In the United States, approximately 30.3 million or 9.4% of the population have been diagnosed with diabetes mellitus. Of these, 8.3 million remain undiagnosed. There are approximately 2 million people incarcerated in detention centers, jails, and prisons across the United States with approximately 80,000 inmates living with diabetes. Correctional officers are not educated to identify and respond to inmates with evolving medical complications, such as low or high blood glucose, which can lead to preventable adverse events, including permanent injury or death. The purpose of this project was to develop an evidence-based education module to teach correctional officers how to recognize the signs and symptoms of low or high blood glucose levels of inmates with uncontrolled diabetes and to rapidly respond with basic medical treatment. The module was validated by 6 experts with 87% agreement prior to being presented to 49 corrections officers in a 1-hour lecture format with cases, guided by Knowles's adult learning theory. A paired t-test demonstrated the average knowledge scores significantly increased from 56% before to 76% after the education module (t = 7.16, p = 0.0001). Although the baseline and follow-up knowledge were low among this group, this project measured only short-term learning outcomes. Because the impact of knowledge acquisition could diminish or disappear with time, future studies to measure the long-term effects of the education on avoiding adverse events are necessary. This project contributes to positive social change by providing correctional officers with an increased likelihood of identifying early and responding appropriately to inmates with an evolving medical emergency.

<p>The general purpose of this dissertation is to evaluate KrAmi – a correctional program for young offenders – regarding socioeconomic profitability. Evaluating socioeconomic results enables us to examine and reflect upon the possibilities of applying socioeconomic models to social work. The basic data, from a long-term follow up study of 140 persons in two KrAmi programs, one Knuff program and two probation programs (treatment as usual), also allow systematic comparisons with more traditional evaluation models</p><p>The data have been presented in one research report and three articles.</p><p>The research report examines both the effects in an effect study and the socioeconomic results in a CBA (Cost-Benefit Analysis) and a CEA (Cost-Effectiveness analysis). The overall aim of the socioeconomic study was to examine the socioeconomic profitability of the programmes. We found a halving of expenditure for the KrAmi and Knuff groups and a 25 percent reduction for the two probation programmes compared to the cost one year before rehabilitation started.</p><p>The 15-year investment analysis (CBA) showed that expenditures decreased and benefits increased by about 2.5 million SEK per individual for the two KrAmi programmes and one non-custodial program, by 0.5-1.0 million SEK for the Knuff program and the other non-custodial program. For the KrAmi programs investment in rehabilitation pays off in 1-1.5 years, for probation in 2.5-4 years and for Knuff in 4 years after the intervention. The benefit-cost ratios were 17.8 - 12.7 for the two KrAmi programs and 5.1 - 5.8 for the two non-custodial programs. For the Knuff program the benefit-cost ratio was 13.2. KrAmi rates are higher for rehabilitation rate (pension points), rehabilitation rate compared to investment costs and benefit-cost ratio, pay-off time is the shortest.</p><p>The results of both the effect study and socio-economic study, which were presented in the first article, suggest that social improvements for the clients corresponded with socio-economic profitability. However, these findings should be interpreted with caution due to difficulties in comparing short-term data on effects from ASI interviews collected in one period with long-term data concerning socio-economic costs per day per client in a different period. The second article elaborated on these design issues and also examined whether approaching an evaluation from different perspectives and employing different research methods can increase understanding. The conclusion drawn was that it was essential to have knowledge on the dissimilarities in design and measures between the two studies to come to the correct interpretations. These interpretations led to new questions to illuminate the results of the evaluations.</p><p>In the third article the focus was the long-term follow up period. In this study the Knuff program was excluded from the study and the two KrAmi programs formed the program group and the two probation group formed the control group. The follow-up period was two years during which the socioeconomic costs decreased stepwise for both groups, probation groups more so than program groups. The deteriorations were 70-80% compared to the period before treatment. However rehabilitation to labour market was more successful for program groups than for control groups thanks to the greater socio-economic profitability for program groups.</p><p>The introductory part of this dissertation focuses on methodological difficulties, and a multivariate regression analysis (MRA) is presented which shows that pre-existing differences in the composition of the program groups and control groups were not responsible for the differences on the socio-economic results. Moreover the introductory section includes a research presentation and the rationale for socioeconomic evaluation.</p>

<p>Empati har länge ansetts vara en god egenskap hos en medmänniska. Det definierats enligt Davis, som individers affektiva och fysiologiska reaktioner avseende någon annans fysiska och psykiska tillstånd. Tidigare forskning har visat att det finns skillnader avseende empati hos individer beroende på olika faktorer. Huvudsyftet med studien var att se om kön, ålder, arbetsplats, antal år inom yrket samt föräldraskap påverkade kriminalvårdares empati. Deltagarna var kriminalvårdare (<em>N</em> = 90) som arbetade på en anstalt och ett häkte. Mätinstrumenten som användes var the Interpersonal Reactivity Index och Social Desirability Scale. Resultaten som erhölls visade att variablerna inte hade någon signifikant påverkan på kriminalvårdares empati. Detta tyder på att kriminalvårdare behåller distansen till klienterna. Det bör förtydligas att kriminalvårdarna inte saknade empati.</p>

<p>The research comprises an exploratory study of the challenges that offenders face upon release and which contribute to recidivism in the Department of Correctional Services (DCS). The West Coast Medium &lsquo / A&rsquo / Correctional Centre in the Western Cape has been selected as the case study area. Although offenders attend various rehabilitation programmes inside the prison, it has become apparent that upon their release this rehabilitation is not sustained. The qualitative methodology used for this research included semi-structured interviews in order to gather information on the challenges that contribute to recidivism. Offenders, parolees, family members, the Head of Social Reintegration, a social worker, a representative of NICRO, the Chairperson of the Atlantis Community Police Forum, and a spokesperson for SAPS Atlantis were interviewed in order to gather the relevant information. The general findings of the research demonstrate that the adverse socio-economic conditions confronting the offenders after their release from prison are the main barriers to their successful rehabilitation and reintegration into society. The problem is further compounded by the high incidence of criminal activities within the community environment, the influence of gangsterism, peer pressure and substance abuse. Together, these conditions lead to the re-committing of crime, the re-incarceration of former offenders and, ultimately, to a pattern of recidivism.</p>

The general purpose of this dissertation is to evaluate KrAmi – a correctional program for young offenders – regarding socioeconomic profitability. Evaluating socioeconomic results enables us to examine and reflect upon the possibilities of applying socioeconomic models to social work. The basic data, from a long-term follow up study of 140 persons in two KrAmi programs, one Knuff program and two probation programs (treatment as usual), also allow systematic comparisons with more traditional evaluation models The data have been presented in one research report and three articles. The research report examines both the effects in an effect study and the socioeconomic results in a CBA (Cost-Benefit Analysis) and a CEA (Cost-Effectiveness analysis). The overall aim of the socioeconomic study was to examine the socioeconomic profitability of the programmes. We found a halving of expenditure for the KrAmi and Knuff groups and a 25 percent reduction for the two probation programmes compared to the cost one year before rehabilitation started. The 15-year investment analysis (CBA) showed that expenditures decreased and benefits increased by about 2.5 million SEK per individual for the two KrAmi programmes and one non-custodial program, by 0.5-1.0 million SEK for the Knuff program and the other non-custodial program. For the KrAmi programs investment in rehabilitation pays off in 1-1.5 years, for probation in 2.5-4 years and for Knuff in 4 years after the intervention. The benefit-cost ratios were 17.8 - 12.7 for the two KrAmi programs and 5.1 - 5.8 for the two non-custodial programs. For the Knuff program the benefit-cost ratio was 13.2. KrAmi rates are higher for rehabilitation rate (pension points), rehabilitation rate compared to investment costs and benefit-cost ratio, pay-off time is the shortest. The results of both the effect study and socio-economic study, which were presented in the first article, suggest that social improvements for the clients corresponded with socio-economic profitability. However, these findings should be interpreted with caution due to difficulties in comparing short-term data on effects from ASI interviews collected in one period with long-term data concerning socio-economic costs per day per client in a different period. The second article elaborated on these design issues and also examined whether approaching an evaluation from different perspectives and employing different research methods can increase understanding. The conclusion drawn was that it was essential to have knowledge on the dissimilarities in design and measures between the two studies to come to the correct interpretations. These interpretations led to new questions to illuminate the results of the evaluations. In the third article the focus was the long-term follow up period. In this study the Knuff program was excluded from the study and the two KrAmi programs formed the program group and the two probation group formed the control group. The follow-up period was two years during which the socioeconomic costs decreased stepwise for both groups, probation groups more so than program groups. The deteriorations were 70-80% compared to the period before treatment. However rehabilitation to labour market was more successful for program groups than for control groups thanks to the greater socio-economic profitability for program groups. The introductory part of this dissertation focuses on methodological difficulties, and a multivariate regression analysis (MRA) is presented which shows that pre-existing differences in the composition of the program groups and control groups were not responsible for the differences on the socio-economic results. Moreover the introductory section includes a research presentation and the rationale for socioeconomic evaluation.

<p>The history of prison reform after 1994 was shaped by the relationship between governance and human rights standards / the requirements for both are set out in the Constitution and elaborated on in the Correctional Services Act. Good governance and human rights converge in five dimensions of a constitutional democracy: legitimacy, transparency, accountability, the rule&nbsp / of law / and resource utilisation. The new constitutional order established a set of governance and rights requirements for the prison system demanding fundamental reform. It de-legitimised the existing prison system and thus placed it in a crisis. This required its reinvention to establish a system compatible with constitutional demands. The thesis investigates whether&nbsp / constitutionalism provided the necessary transformative basis for prison reform in South Africa after 1994. The Department of Correctional Services (DCS) senior management failed to&nbsp / anticipate this in the period 1990 to 1994. In the five years after 1994 senior management equally failed to initiate a fundamental reform process. This lack of vision, as well as a number of external factors relating to the state of the public service in the period 1994 to 2000, gave rise to a second crisis: the collapse of order and discipline in the DCS. By the late 1990s the state had lost control of the DCS and its internal workings can be described as a mess &ndash / a highly interactive set of problems in causal relationships. In many regards the problems beleaguering the prison system were created in the period 1994 &ndash / 1999. The leadership at the time did not recognize that the prison system was in crisis or that the crisis presented an opportunity for&nbsp / fundamental reform. The new democratic order demanded constitutional and political imagination, but this failed to materialise. Consequently, the role and function of imprisonment within the&nbsp / criminal justice system has remained fundamentally unchanged and there has not been a critical re-examination of its purpose, save that the criminal justice system has become more punitive. Several investigations (1998-2006) into the DCS found widespread corruption and rights violations. Organised labour understood transformation primarily as the racial transformation of the staff corps and embarked on an organised campaign to seize control of management and key positions. This introduced a culture of lawlessness, enabling widespread corruption. w leadership by 2001 and facing pressure from the national government, the DCS responded to the situation by focusing on corruption and on regaining control of the Department. A number of&nbsp / gains have been made since then, especially after 2004. Regaining control of the Department focused on addressing systemic weaknesses, enforcing the disciplinary code and defining a&nbsp / new employer-employee relationship. This has been a slow process with notable setbacks, but it continues to form part of the Department&rsquo / s strategic direction. It is concluded that the DCS&nbsp / has engaged with and developed a deeper understanding of its constitutional obligations insofar as they pertain to governance requirements in the Constitution. However, compliance with&nbsp / human rights standards had not received the same attention and areas of substantial non-compliance remain in violation of the Constitution and subordinate legislation. Overcrowding,&nbsp / violations of personal safety, poor services and/or lack of access to services persist. Despite the detailed rights standards set out in the Correctional Services Act, there is little to indicate that&nbsp / legislative compliance is an overt focus for the DCS. While meeting the minimum standards of humane detention, as required by the Constitution, should have been the strategic focus of the&nbsp / DCS in relation to the prison population, the 2004 White&nbsp / Paper defines &ldquo / offender rehabilitation&rdquo / as the core business of the DCS. In many regards the DCS has assigned more prominence&nbsp / and weight to the White Paper than to its obligations under the Correctional Services Act. In an attempt to legitimise the prison system, the DCS defined for itself a goal that is required neither&nbsp / by the Constitution nor the Correctional&nbsp / Services Act. Compliance with the minimum standards of humane detention must be regarded as a prerequisite for successful interventions to reduce&nbsp / future criminality. After&nbsp / seven years, delivery results on the rehabilitation objective have been minimal and not objectively measurable. The noble and over-ambitious focus on rehabilitation at&nbsp / policy level distracted the DCS from its primary constitutional obligation, namely to ensure safe and humane custody under conditions of human dignity Throughout the period (1994 to 2012)&nbsp / the DCS has been suspicious if not dismissive of advice, guidance and at times orders (including court orders) offered or given by external&nbsp / stakeholders. Its relationship with civil society&nbsp / &nbsp / &nbsp / &nbsp / organisations remain strained and there is no formal structure for interaction. Since 2004 Parliament has reasserted its authority over the DCS, not hesitating to criticise poor decisions and&nbsp / sub-standard performance. Civil society organisations have increasingly used Parliament as a platform for raising concerns about prison reform. Litigation by civil society and prisoners has&nbsp / also been used on a growing scale&nbsp / to ensure legislative compliance. It is concluded that prison reform efforts needs to refocus on he rights requirements set out in the Correctional Services&nbsp / Act and approach this task in an inclusive, transparent and accountable manner.&nbsp / &nbsp / </p>

Syftet med denna studie har varit att undersöka hur företrädare inom kriminalvården och socialtjänsten arbetar med barn som har en mamma på anstalt samt vad samverkan mellan myndigheterna har för funktion. Vi har valt att intervjua fyra professionella som arbetar inom kriminalvården och fyra professionella som arbetar inom socialtjänsten. Resultatet visar att myndigheternas olika lagstiftningar, utbildningar, kunskap om varandras verksamheter, uppdrag samt olika synsätt på barnperspektivet försvårar samverkan mellan myndigheterna. / The purpose of this study is to examine social services and prison services works with children who have a mother in prison, and how collaboration between the two different authorities function. We chose to interview four professional working in prisons and four professionals in the social services. The thesis results show that there often is a collision between the correctional authority and social service that both have different perspectives when it comes to children whose mothers are in prison. There are several issues to this interaction. We concluded that because of the two different legal authorities, training, knowledge of each other's activities and assignments, there are shortcomings in cooperation between authorities. The professionals are aware of the shortcomings but nobody is doing anything about it.

A family violence prevention program for incarcerated male offenders was evaluated. One hundred and one (101) offenders incarcerated in minimum and medium security facilities participated in a high intensity family violence prevention program offered by Correctional Services of Canada. Thirteen psychological, attitudinal, and behavioural measures were administered to the offenders. The measures were administered either pre-treatment only, pre-and post-treatment, or post-treatment only. Five measures were self-report measures completed by offenders, and eight were administered and scored by qualified corrections personnel. The offenders showed a number of positive pre- to post-treatment changes. Following treatment, offenders reported that they were less likely to rationalize their abusive behaviour or believe that being a man grants one special privileges and entitlements over women. Offenders were less likely to support the use of power and control tactics over women or to endorse an assortment of myths that can foster inequality and abuse. Following treatment, offenders were judged to have shown an improvement in their willingness to sympathize with their partner as well as an improvement in their conflict-resolution skills. Offenders were also judged to show substantial pre- to post-treatment improvements in their compliance with, and response to, treatment, as well as demonstrating an improved ability to apply the knowledge and skills learned from treatment. The Statistical Information on Recidivism (SIR) Scale failed to demonstrate concurrent and predictive validity on a sub-sample of these domestic violent offenders.

The purpose of this thesis was to explore the impact of Aboriginal spirituality/culture on federally sentenced Aboriginal males at the Pe'Sakastew Centre. The Centre is a minimum security institution which is operated by the Correctional Service of Canada. The effects of Aboriginal spirituality/culture were explored through interviews with twelve Aboriginal men who were serving part of their sentences at the Centre. The men were asked a range of questions that dealt with childhood experiences, adult lifestyles and attitudes, prison experiences and programming, the Pe'Sakastew Centre, and the perceived effects on attitudes and behaviors by participating in Aboriginal spiritual/cultural programming. This study also addressed several specific issues including: the role of Aboriginal spirituality/culture in the healing/rehabilitation process; the presence of other contributing factors; and the difference between the Pe'Sakastew Centre and mainstream prisons.<p> This thesis research identified thematic patterns in the men's life stories. Many interviewees had difficult childhoods and their adult lifestyles reflected similar problems that revolved around chemical dependency, violence, gangs,illegal activities, and prison. While many interviewees reported negative prison experiences, they benefitted considerably by participating in Aboriginal spiritual/cultural programs. The benefits related to an enhanced ability to cope with the prison environment, to heal the wounds from childhood, and to deal with problems of alcohol/drug addiction and violence.<p>The interviewees reported five positive aspects of the Pe'Sakastew Centre including: the Centre's open and safe environment; the men have a responsibility to help themselves; the presence of Aboriginal people; the approach of the Centre; and the ability to release con mentality. The majority of interviewees described positive changes in attitudes and behaviors as a result of their participation in Aboriginal spiritual/cultural programming. Many reported a more positive attitude towards themselves and others. Several described themselves as being happier and able to deal with problems in a proactive manner. The interviewees revealed a high level of respect for the Elders, their knowledge, and the cultural values that they project to the men. It was concluded that Aboriginal spiritual/cultural programs contributes significantly in the process of healing/rehabilitation of Aboriginal men.

A family violence prevention program for incarcerated male offenders was evaluated. One hundred and one (101) offenders incarcerated in minimum and medium security facilities participated in a high intensity family violence prevention program offered by Correctional Services of Canada. Thirteen psychological, attitudinal, and behavioural measures were administered to the offenders. The measures were administered either pre-treatment only, pre-and post-treatment, or post-treatment only. Five measures were self-report measures completed by offenders, and eight were administered and scored by qualified corrections personnel. The offenders showed a number of positive pre- to post-treatment changes. Following treatment, offenders reported that they were less likely to rationalize their abusive behaviour or believe that being a man grants one special privileges and entitlements over women. Offenders were less likely to support the use of power and control tactics over women or to endorse an assortment of myths that can foster inequality and abuse. Following treatment, offenders were judged to have shown an improvement in their willingness to sympathize with their partner as well as an improvement in their conflict-resolution skills. Offenders were also judged to show substantial pre- to post-treatment improvements in their compliance with, and response to, treatment, as well as demonstrating an improved ability to apply the knowledge and skills learned from treatment. The Statistical Information on Recidivism (SIR) Scale failed to demonstrate concurrent and predictive validity on a sub-sample of these domestic violent offenders.