Women with co-occurring substance use and mental disorders (COD) in the criminal justice system: a research review

Associated with the dramatic increase in the numbers of women entering the criminal justice system is the recognition of the prominent role of co-occurring substance use and mental disorders (COD) in the lives of female offenders. This article reviews current research examining the prevalence and range of COD among female offenders, the variety of psychosocial problems faced by the female offender with COD, and the multiple treatment needs of women with COD who are under criminal justice supervision. Women with COD can enter the criminal justice system at several different points and, because both substance use and mental disorders carry significant risk of relapse, effective treatment approaches must address both disorders. The paper concludes with a discussion of several important treatment issues and provides suggestions regarding an agenda for future treatment and research.     

Challenges in implementing evidence-based treatment practices for co-occurring disorders in the criminal justice system

The presence of adults with mental health and substance abuse disorders within the criminal justice system has become increasingly evident over the past decade. Interventions and treatment services have been designed and research conducted in an effort to establish evidence-based practices that effectively address the complex needs of this population. However, adopting and implementing these evidence-based interventions and practices within the real-world setting of criminal justice environments is challenging. This article reviews the research literature related to evidence-based treatment practices for offenders with co-occurring mental health and substance abuse disorders and explores the inherent challenges of fitting these interventions and services within criminal justice settings.     

Medication-assisted treatment research with criminal justice populations: challenges of implementation

Creating, implementing and evaluating substance abuse interventions, especially medication-assisted treatments, for prisoners, parolees, and probationers with histories of heroin addiction is an especially challenging endeavor because of the difficulty in coordinating and achieving cooperation among diverse criminal justice, substance abuse treatment, research, and social service agencies, each with its own priorities and agenda. In addition, there are special rules that must be followed when conducting research with criminal justice-involved populations, particularly prisoners. The following case studies will explore the authors' experience of over 10 years conducting pharmacotherapy research using methadone, buprenorphine, and naltrexone with criminal justice populations. The major obstacles and how they were overcome are presented. Finally, recommendations are provided with regard to implementing and conducting research with criminal justice populations. Copyright © 2011 John Wiley & Sons, Ltd.     

Toward a synthesis of criminal justice planning and evaluation

The traditional social engineering approach to planning is essentially an allocative planning based on the distribution of limited means among a number of established users. We need instead a transactive planning strategy based on substantive rationality. Such a strategy involves innovative planning which avoids narrow objectivism through a perspec‐tivistic approach. Evaluation is regarded as strategy for system learning. Both planning and evaluation are to be seen within a general systems framework. In this framework, evaluation is applied not only at the outcome stage but also at the stage of problem definition, in the various phases of policy development, and during policy implementation.     

Community-based co-occurring disorder (COD) intermediate and advanced treatment for offenders

Against a backdrop of increasing concern about the adequacy of treatment for co-occurring substance use and mental disorders (typically known as "co-occurring disorders," or COD) in the criminal justice system, this article attempts to provide empirical evidence for a typology of levels of COD treatment for offenders in both prison and community settings. The paper investigates two levels of treatment programs for COD; "intermediate" programs, in which treatment programming has been designed primarily for offenders with a single disorder, and "advanced" programs, in which programming has been designed to provide integrated substance abuse treatment and mental health services. Findings from a national survey of program directors indicated that both intermediate and advanced COD treatment programs were similar in their general approach to substance abuse treatment, but differed considerably in their treatment of mental disorders, where the advanced programs employed significantly more evidence- and consensus-based practices. Results provide support for the distinction between intermediate- and advanced-level services for offenders with COD and support a typology that defines advanced programs as integrating a range of evidence- and consensus-based practices so as to modify treatment sufficiently to address both diseases.     

Psychopathic traits in nursing and criminal justice majors: a pilot study

Prior findings suggest presence of psychopathic personality traits may be prevalent outside of the criminal sphere, such as in the business world. It is possible that particular work environments are attractive to individuals with higher psychopathic personality traits. To test this hypothesis, the current study investigated whether psychopathic personality scores could predict students' choices between two university majors, criminal justice or nursing (N= 174; 53 men, 121 women). Nursing education espouses nurturance and care, while criminal justice education teaches students informal and formal social control. Given these two educational mandates, it was predicted that students who scored higher on a scale of psychopathy would tend to enter criminal justice rather than nursing. Using logistic regression, results showed students with higher overall scores on the Psychopathic Personality Inventory, specifically higher scores on the subscale Machiavellian Egocentricity, were more likely to have chosen to major in criminal justice than nursing. Effects were generally weak but significant, accounting for between 5% to 25% of the variance in choice of major. Furthermore, this finding was not due to sex differences.     

Community psychology and injustice in the criminal justice system

In this short paper, we consider the partnership between psychology and the criminal justice system in Western societies and critically reflect on the notion of criminal justice as expressed in such a system. Focusing on how the criminal justice system operates in the UK, and in particular in Scotland, we consider the way the system criminalizes those who previously have been socially and economically disadvantaged. We ask whether community psychology has become negligent in the attention it brings to such a pernicious form of victim blaming and as such has shown insufficient critical engagement with systems that create social harm, and whether it is paying enough attention to the impact of a criminal justice system that is contributing to the creation of a more punitive, fractured and unjust society. Copyright © 2008 John Wiley & Sons, Ltd.     

Variables associated with repeated suicide attempt in a criminal justice population

The aim of this study was to identify factors associated with repeated suicide attempts among criminal justice clients examined for substance abuse using the Addiction Severity Index. Among suicide attempters (n=1,404), repeaters (two or more attempts, n=770) were compared to nonrepeaters. In logistic regression, repetition was associated with younger age, opioid analgesics, somatic medication, overdose, maternal psychiatric problems, delirium tremens, cognitive problems, and violent behavior. As in other settings, factors associated with repetition differed from those associated with suicide attempts in general. In this setting, substance use complications and cognitive problems were connected to repetition and should be addressed in risk assessments.     

Participatory action research: towards (non-ideal) epistemic justice in a university in South Africa

ABSTRACT

The paper explores the possibilities for promoting epistemic justice in a South African university setting through a participatory action-based photovoice research project in which university researchers worked alongside undergraduate students with no prior experience of doing research. The student voices are employed to understand how learning as capability development and agency expansion can advance epistemic justice in a university setting of hierarchical relationships that make participatory action research challenging. The paper considers how, in this project, spaces of epistemic democracy intersected with the expansion of multidimensional functionings, resulting in more epistemic justice for the student-researchers. The paper considers the possibilities for change through a participatory project toward promoting epistemic justice at the individual level. It also explores some criticisms of the limits of such individual development in the face of structural challenges.     

Emerging images of severely battered women and the criminal justice system

The research literature of the 1970s and 1980s created a rather singular image of the battered woman. This image functioned as a standard to be met by battered women who attributed their own acts of violence or their failures to protect their children to the violence they endured. Three severely battered women, Hedda Nussbaum, Frances McMillian and Damian Pizarro illustrate the real diversity that exists. Each woman coped differently with her fear of her abuser's violence and domination. Nonetheless, the experiences of all three were unified by the intensity of their fear and by the fact that their acts (or failures to act) were so serious that they led to these women's involvement with the criminal justice system. The psychological consequences of extraordinary violence and the criminal justice system responses are discussed specifically, in relation to each case. The woman's social class and race are emphasized as important mediators of the criminal justice system response. In the final, general section, questions are addressed about society's role in idealizing the f d y and in silencing, ignoring, acknowledging, and/or solving the problems of severely battered women in desperately violent families.     

Psychopathy and malingering of psychiatric disorder in criminal defendants

Because the use of deception is an important clinical characteristic of psychopathy, there is intuitive appeal to the idea that psychopathy and malingering are associated. There is, however, very little research showing that psychopaths are more likely to malinger. We classified a sample of criminal defendants as high, moderate, or low in psychopathy, based on PCL-R scores, and compared their scores on indices typically used to detect malingering on the MMPI-2, the PAI and the SIRS. The high psychopathy group scored significantly higher on the MMPI-2 F and F-K; the PAI NIM, and the SIRS, but not the MMPI-2 Fb, F(p), or the PAI RDF or Mal, lending some support for the DSM-IV recommendation that malingering should be considered whenever there is a diagnosis of antisocial personality disorder. Logistic regression analysis (LGA) revealed that Factor I but not Factor II of the PCL-R significantly discriminated malingerers from nonmalingerers with 75% correct classification. However, receiver operating characteristic (ROC) analysis revealed that psychopathy ratings had poor sensitivity and specificity in the detection of malingering. Calculation of the percentages of those exceeding accepted cut-offs on each of the malingering measures revealed that a high percentage of severe psychopaths did not attempt to feign psychiatric disorder. The results suggest that psychopathy is not a clinically useful indictor of malingering. The results are discussed in terms of confirmatory bias and the impact such a bias could have on the evaluation of criminal defendants.     

Training in law and behavioral sciences: Issues from the criminal justice perspective

Interdisciplinary training in behavioral sciences and the law should be appropriate for a criminal justice education program. However, adopting such an interdisciplinary goal is problematic because the divisions in the types of educational curricula need to be confronted. The relationships of the criminal justice academic community with the profession, and of the behavioral sciences with present criminal justice policies, must also be addressed in the attempt to develop familiarity with behavioral sciences and their legal relevance in shaping the criminal justice system. These factors may hinder extensive implementation of such training. Suggestions are made for incorporating this raining in a criminal justice curriculum.     

Religion and local politics in Southern Europe: a research agenda

This article brings to a conclusion the series of three special sections published in 2015 and 2016 by Religion, State and Society on ‘Religion and local politics in southern Europe’. We set up a research agenda on the interactions between religion and local politics in Southern Europe. In doing so, we focus on the localisation of religion, including religious debates, and on the impact of the recent economic crisis. More specifically, we address the local as a contested concept, the multilevel governance of religion as a scalar opportunity structure – in relation to the transnational dimension of religious actors – the effects of such changes in the welfare landscape and the impact of the economic crisis on the activities and strategies of religious actors in Southern Europe. Our research agenda focuses on the interactions between two main dimensions: the territorial impact of political and economic changes, and the multiscalar schemes of territorial governance.     

Psychological evaluations in the criminal justice system: Basic principles and best practices

Forensic psychologists are frequently called upon to conduct evaluations for competency to stand trial, insanity defense, or prediction of future dangerousness. Psychological evaluations for the court typically include record review, clinical examination of the defendant, interview of collaterals, psychological testing, and preparation of a written report. Psychological forensic examiners may also be called upon to testify in court. In rendering their conclusions, forensic examiners should conduct a careful analysis of each individual case, not rely on the mere presence, absence, or severity of any mental disorder to make a legal determination.     

Sexuality and cyberporn: Towards a new agenda for research

This article presents theoretical considerations based on cultural analysis approaches to studying pornography and sexuality as a means of starting to suggest a new agenda for cyberporn research. By bringing to the forefront concepts of how subjectivity and sexuality are produced within the computer/Internet apparatus, I hope to diversify the focus in cyberporn research away from social science approaches and pre-Foucaultian assumptions of the subject which obscure understandings of new media and cyberporn use. Through a summary of visual culture studies and reception studies of pornography, I argue that cyberporn must be understood as contingent within the encoding and decoding processes and discourses of sexuality (Foucault) in which it is produced and consumed. My focus here is the home office/terminal as the site of reception/cyberporn use. While there is potential for a great variety of cultural analytic approaches to the study of cyberporn and how new media use influences sexuality, I end with specific suggestions for researching cyberporn reception in the home. The computer’s allure is more than utilitarian or aesthetic; it is erotic. Instead of a refreshing play with surfaces, as with toys or amusements, our affair with information machines announces a symbiotic relationship and ultimately a mental marriage to technology. Rightly perceived, the atmosphere of cyberspace carries the scent that once surrounded Wisdom. The world rendered as pure information not only fascinates our eyes and minds, but also captures our hearts. We feel augmented and empowered. Our hearts beat in the machines. This is Eros. (Michael Heim, The Metaphysics of Virtual Reality)