scholarly journals Life on Parole: Examining how the Quality of Parolees' Experiences after Release from Prison Contributes to Successful Re-entry

2021 ◽  
Author(s):  
◽  
Jessie Gwynne
Keyword(s):  
High Risk ◽  
First Year ◽  
Short Term ◽  
Cumulative Impact ◽  
Personal Support ◽  
Relative Contribution ◽  
Confounding Variables ◽  
Stable Employment ◽  
Release From Prison

<p>Individuals who have spent time in prison face a multitude of challenges during the transition from prison to the community, including finding suitable accommodation, obtaining stable employment, and establishing prosocial support networks (Bucklen & Zajac, 2009; Kubrin & Stewart, 2006; Zamble & Quinsey, 1997). The cumulative impact of these challenges makes it difficult to achieve successful reintegration to the community, yet some men are able to survive the difficult re-entry process without reoffending. What differentiates men who reoffend after release from those who succeed in remaining conviction-free? The present research went some way towards answering this question by investigating how the quality of an individual’s experiences after release from prison relates to the likelihood that he will achieve successful re-entry. A comprehensive measure, named the Parole Experiences Measure (PEM), was developed to assess the type and quality of high-risk parolees’ experiences during re-entry. The PEM was then used to examine whether experiences in the first two months after release predicted both short-term recidivism (i.e., recidivism in the first two months after release) and slightly longer-term recidivism (i.e., recidivism in the first year after release). Three indices of recidivism were examined, varying in severity from breaching a parole condition to committing an offence that resulted in reimprisonment. Logistic regression analyses revealed that the PEM significantly predicted three indices of short-term recidivism, demonstrating that men who had poorer experiences on parole were more likely to fail quickly after release than those who had better experiences. Further, the PEM significantly predicted reconvictions in the first year following release, after controlling for possible confounding variables. Additional analyses explored the relative contribution of different aspects of an individual’s parole experiences to the prediction of recidivism. In general, factors related to individuals’ external circumstances (e.g., accommodation, finances, personal support) were predictive of recidivism over and above factors related to their subjective wellbeing (e.g., mental health, physical health). The findings of this research demonstrate that men who have better experiences after release from prison, particularly with regard to their external circumstances, are significantly more likely to successfully avoid recidivism within their first year in the community. To our knowledge, this study was one of the first methodologically rigorous studies to explore the relationship between the quality of re-entry experiences and recidivism in a sample of New Zealand men at high risk of reoffending.</p>

scholarly journals Life on Parole: Examining how the Quality of Parolees' Experiences after Release from Prison Contributes to Successful Re-entry

2021 ◽  
Author(s):  
◽  
Jessie Gwynne
Keyword(s):  
High Risk ◽  
First Year ◽  
Short Term ◽  
Cumulative Impact ◽  
Personal Support ◽  
Relative Contribution ◽  
Confounding Variables ◽  
Stable Employment ◽  
Release From Prison

<p>Individuals who have spent time in prison face a multitude of challenges during the transition from prison to the community, including finding suitable accommodation, obtaining stable employment, and establishing prosocial support networks (Bucklen & Zajac, 2009; Kubrin & Stewart, 2006; Zamble & Quinsey, 1997). The cumulative impact of these challenges makes it difficult to achieve successful reintegration to the community, yet some men are able to survive the difficult re-entry process without reoffending. What differentiates men who reoffend after release from those who succeed in remaining conviction-free? The present research went some way towards answering this question by investigating how the quality of an individual’s experiences after release from prison relates to the likelihood that he will achieve successful re-entry. A comprehensive measure, named the Parole Experiences Measure (PEM), was developed to assess the type and quality of high-risk parolees’ experiences during re-entry. The PEM was then used to examine whether experiences in the first two months after release predicted both short-term recidivism (i.e., recidivism in the first two months after release) and slightly longer-term recidivism (i.e., recidivism in the first year after release). Three indices of recidivism were examined, varying in severity from breaching a parole condition to committing an offence that resulted in reimprisonment. Logistic regression analyses revealed that the PEM significantly predicted three indices of short-term recidivism, demonstrating that men who had poorer experiences on parole were more likely to fail quickly after release than those who had better experiences. Further, the PEM significantly predicted reconvictions in the first year following release, after controlling for possible confounding variables. Additional analyses explored the relative contribution of different aspects of an individual’s parole experiences to the prediction of recidivism. In general, factors related to individuals’ external circumstances (e.g., accommodation, finances, personal support) were predictive of recidivism over and above factors related to their subjective wellbeing (e.g., mental health, physical health). The findings of this research demonstrate that men who have better experiences after release from prison, particularly with regard to their external circumstances, are significantly more likely to successfully avoid recidivism within their first year in the community. To our knowledge, this study was one of the first methodologically rigorous studies to explore the relationship between the quality of re-entry experiences and recidivism in a sample of New Zealand men at high risk of reoffending.</p>

Fathers' Hospital Visits to Their Preterm Infants as a Predictor of Father-Infant Relationship and Infant Development

PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 289-293
Author(s):  
Rachel Levy-Shiff ◽  
Michael A. Hoffman ◽  
Salli Mogilner ◽  
Susan Levinger ◽  
Mario B. Mogilner
Keyword(s):  
Weight Gain ◽  
Longitudinal Study ◽  
High Risk ◽  
Preterm Infants ◽  
Infant Development ◽  
Short Term ◽  
Development Data ◽  
Hospital Visits

This short-term longitudinal study assessed the degree to which the frequency of fathers' visits with their preterm infants in the hospital was associated with the quality of ongoing and long-term fathering and infant development. Data on fathering and infant development were collected during the hospital stay, at discharge, at 8 months of age, and at 18 months of age, using both questionnaires and observational schedules. The frequency of visits was significantly correlated with more extensive and positive patterns of fathering at discharge and later periods. It was also associated with more positive perceptions of the infant, as well as with weight gain during hospitalization and psychosocial aspects of later infant development during the first 18 months. The discussion emphasized possible ways in which early paternal contact in the hospital might influence fathers, mothers, and infants. The frequency of paternal visits was highlighted as a variable useful in predicting high-risk parenting.

scholarly journals “You Can Get Prepared, But It’s Still Scary Walking Out The Door”: Exploring the Role of Dynamic Re-entry Factors in Release Planning for High-Risk Offenders

2021 ◽  
Author(s):  
◽  
Chelsea M. Richards
Keyword(s):  
Risk Factors ◽  
New Zealand ◽  
High Risk ◽  
Management Tool ◽  
Short Term ◽  
Release Planning ◽  
Dynamic Risk ◽  
Indirect Relationship ◽  
The Impact

<p>The task of preparing high-risk prisoners for the multitude of challenges they will face once released is vital to their chances of successful re-entry. Recent research in New Zealand has found that developing good quality plans for life after prison is associated with reduced rates of reoffending after release – but how? One suggestion is that release plans help to ameliorate risks in offenders’ release environments. However, research examining how these risk factors are affected by the quality of release plans is scarce. This thesis investigates whether release planning has an indirect relationship with recidivism through its influence on dynamic risk and protective factors in re-entry, as measured by a risk management tool used by Community Probation Services in New Zealand: the Dynamic Risk Assessment for Offender Re-entry (DRAOR; Serin, 2007). A coding protocol to assess the quality of release plans was developed and retrospectively applied to a sample of 303 high-risk male parolees. Outcomes of interest were “short-term recidivism” (within 100 days of release) and “longer-term recidivism” (within one year of release) across four different indices. Results indicated that parolees who did not reoffend within the first 100 days of release had significantly better quality release plans than those who did reoffend. Better quality release plans also predicted greater stability in acute risk factors, and greater improvements in overall DRAOR scores, within the first 100 days of release. Logistic mediation analyses confirmed that release planning had an indirect relationship with both short-term and longer-term recidivism through its influence on DRAOR total scores. Together, these findings suggest that release planning may facilitate successful re-entry by reducing the impact of acute triggers or destabilisers in the release environment, thus protecting against a potential relapse. Theoretical and practical implications of these findings are discussed, along with limitations of the study and suggested directions for future research.</p>

scholarly journals European Stroke Organisation expedited recommendation for the use of short-term dual antiplatelet therapy early after minor stroke and high-risk TIA

2021 ◽  
pp. 239698732110008
Author(s):  
Jesse Dawson ◽  
Áine Merwick ◽  
Alastair Webb ◽  
Martin Dennis ◽  
Julia Ferrari ◽  
...  
Keyword(s):  
High Risk ◽  
Ischaemic Stroke ◽  
Antiplatelet Therapy ◽  
Dual Antiplatelet Therapy ◽  
Minor Stroke ◽  
Short Term ◽  
Strong Recommendation ◽  
Weak Recommendation ◽  
The Past

Prevention of early recurrent ischaemic stroke remains a priority in people with TIA or ischaemic stroke. A number of trials have recently been completed assessing the efficacy of short-term dual antiplatelet therapy (DAPT) versus single antiplatelet therapy early after minor or moderate stroke or high-risk TIA. We present an Expedited Recommendation for use of dual antiplatelet therapy early after ischaemic stroke and TIA on behalf of the ESO Guideline Board. We make a strong recommendation based on high quality of evidence for use of 21-days of dual antiplatelet therapy with aspirin and clopidogrel in people with a non-cardioembolic minor ischaemic stroke or high-risk TIA in the past 24 hours. We make a weak recommendation based on moderate quality evidence for 30-days of dual antiplatelet therapy with aspirin and ticagrelor in people with non-cardioembolic mild to moderate ischaemic stroke or high-risk TIA in the past 24 hours.

scholarly journals PRODIG (Prevention of new onset diabetes after transplantation by a short term treatment of Vildagliptin in the early renal post-transplant period) study: study protocol for a randomized controlled study

2019 ◽  
Author(s):  
Emilie Gaiffe ◽  
Thomas Crepin ◽  
Jamal Bamoulid ◽  
Cécile Courivaud ◽  
Matthias Büchler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Transplantation ◽  
High Risk ◽  
Term Treatment ◽  
Short Term ◽  
Short Term Treatment ◽  
Post Transplant ◽  
Transplant Patients ◽  
New Onset

Abstract Background: Post-transplant diabetes is a frequent and serious complication of kidney transplantation. There is currently no treatment to prevent or delay the disease. Nevertheless, identification of risk factors make possible to target a population at risk to develop de novo diabetes. We hypothesized that a short term treatment with Vildagliptin may prevent new onset diabetes after transplantation (NODAT) in high-risk patients. Method/design: This is a multicenter double-blind placebo-controlled randomized clinical trial. Patients undergoing first kidney transplantation will be included in 10 French transplant center. Included patients will be randomized (1:1) to receive either vildagliptin 100 or 50 mg/day (depending on glomerular filtration rate) during 2 months (the first dose being administered before entering the operating theatres) or placebo. Additional antidiabetic therapy could be administered according to glycemic control. The primary outcome is the proportion of diabetic patients 1 year after transplantation, defined as patients receiving a diabetic treatment, or having a fasting glucose above 7 mmol/l, or/and with an abnormal oral glucose tolerance test. Secondary outcomes include the glycated hemoglobin, the occurrence of acute rejection, infection, graft loss and patient death at 3 months, 6 months and 12 months after transplantation. Outcomes will be correlated to clinical and general characteristics of the patient, cardiovascular history, nephropathy, dialysis history, transplantation data, biological data, the health-related quality of life and the cost-effectiveness of prevention of diabetes with vildagliptin. Discussion: There are only few data concerning pharmacological prevention of post-transplant diabetes. If our hypothesis is verified, our results will have a direct application in clinical practice and could limit diabetes-associated morbidity, reduce cardiovascular complications, increase quality of life of renal transplant patients, and consequently promote graft and patient survival. Our results may possibly serve for non-transplant patients carrying a high-risk of diabetes associated with other co-morbidities. Trial registration: ClinicalTrials.gov, NCT02849899 Registered on 8 February 2016.

P5546The benefit of one week immersion in lifestyle-based program for sustainable improvements in cardiovascular risk factors over time

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C Schwartz ◽  
J George ◽  
S Stoll ◽  
A Jain ◽  
D Desai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
High Risk ◽  
Nutrition Education ◽  
Mediterranean Diet ◽  
Functional Capacity ◽  
Average Weight ◽  
Short Term ◽  
Dietary Compliance

Abstract Background Hypertension (HTN), hyperlipidemia (HLD) and obesity are traditional risk factors for cardiovascular disease (CVD). Lifestyle measures for prevention of CVD include exercise, dietary changes such as reducing saturated fats, increasing fruits and vegetables, and limiting sugar intake but most people are not successful at making meaningful changes without support. Purpose To demonstrate the feasibility of a short-term lifestyle-based immersion in improving anthropomorphic measurements, blood pressure (BP) and lipids after one week, and its ability to create sustainable change in a high risk cohort. Methods This was a one-week lifestyle immersion for employees of their company and a significant other who were considered high risk for CVD. Eighty participants went through a one-week, in-house, lifestyle-based program that included daily nutrition education, 100% plant-based food that was sugar, salt and oil free, exercise classes and stress management. Anthropomorphic measurements, BP and lipids were checked at onset and on day 6. Dietary survey (validated 14-point Mediterranean diet survey), functional capacity survey (DASI survey) and quality of life (QOL) survey (SF-36) were administered at day 0 and 3-months post immersion. Results Of the 80 participants, 64% were female, mean age was 47 years (range 21–71), mean weight was 194.95 lbs. and average BMI was 30.47 kg/m2. Risk factors for CVD were prevalent as 71.25% of the participants had HTN, 27.5% had HbA1c >6%, and there were 35% former and 7.5% active smokers. After one-week lifestyle immersion, average BMI improved by 0.50±0.38 kg/m2 (p<0.001), average weight improved by 3.28±2.62 lbs. (p<0.001) and average waist size improved with a loss of 0.73±1.20 inches (p<0.001). Average systolic BP (SBP) decreased by 6.67±15.17 mmHg (p<0.001) and diastolic BP (DBP) by 5.00±9.82 mmHg (p<0.001). Average total cholesterol improved by 20.40±15.44 mg/dL (p<0.001), triglycerides by 31.78±44.06 mg/dL (p<0.001), HDL by 3.13±5.83 mg/dL (p<0.001) and LDL by 11.71±15.92 mg/dL (p<0.001). In participants who had HTN at the start of the study, average SBP dropped by 10.91±14.30 mmHg (p<0.001) and average DBP by 8.02±8.84 mmHg (p<0.001). DASI and Mediterranean diet surveys were completed by 66% at day 0 and three months. Over the 3 months, there was a significant improvement in both functional capacity (7.03±11.17 points, p<0.001) and average diet score (1.38±2.40 points, p<0.001). The QOL survey was completed by 56% participants with an improvement in quality of life score of 22.02±17.68 points (p<0.001). Conclusion Short term intensive lifestyle interventions can lead to immediate and significant improvements in BP, weight and lipid profiles and importantly can have longer lasting effects on exercise capacity, dietary compliance and QOL. Further research to assess benefits of immersion programs with access to larger populations and for longer durations is warranted. Acknowledgement/Funding Whole Foods, Inc via Total Health Immersions, LLC

scholarly journals European Stroke Organisation expedited recommendation for the use of short-term dual antiplatelet therapy early after minor stroke and high-risk TIA

2021 ◽  
Vol 6 (2) ◽  
pp. VI-VI
Author(s):  
Jesse Dawson ◽  
Áine Merwick ◽  
Alastair Webb ◽  
Martin Dennis ◽  
Julia Ferrari ◽  
...  
Keyword(s):  
High Risk ◽  
Ischaemic Stroke ◽  
Antiplatelet Therapy ◽  
Dual Antiplatelet Therapy ◽  
Minor Stroke ◽  
Short Term ◽  
Strong Recommendation ◽  
Weak Recommendation ◽  
The Past

Prevention of early recurrent ischaemic stroke remains a priority in people with TIA or ischaemic stroke. A number of trials have recently been completed assessing the efficacy of short-term dual antiplatelet therapy (DAPT) versus single antiplatelet therapy early after minor or moderate stroke or high-risk TIA. We present an Expedited Recommendation for use of dual antiplatelet therapy early after ischaemic stroke and TIA on behalf of the ESO Guideline Board. We make a strong recommendation based on high quality of evidence for use of 21-days of dual antiplatelet therapy with aspirin and clopidogrel in people with a non-cardioembolic minor ischaemic stroke or high-risk TIA in the past 24 hours. We make a weak recommendation based on moderate quality evidence for 30-days of dual antiplatelet therapy with aspirin and ticagrelor in people with non-cardioembolic mild to moderate ischaemic stroke or high-risk TIA in the past 24 hours.

scholarly journals “You Can Get Prepared, But It’s Still Scary Walking Out The Door”: Exploring the Role of Dynamic Re-entry Factors in Release Planning for High-Risk Offenders

2021 ◽  
Author(s):  
◽  
Chelsea M. Richards
Keyword(s):  
Risk Factors ◽  
New Zealand ◽  
High Risk ◽  
Management Tool ◽  
Short Term ◽  
Release Planning ◽  
Dynamic Risk ◽  
Indirect Relationship ◽  
The Impact

<p>The task of preparing high-risk prisoners for the multitude of challenges they will face once released is vital to their chances of successful re-entry. Recent research in New Zealand has found that developing good quality plans for life after prison is associated with reduced rates of reoffending after release – but how? One suggestion is that release plans help to ameliorate risks in offenders’ release environments. However, research examining how these risk factors are affected by the quality of release plans is scarce. This thesis investigates whether release planning has an indirect relationship with recidivism through its influence on dynamic risk and protective factors in re-entry, as measured by a risk management tool used by Community Probation Services in New Zealand: the Dynamic Risk Assessment for Offender Re-entry (DRAOR; Serin, 2007). A coding protocol to assess the quality of release plans was developed and retrospectively applied to a sample of 303 high-risk male parolees. Outcomes of interest were “short-term recidivism” (within 100 days of release) and “longer-term recidivism” (within one year of release) across four different indices. Results indicated that parolees who did not reoffend within the first 100 days of release had significantly better quality release plans than those who did reoffend. Better quality release plans also predicted greater stability in acute risk factors, and greater improvements in overall DRAOR scores, within the first 100 days of release. Logistic mediation analyses confirmed that release planning had an indirect relationship with both short-term and longer-term recidivism through its influence on DRAOR total scores. Together, these findings suggest that release planning may facilitate successful re-entry by reducing the impact of acute triggers or destabilisers in the release environment, thus protecting against a potential relapse. Theoretical and practical implications of these findings are discussed, along with limitations of the study and suggested directions for future research.</p>

Laser palatoplasty: evaluation of patient benefit using Glasgow benefit inventory

2000 ◽  
Vol 114 (8) ◽  
pp. 601-604 ◽  
Author(s):  
A. Banerjee ◽  
J. H. Dempster
Keyword(s):  
Operative Time ◽  
Postal Questionnaire ◽  
First Year ◽  
Patient Benefit ◽  
Short Term ◽  
Glasgow Benefit Inventory ◽  
Number Of Patients ◽  
Postoperative Time

Short-term results of laser palatoplasty have been encouraging. This study was undertaken to evaluate if there is a deterioration of benefit with time as seen in uvulopalatopharyngoplasty (UPPP). The Glasgow benefit inventory (GBI) was applied retrospectively by means of a postal questionnaire to measure the quality of benefit and to evaluate any deterioration in benefit with increasing post-operative time. Our results show that laser palatoplasty benefited 53 per cent of patients. With increasing postoperative time there was a decrease in the percentage of patients who felt the operation had made no difference, with a corresponding increase in the percentage of patients who felt worse. Although the number of patients who benefited remained fairly constant, there was deterioration in the quality of benefit in the first year, after which the benefit remained stable. This has implications in the pre-operative counselling of patients.

Hearing Loss Diagnosis and Early Hearing-Related Interventions in Infants With or at High Risk for Cerebral Palsy: A Systematic Review

2021 ◽  
pp. 088307382110045
Author(s):  
Céline Richard ◽  
Caitlin Kjeldsen ◽  
Ursula Findlen ◽  
Alison Gehred ◽  
Nathalie L. Maitre
Keyword(s):  
Cerebral Palsy ◽  
High Risk ◽  
Auditory Pathway ◽  
First Year ◽  
Inclusion Criteria ◽  
Motor Impairments ◽  
Published Evidence ◽  
Mesh Terms ◽  
Hearing Assessment

Aim: To synthesize published evidence regarding hearing impairment diagnosis and interventions in infants with or at high risk for cerebral palsy in the first year after birth. Method: Nine databases were searched for MeSH terms up to February 2020. Included studies were published in English, enrolled infants with or at high risk for cerebral palsy, and addressed hearing evaluation/rehabilitation within the first year after birth. Quality of evidence was evaluated using RTI Item Bank and QUADAS-2. Results: Eighteen articles met inclusion criteria. Quality of the evidence ranged from low to high, revealing variability in diagnostic assessment methodologies and adherence to diagnostic schedules. Concerns for bias included lack of recognition of cerebral palsy effects and etiologies on functional hearing assessment methods and results. Two interventions (hearing aid and cochlear implantation) were identified; however, reported use was inconsistent. Interpretation: Hearing screening in infants with or at high risk for cerebral palsy requires evaluation of the entire auditory pathway preferentially using comprehensive electrophysiological panels of assessments. For infants with perinatal neural insults, pediatric neurologists are uniquely positioned to recommend adherence to systematic surveillance and comprehensive audiology assessments, regardless of comorbidities and motor impairments.

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