Examining Parental Monitoring as a Pathway From Community Violence Exposure to Drug Use,Risky Sex,and Recidivism Among Detained Youth

ABSTRACT

This study examined whether parental monitoring mediated the relationship between community violence exposure and a spectrum of behaviors such as recidivism, risky sex, and drug use among youth with a history of being detained. It also explored whether risk pathways differed by gender. Adolescents (n = 550) who were detained or previously detained were recruited from eight regional detention facilities in Georgia. Audio computer-assisted self-interviewing technology was used to assess demographic factors (i.e., age, race, and socioeconomic status), risky sex, drug use, and recidivism prior to being detained. Major findings indicated direct relationships between community violence exposures and risky sex and drug use in the 2 months prior to being detained. Findings also indicated that parental monitoring mediated these relationships for both adolescent males and females. These findings document that parental monitoring is an important element even for troubled youth across a broad spectrum of risk factors. Consequently, it is recommended that intervention programs examine the differential effects of monitoring behaviors by a variety of groups such as parental figures, teachers, and peer mentors.     

Pre–Post Release Health in US Adult Male Convicts

Abstract

This study sought to determine whether need for healthcare and reported health status among adult men (N?=?1,113) in US Federal prisons (in 12 states) changed from pre-release to 15?months after release by analyzing data collected by the Serious and Violent Offender Reentry Initiative (SVORI). Specifically, the study was guided by three questions: (1) were there changes in treatment for specific diseases; (2) were there changes in health status, need for care, and access to and satisfaction with healthcare; and (3) did various social determinants of health predict any of the health outcomes at 15-month follow-up. The analysis of SVORI data found that men reported lower physical and mental health status and declines in receiving treatment following release, but greater satisfaction with healthcare. Further, analysis found the best predictors of health status as being satisfied with access to health care as well as employment. The greatest declines were in mental health treatment, however those ceasing treatment did not report worse physical health status, mental health scores, housing, employment, or recidivism. Future research is needed to determine the significance of the link between employment, satisfaction with access to health care, and health status among ex-prisoners.     

Further Evidence of Racial Disparities in Drug Court Outcomes: Enhancing Service-Delivery to Reduce Criminal Recidivism Rates for Non-White Participants

Abstract

The first drug court began in 1989, and since their inception, they have expanded to over 3,000 in the United States and United States territories. The long-term goal of drug courts is to reduce criminal recidivism rates for nonviolent offenders who have substance use disorders. This study adds to the literature by using secondary data to compare criminal recidivism rates between drug court participants (n?=?163) and probationers who had diagnosed substance use disorders and arrests that were eligible for drug court but they did probation instead (n?=?185). Criminal recidivism was measured up to 36?months post drug court/probation discharge, which provides a more accurate assessment of the long-term effectiveness of drug court. Furthermore, this study identified which drug court participants were most likely to recidivate. Drug court participants were less likely to recidivate than the probation group. However, differences between the two groups may have contributed to the difference in criminal recidivism rates and also suggest that screening criteria may exclude some non-White participants from drug court. Non-white participants were more likely to recidivate than their White counterparts. Implications for future research and drug court practice are discussed, focusing on enhancing the service-delivery of education and employment opportunities to non-White drug court participants.     

Young male offenders in community‐based rehabilitative programmes – self‐reported history of antisocial behaviour predicts recidivism

Ginner Hau H, Smedler A.‐C. Young male offenders in community‐based rehabilitative programmes – self‐reported history of antisocial behaviour predicts recidivism Int J Soc Welfare 2011: 20: 413–420 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. Recidivism over 18 months was investigated in a representative group of young Swedish male offenders, 15–17 years old, referred to community‐based rehabilitative programmes (n= 189). Registry data on their earlier contacts with social services and previous convictions were also collected. Eighteen months after programme start, 60 per cent of the young offenders were registered as suspected of new crimes, 48 per cent were registered for crimes of violence. Previous contacts with the social services had been documented for 44 per cent, and 30 per cent were registered as previously convicted. However, the group was highly heterogeneous, and all registry data corresponded well with self‐reported history of antisocial behaviour collected at the start of the programme, which identified three subgroups (n= 60, 65 and 64, respectively) with significantly different problem profiles. Results are discussed in relation to developmental theories of antisocial development and the need to adhere to the risk principle when designing interventions for young offenders.     

Statewide Implementation of “Reducing Disability in Alzheimer’s Disease”: Impact on Family Caregiver Outcomes

There have been few replications of efficacious evidence-based programs for dementia caregivers offered in community settings. This study highlights the replication of the evidence-based Reducing Disability in Alzheimer’s Disease program and explores the changes in outcomes for participating caregivers and whether those changes are related to level of program utilization. With data from 219 caregivers, regression results indicate that more exercise sessions are associated with a decrease in caregiver strain and more behavior management sessions are associated with a decrease in unmet needs after 3 months. Findings demonstrate how a multicomponent program can have positive benefits for family caregivers.     

Redefining Success: A Qualitative Investigation of Therapeutic Outcomes for Noncompleting Drug Court Clients

ABSTRACT

Utilizing a convenience sample from a drug court program, the authors investigated the benefits of treatment for noncompleting drug court clients (n = 30). Using an as-treated design, the qualitative investigation assessed whether noncompleters received any benefit from their drug court experience. In-depth interviews were conducted to determine both benefits gained and reductions in harm that occurred as a result of drug court participation. Data analysis was guided by the grounded theory method. Outcomes of coding indicated that participants' motivation and self-efficacy were enhanced through the intervention. Further, participants reported that their relationships with family, therapists, or peers were improved as a result of their involvement with drug court. Individuals in the study sample reported abstinence or decreased substance use, as well as improvements in employment and/or educational attainment. Participants’ perceptions of barriers to program completion were also noted. Study outcomes suggest that expansion of a harm reduction approach in social service practice may have utility for drug-abusing populations. Limitations of the research, including lack of generalizability, are discussed. Further research of harm reduction effects with a larger, heterogeneous sample size is recommended.     

Rehabilitation policy for drug addicted offenders in China: current trends,patterns, and practice implications

ABSTRACT

Drug use in China is both associated with criminal behaviour and regarded as social deviance. Drug addicted offenders can either be assigned criminal punishment or compulsory drug treatment, depending on the severity of the crimes they have committed. Compulsory drug treatment is in many ways similar to imprisonment in China. However, both compulsory drug treatment and imprisonment fail to prevent drug relapse. The authorities have implemented methadone maintenance treatment and non-medical social work interventions, although they are still in their infancy. More efforts should be made to deliver post-institutionalization programmes to help ex-inmates stay away from drugs and crime.     

Different problems – same treatment. Swedish juvenile offenders in community‐based rehabilitative programmes

Ginner Hau H, Smedler A‐C. Different problems – same treatment. Swedish juvenile offenders in community‐based rehabilitative programmes Int J Soc Welfare 2011: 20: 87–96 © 2009 The Author, Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. Young delinquents may be regarded as children in need of rehabilitation or as offenders deserving of consequences proportional to the committed crime. The focus has increasingly been on the latter, while research shows that individual risk assessment is essential for effective rehabilitation. This study explored self‐reported history of antisocial behaviour among Swedish male offenders 15–17 years of age (n= 189) who were sentenced to participate in rehabilitative programmes conducted by local social services. Antisocial behaviour was extensive and, according to a principal component analysis, consisted of three dimensions: (i) adolescent delinquency; (ii) violence and theft; (iii) drug‐related crimes. Using cluster analysis, the participants were divided into four subgroups representing different levels and characteristics of delinquency, which explained 73 per cent of the variance in antisocial behaviour. The conclusion is that assignment to rehabilitative programmes appeared unrelated to subgroups, i.e. to risk level. Organisational obstacles to an evidence‐based practice are discussed.     

Predicting Retention in Three Substance Abuse Treatment Modalities Among Anglo,African American,and Mexican American Juvenile Offenders

Abstract

Many of the same factors that predict delinquent behavior also predict adolescent drug use. This study examined factors that predict, and interventions that maximize, substance abuse treatment retention in three modalities among high-risk Anglo, Mexican American, and African American juvenile offenders. The study sample includes youth (N = 211) who were discharged from probation supervision and who received substance abuse services through a CSAT-funded federal demonstration project. The key predictors examined included the stage-of-change (i.e., precontemplation, contemplation, preparation) in which a juvenile fell, various dimensions captured by the Comprehensive Addiction Severity Index for Adolescents, and other intervention status (probation, case management, and mental health treatment). The research questions were addressed using statistical models known as survival analysis that treated time from entry into substance abuse treatment to exit from substance abuse treatment as the outcomes. Among key findings were that females were 73% more likely to leave day treatment relative to males; for each additional family problem ever experienced, Mexican American adolescents were 15% more likely to leave residential treatment compared with African American adolescents; and African American and Mexican American adolescents in the contemplation stage-of-change were 50% less likely to leave day treatment compared with Anglo adolescents. Applications for practice and research with this population are discussed.     

Addressing Unmet Needs in Incarcerated Women With Co-occurring Disorders

ABSTRACT

This article will present findings related to critical needs in a group of 281 incarcerated women with co-occurring disorders. The women completed interviews while incarcerated and again at various time points after community reentry. Findings revealed that the number of basic needs increased over time, and a low level of social support was related to negative outcomes. Recommendations for this population include holistic evaluation assessments and integrated treatment plans that encourage staff to comprehensively assess clients at intake and link them to support services during and after incarceration. Implications of this female empowerment model will be discussed.     

Supportive Housing for Addicted,Incarcerated Homeless Adults

ABSTRACT

Homeless populations often suffer from mental illness, substance abuse, and criminality. Interventions, such as supportive housing, can have positive impacts, although benefits can be limited. This study examined outcomes for clients (N = 102) of a new supportive housing intervention. Use of formal treatment, jail contact, and community stability were compared pre- and post-housing. Jail bookings and residential substance abuse treatment significantly declined post-housing, while clients improved in income level, access to food, and housing stability. Results from official justice and treatment system data suggest that supportive housing can lead to significant changes. Future research is necessary to understand the relationship between client characteristics and outcomes.     

Incremental Validity of Stressful Life Experiences in Predicting Psychiatric Comorbidity Among Women in Substance Abuse Treatment

ABSTRACT

The dynamic contribution of stressful life experiences in predicting psychiatric comorbidity continues to challenge clinical practice and research. This study tested incremental validity of stressful life experiences related to psychiatric comorbidity among 128 young women in a Midwestern substance abuse treatment facility. Respondents reported low income, homelessness, and health and mental health issues. Using the Addiction Severity Index (ASI), Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision, and Stressful Life Experience (SLE) Screen as correlates, hierarchical linear regression demonstrated support for incremental validity of SLE uniquely accounting for 6.5% of variance in ASI psychiatric scores. Findings support future use of SLE in clinical settings for assessment and intervention purposes.     

Primary Caregivers and Chinese Elders’ Demand on Community Services

Abstract

The most influential model explaining the elderly’s service use is Andersen and Newman's model. But the applicability of the model on elders’ demand on community services has not been tested, especially in developing countries such as China. This research tested the applicability of the model by studying how primary caregiver relations to the elderly influence Chinese community-dwelling elders’ demand on community services. With a total of 2,124 respondents aged 65 and older who reported primary caregivers, six primary caregiver relations were examined: son, spouse, daughter, daughter-in-law, unmarried son and daughter, and other. Data came from the 2014 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Results indicated that: (1) Elders cared for by daughters-in-law showed a significantly stronger tendency of expecting community services than elders cared for by other caregivers among both rural and urban areas. (2) Elders were least likely to expect community services in two cases: urban elders taken care of by daughters and rural elders whose primary caregivers were unmarried sons and daughters. Since Chinese elders cared for by different caregivers tended to seek community care in different manners, future research may study how suitable community service programs can be developed to well meet the needs of various elderly groups.     

Care Leavers in Israel: What Contributes to Better Adjustment to Life After Care?

ABSTRACT

The present study examines the adjustment of youth leaving residential treatment in Israel in three core areas: military service, accommodation, and financial status. A sample of 277 adolescents (aged 17–18 years old) in educational and welfare residential placements were interviewed a few months before leaving care, and 236 of them were interviewed 1 year after. It was hypothesized that optimism, higher perceived sense of readiness to leave care, and higher social support of family, friends, and staff are associated with better outcomes in adjustment to military service, accommodations, and economic status. Findings show that 70% of care leavers were drafted to the (compulsory) military service, a sign of good adjustment in Israel. Yet, they have significant difficulties in the areas of accommodations and financial status. Optimism and perceived readiness for independent living while still in care were positively correlated with adjustment to the military service. Mother's support was positively correlated with care leavers’ economic status and stability in accommodations. These findings highlight the importance of designing programs that include specific attention to needs and challenges while youth are in care and immediately after they leave. Follow-up and longitudinal studies are suggested.     

Power in Sibling Conflict during Early and Middle Childhood

Sources of power children use in sibling conflict during early and middle childhood were examined according to French and Raven's typology of power. Participants included 66 dyads with an older (M = 81.8 months, SD = 14.48 months) and younger (M = 56.2 months, SD = 13.03 months) sibling. Data based upon naturalistic observations were coded for conflict issues (object, procedure, and information), power types (coercive, information, and legitimate), power effectiveness (attempts and successes), and resolutions (win/lose and compromise). Siblings used coercive power in object issues and information power in procedural issues. Whereas younger siblings used legitimate power in procedural and object issues including win/lose and compromise outcomes, older siblings used coercive power in win/lose resolutions. Siblings did not differ in their effectiveness of power, but they were most effective when coercive power was employed. Findings are discussed in light of power theory and the development of conflict management skills.     

‘I make use of my precious experience,and help others. It's a kind of blessing.’ Does public sharing of past experiences help in the rehabilitation of former offenders or drug abusers?

The Community Education Service (CES) of The Society of Rehabilitation and Crime Prevention (SRACP) has pioneered the adoption of life education in crime prevention education in Hong Kong since 1977. Under this programme, former offenders and drug abusers are recruited to share their experiences with community audiences. Through such sharing, it is hoped that the former offenders and drug abusers will gain a deeper insight into the consequences of committing crime or abusing drugs, have the courage to admit their failings and find the way to lead a more fulfilling and law-abiding life.

In the past, different organizations have employed former offenders and drug abusers in educational programmes, particularly in relation to the prevention of juvenile delinquency. A number of studies demonstrate the educational effectiveness of sharing past deviant behaviours with audiences. Moreover, the mission of SRACP is to help the reintegration into society of former offenders and drug abusers. Consequently, employing former offenders and drug abusers to share their experiences serves another important function; to facilitate the transformation of their past histories into valuable assets and help with their own rehabilitation during the process of serving others, as suggested by ‘helper therapy’ and ‘professional ex-s’ (Brown 1991). A successful rehabilitation means success in reducing recidivism.

This paper examines whether sharing one's real-life experiences with others can influence the rehabilitation process, and provides recommendations for improving service delivery to benefit both audience and the speakers themselves. Fifteen individuals who were formerly either offenders or drug abusers, aged between 18 and 45 years, and who had led a ‘clean’ life for the previous six months, took part in in-depth interviews in order to investigate their perceptions of the function of real-life experience sharing in their own rehabilitation. Concepts of labelling theory (Becker 1963) and self-fulfilling prophecy (Wilkins 1976) provided the framework for these interviews.

The study concludes that respondents are normally able to help themselves to resist crime and drugs, given that the internal and external factors affecting sharing are well addressed. The results identify practical implications and directions for future involvement of former offenders and drug abusers in community-based crime prevention education programmes.     

Caring for Individuals with Chronic Illness and Minor Depression: Latino Perceptions of Caregiver Burden

ABSTRACT

Informal caregiving can be fundamental to disease management. Yet, the psychosocial, physical, and financial burden experienced by caregivers can be significant. In the US, Latinos experience increasing rates of chronic conditions, the highest uninsured rates in the country, and a growing dependence on informal caregivers. This article explores the impact of caregiving on caregivers of individuals with comorbid chronic disease and depression. Findings highlight the impact of caregiving on financial insecurity, balancing competing demands, increased emotional distress, and community supports. Findings support the inclusion of caregivers in disease management programs to enhance psychosocial outcomes for both caregivers and their patients.     

RAP Therapy: A Group Work Intervention Method for Urban Adolescents

ABSTRACT

The Council on Social Work Education (CSWE) places a premium on the development of cultural competence among practitioners. To this end, the present study highlights how social work practitioners, specifically group work leaders, can utilize elements of the culture of urban adolescents to develop effective group work intervention strategies. The article compares adolescent participants' perceptions of usefulness of traditional group therapy and similar group work sessions using RAP music as a conduit to support prosocial skills development. A nomenclature of three adolescent groups was tested: violent offenders, status offenders, and a control condition of high school students with no criminal history. Findings were unequivocally in favor of the RAP therapy as a tool for advancing prosocial behavior.     

Hospice Use by Older Adults Knocking on the Door of the Nursing Facility

Abstract

Since 1983, federal funding has been available for hospice services. However, research studies have found that hospice is underutilized by people with terminal illnesses and their families. Low-income older adults are particularly at risk for underutilization. This study examined utilization of hospice services by nursing home applicants in one Midwestern state. Characteristics of users and non-users, and potential barriers to hospice use were examined. Findings further document that hospice is underutilized, especially by the Medicaid population, and point to barriers to hospice utilization. Specific recommendations are made to help practitioners increase hospice access.     

Social Group Work for Young Offenders with Learning Disabilities

ABSTRACT

Despite the high incidence of learning disabilities among young offenders, research suggests that young offenders with learning disabilities do not receive interventions that address their learning disabilities. Group treatment approaches for young offenders typically utilize a cognitive-behavioral orientation. Cognitive behavioral techniques have been found to be effective with the young offender population by targeting their faulty thinking. However, cognitive behavioral treatment is less effective with youth who have academic delays. Individuals with learning disabilities may have difficulties with the cognitive tasks used in cognitive behavioral treatment. This paper describes a treatment group, with illustrations, adapted for young offenders with learning disabilities, combining cognitive-behavioral and mutual-aid principles.