Longitudinal trajectories of mental health problems and their association with reoffending in a Dutch pre-trial prison cohort.

The burden of mental health problems in detained persons is high. At the same time, mental health problems are discussed as possible predictors of criminal recidivism. During detention, mental health tends to improve. The aims of the study were twofold: First, to identify group-based trajectories of mental health problems over the course of detention; second, to test the association between trajectories and criminal recidivism. A prospective cohort of 1,904 adult males detained in Dutch pre-trial detention facilities was assessed at three time points after imprisonment (week 3, month 3, and month 9). Mental health problems were measured using the Brief Symptom Inventory. Recidivism was defined as reconviction and re-incarceration up to 18 months post-release. We used group-based trajectory modeling and logistic regressions for the analyses. On average, self-reported mental health improved during incarceration. Two distinct groups of mental health trajectories were identified: The majority (81%) reported relatively low levels of mental health problems, remaining stable over time. A small group (19%) reported high distress after prison entry with improvements over time. Older age, pre-existing functional impairment due to alcohol or drug use, diagnosis of psychiatric disorders, debts, use of psychiatric care during detention, and a more severe experience of detention were associated with membership in the second group. Group membership did not predict reoffending. The study confirms prior findings illustrating a generally positive change in mental health symptoms during detention. The course of mental health was associated with pre-existing socio-demographic and psychological characteristics that seem worthy to be considered in correctional treatment plans. Changes in mental health did not result in better legal outcomes. An interesting avenue for future research would be to examine changes in specific mental health symptoms or disorders in relation to recidivism risk

Давньогрецький поліс в контексті соціально-політичних поглядів Платона та Аристотеля

У статті здійснено аналіз соціально-політичних засад розбудови грецького поліса в контексті поглядів Платона та Аристотеля.In this article accomplishes analyses of social and political bases of Greek polis development in the context of Platoon’s and Aristotle’s views

Secondary traumatization in partners and parents of Dutch peacekeeping soldiers.

This study examines secondary traumatization among 708 partners and 332 parents of Dutch peacekeepers (i.e., personnel who participated in military actions implemented by international organizations such as the United Nations). Partners or parents of peacekeepers with 4 levels of posttraumatic stress symptoms were compared on posttraumatic stress, health problems, the quality of the marital relationship, and social support. In comparison with partners of peacekeepers without posttraumatic stress disorder (PTSD) symptoms, partners of peacekeepers with PTSD symptoms reported more sleeping and somatic problems, reported more negative social support, and judged the marital relationship as less favorable. No significant differences were found for parents. Thus, peacekeepers' stress reactions were related to various problems of their partners. A systemic approach to the treatment of persons with PTSD appears appropriate

The mortality after release from incarceration consortium (MARIC): Protocol for a multi-national, individual participant data meta-analysis

Introduction More than 30 million adults are released from incarceration globally each year. Many experience complex physical and mental health problems, and are at markedly increased risk of preventable mortality. Despite this, evidence regarding the global epidemiology of mortality following release from incarceration is insufficient to inform the development of targeted, evidence-based responses. Many previous studies have suffered from inadequate power and poor precision, and even large studies have limited capacity to disaggregate data by specific causes of death, sub-populations or time since release to answer questions of clinical and public health relevance. Objectives To comprehensively document the incidence, timing, causes and risk factors for mortality in adults released from prison. Methods We created the Mortality After Release from Incarceration Consortium (MARIC), a multi-disciplinary collaboration representing 29 cohorts of adults who have experienced incarceration from 11 countries. Findings across cohorts will be analysed using a two-step, individual participant data meta-analysis methodology. Results The combined sample includes 1,337,993 individuals (89% male), with 75,795 deaths recorded over 9,191,393 person-years of follow-up. Conclusions The consortium represents an important advancement in the field, bringing international attention to this problem. It will provide internationally relevant evidence to guide policymakers and clinicians in reducing preventable deaths in this marginalized population

Use of mental health services among disaster survivors: predisposing factors

<p>Abstract</p> <p>Background</p> <p>Given the high prevalence of mental health problems after disasters it is important to study health services utilization. This study examines predictors for mental health services (MHS) utilization among survivors of a man-made disaster in the Netherlands (May 2000).</p> <p>Methods</p> <p>Electronic records of survivors (n = 339; over 18 years and older) registered in a mental health service (MHS) were linked with general practice based electronic medical records (EMRs) of survivors and data obtained in surveys. EMR data were available from 16 months pre-disaster until 3 years post-disaster. Symptoms and diagnoses in the EMRs were coded according to the International Classification of Primary Care (ICPC). Surveys were carried out 2–3 weeks and 18 months post-disaster, and included validated questionnaires on psychological distress, post-traumatic stress reactions and social functioning. Demographic and disaster-related variables were available. Predisposing factors for MHS utilization 0–18 months and 18–36 months post-disaster were examined using multiple logistic regression models.</p> <p>Results</p> <p>In multiple logistic models, adjusting for demographic and disaster related variables, MHS utilization was predicted by demographic variables (young age, immigrant, public health insurance, unemployment), disaster-related exposure (relocation and injuries), self-reported psychological problems and pre- and post-disaster physician diagnosed health problems (chronic diseases, musculoskeletal problems). After controlling for all health variables, disaster intrusions and avoidance reactions (OR:2.86; CI:1.48–5.53), hostility (OR:2.04; CI:1.28–3.25), pre-disaster chronic diseases (OR:1.82; CI:1.25–2.65), injuries as a result of the disaster (OR:1.80;CI:1.13–2.86), social functioning problems (OR:1.61;CI:1.05–2.44) and younger age (OR:0.98;CI:0.96–0.99) predicted MHS utilization within 18 months post-disaster. Furthermore, disaster intrusions and avoidance reactions (OR:2.29;CI:1.04–5.07) and hostility (OR:3.77;CI:1.51–9.40) predicted MHS utilization following 18 months post-disaster.</p> <p>Conclusion</p> <p>This study showed that several demographic and disaster-related variables and self-reported and physician diagnosed health problems predicted post-disaster MHS-use. The most important factors to predict post-disaster MHS utilization were disaster intrusions and avoidance reactions and symptoms of hostility (which can be identified as symptoms of PTSD) and pre-disaster chronic diseases.</p

Reoffending After Release: Does Procedural Justice During Imprisonment Matter?

Reoffending rates after release from prison are high in most Western countries. Knowledge on how certain aspects of prison life affect postrelease recidivism could be useful to effective crime-control. One aspect of prison life that may potentially affect prisoners’ reoffending behavior refers to the extent to which prisoners feel treated fairly and respectfully. This notion is central to procedural justice theories, which argue that people will be more likely to comply with the law when they feel treated in a just and decent way by actors who enforce the law. At present, it is unknown whether or not a procedurally just treatment during imprisonment can reduce postprison reoffending rates. This study examined (a) whether prisoners’ procedural justice perceptions influence their postrelease offending behavior, and (b) whether the relationship between procedural justice and reoffending was mediated by prisoners’ perceived legitimacy of the criminal justice system. Associations were explored with survey and registered conviction data of 1,241 Dutch prisoners from the Prison Project. Although the effect was small, prisoners who felt treated in a procedurally just manner during imprisonment were less likely to be reconvicted in the 18 months after release. No evidence was found for a mediating role of legitimacy

A longitudinal study of mental health symptoms in young prisoners : exploring the influence of personal factors and the correctional climate

BackgroundDespite the high prevalence rate of mental health problems among young prisoners, little is known about the longitudinal course and covariates of their mental health symptoms during incarceration, especially the influence of the correctional climate. The current study aimed: (1) to examine changes in young prisoners’ mental health symptoms during incarceration, (2) to identify personal factors associated with their mental health symptoms and perceptions of the correctional climate, and (3) to test the incremental effect of perceptions of the correctional climate on mental health symptoms.MethodsData were obtained from a sample of 75 youths (aged 17 to 22 years) detained in a Portuguese young offender prison. Data were gathered 1, 3, and 6 months after their admission in this facility. Socio-demographic, clinical and criminological variables were collected. Mental health symptoms and perceptions of the correctional climate were assessed through self-report assessment tools. Linear and logistic (multi-level) regressions and tests for differences between means were performed to analyze the data.ResultsOverall, mental health symptoms marginally declined by the sixth month in prison. Prisoners with a history of mental health treatment were more likely to have increased symptoms. Higher levels of mental health symptoms were associated with a history of mental health treatment, remand status, and a lower educational level. Better perceptions of the correctional climate were associated with Black race and participation in prison activities. A negative perception of the correctional climate was the strongest covariate of young prisoners’ mental health symptoms and had incremental validity over that of personal variables.ConclusionsThe results highlight that both characteristics of the prisoners and of the prison environment influence young prisoners’ mental health. Prison management can try to reduce young prisoners’ mental health problems by developing scientific procedures for their mental health assessment and creating a more beneficial correctional climate.publishe

Gefängnisbesuche und psychische Gesundheit inhaftierter junger Erwachsener

Theory and research indicate that the maintenance of interpersonal relationships with family and friends can improve the well-being and behavior of detained persons. However, receiving visits in prison may also increase stress and anxiety, thereby negative ly affecting adjustment to prison life. Based on a sample of 75 young adult males in Portugal who were evaluated at the 1st, 3 rd, and 6 th month after entry in prison, the present study explored the reci procal relationship between visitation and mental health, as well as the longitudinal course of visita tion rates during incarceration and individual charac- teristics associated with receiving visits. Regression analyses revealed that the number of visits declined over the first six months in the institution. Prison visits were positively related to a lower educational level, Portuguese nationality, mental treatment history, and a less developed criminal history. In addi- tion, a higher level of mental health symptoms was associated with more subsequent prison visits in the first three months in prison, but visits were not associated with subsequent mental health symptoms. The results of this study suggest that detained young adults presenting a higher level of mental health symptoms may be more likely to be visited by their fa mily and friends during the initial period of incar- ceration.publishe

Mental and physical healthcare utilization among young prisoners: a longitudinal study

The present longitudinal study describes changes in and covariates of healthcare utilization in 75 young males (aged 17-22 years) during their first year in a Portuguese prison. The prisoners were assessed 1, 3, 6, and 12 months after their arrival in custody. Multilevel negative binomial regression analyses were conducted to examine the effect of time in prison as well as several clinical, socio-demographic, and criminological characteristics on: (a) treatment for mental health problems and (b) treatment for physical health problems. Although healthcare utilization for mental health issues remained stable over 12 months of imprisonment, visits for physical health problems were highest during the first month and then declined significantly. Patterns of healthcare utilization were associated with time spent in prison, mental health symptoms, Portuguese nationality, older age at the onset of imprisonment, criminal history, and severe disciplinary infractions. Strikingly, prisoners who initially reported more mental health symptoms upon arrival to the prison facility received less mental health services for the first six months of imprisonment. The limitations of this study and its implications for correctional research and practice are discussed.info:eu-repo/semantics/publishedVersio