This thesis is an investigation of social problem-solving skills, psychological distress, and supportive relationships among three distinct samples. The research groups comprise a) 25 depressed inpatients and a matched comparison group; b) 50 hospital admissions following an act of suicidal behaviour; and c) 5 sub-groups of incarcerated young offenders (inmates on Strict Suicidal Supervision, inmates on protection, victims of bullying, identified bullies, comparison group) with 25 inmates in each group. Data was collected by structured interviews, standardised psychometric measures of mood states (e.g. Hospital Anxiety and Depression Scale, Beck Hopelessness Scale), problem-solving ability (e.g. Means-Ends Problem-Solving Procedure) and supportive relationships (e.g. Significant Others Scale). Data were analysed by means of parametric statistical techniques (e.g. analyses of variance and multiple regression analyses). Eight cross-sectional studies are reported. Depressed patients demonstrated problem-solving difficulties, which were related to the level of psychological distress experienced. Clinically depressed patients were also found to differ from a comparison group in their autobiographical memory recall and concentration ability - both of which were related to their impoverished problem-solving ability. Deficits in problem-solving ability in the depressed patients were not an artefact of their verbal IQ. Regression analyses of the data relating to suicidal community inpatients illustrated that social support variables were the prime predictors of suicidal intent, depression and hopelessness. Social problem-solving variables also emerged as significant predictors of psychological distress, albeit to a lesser extent. Social support and problem-solving variables were also important moderator variables in the relationship between stress and suicidality. The studies conducted with young offenders illustrated a hierarchy of problem-solving deficits and psychological distress among the inmate groups. Problem-solving ability was not an artefact of verbal IQ. The value of using problem-solving interventions with vulnerable offenders is discussed. The importance of prison relationships in the experience of stress by inmates was also highlighted. Similarly, parental relationships were related to the levels of distress experienced while incarcerated. The results of each study are discussed in relation to the relevant literature, practical implications for clinical interventions with each group, and suggestions for future research. The findings of the thesis are discussed in relationship to transactional, stress-hopelessness-distress models of psychological illness and distress.

Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology / "August 2005."

The working alliance has been defined as a collaborative agreement between therapist and client on the goals and tasks of therapy, together with a bond of mutual trust (Bordin, 1979). The link between a strong working alliance and positive therapy outcomes has received widespread empirical support (Horvath & Symonds, 1991; Horvath & Luborsky, 1993). In light of this robust finding, Duncan and Miller (2000) suggest that, to increase their effectiveness, therapists may attend to and work within "the client's theory of change." These findings and suggestions typically concern the adult client willingly attending therapy. This study investigated how they might apply to juvenile delinquents. The goal of the current study was to examine the relationship between working alliance and treatment outcomes with delinquent youth. In addition, it aimed to investigate an element of the working alliance suggested to be of particular importance to these youth, their perception that the treatment process "fits" their own theory of change. Given its impact on treatment of mandated clients, readiness for change was also examined for its relationship with working alliance and treatment outcomes. One hundred and fourteen incarcerated youth were asked to complete a series of surveys at baseline, 2-month, and 4-month follow-up. The relationship between the predictor variables (working alliance, readiness for change, treatment fit with change theory) and criterion variables (staff-rated treatment progress, rule violations, and predicted post-detention success) were examined with multiple regression. Results demonstrated that youths' baseline ratings of treatment fit with change theory predicted self-reported treatment progress 4 months later, even when controlling for readiness for change. Treatment fit with change theory was related to the working alliance in this sample, and was a better predictor of self-reported treatment gains than the working alliance. Results suggest that treatment fit with change theory may be a productive way to conceptualize the alliance construct in work with incarcerated youth. Qualitative data on theories of change was elicited from participants and content analyzed for themes. Contributions to the developing field of desistence theory and implications for clinical practice are discussed. / text

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Although approximately 60%-80% of detained adolescents have a psychiatric disorder, little is known about their utilization of mental health and substance-related treatment services upon release from detention. Given that treatment can potentially reduce symptomology and recidivism, the study examined detained adolescents’ post-detention treatment utilization and longitudinal patterns of use. Data were abstracted from the electronic juvenile justice records and medical records of 9664 detained adolescents (62.7% male; 34.8% White, 65.2% Black; 72.6% with disorder) with Medicaid coverage held in a Midwestern detention center at some time during 1998-2011. A series of statistical tests (e.g., chi-square, ANOVA, logistic regression, Kaplan-Meier survival analyses, Cox regression) were conducted to identify group differences in treatment utilization during the 14-year follow-up period. Following detention release, approximately 66.2% of adolescents were re-arrested and 54.9% were re-detained/incarcerated. Treatment utilization within two years post-detention was 36.7%; 31.4% obtained mental health treatment, 10.4% obtained substance-related treatment, 36.0% obtained outpatient treatment, and 6.2% obtained non-outpatient treatment. Among treatment users, 22.5% dropped out of treatment within 1-3 sessions and 40.6% experienced gaps (>45 days) between treatment services. Treatment utilization was significantly higher among males, White (vs. Black) adolescents, younger adolescents, violent (vs. non-violent) offenders, recidivists (vs. non-recidivists), and adolescents with mental disorders (vs. substance-related disorders). Variables associated with increased likelihood of post-detention treatment included: male gender, psychiatric disorder(s), pre-detention arrest(s), charge severity, violent offender, incarceration, and pre-detention treatment; age and Black race were associated with decreased likelihood of treatment. As one of the only longitudinal studies to examine treatment utilization among detained adolescents upon community reentry, findings suggest limited service utilization, as well as treatment gaps and disparities. Future research should focus on the treatment needs of detained adolescents, factors associated with disparities, and programs/policies to ensure consistent identification, referral, and connection to care for detained adolescents.

This study highlighted the distinction between retributive and restorative justice. Diversion and the Journey as a diversion option for youth in South Africa was discussed. Literature indicated that certain family aspects such as family cohesiveness, communication, discipline, and conflict in the home could lead to youth offending. Interviews, focus groups, and questionnaires were used to determine possible problematic family interactions as well as parents' needs of a parent programme. It was found that parents experience feelings like anger, disappointment, shock, helplessness, frustration, and humiliation regarding the child's crime. It was established that dealing with parents' feelings, communication, discipline, conflict resolution, and problem solving should be included in the parent programme. An evaluation of the programme was done and the following aspects showed improvement: communication, mother's involvement with the child, understanding and support in the family, youth's independence, affection, family relations, problem solving and the amount of time spent with family. / Psychology of Education / M. Ed. (Guidance and Counselling)

This study highlighted the distinction between retributive and restorative justice. Diversion and the Journey as a diversion option for youth in South Africa was discussed. Literature indicated that certain family aspects such as family cohesiveness, communication, discipline, and conflict in the home could lead to youth offending. Interviews, focus groups, and questionnaires were used to determine possible problematic family interactions as well as parents' needs of a parent programme. It was found that parents experience feelings like anger, disappointment, shock, helplessness, frustration, and humiliation regarding the child's crime. It was established that dealing with parents' feelings, communication, discipline, conflict resolution, and problem solving should be included in the parent programme. An evaluation of the programme was done and the following aspects showed improvement: communication, mother's involvement with the child, understanding and support in the family, youth's independence, affection, family relations, problem solving and the amount of time spent with family. / Psychology of Education / M. Ed. (Guidance and Counselling)

This study examined the connection between household type and delinquency and depressive symptoms for female adolescents. The present study draws its claims from Power-control theory which, at its most abstract level, predicts gender differences in delinquency based on the level of patriarchy in the family and the theoretical works of Sarah Rosenfield, who argues that it is the over control of females that causes them to have higher rates depression than males. This study hoped to build on research that links differences in family type and parental control to sex differences in delinquency by using the Power-control theory to look depressive symptoms among female adolescents. Past studies looking at female delinquency attempt to understand why females are under representative in crime statistics when compared to their male counterparts. These studies focus most of the attention on the social control placed over females. Using the National Longitudinal Study of Adolescent Health, the findings showed that, contrary to claims made by power-control theory, patriarchal family did not predict delinquent behavior or depressive symptoms for female adolescents. Further analysis included an instrument of control, parental attachment, risk perceptions and found significant results. Race was also significant in several models. The parent-daughter relationship was most significant in predicting outcomes of depressive symptoms and delinquent behavior. Those who reported close relationships with their parents were less likely to report depressive symptoms and delinquency behavior.

The aim of this explorative study is to establish if psychiatric disorders influence the criminal capacity of child offenders. A qualitative approach was adopted in the study to develop an in-depth understanding of the issues pertaining to criminal capacity assessments for child offenders with psychiatric disorders. The risks associated with various psychiatric disorders in relation to childhood criminality, and the methods that are used to deal with child offenders who suffer from psychiatric disorders, were also explored. The data collection tool for this study was a semi-structured interview schedule. Telephonic and face-to-face interviews were conducted with child justice and mental health experts from four provinces in South Africa, namely, KwaZulu-Natal, Gauteng, Eastern Cape and Western Cape. These experts included psychiatrists, psychologists, social workers, academic professors of law, a criminologist and an advocate. Snowball sampling was employed and although this is a pure qualitative study, the open coding, axial coding and selective coding process from the grounded theory was applied to analyse and interpret the data. The findings from this study indicate that psychiatric disorders are a risk factor associated with the causation of criminal behaviour. A high prevalence of psychiatric disorders, such as intellectual disability, learning disorder, attention deficit hyperactivity disorder, oppositional defiant disorder and conduct disorder, were generally found in children in conflict with the law. The influence and consequences of these psychiatric disorders, in conjunction with environmental and societal factors, were found to influence criminal behaviour and were highlighted as factors that ought to be taken into consideration when determining the criminal capacity of a child who is in conflict with the law. Findings from the study identified that adequate recognition was not granted to the influence of a psychiatric disorder in the assessment of a child‟s criminal capacity. It was established that, in the criminal capacity assessment, the emphasis should not be on the psychiatric disorder per se, but on the effect that the disorder and associated symptoms may have on the child‟s ability to distinguish between the wrongfulness of their actions and to act in accordance with this understanding. Operational challenges and ambiguities identified in the legislative framework pertaining to child offenders with psychiatric disorders were found to negatively influence criminal capacity assessments for children in conflict with the law. The lack of services available to child offenders with psychiatric disorders, as well as child offenders without psychiatric disorders, was found to hamper the best interest of the children in conflict with the law. Lastly, legislative and service recommendations for good practice to deal with child offenders with psychiatric disorder were identified by the experts. / Criminology and Security Science / M.A. (Criminology)

Mentally ill juveniles who are incarcerated in correctional facilities receive minimal or no treatment services. The research in this thesis determines that mentally ill juvenile offenders receive inadequate treatment. It also determined that juvenile correctional officers as well as others in the criminal justice system are not trained properly to deal with mentally ill juveniles.