Interventions with offending Flashcards

1
Q

Types of models of interventions with offending

A
  1. Good lives model
  2. Recovery Model
  3. RNR Risk, Need, Responsivity Model
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2
Q

Good lives model

A

‘To become someone who lives a satisfying life that is always respectful of others’ (Mann, 2000)

Primary goods
Secondary goods
Direct and indirect routes- 2 primary routs that lead to onset of offending

  • Moved beyond the offending and focuses on strengths of the person and teaches them how to apply them the achieve desired goals and lead “good life”
  • Both focuses on individual goals and reduces risk for reoffending
  • Strength based apporach ([1] takes seriously offenders’ personal preferences, values, and goals and draws upon this understanding to motivate them to live better lives; and [2] it equips offenders with the capabilities and resources to obtain primary goods in socially acceptable ways.)

-> Basically if persons primary good are met the psychological wellbing increases (Ward and Brown, 2004)

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3
Q

Recovery model

A

This approach helps focus on an individual’s potential for recovery and explores someone’s personal journey, rather than set outcomes.

Recovery is not defined but rather a journey someone can go on which focusses on the person, not just their symptoms

publishe by NIMHE (2005) guidance principles include:

  • Person-Centred
  • Understanding that individual differences exist
  • Professionals must be aware of service-dependency
  • Holistic & integrated approach with different disciplines
  • Come from a strength-based approach
  • Family, partners and friends can be involved – Triangle of Care
  • Delivery should be mindful of and within cultural contexts

e.g. GLM

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4
Q

Prevalence of MH issues in prisons

A

Significantly greater than in the general population (Fazel et al., 2016) with women being more affected by men (e.g MDD)
The MH issues include
- NDD (~26% have ADHD (Young et al., 2015)
- A lot of personality disorders (estimates from 10-65% of some type of personality disorder = the discrepancy may be depending on the instrument used to diagnose (self-report vs. clinician’s diagnosis) )

Data from 2011: around 24% of prisoners need secondary MH service

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5
Q

Prevalence of MH issues in prisons

A

Significantly greater than in the general population (Fazel et al., 2016) with women being more affected by men (e.g MDD)
The MH issues include
- NDD (~26% have ADHD (Young et al., 2015)
- A lot of personality disorders (estimates from 10-65% of some type of personality disorder = the discrepancy may be depending on the instrument used to diagnose (self-report vs. clinician’s diagnosis) but also a lot of personality disorder traits correlate with criminality)

Data from 2011: around 24% of prisoners need secondary MH service

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6
Q

Who are Forensic MH service users?

A

Forensic mental health (FMH) services are provided for

(a) individuals with a mental disorder who:
(b) pose, or have posed, risks to others and
(c) where that risk is usually related to their mental disorder

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7
Q

Aims of FMH services

A
  1. Treating the service users to allow them independence and recovery
  2. Managing the MH issues and lowering their risk of reoffending
  3. MH includes physical/medical care and psychological and social care.
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8
Q

Stats of FMH services

A

The number of people admitted to FMH services is growing.

In 2013 ~6000 ppl in services (most in medium and low)

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9
Q

Risk, Need, Responsivity Model (RNR) - (Andrews et al., 1990; 2006)

A

RISK MANAGEMENT intervention.

RISK principle- more crime can be prevented by targeting high risk offenders
NEED principle- need to address crimonogenic factors (traits associated with crime or dynamic risk factors)
RESPONSIVITY principle- the intervention must be match to individually to the offender

NOT used anymore- bad

Based on the idea that certain empirically-based social and psychological risk factors are associated with offending + the offender’s level of risk increases with the presence of each additional risk factor, and that targeting dynamic (i.e., potentially changeable factors that give rise to offending) risk factors in treatment will reduce reoffending rates.

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10
Q

The Recovery Model- 5 principles

A
CHIME (Leamy, 2011):
Conectedness
Hope and optimism about the future
Identity 
Meaning in life
Empowerment
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11
Q

Psychological interventions in the CJS

Offending Behaviour Programs (OBP) (other interventions than the core ones)

A

Some prisoners need to complete these to be discharged

  • Kaizen (high security)
  • RESOLVE; Building Better Relationships (BBR) (medium secure)
  • Thinking Skills Program (TSP)

Need to be shifting from the main goal of “lowering the risk of reoffendnig” to “creating people who live satisfying lives and always respect others (Mann, 2000)

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12
Q

Key featuers of OBP

A
  • Moslty based on RNR model
  • Generally in groups
  • Usually assess the effectiveness based on reconviction stats
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13
Q

Studies assessing the theoretical basis for RNR model

A

Initially evidence to show a decrease in reoffending (McGuire, 2008) BUT newer studies showed their data was not sufficient and that there is no benefical effects of the program on violent and sexual offending (Dennis et al., 2012)

Heavily critisized for not enaging offenders to take part in the rehab process (Ward & Maruna, 2007)

Higher levels of reoffendnig (10% vs 8% rates) in offenders who took the program (Mews et al., 2017)

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14
Q

Studies assessing the theoretical basis for The good lives model

A

Zeccola et al., 2021
- Systematic review evaluating the efficacy of GLM in redused recidivism
=>In half the reviewed studies, GLM did not increase recidivism risk;
=> In half the reviewed studies, only when the correct treatment dosage was applied that some evidence of risk reduction was found;
=> There was limited support for GLM increasing or sustaining motivation for resistance from reoffending

BUT limited research for review and insufficient data to support that GLM decreases recidivism (although some indications of it)

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15
Q

Studies assessing the theoretical basis for usage of OBSs

A

Assesses theoretical basis, content, evidence base, and evaluation data for OBPs (Maguire, Grubin, Losel & Raynor, 2010)

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16
Q

Risk Management interventions

A

Relies on AVOIDANT goals, removing risk of reoffending and dynamic risk factors form life.

Focus on threat.

e.g. the Risk Need Responsiveness RNR Model

17
Q

Opposite to avoidanat goals

A

Apprach goals- focuses on equipping the person with tools which they can use to achieve desired goals, rather than just avoiding relapse/reoffending.

Focus on positive outcomes.

e.g. The Good Lives Model or The Recovery Model

18
Q

Typs of FMH interventions

A

CBT
Dialecical Behavioural Therapy- good for personality disorders
Good Lives Model
Psychoeducation
Schema Focusses Therapy- also good for PD

19
Q

FMH intervention can focus on

A

Offence related work (violence, sexual offence, arson)

or MH issues (trauma, menatl illness, perosnality disorder, emotion regulation, substance use)

20
Q

Studies assessing evidence base for FMH practice

A
  1. MacInnes and Masiono (2019)
    - systematic review 9 ranodomized contorl trials (RCTs) looking at psychosocial interventions
    => Evidence is based on small samples
    => Evidence based on limited findings
    => Ppts in studies not representative of FMH patients
  2. Barnao and Ward (2015)
    > FMH interventions have no guidelines
    > FMH try to encompass too much due to wide-ranging needs of clients.
    > Advice to implement various models to address the needs

=> Some hope for Good Lives Model

  1. Sturgeon et al., 2018:
    - Systematic review of high-secure interventions
    > Promising findings; Anger Management reduces self-reported anger; psycho-educational groups improve knowledge; cognitive skills did improve problem-solving

However, need for replication studies, studies on females, and larger participants groups with control groups needed. + studies published with limited post-intervention follow-up data

21
Q

Primary good (from GLM)

A

Activities, experiences, or situations that are sought for their own sake and that benefit individuals and increase their sense of fulfillment and happiness.

  • Evidence that all individuals typically seek primary goods and that their attainment is associated with higher levels of well-being and their absence is related to psychological problems of various kinds (Ward & Maruna, 2007)

> According to GLM primary goods are related to secondary/ instrumetnal goods

22
Q

Secondary/ instrumetnal goods (from GLM)

A

They provide means for securing the primary goods e.g. access to education,

23
Q

Direct and indirect routes

A

2 trimary routs that lead to onset of offending

The direct pathway is implicated when an offender actively attempts (often implicitly) to satisfy primary goods through his or her offending behaviour.

The indirect pathway is implicated when, through the pursuit of one or more goods, something goes awry which creates a ripple or cascading effect leading to the commission of a criminal offence. (e.g. due to a conflict you relationship is broken leading distress leading to use of alcohol leading to loss of contorl and offending)