Resilience and successful community reintegration among female forensic psychiatric patients: a preliminary investigation

Research on resiliency and recovery in forensic psychiatric patients is still limited. Information pertaining to factors associated with successful community reintegration would contribute to a more comprehensive assessment of functioning and informed treatment planning that fits within a recovery approach of service provision. Using a retrospective design involving file reviews and a 3-year follow-up period, the authors investigated the rate of successful/unsuccessful community reintegration (defined by the presence or absence of an absolute discharge/readmission to hospital) in female forensic psychiatric patients (N = 48). The study evaluated the extent to which the risk and protective factors captured in the Short-Term Assessment of Risk and Treatability (START) predicted a range of positive and negative outcomes in the study sample. Results showed that 47.9% of the women qualified as having successfully reintegrated into the community, with the remaining 52.1% qualifying as still being in recovery. Successful individuals possessed significantly more protective factors and significantly fewer risk factors than individuals still in recovery. Furthermore, both the vulnerability and the strength scale of the START demonstrated good predictive validity, however we did not find evidence of incremental validity of the strength scale. Copyright © 2011 John Wiley & Sons, Ltd.     

A community program to reward children's use of seat belts

This paper reports on a community-wide effort to increase elementary school children's use of seat belts. Twenty-five schools serving over 9,000 children participated in a program of rewards (stickers, bumper strips, and chances on pizza dinners) administered by parent-teacher organization volunteers. Comprehensive observations were made at three representative schools. Categorization of compliance with safety rules required all passengers to be buckled into safety devices before the children received the rewards. The rewards, on average across schools, increased compliance from baseline of 18.1% to 62.4% during the interventions. Withdrawal of the rewards resulted in a decrease to 49% compliance, but this rate remained above baseline. The involvement of community groups and institutions in this safety program is highlighted.     

Counselors and Juvenile Delinquents: Toward a Comprehensive Treatment Approach

The complex problems experienced by juvenile offenders require a multifaceted approach to treatment. Meeting the interwoven psychological and environmental needs of delinquent youngsters involves four differential treatment functions: behaviour adjustment, growth counseling, child advocacy, and social chance. Mental health counselors and juvenile-justice-system workers can coordinate their efforts toward comprehensive treatment by analyzing their roles in terms of these four functions and by keeping their roles clearly understood among themselves and with their clients.     

Child Delinquents: Examining the Market for Criminal Futures

This article investigates child delinquency (offenders younger than 13 years of age). The population of child delinquents under various dispositions in the state of Louisiana, at one point in time, is described. Eighty youth are examined using the following characteristics: Race, Gender, Age, Offense Type (violent, nonviolent) Crime Category (felony, status offense, misdemeanor, and felony or misdemeanor) and Disposition (supervision, secure custody, and non-secure custody). Child delinquency is an important topic because the younger the age of first offense the greater the probability of a delinquent and criminal career. Findings reveal very few youth in secure custody and black males account for over half of the population of child delinquents. Over 75% of the population was 12 years of age.     

Scaffolding a community of competent practitioners: positioning and agency in a training program for narrative counseling

This article explores the scaffolding of learning experiences in a postgraduate program in New Zealand that offers training in narrative counseling. The authors draw on positioning theory to identify student shifts in learning, and in agency, that help build an increasingly skilled and peer-generated context for learning. We describe a selection of exercises and one key assignment, introduced in the course in a particular order, that we believe enable students to step into positions of agency which ultimately allow a competent community of learner-practitioners to emerge. We also describe a dance of positioning for ourselves as teachers in this program. We suggest that, at any given time, our own positioning is tied up with possibilities for student positioning. Acknowledging relationships of power in classrooms, we explore ways to align poststructuralist counseling practices and the teaching of these practices.     

An evaluation of a community outreach program

A contact and counseling service for youth was examined with regard to the awareness of the program and its nature, the utilization of it, and the evaluation of it by the population of youth at risk. The program was evaluated both by a novel, unobtrusive approach to data-collection for use in a milieu where conventional methods were inoperable, and by an analysis of records from the agency. In addiction, process and activity observations of staff and clients were found to be useful for the evaluation of the agency's activities. The results indicated high levels of consumer awareness, mixed levels of utilization, positive evaluation, and an appropriate perception of goals and activities by the potential and actual users.     

Early detection of drug use and bullying in secondary school children by using a three-dimensional simulation program

The current study analyzes the psychometric properties of an innovative three-dimensional (3D) simulation program, entitled Mii-School (MS), designed for the early detection of drug use and bullying in Secondary School children. This computer program showed adequate reliability and construct validity. The factorial structure, as well as the explanatory weight of the different factors, is presented. In addition, the results of a parallel version in paper and pencil format are also presented and compared with those of the computerized version (i.e., MS). There was a statistically significant difference between the two formats in the total (i.e., combined) sore of risk. When drug use and bullying were separately analyzed, differences were found only with regard to drug use. The relevance of these results as well as the suitability of this type of 3D instrument for the early detection of risky behaviors in young people are discussed.     

Cessation of alcohol and drug use among adolescents: A social learning model

This investigation tests the ability of Akers’ (1977) social learning theory of deviance to account for the cessation of alcohol or drug use among adolescents. For each of five substances, two‐group discriminant function analyses showed that social learning variables were successful in discriminating adolescents who ceased using from their counterparts who continued to use. Peer associations were generally most discriminating with normative definitions and social rewards or punishments also contributing to differentiation. Positive or negative effects of the substances as well as imitation bore little relationship to cessation. Social learning theory was as explanatory for stronger drugs as it was for alcohol and marijuana. Policy and program implications are suggested.     

The development and evaluation of a community mental health education program for seminarians

American Journal of Community Psychology -     

Treating criminal psychopaths in a therapeutic community program

A Therapeutic Community (TC) treatment program for adult male offenders is summarized and treatment outcome data are discussed. Psychopaths showed less clinical improvement, displayed lower levels of motivation and were discharged from the program earlier than non-psychopaths. There were significant positive treatment effects for the non-psychopaths and a mixed group. Psychopathy Checklist scores (Hare, 1985) consistently postdict and predict treatment outcome and attrition from the program.     

Drugs as instruments: a new framework for non-addictive psychoactive drug use

Most people who are regular consumers of psychoactive drugs are not drug addicts, nor will they ever become addicts. In neurobiological theories, non-addictive drug consumption is acknowledged only as a "necessary" prerequisite for addiction, but not as a stable and widespread behavior in its own right. This target article proposes a new neurobiological framework theory for non-addictive psychoactive drug consumption, introducing the concept of "drug instrumentalization." Psychoactive drugs are consumed for their effects on mental states. Humans are able to learn that mental states can be changed on purpose by drugs, in order to facilitate other, non-drug-related behaviors. We discuss specific "instrumentalization goals" and outline neurobiological mechanisms of how major classes of psychoactive drugs change mental states and serve non-drug-related behaviors. We argue that drug instrumentalization behavior may provide a functional adaptation to modern environments based on a historical selection for learning mechanisms that allow the dynamic modification of consummatory behavior. It is assumed that in order to effectively instrumentalize psychoactive drugs, the establishment of and retrieval from a drug memory is required. Here, we propose a new classification of different drug memory subtypes and discuss how they interact during drug instrumentalization learning and retrieval. Understanding the everyday utility and the learning mechanisms of non-addictive psychotropic drug use may help to prevent abuse and the transition to drug addiction in the future.     

A randomized clinical trial on the effectiveness of a reintegration training program versus booster sessions after short-term inpatient psychotherapy

Although several studies show symptomatic improvements in patients with personality disorders after short-term inpatient psychotherapy, reintegration remains difficult. In this study the effectiveness of a specifically designed reintegration training program is investigated. One hundred twenty-eight patients were randomized to either a reintegration training program aimed at improving general functioning and work resumption, or booster sessions. Outcome measures used were symptom level, work status, absence from and impediments at work. The results showed that compliance in the booster session group was significantly better than in the reintegration training program. The percentage of persons with a paid job increased during the booster sessions from 64 to 87%, but not during the reintegration training (76%). There were no differences in the other outcome measures. We concluded that reintegration training was not more (cost)-effective than booster sessions. Our hypothesis is that continuity of care (same therapists and program) explains the favorable results of the booster sessions.     

The community alcohol use scale: A scale for use in prevention programs

The Community Alcohol Use Scale (CAUS) was developed as a continuous, reliable, valid, and acceptable measure for primary prevention studies. Items were written following a comprehensive review of the literature on alcohol dependence and alcoholism. Based upon the responses of 315 respondents to the 100-item initial version of the scale, the 45-item CAUS was developed. The CAUS was then cross-validated on a local sample (n = 274) and a provincial sample (n = 745). Estimates of internal consistency were .91, .96, and .94, respectively, for the initial and cross-validation samples. Correlations of .48 and .69 were obtained between the CAUS and the Michigan Alcohol Screening Test for the initial and local cross-validation samples. In the provincial cross-validation sample a correlation of .62 was obtained between the CAUS and the Usual Weekly Alcohol Index. Preliminary cutting scores were developed to identify those at risk for alcoholism, and alcoholics. The CAUS has potential use as an evaluative and predictive instrument in a variety of primary prevention programs.