“Yes, I can hear you now …” Online working with probationers in the Netherlands: New opportunities for the working alliance

2021 ◽  
pp. 026455052110508
Author(s):  
Annelies Sturm ◽  
Sylvana Robbers ◽  
Renée Henskens ◽  
Vivienne de Vogel

Since the start of the COVID-19 pandemic, online supervision has increased markedly, including within the Dutch probation services. In the present research, we systematically collected and analysed both clients and probation officers’ experiences of working online in the prior year. Although the clients were generally positive about remote supervision, some expressed that they missed the personal contact. According to most of the probation officers, remote working is flexible (efficient, saves time, travel costs), appropriate for certain phases of the probation process (especially at a later stage when a working alliance has been established) and particularly suitable for probationers with mild problems and low risk profiles. The general experience was that conversations are both more pragmatic and business-like, which, in turn, can produce both strengths and limitations. Once a foundation has been established, it appears to be possible to continue working remotely with clients, albeit the probation officers stressed that this depended on the type of client, type of offence and risk level.

2020 ◽  
Vol 45 (4) ◽  
pp. 463-473
Author(s):  
Christina M Sharkey ◽  
Sasja A Schepers ◽  
Sarah Drake ◽  
Ahna L H Pai ◽  
Larry L Mullins ◽  
...  

Abstract Objective Little is known about relations between domains of psychosocial risk among pediatric cancer populations. The Psychosocial Assessment Tool 2.0 (PAT2.0) is one internationally validated screening measure that can examine these relations. This study aimed to examine risk profiles and predictors of these patterns exhibited by American and Dutch families. Methods Caregivers of children newly diagnosed with cancer (N = 262; nUSA=145, nNL=117) completed the PAT2.0 as part of larger studies conducted in the United States and the Netherlands. Latent profile analysis and multinomial logistic regression examined differences in demographic and medical variables across risk profiles. Domains assessed included Family Structure/Resources, Child Problems, Sibling Problems, Family Problems, Caregiver Stress Reactions, and Family Beliefs. Results Four groups were identified: “Low-Risk” (n = 162) defined by generally low risk across domains; “Moderate-Caregiver” (n = 55) defined by elevated Caregiver Stress Reactions domain; “Moderate-Children” (n = 25) defined by elevated Child Problems and/or Sibling Problems, and “Elevated-Risk” (n = 20) marked by generally high overall risk. Dutch families had higher odds of being in the Elevated-Risk group, compared to the Low-Risk group. Caregiver age, gender, and educational attainment predicted group membership. Families classified as Targeted or Clinical had higher odds of being in the Moderate or Elevated risk groups. Conclusion The PAT2.0 appears to identify largely similar patterns of risk, suggesting that families experience common psychosocial difficulties in both American and Dutch societies. The two Moderate groups demonstrated specific risk sources, suggesting that evaluation of domain patterns, rather than reliance on PAT2.0 risk level, could be of clinical benefit.


2018 ◽  
Vol 45 (12) ◽  
pp. 1809-1831 ◽  
Author(s):  
Jill Viglione ◽  
Faye S. Taxman

Community supervision agencies commonly use resource allocation models to identify the amount of monitoring and treatment to provide individuals under supervision. The risk-needs-responsivity model guides these decisions, suggesting the level of supervision should align with one’s risk level, with fewer services provided to those at a lower risk of recidivism. However, probation officers often operate under a risk management model with perceptions of risk guiding decisions. Using qualitative data, the current study examined the implementation of a telephone monitoring system for low risk offenders. This research explored (a) probation staff perceptions of telephone monitoring, (b) probation staff adaptations of telephone monitoring, and (c) individual and external influences related to telephone supervision use. Findings suggest officer perceptions of risk and liability affect use of telephone supervision for low risk probationers. Results highlight challenges associated with implementing the risk principle given tendencies to oversupervise as a means to protect public safety.


PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0180846 ◽  
Author(s):  
Ank de Jonge ◽  
Lilian Peters ◽  
Caroline C. Geerts ◽  
Jos J. M. van Roosmalen ◽  
Jos W. R. Twisk ◽  
...  

1998 ◽  
Vol 46 (11) ◽  
pp. 1505-1511 ◽  
Author(s):  
T.A. Wiegers ◽  
J. van der Zee ◽  
J.J. Kerssens ◽  
M.J.N.C. Keirse

2021 ◽  
Author(s):  
Alberto Gerri ◽  
Ahmed Shokry ◽  
Enrico Zio ◽  
Marco Montini

Abstract Hydrates formation in subsea pipelines is one of the main reliability concerns for flow assurance engineers. A fast and reliable assessment of the Cool-Down Time (CDT), the period between a shut-down event and possible hydrates formation in the asset, is of key importance for the safety of operations. Existing methods for the CDT prediction are highly dependent on the use of very complex physics-based models that demand large computational time, which hinders their usage in an online environment. Therefore, this work presents a novel methodology for the development of surrogate models that predict, in a fast and accurate way, the CDT in subsea pipelines after unplanned shutdowns. The proposed methodology is, innovatively, tailored on the basis of reliability perspective, by treating the CDT as a risk index, where a critic CDT threshold (i.e. the minimum time needed by the operator to preserve the line from hydrates formation) is considered to distinguish the simulation outputs into high-risk and low-risk domains. The methodology relies on the development of a hybrid Machine Learning (ML) based model using datasets generated through complex physics-based model’ simulations. The hybrid ML-based model consists of a Support Vector Machine (SVM) classifier that assigns a risk level (high or low) to the measured operating condition of the asset, and two Artificial Neural Networks (ANNs) for predicting the CDT at the high-risk (low CDT) or the low-risk (high CDT) operating conditions previously assigned by the classifier. The effectiveness of the proposed methodology is validated by its application to a case study involving a pipeline in an offshore western African asset, modelled by a transient physics-based commercial software. The results show outperformance of the capabilities of the proposed hybrid ML-based model (i.e., SVM + 2 ANNs) compared to the classical approach (i.e. modelling the entire system with one global ANN) in terms of enhancing the prediction of the CDT during the high-risk conditions of the asset. This behaviour is confirmed applying the novel methodology to training datasets of different size. In fact, the high-risk Normalized Root Mean Square Error (NRMSE) is reduced on average of 15% compared to the NRMSE of a global ANN model. Moreover, it’s shown that high-risk CDT are better predicted by the hybrid model even if the critic CDT, which divides the simulation outputs in high-risk and low-risk values (i.e. the minimum time needed by the operator to preserve the line from hydrates formation), changes. The enhancement, in this case, is on average of 14.6%. Eventually, results show how the novel methodology cuts down by more than one hundred seventy-eight times the computational times for online CDT predictions compared to the physics-based model.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040151
Author(s):  
Christine Baumgartner ◽  
Frederikus A Klok ◽  
Marc Carrier ◽  
Andreas Limacher ◽  
Jeanne Moor ◽  
...  

IntroductionThe clinical significance of subsegmental pulmonary embolism (SSPE) is currently unclear. Although growing evidence from observational studies suggests that withholding anticoagulant treatment may be a safe option in selected patients with isolated SSPE, most patients with this condition receive anticoagulant treatment, which is associated with a 90-day risk of recurrent venous thromboembolism (VTE) of 0.8% and major bleeding of up to 5%. Given the ongoing controversy concerning the risk-benefit ratio of anticoagulation for isolated SSPE and the lack of evidence from randomised-controlled studies, the aim of this clinical trial is to evaluate the efficacy and safety of clinical surveillance without anticoagulation in low-risk patients with isolated SSPE.Methods and analysisSAFE-SSPE (Surveillance vs. Anticoagulation For low-risk patiEnts with isolated SubSegmental Pulmonary Embolism, a multicentre randomised placebo-controlled non-inferiority trial) is an international, multicentre, placebo-controlled, double-blind, parallel-group non-inferiority trial conducted in Switzerland, the Netherlands and Canada. Low-risk patients with isolated SSPE are randomised to receive clinical surveillance with either placebo (no anticoagulation) or anticoagulant treatment with rivaroxaban. All patients undergo bilateral whole-leg compression ultrasonography to exclude concomitant deep vein thrombosis before enrolment. Patients are followed for 90 days. The primary outcome is symptomatic recurrent VTE (efficacy). The secondary outcomes include clinically significant bleeding and all-cause mortality (safety). The ancillary outcomes are health-related quality of life, functional status and medical resource utilisation.Ethics and disseminationThe local ethics committees in Switzerland have approved this protocol. Submission to the Ethical Committees in the Netherlands and Canada is underway. The results of this trial will be published in a peer-reviewed journal.Trial registration numberNCT04263038.


Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 857
Author(s):  
Laura Scelsi ◽  
Stefano Ghio ◽  
Benedetta Matrone ◽  
Letizia Mannucci ◽  
Catherine Klersy ◽  
...  

Galectin-3 is a circulating biomarker of fibrosis whose prognostic role in pulmonary arterial hypertension (PAH) has not been fully explored. We undertook a pilot study to evaluate the relationship between galectin-3 plasma levels and validated risk scores in PAH. The study included 70 PAH patients admitted to a single referral center from June 2016 to June 2018. Patients were stratified according to the REVEAL 2.0 risk score, according to the parameters suggested by the European Society of Cardiology and European Respiratory Society (ESC/ERS) Guidelines, and according to a focused echocardiographic assessment of right heart performance. The association between galectin-3 levels and risk profiles was evaluated by generalized linear regression model with adjustment for etiology. Galectin-3 plasma levels increased linearly in the three risk strata based on the REVEAL 2.0 score (from 16.0 ± 5.7 in low-risk to 22.4 ± 6.3 in intermediate-risk and in 26.9 ± 7.7 ng/mL in high-risk patients (p for trend < 0.001). Galectin-3 levels were significantly lower in low-risk patients defined according to the prognostic parameters of ESC/ERS Guidelines (delta between low-risk and intermediate/high-risk = −9.3, 95% CI −12.8 to −5.8, p < 0.001, p < 0.001). Additionally, galectin-3 levels were lower in the low-risk profile defined on the basis of the echocardiographic evaluation of right heart performance (delta between low-risk and intermediate-/high-risk = −6.3, 95% CI −9.9 to −2.7, p = 0.001). Galectin-3 plasma levels are directly associated with several risk profiles in PAH patients. The prognostic role of this biomarker in PAH is worthwhile to be explored in larger prospective studies.


2018 ◽  
Vol 45 (8) ◽  
pp. 1136-1153 ◽  
Author(s):  
Rebecca J. Nelson ◽  
Gina M. Vincent

One emphasis of juvenile justice reform has been implementation of risk assessment instruments to improve case planning. This study examined the ability of juvenile probation departments to apply the risk-needs-responsivity (RNR) framework into case planning following a comprehensive implementation protocol. Data were collected on 385 adolescent offenders across three probation departments following implementation of the Structured Assessment of Violence Risk for Youth (SAVRY) and an RNR-related case planning policy. As expected, as risk levels of youth increased, probation departments assigned more services and addressed more criminogenic need areas in their case plans. Most case plans (86%) adhered to the policy to limit the number of needs addressed at one time. The quality of service-to-need matching varied by criminogenic need area, risk level, and site. Implications to juvenile courts’ and probation officers’ case planning and the challenges of research on service-to-need matching are discussed.


Sign in / Sign up

Export Citation Format

Share Document