Considerable attention has focussed on identifying individual factors associated with, or predictive of, sexual offending (e.g., Efta-Breitbach & Freeman, 2004). In light of these individual factors, clinicians and researchers have developed standardized instruments for assessing the risk posed by sexually offending youth. Two such instruments are the Juvenile Sex Offender Assessment Protocol-II (J-SOAP-II; Prentky & Righthand, 2003) and the Estimate of Risk of Adolescent Sexual Offence Recidivism Version 2.0 (ERASOR-II; Worling & Curwen, 2001). In addition to individual factors, research on crime has demonstrated that structural factors within the community may be important determinants of sexual and non-sexual offending (e.g., McCarthy, 1991; Ouimet, 1999; Shaw & McKay, 1942; Wirth, 1938). Therefore, the purpose of this study was twofold: (a) to compare the psychometric properties of two newly developed risk assessment instruments (i.e., J-SOAP-II and ERASOR-II) and (b) to use the better instrument to compare the levels of risk posed by sexually offending youth in 3 neighbouring, but diverse communities. Using file information, the J-SOAP-II and ERASOR-II were scored on 84 adolescent males between the ages of 11 and 20 years who had committed a sexual offence and received treatment at Youth Forensic Psychiatric Services (YFPS) in the Greater Vancouver Area (GVA; n = 30), Central Okanagan (CO; n = 26), and Thompson Nicola region (TN; n = 28). Calculations of interrater reliability and item-total correlations indicated that the J-SOAP-II was a better assessment instrument for this sample of offenders. Consequently, further regional analysis of risk was conducted using the J-SOAP-II data. Results indicated that although there were no regional differences among the severity and history of sexual offending, TN youth generally had a greater number of risk factors than did youth in CO and GVA. Specifically, youth in TN were found to be higher risk in the areas of intervention, general problem behaviour, iii and family/environment dynamics. These results suggest that to better understand youth who commit sexual offences and to provide appropriate prevention and intervention strategies for individual offenders and their communities, youth should not be evaluated in isolation from their social and community context. Recommendations for practice are discussed.

A descriptive survey to identify factors influencing relapse of psychiatric outpatients in the rural communities of the Eastern Cape was undertaken. A questionnaire was used to collect data from family caregivers who were relatives of psychiatric patients receiving their monthly medications from two rural clinics. Data were analysed using the Statistical Package for Social Sciences (SPSS) version 17. A total number of 92 family caregivers participated. Respondents reported side effects of psychotropic drugs, poor family role, poor referral system, lack of home visits, non-compliance and stigmatization as major factors contributing to relapse of psychiatric outpatients. Active involvement of caregivers in follow up care of their relatives is effective in fostering collaboration between the psychiatric hospitals and patients with the common goal of relapse avoidance. It is recommended that adequate provision of resources in conjunction with health education is effective in enhancing collaboration towards prevention of relapse in psychiatric patients. This would promote team work among patients, caregivers and health care providers. / Public Health / M.A. (Public Health)

Considerable attention has focussed on identifying individual factors associated with, or predictive of, sexual offending (e.g., Efta-Breitbach & Freeman, 2004). In light of these individual factors, clinicians and researchers have developed standardized instruments for assessing the risk posed by sexually offending youth. Two such instruments are the Juvenile Sex Offender Assessment Protocol-II (J-SOAP-II; Prentky & Righthand, 2003) and the Estimate of Risk of Adolescent Sexual Offence Recidivism Version 2.0 (ERASOR-II; Worling & Curwen, 2001). In addition to individual factors, research on crime has demonstrated that structural factors within the community may be important determinants of sexual and non-sexual offending (e.g., McCarthy, 1991; Ouimet, 1999; Shaw & McKay, 1942; Wirth, 1938). Therefore, the purpose of this study was twofold: (a) to compare the psychometric properties of two newly developed risk assessment instruments (i.e., J-SOAP-II and ERASOR-II) and (b) to use the better instrument to compare the levels of risk posed by sexually offending youth in 3 neighbouring, but diverse communities. Using file information, the J-SOAP-II and ERASOR-II were scored on 84 adolescent males between the ages of 11 and 20 years who had committed a sexual offence and received treatment at Youth Forensic Psychiatric Services (YFPS) in the Greater Vancouver Area (GVA; n = 30), Central Okanagan (CO; n = 26), and Thompson Nicola region (TN; n = 28). Calculations of interrater reliability and item-total correlations indicated that the J-SOAP-II was a better assessment instrument for this sample of offenders. Consequently, further regional analysis of risk was conducted using the J-SOAP-II data. Results indicated that although there were no regional differences among the severity and history of sexual offending, TN youth generally had a greater number of risk factors than did youth in CO and GVA. Specifically, youth in TN were found to be higher risk in the areas of intervention, general problem behaviour, iii and family/environment dynamics. These results suggest that to better understand youth who commit sexual offences and to provide appropriate prevention and intervention strategies for individual offenders and their communities, youth should not be evaluated in isolation from their social and community context. Recommendations for practice are discussed. / Graduate Studies, College of (Okanagan) / Graduate