Forensic Rehabilitation Counseling Practices, Studies on Offender Programs, Risk Analysis, Prediction and Correlation of Mental Health
Research related to studies about offender programs risk analyses, risk management and containment, prediction of recidivism, and correlations of mental health disorders and criminal offending. Research author DeClue reviews forensic psychology services from one state's sexually violent offender program to investigate if the evaluation instruments the inmate received is adequate to inventory their risks, needs and strengths. The author questions whether risk management and containment are adequately assessed in typical tools and if they yield an accurate prediction of recidivism (DeClue, 2005). Similarly, Ogloff investigates disorders and criminal offending, attempting to make sense of the few studies which have real-life samples from forensic mental health services. He conducted a study to investigate the correlations between mental illness, specific disorders and forensic offending concluding that participants with co-occurring mental illness were responsible for more serious and frequent offending than those with mental illness alone (Ogloff, 2015). Tomlinson, 2018, points to structured, skills-based, and risk-focused cognitive behavioral therapy as a tool to reduce recidivism. A detailed exploration of how these programs align with best practices is given. The study offers very preliminary evidence (Tomlinson, 2018). Researcher DeClue, in 2017, investigated the Inventory of Offender Risks, Needs, and Strengths (IORNS) as part of a sexually violent predator (SVP) program to determine if it accurately determined risk analyses, risk management and containment, prediction of recidivism, and correlations of mental health disorders and criminal offending. The focus of this author’s research was the competency crisis and the lack of specificity to evaluees’ rights in current rehabilitation efforts as an indicator of high risk of recidivism due to mental health disorders. Specifically reviewed was the Inventory of Offender Risks, Needs, and Strengths (IORNS), DeClue opined that even advanced risk assessment was no guarantee of effective forensic evaluation, and the IORNS was not appropriate for evaluation or re-evaluation of a person facing civil commitment as a sexually violent predator in the state of Florida. Examination was given to the forensic laws and other legal publications of the state of Florida, specifically Florida statutes (FS 394.912(10)), and (FS 394.912(4)). This determined that the manner in which a psychologist gathers data, opines, and communicates the risk assessment is crucial in a legal case. DeClue held a discussion forum to answer his research questions. Interviews were held with his legal constituents, and a forensic psychology clinical director of Florida’s sexually violent predator (SVP) program. The question posed was if the IORNS was appropriate for use in evaluating or re-evaluating a person facing civil commitment as a sexually violent predator. Comparison was made of the answers to his question and the summaries regarding three civil commitments of sexually violent predators, the applied risk assessment, risk management, and risk communication and following civil commitment of sexually violent predators. Data analysis considered the opinions of his colleagues, forensic psychologist, law statutes and past criminal case studies. In result, DeClue assessed that the IORNS held inadequate evidentiary support for psychologist's expert witness in communication about risk of recidivism. These denotative findings rendered the IORNS irrelevant to legal questions in particular cases due to exclusion of dynamic risk variables, clear descriptors of limitations on confidence, and lack of certainty in court. Though DeClue’s studies are rife for potential bias of opinions from legal colleagues and forensic psychologists his interpretations of findings were sound in which he suggested there were no guarantees of effective forensic psychological evaluation and consultation in general. He surmised they simply lack relevancy without utilizing specific legal case descriptors first. In 2015, Ogloff et al., wrote research article studies that pertained to offender program risk analyses, risk management and containment, prediction of recidivism, and correlations of mental health disorders and criminal offending as related to the competency service crisis in the modern forensic and legal field. Indicative of the lack of competency-related services, and long wait lists, admissions problems into competency restoration services have not been solved. Further research of offender programs and risks of recidivism drew a direct correlation of disorders and criminal offending. Investigating the correlations between, specifically, psychiatric disorders and forensic offending concluded that the participants with co-occurring psychiatric mental disorders were responsible for more serious and frequent offenses and high recidivism. Ogloff created a unique research study investigating correlations of co-occurring psychiatric disorders and criminal offending. Taking into consideration samples provided by forensic mental health services, correlation of severe psychiatric mental illness, and offending was found. In this study, psychiatric illness and people assessed and treated by forensic mental health services were made possible through examination of mental disorders in a sample of offenders. Correlations were drawn on how the participants were being assessed or treated by a statewide forensic mental health service. The study collected and examined rates of disorders and offending variables in participants. Ogloff sought evidentiary support for the presence of mental disorders in most members of an offender community. By demonstrating prevalence of psychiatric disorders in offending populations, these results proved that people who are serving sentences in a maximum-security prison setting must have their mental health considered in factors of recidivism since they were responsible for more serious and frequent offending. Also, the study provided a measure of proof to ensure forensic workers became knowledgeable of these facts and would henceforth be actively supportive in the recovery for the populations they worked with, from mental illnesses to reduction of re-offending. Deriving information from resources provided on offense histories and severity scales of offending comparison of co-occurring mental illness was made by availability of mental health records of 130 male offenders associated with statewide forensic services. Samples were taken of participants who had major mental disorders co-occurring with offenses, associations to violence, substance use disorders, mental disorders, and antisocial personality disorders. These were categorically measured and correlated by sociodemographic information, psychiatric diagnosis, ASPD diagnosis, acute substance use at time of offending, offending history and severity. The resulting majority were found to have had mental disorders and were responsible for more serious, frequent offending. Overall, Ogloff’s 2015 research studies showed direct correlations of mental health disorders and criminal offending which contribute to the competency service crisis in the modern forensic and legal field. This study was limited by possible deliberate distortion of responses and recall bias, however the accuracy of assessment cannot be ruled out due to previous studies having had similar reliable evidence. Further limitations of this study were a lack of other gendered participants. Tomlinson addressed the difficulties of patient treatments in forensic psychiatric settings such as complex, multi‐diagnostics, unsuccessfully implemented therapies and comprehensive treatment needs. An analysis was made of treatment measures for anger, aggression, hopefulness, coping, emotions, insights, and symptoms. A sample of 14 adult participants who were in mental health treatment in one state, were all given dialectical behavioral treatment programs with questionnaires prior to and after the group study. Data was collected for research, along with information from their medical charts on demographics, criminality, risks, psychiatric, and social history voluntarily. Treatment ensued with dialectical behavior therapy, incorporating Eastern philosophies and traditional cognitive behavioral principles to address their difficulties in forensic psychiatric settings such as complex, multi‐diagnostics, unsuccessfully implemented therapies and comprehensive treatment needs with DBT. Self‐reports, psychometric tests, and DBT skills training were given and measured results taken. Participants completed self‐report psychometric tests before and after completion of the DBT skills training group. Measurement order was randomized. Data was met for all assumptions for analysis, if data were missed, it was replaced with the average response. In results, all 14 adult patient participants completed the assessments before and after DBT. Results suggested a limited improvement, though the patterns of change suggest otherwise. Alternatives were suggested as well, such as the results may be imperceptible due to the small sample, or not sensitive enough to detect the change. After completion of the DBT participation participants returned to community living and results were not tracked further upon discharge. Limitations of this participant experiment were that it was lacking in design and control group. Similarly, by the nature of primary diagnoses of psychoses individuals would experience lessened psychotic symptoms through DBT and it was impossible to decipher whether participants who were treatment responsive were overwhelmingly chosen for the study. In summary, research author DeClue reviewed forensic psychology services from one state's sexually violent offender program to investigate if the evaluation instruments the inmate received were adequate to inventory their risks, needs and strengths. The author questioned whether risk management and containment were adequately assessed in typical tools and if they yielded an accurate prediction of recidivism (DeClue, 2005). Similarly, Ogloff investigated disorders and criminal offending, attempting to make sense of the few studies which had real-life samples from forensic mental health services. He conducted a study to investigate the correlations between mental illness, specific disorders and forensic offending concluding that participants with co-occurring mental illness were responsible for more serious and frequent offending than those with mental illness alone (Ogloff, 2015). Tomlinson pointed to structured, skills-based, and risk-focused cognitive behavioral therapy as a tool to reduce recidivism. A detailed exploration of how these programs align with best practices was given. The study offered preliminary evidence.
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