Protective factors as uni- or bipolar factors and their incremental validity and accuracy in predicting general recidivism.

This study examined whether protective factors are unique or the opposite of risk factors and whether they have incremental validity in the prediction of general recidivism. Using a sample of 3306 Dutch forensic outpatients, this study was the first large-sample study ever performed on this topic. Results from exploratory factor analyses demonstrated a relatively stable factor structure of 14 factors, consisting of 32 of the initially included 68 risk factors and 11 of the initially included 17 protective items. The protective factors were found to be either bipolar (i.e., mirror images of risk factors) or responsivity characteristics (i.e., motivation for treatment, cognitive disability). Incremental validity for the recidivism prediction was found in one factor with internal protective items (e.g., empathy, financial management, life goals). This factor decreased the recidivism risk by 6%. However, weak predictive accuracy was found for this factor. Implications for clinical forensic practice are discussed with special focus on the risk-need-responsivity model.

Musical Attention Control Training for Psychotic Psychiatric Patients: An Experimental Pilot Study in a Forensic Psychiatric Hospital.

Poor attention skills constitute a major problem for psychiatric patients with psychotic symptoms, and increase their chances of treatment drop-out. This study investigated possible benefits of musical attention control training (MACT). To examine the effect of MACT on attention skills of psychiatric patients with psychotic features a randomized controlled trial (RCT) was conducted in a forensic psychiatric clinic. Participants (N = 35, age M = 34.7, 69% male) were pair matched (on age, gender, and educational level), and randomly assigned to an experimental and control group. The experimental group received a 30-min MACT training once a week over 6 weeks' time, whereas the controls received treatment as usual without attention training. Single blind pre- and post-neuropsychological assessments were performed to measure different attention levels. The experimental MACT group outperformed the control group in selective, sustained and alternating attention. In addition, overall attendance of MACT participants was high (87.1%). This result suggests that in this experimental pilot study MACT was effective for attention skills of psychiatric patients with psychotic features. To obtain larger intervention effects additional research is necessary, with a larger sample and a more specific MACT intervention.

Does Natural Mentoring Matter? A Multilevel Meta-analysis on the Association Between Natural Mentoring and Youth Outcomes.

In this meta-analytic review, we examined the relation between natural mentoring and youth outcomes in four domains: academic and vocational functioning, social-emotional development, physical health, and psychosocial problems. Natural mentoring relationships are thought to foster positive youth development and buffer against the risks associated with the tumultuous years of adolescence. Two separate meta-analyses were conducted on the presence of a natural mentor and the quality of the natural mentoring relationship, including thirty studies from 1992 to present. The findings indicated that the presence of a natural mentor was significantly associated with positive youth outcomes (r = .106). A larger effect size was found for the quality of the natural mentoring relationship in terms of relatedness, social support, and autonomy support (r = .208). The largest effect sizes were found for social-emotional development and academic and vocational functioning. Risk-status (e.g., teenage mothers, homeless youth, youth in foster care, and youth of alcoholic parents) did not moderate the relation between presence and quality of natural mentoring relationships and youth outcomes, which may indicate that natural mentors are generally beneficial for all youth regardless of risk-status. Implications for theory and practice concerning the quality of the natural mentoring relationship are discussed.

Stability and Change of Adolescents' Aggressive Behavior in Residential Youth Care.

BACKGROUND: Aggression in residential youth care institutions is a frequent problem. OBJECTIVE: The present short-term longitudinal study examined individual and institutional predictors of aggression in a group of 198 adolescents placed in open, semi-secure and secure residential institutions from the perspective of the importation and deprivation model. METHODS: A total of 198 adolescents in residential youth care filled in questionnaires regarding group climate and aggression with a 3 month interval. Hierarchical multiple regression analyses were performed to test the degree to which individual and contextual factors predict aggression. RESULTS: Very limited support was found for the effect of contextual factors; only repression showed a trend, predicting direct aggression, while gender composition of the living groups yielded a small effect. Girls placed in same-gender groups showed lower levels of indirect (relational) aggression compared to adolescents placed in mixed-gender or boys-only groups, even when controlled for gender and initial levels of aggression. Type of institution (i.e., level of security) did not predict differences in aggression. In particular individual characteristics of the adolescents were associated with later aggression, including initial levels of aggression, showing substantial 3 months stability, age and gender of the adolescents. CONCLUSIONS: These findings are in line with research showing that aggression is relatively stable. Very limited support for environmental effects was found.

"I Don't Care About What You Want!" The Relation Between Juvenile Delinquents' Responses to Social Problem Situations and Empathy in Secure Juvenile Institutions.

The present study examined the relation between juvenile delinquents' responses to social problem situations and empathy in secure juvenile institutions. The sample consisted of 79 delinquent boys (62%) and 49 delinquent girls (38%), aged 12 to 19 years. Results showed problems with accepting authority to be negatively related to both affective and cognitive empathy. Inadequate coping with competition was negatively related to cognitive empathy, whereas problems with receiving or giving help were negatively related to affective empathy. The central role of authority problems suggests that group workers could influence adolescents' empathy development by helping them to learn to cope with social problem situations.

Alliance and Treatment Outcome in Family-Involved Treatment for Youth Problems: A Three-Level Meta-analysis.

Alliance has been shown to predict treatment outcome in family-involved treatment for youth problems in several studies. However, meta-analytic research on alliance in family-involved treatment is scarce, and to date, no meta-analytic study on the alliance-outcome association in this field has paid attention to moderating variables. We included 28 studies reporting on the alliance-outcome association in 21 independent study samples of families receiving family-involved treatment for youth problems (N = 2126 families, M age youth ranging from 10.6 to 16.1). We performed three multilevel meta-analyses of the associations between three types of alliance processes and treatment outcome, and of several moderator variables. The quality of the alliance was significantly associated with treatment outcome (r = .183, p < .001). Correlations were significantly stronger when alliance scores of different measurement moments were averaged or added, when families were help-seeking rather than receiving mandated care and when studies included younger children. The correlation between alliance improvement and treatment outcome just failed to reached significance (r = .281, p = .067), and no significant correlation was found between split alliances and treatment outcome (r = .106, p = .343). However, the number of included studies reporting on alliance change scores or split alliances was small. Our findings demonstrate that alliance plays a small but significant role in the effectiveness of family-involved treatment. Future research should focus on investigating the more complex systemic aspects of alliance to gain fuller understanding of the dynamic role of alliance in working with families.

The association between parent-reported and observed parenting: A multi-level meta-analysis.

The purpose of the present meta-analysis was to investigate the strength of the association between parent-reported and observed parenting, and to investigate which specific characteristics of participants, questionnaires, or observational procedures moderate this association. A systematic search of relevant peer-reviewed articles published between January 2000 and December 2014 yielded 36 articles (N = 8,510) and 89 effect sizes. Results from a 3-level random-effects meta-analysis demonstrated a weak, yet significant, overall association of r = .17 between parent-reported and observed parenting. The magnitude of the effect size depended on questionnaire length (larger effect for more items) and the type of parenting investigated (largest effects for negative parent behaviors, next largest effects for positive parent behaviors, and smallest effect for controlling parent behaviors). In conclusion, this study shows that the strength of the association between parent-reported and observed parenting is small but significant. (PsycINFO Database Record

The Feelings of Others Don't Impress Me Much - Effects of Living Group Climate on Empathy in Adolescent Male Offenders.

The present study is a replication in Germany of a study originally performed in the Netherlands regarding the association between a positive living group climate and self-reported empathy in incarcerated adolescent male offenders (n = 49). A structural equation model was fitted to the data and showed a relation between a positive living group climate and increased empathy after six months. The discussion focuses on group dynamics in youth prisons. The present results open the way to further research into the importance of group processes in residential youth care. A positive living group climate could turn out to be an important factor contributing to the effectiveness of secure institutional treatment.

Correlates of direct care staffs' attitudes towards aggression of persons with intellectual disabilities.

BACKGROUND AND AIM: To explain direct care staff's attitudes (responsive or rejecting) towards aggression of clients with intellectual disability (ID), data were collected about client characteristics as well as individual and team characteristics of 475 direct care staff members, working in 71 teams. METHOD AND RESULTS: Multilevel analyses revealed that a positive team climate was positively associated with both a rejecting and responsive attitude towards aggression. Senior staff members and females showed a less responsive attitude towards aggression, whereas a relatively high percentage of females in a team and a positive attitude towards external professionals were associated with a more responsive attitude towards aggression. Unexpectedly, staff who experienced less verbal and/or physical aggressive incidents of their clients with ID showed a more rejecting attitude towards aggression. Finally, characteristics of the clients with ID accounted for the largest part of the variance in the attitude towards aggression of direct care staff, in particular psychiatric diagnoses. CONCLUSIONS AND IMPLICATIONS: Further research is necessary in order to understand how team processes affect the attitude towards aggression of direct care staff. Further it is recommended to provide direct care staff with knowledge about mental disorders in clients with ID.

Validity and Reliability of the Attachment Insecurity Screening Inventory (AISI) 2-5 Years.

The Attachment Insecurity Screening Inventory (AISI) 2-5 years is a parent-report questionnaire for assessing attachment insecurity in preschoolers. Validity and reliability of the AISI 2-5 years were examined in a general sample (n = 429) and in a clinical sample (n = 71). Confirmatory factor analysis (CFA) confirmed a three-factor model of avoidant, ambivalent/resistant and disorganized attachment, and one higher-order factor of total attachment insecurity. Multi-group CFA indicated measurement invariance across mothers and fathers, and across the general and clinical population sample. Reliability coefficients were generally found to be good. We found partial support for convergent validity in associations between AISI-scores and observed attachment (AQS). Concurrent validity was supported by associations between AISI-scores and observed parental sensitivity (MBQS) and parent-reported psychopathology (SDQ). Finally, the AISI discriminated well between children from the general and from the clinical sample. We argue that both research and practice could benefit from the AISI as there is now a prospect of quickly, reliably and validly screening for attachment insecurity in pre-school aged children. Based on this information, help can be offered timely and, subsequently, the prevention of attachment related problems of children can be strengthened.

The relationship between maltreatment victimisation and sexual and violent offending: differences between adolescent offenders with and without intellectual disability.

BACKGROUND: Juveniles with intellectual disabilities (ID) are more often victims of maltreatment and more often perpetrators of abuse than juveniles without ID. Because previous research on the relationship between maltreatment victimisation and subsequent offending behaviour was primarily performed in non-disabled samples, the present study aimed to examine differences between juvenile offenders with and without ID in the relationship between maltreatment victimisation and sexual and violent offending. METHOD: The sample consisted of juvenile offenders with ID (n = 102) and without ID (n = 526) who appeared before the courts for a criminal act and for whom the Washington State Juvenile Court Assessment (WSJCA) was completed. Pearson correlation coefficients were calculated to determine the strength of the relationship between maltreatment and offending, Fisher's z tests were calculated to assess the significance of the differences between the two groups in the strength of the correlations, and multiple logistic regression analyses were performed to examine the unique contribution of maltreatment victimisation to the prediction of violent and sexual offending. RESULTS: Seventy per cent of the juvenile offenders with ID and 42% of the juvenile offenders without ID had experienced abuse and/or neglect. Both sexual and violent offending were more common in juvenile offenders with ID than in juvenile offenders without ID. Moreover, the relationship between different forms of maltreatment and sexual offending was stronger in juvenile offenders with ID than in juvenile offenders without ID. CONCLUSIONS: Given the high rates of abuse and neglect victimisation and the strength of the association between victimisation and sexual offending, especially in juvenile offenders with ID, treatment should focus on potential trauma and other problems associated with the abuse.

Differences between juvenile offenders with and without intellectual disabilities in the importance of static and dynamic risk factors for recidivism.

BACKGROUND: Juvenile offenders with intellectual disability (ID) have been largely ignored in the literature of risk assessment, while they are overrepresented in the criminal justice system, and ID is a risk factor for juvenile delinquency and recidivism. The aim of this study was to examine whether there are differences between juvenile offenders with and without ID in the impact of risk factors for recidivism. Both the impact of static and dynamic risk factors were examined. Static risk factors were examined in the criminal history domain and dynamic risk factors were examined in the domains of family, school, use of free time, friends, alcohol/drugs, attitude, aggression and skills. This knowledge is important for both assessment and treatment of juvenile offenders with ID. METHOD: The sample consisted of adolescents who appeared before the courts for a criminal act and for whom the Washington State Juvenile Court Assessment (WSJCA) was completed. The group of ID juvenile offenders (n = 102) consisted of juvenile offenders with a formal diagnosis of ID, which means a full scale IQ of less than 70, coupled with significant deficits in adaptive behaviour, with childhood onset. The juveniles of this group are special education students or they have a formal diagnosis of a special education need. The group without ID (n = 526), was a random sample of all juvenile offenders without a formal diagnosis of ID. RESULTS: No differences were found between juvenile offenders with and without ID in the impact of risk factors on recidivism in most domains. However, in the skills domain, the relations between all risk factors and recidivism were significantly stronger in adolescents without ID than in adolescents with ID. Although not or only borderline statistically significant, these risk factors were all negatively related to recidivism in adolescents with ID, whereas these risk factors were significantly and positively related to recidivism in adolescents without ID. CONCLUSIONS: There are few differences between juvenile offenders with and without ID in the impact of risk factors for recidivism, suggesting that the same assessment methods can be used for juvenile offenders with and without ID. There were, however, differences between juvenile offenders with and without ID in the skills domain. What these differences mean for the treatment of juvenile offenders is yet to be determined. For now it is important to be aware of potential negative (side) effects on recidivism when skills training is offered to juvenile offenders with ID.

Short-term general recidivism risk of juvenile sex offenders: validation of the Washington State Juvenile Court Prescreen Assessment.

It is important to examine whether general risk-assessment instruments developed for nonsex offenders can also be applied to sex offenders, because juvenile sex offenders are much more likely to reoffend with a nonsexual offense than a sexual offense. This study examined to what extent the Washington State Juvenile Court Prescreen Assessment (WSJCPA) can be used to assess the risk for general recidivism among different types of juvenile sex offenders. The predictive validity of the WSJCPA was examined separately for the following subgroups: boys convicted for a misdemeanor sexual offense against a peer (n = 381), boys convicted for a felony sexual offense against a peer (n = 282), boys convicted for a sexual offense against a younger child (n = 521), and girls convicted for a sexual offense (n = 71) and two comparison groups of male (n = 15,155) and female (n = 5,811) juvenile nonsex offenders. The area under the receiver operating characteristic curve scores for general recidivism ranged between .64 and .73. The WSJCPA proved to be at least equally predictive of general offending among juvenile sex and nonsex offenders groups.

Measuring inappropriate responses of adolescents to problematic social situations in secure institutional and correctional youth care: a validation study of the TOPS-A.

The present study examined the construct, concurrent and divergent validity, and reliability of the "Taxonomy of Problematic Social Situations-Adolescent self-report version" (TOPS-A) in a sample of 128 adolescents placed in Dutch secure juvenile facilities. The instrument measures inappropriate responses of adolescents to problematic social situations at the living group. Confirmatory factor analysis of a four-factor model (inappropriate responses to situations of disadvantage, competition, accepting/giving help, and accepting authority) with a second-order factor (inappropriate responses to problematic social situations) showed an exact fit to the data, indicating construct validity of the TOPS-A. Evidence for concurrent validity was found in associations with aggression and living group climate. Divergent validity could not be reliably assessed. Cronbach's α reliability coefficients were satisfactory. The TOPS-A is a parsimonious instrument that can be used to assess and target inappropriate responses to problematic social situations in (delinquent) adolescents in secure institutional and correctional youth care.

Measuring treatment motivation in secure juvenile facilities.

The present study examined the validity and reliability of the Adolescent Treatment Motivation Questionnaire (ATMQ) in a sample of 264 adolescents in Dutch secure juvenile facilities. Confirmatory factor analysis of a single-factor model of "treatment motivation" showed a close fit to the data, indicating construct validity of the ATMQ. Concurrent validity was supported by significant relations between treatment motivation and living group climate. Internal consistency reliability in terms of Cronbach's alpha was good (.84). The ATMQ proved to be insensitive to the tendency to provide socially acceptable or desirable answers, which supports discriminant validity, and was unrelated to sex, age, and self-reported aggression of the adolescents. The ATMQ is a parsimonious instrument (11 items) enabling future research on treatment motivation in secure juvenile facilities.

Changes in the relative importance of dynamic risk factors for recidivism during adolescence.

This study examined which dynamic risk factors for recidivism play an important role during adolescence. The sample consisted of 13,613 American juveniles who had committed a criminal offense. The results showed that the importance of almost all dynamic risk factors, both in the social environment domain (school, family, relationships) and in the individual domain (attitude, skills, aggressiveness), decreased as juveniles grew older. Therefore, the potential effect of an intervention aimed at these factors will also decrease as juveniles grow older. The relative importance of the risk factors also changed: In early adolescence, risk factors in the family domain showed the strongest association with recidivism, whereas in late adolescence risk factors in the attitude, relationships, and school domain were more strongly related to recidivism. These results suggest that the focus of an intervention needs to be attuned to the age of the juvenile to achieve the maximum potential effect on recidivism.

Group climate and empathy in a sample of incarcerated boys.

This study examined the influence of group climate on empathy in a Dutch youth correctional facility in a sample of 59 incarcerated delinquent boys. Higher levels of empathy have been shown to be associated with less delinquent and more prosocial behaviour and may therefore be vital for successful rehabilitation and recidivism reduction. Although empathy was originally considered to be a trait, recent neurobiological research has shown that empathy has state-like properties in that levels of empathy change in response to the social environment. This study showed that differences in group climate were associated with cognitive empathy in juvenile delinquents but not with affective empathy. It is speculated that inmates' state-depressive feelings and anxiety could diminish the effects of prison group climate on affective empathy. The discussion focuses on group dynamics in youth correctional facilities. A positive prison group climate in a youth correctional facility could turn out to be a major factor contributing to effectiveness of secure institutional treatment.

The relation between intrapersonal and interpersonal staff behaviour towards clients with ID and challenging behaviour: a validation study of the Staff-Client Interactive Behaviour Inventory.

BACKGROUND: Interpersonal staff behaviour is one of the instigating factors associated with challenging behaviour in clients with intellectual disabilities (ID). There are several studies focusing on the influence of intrapersonal staff characteristics - such as beliefs, attributions and emotional reactions - on staff behaviour. Little is known, however, about interpersonal staff behaviour itself. This study describes the development and validation of the Staff-Client Interactive Behaviour Inventory (SCIBI), measuring both intrapersonal and interpersonal staff behaviour in response to challenging behaviour in clients with ID. METHOD: A total of 292 staff members, employed in residential and community services, completed the SCIBI for 34 clients with ID and challenging behaviour. RESULTS: Confirmatory factor analysis of a seven-factor model - with assertive control, hostile, friendly and support-seeking interpersonal behaviour; proactive thinking; self-reflection; and critical expressed emotion as reliable factors - showed an exact fit to the data, indicating construct validity and reliability of the SCIBI. A series of multilevel regression analyses showed higher age of the client to be negatively associated with assertive control. Job experience, level of education, type and sex of staff predicted interpersonal behaviour. Also, intrapersonal staff behaviour, including critical expressed emotion, proactive thinking and self-reflection, predicted interpersonal behaviour. CONCLUSIONS: The SCIBI can be used to identify staff intrapersonal and interpersonal behaviour towards clients with ID and challenging behaviour. Results obtained with the SCIBI can provide new directions for individual client treatment plans and staff training programmes.

The validity of questionnaire self-report of psychopathology and parent-child relationship quality in juvenile delinquents with psychiatric disorders.

The present study focuses on the validity of questionnaire self-report of psychopathology and parent-child relationship quality for juvenile delinquents with severe behavioural and psychiatric disorders by comparing information derived from questionnaire self-report with information from other sources, including parent report, in-depth interviewing, behavioural observation by clinicians, and official criminal records. The sample consisted of N=33 juvenile delinquents with psychiatric disorders. The juvenile delinquents did not report increased levels of psychopathology or poor relationships with their parents, which is inconsistent with the fact that all juvenile delinquents were in day treatment for severe behavioural maladaptation and relationship problems. Moreover, parent ratings of psychopathology were consistently in the clinical range and relationship quality was evaluated as very poor by the parents (d>.80). We conclude that screening instruments for psychopathology and assessment of relationship quality relying on questionnaire self-report may not yield valid scores in this (extreme) population of juvenile delinquents.