scholarly journals A Perspective on the Integration of eHealth in Treatment of Offenders: Combining Technology and the Risk-Need-Responsivity Model

2021 ◽  
Vol 12 ◽  
Author(s):  
Hanneke Kip ◽  
Yvonne H. A. Bouman
Keyword(s):  
Risk Factors ◽  
Forensic Psychiatry ◽  
Evaluation Research ◽  
Dynamic Risk Factors ◽  
Improve Treatment ◽  
Dynamic Risk ◽  
Risk Principle ◽  
Rnr Model ◽  
Risk Need Responsivity ◽  
Responsivity Principle

While there are multiple ways in which eHealth interventions such as online modules, apps and virtual reality can improve forensic psychiatry, uptake in practice is low. To overcome this problem, better integration of eHealth in treatment is necessary. In this perspective paper, we describe how the possibilities of eHealth can be connected to the risk-need-responsivity (RNR) model. To account for the risk-principle, stand-alone eHealth interventions might be used to offer more intensive treatment to high-risk offenders. The need-principle can be addressed by connecting novel experience-based interventions such as VR and apps to stable and acute dynamic risk factors. Finally, using and combining personalized interventions is in line with the responsivity-principle. Based on research inside and outside of forensic psychiatry, we conclude that there are many possibilities for eHealth to improve treatment—not just based on RNR, but also on other models. However, there is a pressing need for more development, implementation and evaluation research.

Comparing the Central Eight Risk Factors: Do They Differ Across Age Groups of Sex Offenders?

2018 ◽  
Vol 62 (13) ◽  
pp. 4278-4294 ◽  
Author(s):  
Julia Wilpert ◽  
Joan E. van Horn ◽  
Cyril Boonmann
Keyword(s):  
Risk Factors ◽  
Sex Offenders ◽  
Behavioral Therapy ◽  
Age Groups ◽  
Recidivism Rates ◽  
Dynamic Risk Factors ◽  
Rnr Model ◽  
Risk Need Responsivity ◽  
Reducing Recidivism ◽  
General Recidivism

Following the risk-need-responsivity (RNR) model, cognitive-behavioral therapy is considered most effective in reducing recidivism when based on dynamic risk factors. As studies have found differences of these factors across age, exploring this seems beneficial. The current study investigates the Central Eight (C8) risk factors across six age groups of outpatient sex offenders ( N = 650). Results showed that recidivism rates and age were inversely related from 19 years and up. Half of the C8 did not predict general recidivism at all, substance abuse, antisocial cognition, antisocial associates, and history of antisocial behavior in only one or several age groups. However, factors differed between age groups, with the youngest group demonstrating the most dysfunction in several areas and the oldest group the least. It is concluded that the C8 risk factors seem to lose significance in the older age groups. Results may benefit targeting treatment goals.

The association of sexual preference and dynamic risk factors with undetected child pornography offending

2016 ◽  
Vol 23 (1) ◽  
pp. 3-18 ◽  
Author(s):  
L. F. Kuhle ◽  
E. Schlinzig ◽  
G. Kaiser ◽  
T. Amelung ◽  
A. Konrad ◽  
...  
Keyword(s):  
Risk Factors ◽  
Child Pornography ◽  
Sexual Preference ◽  
Dynamic Risk Factors ◽  
Dynamic Risk

Assessing change in dynamic risk factors in forensic psychiatric inpatients: relationship with psychopathy and recidivism

2017 ◽  
Vol 29 (2) ◽  
pp. 323-336 ◽  
Author(s):  
Bianca Mastromanno ◽  
Delene M. Brookstein ◽  
James R. P. Ogloff ◽  
Rachel Campbell ◽  
Chi Meng Chu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychiatric Inpatients ◽  
Dynamic Risk Factors ◽  
Dynamic Risk ◽  
Forensic Psychiatric

Examining the Dynamic Nature of Anterior Cruciate Ligament Injury Risk Factors in Women’s Collegiate Soccer

2021 ◽  
pp. 1-8
Author(s):  
Elena M. D’Argenio ◽  
Timothy G. Eckard ◽  
Barnett S. Frank ◽  
William E. Prentice ◽  
Darin A. Padua
Keyword(s):  
Risk Factors ◽  
Anterior Cruciate Ligament ◽  
Range Of Motion ◽  
Injury Risk ◽  
External Rotation ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Dynamic Risk Factors ◽  
Dynamic Risk ◽  
Anterior Cruciate

Context: Anterior cruciate ligament (ACL) injuries are a common and devastating injury in women’s soccer. Several risk factors for ACL injury have been identified, but have not yet been examined as potentially dynamic risk factors, which may change throughout a collegiate soccer season. Design: Prospective cohort study. Methods: Nine common clinical screening assessments for ACL injury risk, consisting of range of motion, movement quality, and power, were assessed in 29 Division I collegiate women’s soccer players. Preseason and midseason values were compared for significant differences. Change scores for each risk factor were also correlated with cumulative training loads during the first 10 weeks of a competitive soccer season. Results: Hip external rotation range of motion and power had statistically significant and meaningful differences at midseason compared with preseason, indicating they are dynamic risk factors. There were no significant associations between the observed risk factor changes and cumulative training load. Conclusions: Hip external rotation range of motion and power are dynamic risk factors for ACL injury in women’s collegiate soccer athletes. Serial screening of these risk factors may elucidate stronger associations with injury risk and improve prognostic accuracy of screening tools.

Using behavioural manifestations of dynamic risk factors to assess change in incarcerated sexual offenders

2021 ◽  
Vol 2 (1) ◽  
pp. 1-20
Author(s):  
Tamara Sweller ◽  
◽  
Stuart Thomas ◽  
Michael Daffern ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychological Adjustment ◽  
Sexual Offenders ◽  
Social Adjustment ◽  
Self Report ◽  
Change Over Time ◽  
Dynamic Risk Factors ◽  
Dynamic Risk ◽  
Measure Change ◽  
Over Time

This study investigated change in behavioural manifestations of dynamic risk factors, in a sample of adult male sexual offenders who completed a custody-based treatment program. A checklist was developed to monitor and determine change in the frequency of behavioural manifestations of dynamic risk factors and prosocial equivalent behaviours. Offenders and custodial staff completed the checklist once each week for the duration of the offender’s period of treatment (range = 26-69 weeks, M = 45). Checklist scores were aggregated into domains based on the organisation of the Risk for Sexual Violence Protocol (Psychological Adjustment; Social Adjustment; Mental Disorder; Manageability). Change over time for individuals and the group was evaluated. Results showed an increase in positive behaviour in all domains, but there was only a decrease in risk-related manifestations in Psychological Adjustment, and this was only according to offenders. Offender self-report and staff observations were compared, revealing different perceptions of change. Using a behavioural checklist that incorporates self-report and observer data to measure change may provide a comprehensive measure of change over time.

Dynamic risk factors: Conceptualization, measurement, and evidence

2019 ◽  
Vol 48 ◽  
pp. 6-16 ◽  
Author(s):  
Roxanne Heffernan ◽  
Daniel Wegerhoff ◽  
Tony Ward
Keyword(s):  
Risk Factors ◽  
Dynamic Risk Factors ◽  
Dynamic Risk
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