Individual,Family, Peer,and Academic Characteristics of Male Juvenile Sexual Offenders

This study examined the individual functioning, interpersonal relations, and academic performance of 115 male juveniles who were divided into 5 demographically matched groups (sexual offenders with peer/adult victims, sexual offenders with child victims, violent nonsexual offenders, nonviolent nonsexual offenders, and nondelinquent youths). Parents and youths completed self-report instruments, behavior rating inventories, and a videorecorded interaction task, and teachers completed a rating measure. Results showed that juvenile sexual offenders, like juvenile nonsexual offenders, had more behavior problems, more difficulties in family and peer relations, and poorer academic performance than did nondelinquent youths. However, juvenile sexual offenders and nonsexual offenders did not differ on any of the measures of individual or interpersonal adjustment. The implications of these findings for research, theory, and treatment are discussed.

The family relations,peer relations,and criminal activities of Caucasian and Hispanic-American gang members

Juvenile gang members present serious problems to society, yet few empirical studies have examined their criminal activity, family relations, and peer relations in comparison with other highly antisocial youths. In a 2 (Gang Membership) × 2 (Ethnicity: Hispanic-American vs. Caucasian) design, 131 incarcerated male juvenile offenders were administered a battery assessing criminal activity, family relations, and peer relations. Results demonstrated (a) higher rates of criminal behavior (i.e., general delinquency, index offenses, school delinquency) among gang members than among offenders who did not belong to gangs, (b) higher rates of general delinquency and home delinquency among Caucasian offenders than among Hispanic-American offenders, and (c) greater aggression and less social maturity in the peer relations of gang members than in the peer relations of offenders who did not belong to gangs. In addition, gang membership mediated sociocultural differences in hard drug use. Findings are integrated with the extant literature.The authors gratefully acknowledge the assistance and advice of Dr. Michael Schumacher, the Honorable C. Robert Jameson, Gwen Kurz, Don Hallstrom, Jane Carmichael, and Drs. Malcolm Klein, Rae Newton, and James Madero.     

Economic Impact of the Statewide Implementation of an Evidence-Based Treatment: Multisystemic Therapy in New Mexico

Several states have made considerable investments into large-scale implementation of evidence-based treatments (EBTs), yet little is known about key success indicators for these implementation efforts such as cost and sustainability. To that end, the present study examined the economic impact of statewide implementation of multisystemic therapy (MST; Henggeler, Schoenwald, Borduin, Rowland, & Cuningham, 2009), a family- and community-based behavioral EBT for serious juvenile offenders in New Mexico. Participants were 1,869 youth who received MST across 23 teams during the study period. We conducted a cost-benefit analysis using metrics from state data sources that compared the cost of MST to its benefits (i.e., avoided expenses from pre- to posttreatment) in two domains: (a) behavioral health services (i.e., Medicaid claims) and (b) juvenile crime (i.e., taxpayer expenses, tangible and intangible expenses to crime victims). MST costs were based on Medicaid claims, which were reimbursed at an enhanced billing rate that was intended to cover expenses for both clinical and implementation (e.g., training, quality assurance) activities. Results suggest that implementation of MST in New Mexico over the 7-year study period may have produced net benefits, through 2 years posttreatment, of more than $4,643 per youth in avoided behavioral health claims and $15,019 per youth through reductions in juvenile crime. Stated differently, every dollar that New Mexico spent on MST appeared to have returned $3.34 for a total benefit of $64.2 million over the course of the study. We discuss implications of these findings for policymakers, administrators, and researchers who are interested in increasing the sustainability of complex EBTs in community settings.     

Multidimensional treatment foster care (MTFC): results from an independent replication

This study examines 24‐months post‐baseline outcomes for thirty‐five Swedish antisocial youths who received either treatment in multidimensional treatment foster care (MTFC) or treatment as usual (TAU). MTFC is a community‐based treatment programme that has been successful in treating chronic juvenile offenders in the USA. This study is the first randomized control study outside the USA. The youth treated in the MTFC programme consistently showed some statistically significant positive treatment effects compared to the youth exposed to TAU. The results suggest that MTFC might be an effective method in treating youth with severe behaviour problems in a Swedish context. The authors conclude that the programme ought to be of great interest for Swedish social services as an alternative to traditional care.     

The Effective Treatment of Juveniles Who Sexually Offend: An Ethical Imperative

This article raises serious concerns regarding the widespread use of unproven interventions with juveniles who sexually offend and suggests innovative methods for addressing these concerns. Dominant interventions (i.e., cognitive-behavioral group treatments with an emphasis on relapse prevention) typically fail to address the multiple determinants of juvenile sexual offending and could result in iatrogenic outcomes. Methodologically sophisticated research studies (i.e., randomized clinical trials) are needed to examine the clinical and cost-effectiveness of cognitive-behavioral group interventions, especially those delivered in residential settings. The moral and ethical mandate for such research is evident when considering the alternative, in which clinicians and society are willing to live in ignorance regarding the etiology and treatment of juvenile sexual offending and to consign offending youths to the potential harm of untested interventions. Encouraging signs of a changing ethical climate include recent federal funding of a randomized clinical trial examining treatment effectiveness with sexually offending youths and the introduction of separate (i.e., developmentally informed) clinical and legal interventions for juvenile versus adult sexual offenders.     

The transportability of multisystemic therapy to Sweden: short-term results from a randomized trial of conduct-disordered youths

This randomized clinical trial assessed the effectiveness of multisystemic therapy (MST) for 156 youths who met the diagnostic criteria for conduct disorder. Sweden's 3 largest cities and 1 small town served as the recruiting area for the study. A mixed factorial design was used, with random allocation between MST and treatment as usual groups. Assessments were conducted at intake and 7 months after referral. With an intention-to-treat approach, results from multiagent and multimethod assessment batteries showed a general decrease in psychiatric problems and antisocial behaviors among participants across treatments. There were no significant differences in treatment effects between the 2 groups. The lack of treatment effect did not appear to be caused by site differences or variations in program maturity. MST treatment fidelity was lower than that of other studies, although not clearly related to treatment outcomes in this study. The results are discussed in terms of differences between Sweden and the United States. One difference is the way in which young offenders are processed (a child welfare approach vs. a juvenile justice system approach). Sociodemographic differences (e.g., rates of poverty, crime, and substance abuse) between the 2 countries may also have moderating effects on the rates of rehabilitation among young offenders. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

What works for serious juvenile offenders? A systematic review

This study examines the outcomes of best available empirical research regarding the effectiveness of treatment programs implemented in secure corrections to prevent the recidivism of serious (violent and chronic) juvenile offenders (from 12 to 21 years old). In this review 30 experimental and quasi-experimental studies are analyzed, comparing 2831 juveniles in the treatment groups and 3002 youths for the control groups. The global effect size of these 30 studies in terms of standardized mean difference was d = 0.14 in favour of the treatment groups. This size effect, in terms of "r" coefficient reached the value of 0.07, of low magnitude. The cognitive-behavioral methods of treatment were the most effective in decreasing recidivism. These results report that the rehabilitation programs for serious offenders achieve to reduce the general recidivism in comparison with the control juveniles in approximately seven percent.     

Testing Underlying Assumptions of the Family Empowerment Perspective

We examined two underlying assumptions of the family empowerment perspective. The first assumption is that a well-validated family-based treatment that explicitly aims to empower caregivers can do so. The second assumption is that increased caregiver empowerment should be associated with improved youth and family functioning. The data used to examine these assumptions are based on a randomized trial of multisystemic therapy versus usual community services for 118 substance abusing and dependent juvenile offenders. Results provided partial support for the underlying assumptions of the family empowerment perspective. The family-based treatment in comparison with usual services increased caregiver perceptions of empowerment at the service system level, but not at the family level. In addition, increased empowerment at the family and service system levels were associated with improved family relations, but not with decreased youth behavior problems. The conceptual implications and limitations of the findings are discussed.     

Hurricane Katrina's impact on the mental health of adolescent female offenders

Abstract

Exposure to multiple traumatic events and high rates of mental health problems are common among juvenile offenders. This study draws on Conservation of Resources (COR) stress theory to examine the impact of a specific trauma, Hurricane Katrina, relative to other adverse life events, on the mental health of female adolescent offenders in Mississippi. Teenage girls (N=258, 69% African American) were recruited from four juvenile detention centers and the state training school. Participants were interviewed about the occurrence and timing of adverse life events and hurricane-related experiences and completed a self-administered mental health assessment. Hierarchical linear regression models were used to identify predictors of anxiety and depression. Pre-hurricane family stressors, pre-hurricane traumatic events, hurricane-related property damage, and receipt of hurricane-related financial assistance significantly predicted symptoms of anxiety and depression. Findings support COR theory. Family stressors had the greatest influence on symptoms of anxiety and depression, highlighting the need for family based services that address the multiple, inter-related problems and challenges in the lives of female juvenile offenders.     

Fatherhood and Delinquency: An Examination of Risk Factors and Offending Patterns Associated with Fatherhood Status among Serious Juvenile Offenders

Despite a large body of literature across multiple disciplines on adolescent motherhood, adolescent fathers have been largely absent from empirical research. Previous findings suggest that young men who experience multiple risk factors across a range of life domains have a high likelihood of becoming fathers at an early age, which can negatively impact their developmental trajectories and age-normative transitions (e.g. from school to work). However, little is known about the risk factors for fatherhood among high-risk juvenile offenders; nor is it well understood how fatherhood is related to criminal behavior in this population. The current study investigated risk factors and offending patterns associated with adolescent fatherhood status in a sample of serious juvenile offenders (N?=?1170). Consistent with previous studies, fatherhood status was associated with greater risk exposure among serious juvenile offenders. Furthermore, change in fatherhood status was associated with higher levels of overall offending, aggressive offending, income-related offending, and non-drug-related income offending. In light of these findings, we propose that supports and resources are needed to facilitate juvenile offenders in their role as fathers during this time.     

Self-esteem and institutionalized delinquent offenders: the role of background characteristics.

Some of the delinquency literature sustains the assumption that inept persons doing unworthy things is the self-view held by youth offenders, "Disadvantaged" or "adverse" background characteristics are often assumed to account for low self-esteem among delinquent offenders. However, the implications of control theory suggest that youths having few bonds to people and institutions are relatively "free" to drift into delinquency without serious damage to self-esteem. The hypothesis we examined was derived from the work of control theorists: that self-esteem would be higher for offenders "removed" from conventional ties, lower for those who maintained conventional attachments. Data from 75 male delinquent offenders incarcerated at a correctional youth institution are used in testing this relationship. Our hypothesis received strong support. The implication drawn from these results is that the impact of the correctional process on self-esteem may be far less important than the myriad relationships previously established with people and institutions. These results pertaining to a special category of youth are in keeping with the reported findings on the link between deprivation and self-esteem of general youth populations.     

The Effects of Alcohol Use and Offender Remorsefulness on Sentencing Decisions1

Presentence reports on 628 offenders were content analyzed. Regression analysis found that remorseful offenders received less severe sentences than non-remorseful offenders. Offenders convicted of minor offenses received more lenient sentences if they had used alcohol in conjunction with their crimes than if they did not use alcohol. The opposite was the case for offenders commiting serious crimes. Remorseful offenders with few prior alcohol-related convictions received less severe sanctioning than non-remorseful offenders with similar conviction records. In contrast, recidivists who were remorseful were dealt with more harshly than their non-remorseful counterparts.     

Prosocial family therapy: A manualized preventive intervention for juvenile offenders

This manual for Prosocial Family Therapy (PFT) describes a practical method of multisystemic care for juvenile offenders based on our theories about risk and protection factors and therapy process. The PFT team integrates specific parent training techniques and nonspecific family therapy strategies in meetings scheduled with decreasing frequency over a 3-month intervention and 2-year follow-up period. The PFT manual blends scientific and clinical concerns via checks on manual adherence, treatment integrity, and internal validity. PFT can be used by MA-level therapists in community or residential settings run by courts, schools, or mental-health agencies. Our short-term intervention goal is rapid, lasting reduction of youths' community, home, and coping problems (e.g., police arrest, curfew violation, substance abuse, and suicide attempts). Our long-term prevention goal includes fewer crimes and bad life outcomes (e.g., school dropout, teen parenthood, welfare dependence) and more family-wide prosocial coping—helping self without harming others. We discuss why family preservation is not our ultimate goal and why acceptance of reality is a prerequisite for behavior change.     

Motivations for gun possession and carrying among serious juvenile offenders

Though the prevalence of gun possession and carrying among juveniles is now fairly well documented (at least among non-serious offenders), little research has examined juveniles' reasons for possessing and carrying guns beyond noting that youth who report robbery and assaultive behavior have higher rates of gun and other weapon possession than do non-violent youth. The present study examines the question of motivation behind gun possession and carrying by criminally-inclined youths through analysis of survey data collected from juveniles incarcerated in maximum security reformatories. The findings support the popular fear that juvenile offenders are heavily involved in gun-related crime, though the same findings point to multiple needs and uses for guns. Using a number of measures—reasons for carrying guns, for using them during the commission of crimes, for purchasing them, etc.—it appears that the primary reason for gun possession and carrying is the juvenile's perception of the need to be armed for protection. This is the case even among those who were involved in such predatory crimes as armed robbery prior to incarceration. Thus, legislative attempts to dissuade youth from obtaining guns to commit crimes are likely misplaced, since the guns eventually used in crime are usually obtained for protective purposes. Only when firearms are perceived as no longer needed can we expect a serious drop in gun-related offenses among youth.     

Multisystemic therapy treatment of substance abusing or dependent adolescent offenders: Costs of reducing incarceration,inpatient, and residential placement

The development of more effective and less costly family- and community-based services to serve as alternatives to out-of-home placements of children is an important priority in the reform of mental health services for children and adolescents. Within the context of a randomized trial with 118 substance abusing or dependent juvenile offenders, we examined the incremental costs of multisystemic therapy (MST) and related these costs to observed reductions in days of incarceration, hospitalization, and residential treatment at approximately 1 year postreferral. Results showed that the incremental costs of MST were nearly offset by the savings incurred as a result of reductions in days of out-of-home placement during the year. The need to validate effective treatments for youth with serious clinical problems and to link the costs of treatment     

The disposables: our treatment of violent adolescents

This paper discusses the clinical perceptions of levels of attachment disorder as theorized by John Bowlby. The findings are based on interview data of juvenile delinquent offenders who have committed criminal acts that are serious enough to warrant their being tried as adults. The data are based on clinical interviews, and the interviewer encourages empirical research of the clinical findings. It is suggested that attachment levels may be a viable means of determining appropriate types of rehabilitative interventions for juvenile offenders.     

Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

Child versus peer/adult offenders: A critical review of the juvenile sex offender literature

Sexual offenses are serious crimes and it is believed that adolescents perpetrate 20% of all sexual assaults and 50% of all child sexual abuse (Barbaree & Marshall, 2006). To better understand the etiology of juvenile sexual offending, researchers have explored differences between those who offend children versus those who offend peers/adults. This paper critically reviewed 21 studies that compared juvenile sex offenders who abused children with those who abused peers/adults on a variety of variables including victim, offense, and offender characteristics; psychosocial variables; and predictors and rates of recidivism. Strengths and weaknesses of these studies as well as future directions for the literature are discussed. Common methodological limitations of victim-age based comparisons of juvenile sex offenders included inconsistent definitions, low-powered studies, lack of standardized measures, and recidivism data based solely on conviction rates. Overall, many inconsistent findings limit our ability to give overarching conclusions; however, the research does suggests that not only is it important to examine child and peer/adult offenders, but mixed offenders (i.e., offender with both child and peer victims) as a distinct group need to be included in comparisons as well.     

Juvenile homosexual homicide

Limited information exists on juvenile homosexual homicide (JHH), that is, youths who perpetrate sexual homicides against same-sex victims. Only a handful of cases from the United States and internationally have been described in the literature. This study, the first of its kind, examines the epidemiology, victimology, victim-offender relationship, and weapon-use patterns in JHH offenders using a large U.S. database on homicide spanning three decades. The data for this study were derived from the Federal Bureau of Investigation's Supplementary Homicide Reports (SHRs) for the years 1976 through 2005. A total of 93 cases of JHH were identified. On average, three of these crimes occurred annually in the U.S., and there was a marked decline in its incidence over the study period. Ninety-five percent were male offender-male victim cases and 5% were female offender-female victim cases. JHH offenders were over-represented amongst all juvenile sexual murderers, similar to their adult counterparts. The majority of these boys were aged 16 or 17 and killed adult victims. They were significantly more likely to kill adult victims than other age groups, to be friends or acquaintances of the victims, and to use contact/edged weapons or firearms. Most offenders killed same-race victims, although Black offenders were significantly more likely than White offenders to kill interracially. A case report is provided to illustrate JHH. Further research is needed to promote our understanding of the pathogenesis, etiology, and associated risk factors for this aberrant form of murder by children.