks amongst the most expensive illnesses afflicting society, but also is the least expensive to treat and the most cureable when treated. Without public education, and awareness, and without dollars for treatment and research, untreated pathological gambling will far surpass the costs of other catastrophic illnesses as the latter remain the focus of our health care expenditures while the former is ignored.     

Seattle’s Law Enforcement Assisted Diversion (LEAD): Program effects on recidivism outcomes

Drug users and dealers frequently cycle through the criminal justice system in what is sometimes referred to as a “revolving door.” Arrest, incarceration and prosecution have not deterred this recidivism. Seattle’s Law Enforcement Assisted Diversion (LEAD) program was established to divert these individuals to case management and supportive services instead of jail and prosecution. A nonrandomized controlled evaluation was conducted to examine LEAD effects on criminal recidivism (i.e., arrests, criminal charges). The sample included 318 people suspected of low-level drug and prostitution activity in downtown Seattle: 203 received LEAD, and 115 experienced the system-as-usual control condition. Analyses were conducted using logistic generalized estimating equation models over both the shorter term (i.e., six months prior and subsequent to evaluation entry) and longer term (i.e., two years prior to the LEAD start date through July 2014). Compared to controls, LEAD participants had 60% lower odds of arrest during the six months subsequent to evaluation entry; and both a 58% lower odds of arrest and 39% lower odds of being charged with a felony over the longer term. These statistically significant differences in arrests and felony charges for LEAD versus control participants indicated positive effects of the LEAD program on recidivism.     

Assessing reoffense risk with juvenile sexual offenders

This article summarizes a two-year study of juvenile sexual offenders in Washington. Both community-based and institution-based treatment programs were evaluated. A typical profile of the juvenile sexual offender is offered, as well as recidivism data from a mean 20-month follow-up period.     

The clubhouse model: An outcome study on attendance,work attainment and status,and hospitalization recidivism

The purpose of this outcome study is to assess the effectiveness of one clubhouse program model, Connections Clubhouse. The study was conducted on 117 randomly selected members attending Connections Clubhouse from January 1998 to June 1999. The study examines the effect of attendance rates on members' employment attainment and status, and on rate of hospitalization recidivism. Rate of hospitalization recidivism was conceptualized as the difference between number of hospitalizations after enrollment and before enrollment in the program. It is hypothesized that adult psychiatric patients, with a high rate of attendance at Connections Clubhouse, will demonstrate (a) a high rate of employment attainment and more advanced employment status; and (b) a low rate of hospitalization recidivism as compared to those with a low attendance rate. As hypothesized, the proportion of members with a high rate of attendance with no employment of any kind was significantly lower than the proportion of members with a low rate of attendance. Though less pronounced, the proportion of members with a high rate of attendance holding a more advanced employment status was significantly higher than the proportion of members with a low rate of attendance. As expected, the recidivism rate of members with a high rate of attendance was significantly lower than for members with a low rate of attendance.     

Welfare-to-Work Programs and the Dynamics of TANF Use

This study examines the effects of participation in Welfare-to-Work programs on the dynamics of TANF recipients’ welfare use. Using the Survey of Program Dynamics and the Welfare Rules Database, the study analyzes how participation in Human Capital Development and Labor Force Attachment programs affects the probabilities of TANF exit and re-entry, while holding the effects of the state economy and various TANF rules constant. The analyses reveal that LFA programs are not associated with a higher probability of TANF exit than HCD programs. Instead, TANF recipients’ employment status and the local labor market conditions are more important predictors of TANF exit. It also reveals that, for TANF leavers, severe poverty and economic insecurity are significantly related to their welfare recidivism.     

Juvenile Offender Recidivism: An Examination of Risk Factors

One hundred and seventy three male juvenile offenders were followed two years postrelease from a residential treatment facility to assess recidivism and factors related to recidivism. The overall recidivism rate was 23.9%. Logistic regression with stepwise and backward variable selection methods was used to examine the relationship between recidivism and nine specific variables: offense type, age at initial involvement in juvenile justice, child welfare system involvement, termination of parental rights, parental criminal history, family support, program completion status, length of treatment stay, and discharge placement. Offender type was the only factor found to have a significant impact on recidivism with general and substance-involved offenders more likely to recidivate than sex offenders. Implications for future research are discussed.     

Peer-led interventions to reduce HIV risk of youth: A review

One approach in HIV prevention programming targeting youth is to use peer leaders in what is referred to as peer education programming. This paper critically reviews and synthesizes the results and lessons learned from 24 evaluated peer-led programs with an HIV/AIDS risk reduction component that target youth in the communities where they live and are delivered in low- and middle-income countries. Interventions were identified through a comprehensive search of the peer reviewed AIDS-related literature as well as publication lists of major organizations in the UN family that address HIV and AIDS. Our synthesis of study results finds that these programs have demonstrated success in effecting positive change in knowledge and condom use and have demonstrated some success in changing community attitudes and norms. Effects on other sexual behaviors and STI rates were equivocal. We include an overview of characteristics of successful programs, a review of program limitations, and recommendations for the development and implementation of successful community-based peer-led programs in low-income countries.     

Effect of Marriage and Spousal Criminality on Recidivism

The authors analyzed whether the effect of marriage on recidivism varied by spousal criminality. For this purpose, they used propensity score matching and full population data from Statistics Denmark on all unmarried and previously convicted men from birth cohorts 1965–1985 (N = 102,839). The results showed that marriage reduced recidivism compared to nonmarriage only when the spouse had no criminal record. Similarly, marriage to a nonconvicted spouse reduced recidivism significantly more than marriage to a convicted spouse. These findings not only underline how important marriage is for social integration but also stress the heterogeneous nature of the protective effects of marriage.     

Juvenile offender recidivism: an examination of risk factors

One hundred and seventy three male juvenile offenders were followed two years postrelease from a residential treatment facility to assess recidivism and factors related to recidivism. The overall recidivism rate was 23.9%. Logistic regression with stepwise and backward variable selection methods was used to examine the relationship between recidivism and nine specific variables: offense type, age at initial involvement in juvenile justice, child welfare system involvement, termination of parental rights, parental criminal history, family support, program completion status, length of treatment stay, and discharge placement. Offender type was the only factor found to have a significant impact on recidivism with general and substance-involved offenders more likely to recidivate than sex offenders. Implications for future research are discussed.     

Examining Race and Sex Inequality in Recidivism

A low recidivism rate is a goal for any criminal justice system. Poor post‐release outcomes are not random events, however. Some groups are more likely than others to recidivate. This paper will review the literature on inequality in recidivism rates, concentrating on the effects of race and sex. The probability of recidivating is not a randomly distributed event; men are more likely than women to recidivate, and Blacks more likely than Whites, with Hispanics in between. This paper will also address some of the promises (and challenges) that researchers face when trying to identify the causes of race and sex gaps in recidivism rates. This paper will end with recommendations for how to study inequality in recidivism in the future, with the key being to identify the social mechanisms that underlie these consistently unequal outcomes of our corrections system.