Survival of the Recidivistic? Revealing Factors Associated with the Criminal Career Length of Multiple Homicide Offenders

Relying on a sample of 1,394 US-based multiple homicide offenders (MHOs), we study the duration of the careers of this extremely violent category of offenders through Kaplan-Meier estimation and Cox Proportional Hazard regression. We investigate the characteristics of such careers in terms of length and we provide an inferential analysis investigating correlates of career duration. The models indicate that females, MHOs employing multiple methods, younger MHOs and MHOs that acted in more than one US state have higher odds of longer careers. Conversely, those offending with a partner and those targeting victims from a single sexual group have a higher probability of shorter careers

Supplementary_Material – Supplemental material for Using Behavior Sequence Analysis to Map Serial Killers’ Life Histories

<p>Supplemental material, Supplementary_Material for Using Behavior Sequence Analysis to Map Serial Killers’ Life Histories by David A. Keatley, Hayley Golightly, Rebecca Shephard, Enzo Yaksic and Sasha Reid in Journal of Interpersonal Violence</p

Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA

Abstract Background Given that patient safety measures are increasingly used for public reporting and pay-for performance, it is important for stakeholders to understand how to use these measures for improvement. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) are one particularly visible set of measures that are now used primarily for public reporting and pay-for-performance among both private sector and Veterans Health Administration (VA) hospitals. This trend generates a strong need for stakeholders to understand how to interpret and use the PSIs for quality improvement (QI). The goal of this study was to develop an educational program and tailor it to stakeholders’ needs. In this paper, we share what we learned from this program development process. Methods Our study population included key VA stakeholders involved in reviewing performance reports and prioritizing and initiating quality/safety initiatives. A pre-program formative evaluation through telephone interviews and web-based surveys assessed stakeholders’ educational needs/interests. Findings from the formative evaluation led to development and implementation of a cyberseminar-based program, which we tailored to stakeholders’ needs/interests. A post-program survey evaluated program participants’ perceptions about the PSI educational program. Results Interview data confirmed that the concepts we had developed for the interviews could be used for the survey. Survey results informed us on what program delivery mode and content topics were of high interest. Six cyberseminars were developed—three of which focused on two content areas that were noted of greatest interest: learning how to use PSIs for monitoring trends and understanding how to interpret PSIs. We also used snapshots of VA PSI reports so that participants could directly apply learnings. Although initial interest in the program was high, actual attendance was low. However, post-program survey results indicated that perceptions about the program were positive. Conclusions Conducting a formative evaluation was a highly important process in program development. The useful information that we collected through the interviews and surveys allowed us to tailor the program to stakeholders’ needs and interests. Our experiences, particularly with the formative evaluation process, yielded valuable lessons that can guide others when developing and implementing similar educational programs

How much damage do serial homicide offenders wrought while the innocent rot in prison? A tabulation of preventable deaths as outcomes of sentinel events

The criminal justice system has allowed serial homicide offenders (SHOs) to commit additional homicides by failing to identify them after their initial homicide. Recidivism has been possible in instances where the SHO benefited from the wrongful incarceration of an innocent person for one of their homicides. Data from the National Registry of Exonerations was utilized to tabulate the full extent of these sentinel events, defined as the number of deaths that could have been prevented. Additional research was conducted to identify where victims fell in the offender’s killing sequence. This ancillary data revealed the number of victims whose deaths could have been prevented had the offender been apprehended earlier in their series of homicides. Sixty-two SHOs were responsible for 249 deaths, 114 of which were committed after an innocent person was incarcerated for the SHO’s initial homicide. To prevent further loss of life, law enforcement must: act upon accurate information; lower the SHO evidentiary threshold; prevent personal bias from influencing investigative steps; obtain training in the behavior of SHOs; admit mistakes; and re-examine convictions if wrongdoing is suspected

Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?

Geriatric Patient-Aligned Care Teams (GeriPACT) were implemented in the Department of Veterans Affairs (VA) (i.e., Patient-Centered Medical Homes for older adults) to provide high quality coordinated care to older adults with more risk of negative health and psychosocial outcomes. The objectives of this paper are: (1) to present data on GeriPACT structural characteristics; and (2) to examine a composite measure of GeriPACT model consistency. We utilized a web survey targeting 71 physician leads resulting in a 62% response rate. We found GeriPACTs employed a range of staffing, empanelment, clinic space, and patient assignment practices. The mean value of the GeriPACT consistency measure was 2.03 (range: 1&ndash;4) and 6.3% of facilities were considered consistent to the GeriPACT model. We observed large variation in GeriPACT structure and in model consistency. More research is needed to understand how these variations are related to processes and outcomes of care

A heuristic study of the similarities and differences in offender characteristics across potential and successful serial sexual homicide offenders

This heuristic study examined potential serial sexual homicide offenders (SSHOs), an unacknowledged offender group comprised of aspiring and probable SSHOs, and compared them with successful SSHOs. Data were collected on six aspiring SSHOs who each failed a single homicide attempt, 16 probable SSHOs who committed 17 homicides in separate events, and 13 successful SSHOs who killed 90 victims in separate events. The study results indicate that while potential SSHOs share more in common with successful SSHOs than they do with single‐victim nonsexual homicide offenders, and that there is an overlap between potential SSHOs and successful SSHOs, there is currently insufficient evidence to suggest that there are discreet transitions among categories. While few potential SSHOs strive to become successful SSHOs, this may be due to weak or nonexistent emotional triggers. Being a potential SSHO does not appear to be a predictable first step on a pathway towards becoming a successful SSHO, as potential SSHOs cannot reliably be thought of as prospective SSHOs if all things were equal. The present study could not foresee all potential SSHOs becoming successful ones. An as yet unidentified number of factors still appear to separate potential SSHOs from successful SSHOs

Additional file 3: of Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA

Post-program Evaluation Survey. This file provides the post-program survey that we administered to learn about stakeholders’ perceptions of the PSI Educational Program. (PDF 259 kb

Additional file 1: of Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA

Formative Evaluation: Interview Guide. This file provides the interview guide we used for the telephone interviews to obtain a general understanding of potential PSI educational needs and assess whether similar a priori concepts should inform the survey. (PDF 168 kb

Additional file 4: of Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA

Informational Sheet, Interpreting the AHRQ PSIs: A Basic Overview. This file provides the informational sheet which PSI Educational Program participants could use to help them interpret and understand the PSIs. (PDF 87 kb