scholarly journals Predictive Properties of a General Risk-Need Measure in Diverse Justice Involved Youth: A Prospective Field Validity Study

2021 ◽  
pp. 009385482110046
Author(s):  
Jessica Prince ◽  
Kristine Lovatt ◽  
Keira C. Stockdale ◽  
Mark E. Olver

The current investigation was a prospective field validity study examining the discrimination and calibration properties of a general risk-need tool (Level of Service Inventory–Saskatchewan Youth Edition [LSI-Sk]) in a diverse sample of 284 court adjudicated youths, rated by their youth workers on the measure and followed up an average of 9.3 years. The overall risk level and need total demonstrated moderate predictive accuracy for general, violent, and nonviolent recidivism in the aggregate sample, although area under the curve (AUC) magnitudes fluctuated among gender and Indigenous ethnocultural subgroups. Variability in AUC values for the measure’s eight criminogenic need domains further reflected greater salience of certain needs among subgroups. Finally, clinician rated level of gang involvement incrementally predicted recidivism to varying degrees after controlling for overall risk and need. Implications for responsible use of risk assessment tools as part of individualized and gender/ethnoculturally responsive risk assessment practices with youth are discussed.

Author(s):  
Grant Duwe

As the use of risk assessments for correctional populations has grown, so has concern that these instruments exacerbate existing racial and ethnic disparities. While much of the attention arising from this concern has focused on how algorithms are designed, relatively little consideration has been given to how risk assessments are used. To this end, the present study tests whether application of the risk principle would help preserve predictive accuracy while, at the same time, mitigate disparities. Using a sample of 9,529 inmates released from Minnesota prisons who had been assessed multiple times during their confinement on a fully-automated risk assessment, this study relies on both actual and simulated data to examine the impact of program assignment decisions on changes in risk level from intake to release. The findings showed that while the risk principle was used in practice to some extent, the simulated results showed that greater adherence to the risk principle would increase reductions in risk levels and minimize the disparities observed at intake. The simulated data further revealed the most favorable outcomes would be achieved by not only applying the risk principle, but also by expanding program capacity for the higher-risk inmates in order to adequately reduce their risk.


Author(s):  
Dahlnym Yoon ◽  
Daniel Turner ◽  
Verena Klein ◽  
Martin Rettenberger ◽  
Reinhard Eher ◽  
...  

The present study aims at validating the German version of the Structured Assessment of PROtective Factors (SAPROF) for violence risk in a representative sample of incarcerated adult male sexual offenders. Sexual offenders ( n = 450) were rated retrospectively with the SAPROF using the database of the Federal Evaluation Centre for Violent and Sexual Offenders (FECVSO) in the Austrian Prison System. Interrater reliability and predictive validity of the SAPROF scores concerning desistance from recidivism were calculated. Concurrent and incremental validity were tested using the combination of the SAPROF and the Sexual Violence Risk–20 (SVR-20). Interrater reliability was moderate to excellent, and predictive accuracy for various types of recidivism was rather small to moderate. There was a clear negative relationship between the SAPROF and the SVR-20 risk factors. Whereas the SAPROF revealed itself as a significant predictor for various recidivism categories, it did not add any predictive value beyond the SVR-20. Although the SAPROF itself can predict desistance from recidivism, it seems to contribute to the risk assessment in convicted sexual offenders only to a limited extent, once customary risk assessment tools have been applied. Implications for clinical use and further studies are discussed.


Biologicals ◽  
2016 ◽  
Vol 44 (5) ◽  
pp. 341-351 ◽  
Author(s):  
Brian Kelley ◽  
Mary Cromwell ◽  
Joe Jerkins

2014 ◽  
Vol 10 (5) ◽  
pp. 353 ◽  
Author(s):  
Ted Jones, PhD ◽  
Samantha Lookatch, MA ◽  
Patricia Grant, MS, ANP-C ◽  
Janice McIntyre, MS, ANP-C ◽  
Todd Moore, PhD

Opioids remain a common method of treating chronic pain conditions despite some controversy. In an effort to address some of the risks of opioid medications, opioid risk assessment has become a standard of care when opioids are used to treat a chronic pain condition. Research to date has found that clinical interviews may be superior to currently available patient-completed written questionnaires in identifying patients likely to engage in medication aberrant behavior. The Brief Risk Interview (BRI) has been developed as a risk assessment tool that has the sensitivity of a clinical interview while eliminating the need for the lengthy process of an interview. The current study compared the predictive ability of the BRI with two commonly used patient-completed risk assessment tools: the Opioid Risk Tool (ORT) and the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). After clinical staff at a pain practice underwent a 1-hour training program, 124 consecutive new patients were evaluated using the BRI, ORT, and SOAPP-R. Follow-up data found that the BRI was a good predictor of medication aberrant behavior and offered better sensitivity and better overall predictive accuracy than the ORT or the SOAPP-R. Overall, it appears that the BRI is a valid risk assessment tool that, after a brief training session, can be used effectively by pain clinicians. Further study is needed in other practice settings and with larger sample sizes.


Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 960
Author(s):  
Spyridon Kanellakis ◽  
Christina Mavrogianni ◽  
Kalliopi Karatzi ◽  
Jaana Lindstrom ◽  
Greet Cardon ◽  
...  

Early identification of type 2 diabetes mellitus (T2DM) and hypertension (HTN) risk may improve prevention and promote public health. Implementation of self-reported scores for risk assessment provides an alternative cost-effective tool. The study aimed to develop and validate two easy-to-apply screening tools identifying high-risk individuals for insulin resistance (IR) and HTN in a European cohort. Sociodemographic, lifestyle, anthropometric and clinical data obtained from 1581 and 1350 adults (baseline data from the Feel4Diabetes-study) were used for the European IR and the European HTN risk assessment index respectively. Body mass index, waist circumference, sex, age, breakfast consumption, alcohol, legumes and sugary drinks intake, physical activity and sedentary behavior were significantly correlated with Homeostatic Model Assessment of IR (HOMA-IR) and/or HTN and incorporated in the two models. For the IR index, the Area Under the Curve (AUC), sensitivity and specificity for identifying individuals above the 75th and 95th of HOMA-IR percentiles were 0.768 (95%CI: 0.721–0.815), 0.720 and 0.691 and 0.828 (95%CI: 0.766–0.890), 0.696 and 0.778 respectively. For the HTN index, the AUC, sensitivity and specificity were 0.778 (95%CI: 0.680–0.876), 0.667 and 0.797. The developed risk assessment tools are easy-to-apply, valid, and low-cost, identifying European adults at high risk for developing T2DM or having HTN.


Author(s):  
Hazel Kemshall

Risk is a pervasive feature of contemporary life, and has become a key feature of penal policy, systems of punishment, and criminal justice services across a number of the Anglophone jurisdictions. Risk as an approach to calculating the probability of “danger” or “hazard” has its roots in the mercantile trade of the 16th century, growing in significance over the intervening centuries until it pervades both the social and economic spheres of everyday life. Actuarialism, that is the method of statistically calculating and aggregating risk data, has similar roots, steeped in the probability calculations of the insurance industry with 20th-century extension into the arenas of social welfare and penality. Within criminal justice one of the first risk assessment tools was the parole predictor designed by Burgess in 1928. Since then we have seen a burgeoning of risk assessment tools and actuarial risk practices across the penal realm, although the extent to which penality is totally risk based is disputed. Claims for a New Penology centered on risk have been much debated, and empirical evidence would tend toward more cautious claims for such a significant paradigm shift. Prevention and responsibilization are often seen as core themes within risk-focused penality. Risk assessment is used not only to assess and predict future offending of current criminals, but also to enable early identification of future criminals, “high crime” areas, and those in need of early interventions. The ethics, accuracy, and moral justification for such preventive strategies have been extensively debated, with concerns expressed about negative and discriminatory profiling; net-widening; over targeting of minority groups especially for selective incarceration; and more recently criticisms of risk-based pre-emption or “pre-crime” targeting, particularly of ethnic minorities. Responsibilization refers to the techniques of actuarial practices used to make persons responsible for their own risk management, and for their own risk decisions throughout the life course. In respect of offenders this is best expressed through corrective programs focused on “right thinking” and re-moralizing offenders toward more desirable social ends. Those offenders who are “ripe for re-moralization” and who present a level of risk that can be managed within the community can avoid custody or extended sentencing. Those who are not, and who present the highest levels of risk, are justifiably selected for risk-based custodial sentences. Such decision-making not only requires high levels of predictive accuracy, but is also fraught with severe ethical challenges and moral choices, not least about the desired balance between risks, rights, and freedoms.


2019 ◽  
Vol 48 (4) ◽  
pp. 030006051989317
Author(s):  
Xindan Wang ◽  
Jing Huang ◽  
Zhao Bingbing ◽  
Shape Li ◽  
Li Li

Objective This study aimed to investigate a suitable risk assessment model to predict deep vein thrombosis (DVT) in patients with gynecological cancer. Methods Data from 212 patients with gynecological cancer in the Affiliated Tumor Hospital of Guangxi Medical University were retrospectively analyzed. Patients were risk-stratified with three different risk assessment models individually, including the Caprini model, Wells DVT model, and Khorana model. Results The difference in risk level evaluated by the Caprini model was not different between the DVT and control groups. However, the DVT group had a significantly higher risk level than the control group with the Wells DVT or Khorana model. The Wells DVT model was more effective for stratifying patients in the DVT group into the higher risk level and for stratifying those in the control group into the lower risk level. Receiver operating curve analysis showed that the area under the curve of the Wells DVT, Khorana, and Caprini models was 0.995 ± 0.002, 0.642 ± 0.038, and 0.567 ± 0.039, respectively. Conclusion The Wells DVT model is the most suitable risk assessment model for predicting DVT. Clinicians could also combine the Caprini and Wells DVT models to effectively identify high-risk patients and eliminate patients without DVT.


Nutrients ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 911 ◽  
Author(s):  
Dae Jeong ◽  
Sang-Bum Hong ◽  
Chae-Man Lim ◽  
Younsuck Koh ◽  
Jarim Seo ◽  
...  

The NUTRIC (Nutrition Risk in the Critically Ill) and modified NUTRIC scores are nutrition risk assessment tools specifically for intensive care unit (ICU) patients. A modified NUTRIC score is composed of all variables except for IL-6 level in the NUTRIC score. Their use in qualifying critically ill patients at nutritional risk has been extensively evaluated, although not in studies of patients with sepsis, when interleukin 6 levels, which are not included in the modified NUTRIC score, may be elevated. The present study was a retrospective comparison of the accuracy of the NUTRIC and modified NUTRIC scores in predicting 28-day mortality of 482 adult patients with sepsis who were admitted to the medical ICU of a tertiary referral hospital in South Korea between January 2011 and June 2017 and who had ICU stays longer than 24 h. The NUTRIC and modified NUTRIC scores were calculated using data from the patients’ electronic medical records relating to the first 24 h of admission to the ICU. The area under the curve of the NUTRIC Score for predicting 28-day mortality was 0.762 (95% confidence interval (CI): 0.718–0.806) and of the modified NUTRIC Score 0.757 (95% CI: 0.713–0.801). There was no significant difference between the two scores (p = 0.45). The modified NUTRIC score was a good nutritional risk assessment tool for critically ill septic patients.


2018 ◽  
Vol 29 (7) ◽  
pp. 766-774 ◽  
Author(s):  
Guy Enosh ◽  
Hani Nouman ◽  
Chana Schneck

Social workers are called upon as expert witnesses to assess risk to children and recommend interventions. It is hypothesized that risk assessments and decisions are influenced by the risk-to-child as well as personal attitudes and biases. We examined the role of the ethnic origin, religiosity, and child gender on assessments and recommendation. Methods: The current study used a survey-based balanced crossover experimental design. One hundred and twenty Israeli social workers responded to case descriptions of ambiguous risk cases of children from low socioeconomic status families. Design was based on eight vignettes. Manipulated factors included child’s gender, family religiosity, and ethnic origin. Participants assessed the child risk level and reported placement recommendation. Results: Male, ultraorthodox-Jewish child of Mizrahi origin had higher likelihood for risk assessment. Risk assessment predicted placement recommendation. Implications: Social workers tend to perceive child’s male gender, ultrareligiosity, and Mizrahi origin as risk factors. Such cultural biases indirectly affected the placement recommendation. Awareness of social workers regarding these potential biases may reduce the influence of heuristics on the professional decision-making process.


Author(s):  
Robert E. Worden ◽  
Christopher Harris ◽  
Sarah J. McLean

Purpose – The purpose of this paper is to critique contemporary tools for assessing and managing the risk of police misconduct and suggest directions for their improvement. Design/methodology/approach – The paper draws on extant literature, synthesizing several lines of inquiry to summarize what the authors know about patterns of police misconduct, and what the authors know about assessing and managing police misconduct. Then the paper draws from the literature on offender risk assessment in criminal justice to draw lessons for assessing and managing the risk of police misconduct. Findings – The authors found that there is good reason to believe that the tools used to assess the risk of misconduct make suboptimal predictions about officer performance because they rely on limited information of dubious value, but also that the predictive models on which the tools are based could be improved by better emulating procedures for assessing offenders’ risk of recidivism. Research limitations/implications – Future research should examine cross-sectional and longitudinal patterns of misconduct and associations between risk-related outputs and enforcement activity, develop better measures of criterion variables, and evaluate the predictive accuracy of risk assessment tools. Practical implications – Police managers should make better use of the information available to them, improve the quantity and quality of information if feasible, and cooperate in the necessary research. Originality/value – This paper offers a new synthesis of extant research to demonstrate the limitations of contemporary provisions for assessing the risk of police misconduct, and potential avenues for useful research and improved practice.


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