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The Intake Assessment (IA) process in the Canadian federal correctional system results in an individualized treatment and supervision plan throughout the sentence. Two components, Static and Dynamic Factors Assessment, were examined to determine whether a streamlined version could be tailored for a hand-held mobile application and remain reliable and valid for correctional planning purposes. An Information Management System database was used to identify all first releases from federal custody over a 2-year period who had IA data available ( N = 6,946). Analyses revealed statistically significant relationships and AUCs (area under receiver operating characteristic curves) for both the Static and Dynamic Factors components of IA with respect to reincarceration. Additional analyses revealed that the strongest predictors for returns to federal custody were criminal history as a youth or adult, substance misuse, and unemployment. A combined Static and Dynamic Factors score also yielded a simplified, robust, and incremental predictor of reincarceration for both men and women.

Core components of the Intake Assessment (IA) process in the Canadian federal corrections system were examined to determine whether a simplified algorithmic equation for individuals sentenced for sex crimes could be tailored and differentiated from other violent offence types. Two major offence type categories, namely sexual and other violent were constructed for 2,896 adult male first releases for 2016 to 2017 and 2017 to 2018. A restricted set of static risk indicators, dynamic need ratings, and other actuarial measures as well as whether or not there were any returns to federal custody were extracted for each case. A combined risk index yielded robust predictions of custodial return for sexual and other violent offence types with significant and robust AUCs of 0.77 and 0.71, respectively. Analyses showed that five-level risk groupings could be derived independently for the two offence type categorizations.

Correctional assessment strategies and standards of practice should help to identify those offenders who are “good candidates” for earlier or conditional release while incarcerated. Several studies conducted on the Romanian prison population showed that a restricted set of items could accurately identify potential for early release decision-making and post release outcomes. Among a variety of relevant predictors identified was offender participation in a credit scheme with accompanying rewards and penalties. The Romanian Prison Service’s automated database was used to identify groups of offenders who had either earned (total, social reintegration activities or work) or lost credits for analytical purposes. These groups were used to make comparisons on a variety of case specific variables such as criminal history, sentence length, offence type and education. The present study extends previous research on prediction by unpacking offender participation in the credit scheme in relation to two outcome measures; early release from custody as well as subsequent returns to custody after early release.

Background While the community effects of the opioid-related drug crisis in Canada are well documented, limited detailed data is available on overdose trends among custodial populations. Given that this crisis has disproportionate impacts on justice involved persons, research is needed to understand the implications of this crisis within institutional settings. Methods We examined all overdose incidents that occurred between the 2012/2013 and 2018/2019 fiscal years in a federal correctional institution in Canada. An incident report search was conducted to identify overdose related incidents during this period. Information about the incident and characteristics of the victim was collected from incident reports, investigations, and victim case files. Results Over the period under examination, overdose incidents steadily increased (i.e., from 40 in 2012/2013, to 110 non-fatal incidents in 2018/2019), although there was considerable regional and institutional variation. The number of incidents involving opioids, particularly fentanyl, increased both in raw numbers and as a percentage of overall incidents (i.e., from 3% in 2012/2013 to 47% in 2017/2018, and 34% of non-fatal incidents in 2018/2019). Other substances continue to contribute to overdose incidents; in fact, non-opioid prescription medications (i.e., non-illicit medications such as anti-convulsant drugs and anti-depressants) remain the most common among intentional non-fatal incidents. Relative to the general in-custody population, victims of overdose incidents tended to be younger and were more likely to be serving a determinate sentence, be on a repeat federal sentence, and be serving time for robbery. Mental health conditions and histories of substance use were common. Conclusion The effects of the overdose crisis are pronounced within certain Canadian federal institutions, illustrated by a growing number of fentanyl-related incidents. Institutional variation and variation in incidents (e.g., substance and intentionality) highlight diversity in drug activities among this custodial population and the need for multi-faceted responses that are reflective of local situations.

Traumatic Brain Injury (TBI) is a serious hidden health issue disproportionately affecting people who experience incarceration.We examined the association between TBI and serious disciplinary charges among men and women sentenced by the courts to terms of two or more years.The study originated in Ontario, Canada and used linked administrative health and correctional data. The cohort included adults experiencing their first federal sentence between 1998 and 2011 (N = 12,038). We examined disciplinary charges incurred 2 years post-sentence commencement. TBI was defined using the International Classification of Diseases (ICD-9 and ICD-10) diagnostic codes. Robust Poisson regression was conducted to assess the association between TBI and disciplinary charges.The prevalence of TBI for the full sample was 13.2%. One-third of adults with a recent TBI had a serious disciplinary charge. The unadjusted risk of incurring a serious charge for those with a history of TBI was 39% higher than those with no history of TBI (CI: 1.29-1.49). The adjusted risk was 1.14 (CI: 1.06-1.22).TBI is a serious health concern that makes it difficult for incarcerants to adjust to prison. Additional support/resources are needed to support those with histories of TBI.

Background There is recent evidence to suggest that sustaining a traumatic brain injury (TBI) increases risk of criminal justice system involvement, including incarceration. The objective of this study was to explore the association between TBI and risk of incarceration among men and women in Ontario. Methods We identified a cohort of 1.418 million young adults (aged 18-28 yr) on July 1, 1997, living in Ontario, Canada, from administrative health records; they were followed to Dec. 31, 2011. History of TBI was obtained from emergency and hospital records, and incarceration history was obtained from the Correctional Service of Canada records. We estimated the hazard of incarceration using Cox proportional hazard models, adjusting for relevant sociodemographic characteristics and medical history. Results There were 3531 incarcerations over 18 297 508 person-years of follow-up. The incidence of incarceration was higher among participants with prior TBI compared with those without a prior TBI. In fully adjusted models, men and women who had sustained a TBI were about 2.5 times more likely to be incarcerated than men and women who had not sustained a TBI. Interpretation Traumatic brain injury was associated with an increased risk of incarceration among men and women in Ontario. Our research highlights the importance of designing primary, secondary and tertiary prevention strategies to mitigate risk of TBI and incarceration in the population.

Early intervention programmes are designed to address complex inequities for Canadian families living with low income, affecting social relationships, well-being and mental health. However, there is limited understanding of resiliency and change in families living with low income over time. We conducted a mixed methods study with recent immigrant, other Canadian-born, and Aboriginal families living with low income, who attended a two-generation preschool programme (CUPS One World) between 2002 and 2008. The aim of this study was to develop an understanding of the processes of change. We included 134 children and their caregivers living with low income, and experiencing mental health problems, addiction or social isolation. Children's receptive language, a proxy for school readiness, was measured at programme intake, exit, and age 10 years using the Peabody Picture Vocabulary Test 3rd Edition (PPVT-III). In Phase I (quantitative), we identified children with receptive language scores in the top and bottom 25th percentile, informing participant selection for Phase II. In Phase II (qualitative), we engaged in constructivist grounded theory to explore experiences of 14 biological mothers, after their children (n = 25) reached age 10 years. Interviews were conducted between June and September 2015. The core category, Stepping Stones to Resiliency, encompassed Perceptions of Family, Moving Forward, Achieving Goals, and Completely Different. Perceptions of Family influenced families' capabilities to move across the Stepping Stones to Resiliency. Stepping Stones to Resiliency provides a lens from which to view others in their daily challenges to break free of painful intergenerational cycles. It is a reminder of our struggle, our shared humanness, and that movement towards resiliency is more difficult for some than others. Our findings challenge traditional episodic, biomedical treatment paradigms for low-income families also experiencing intergenerational cycles of mental health problems, addictions, social isolation, and family violence.

We evaluated the effectiveness of a two‐generation preschool programme (centre‐based early childhood education, parenting education and family support) on receptive language skills in children living in culturally diverse families with low income. Using a with‐in subject pre‐test/post‐test design, children (N = 112) showed a statistically significant improvement in receptive language skill as measured by the Peabody Picture Vocabulary Test, Third Edition. At post‐test, the children continued to score below typically developing children of the same age. There were no statistically significant differences on receptive language skill with regard to child gender, culture, caregiver education, nor involvement in child welfare services. Only for children of Aboriginal ancestry (n = 40) was the amount of time spent in the programme significantly correlated with the amount of positive change in receptive language skill. When designing early intervention programmes for families with low income, targeting the speci...

We draw on Hollway and Jefferson’s (1997) idea that global anxieties may find an outlet for individual expression in the realm of crime: we argue that anxieties may also find expression in the realms of ill-health and home safety. To accomplish this, we examine preventative and protective behaviours that individuals undertake in each of these realms as outlets for the expression of anxiety. We consider how personal characteristics, such as age, as well as past experiences, present coping styles, and anxieties about future events contribute to protective behaviours within each realm, running separate models for men and women. Our findings suggest that different factors drive these precautionary behaviours for men and women, and across the different realms. Present coping styles (for men) and anxieties about future events (both men and women) seem to be most important in the realm of crime. In terms of health promotion, certain aspects of socio-demographic context are important, along with biographical factors such as past experience for men, and coping styles and anxieties for women. Meanwhile, socio-demographic context is most clearly at play in the realm of home safety, again with particular past experiences, present coping styles (men only) and anxieties also figuring in the mix. Our study of these realms sheds further light on Holloway and Jefferson’s conclusions regarding anxiety in the ‘risk society’, as well as enhances our understandings of risk management as gendered.

Stress plays an important role in the etiology of mental and physical disorders. The effect of stress on health may be moderated by how people deal with stress. The objectives of this analysis were to (1) estimate the population proportions using various ways of dealing with stress in healthy people, in people with mental disorders and substance dependence and in individuals with general medical conditions only, and (2) identify factors associated with ways of dealing with stress. Data from the Canadian Community Health Survey, Mental Health and Well-being (CCHS-1.2) were used (n = 36,984). This was a national mental health survey which used a probability sample and incorporated a version of the Composite International Diagnostic Interview. Participants with mental disorders differed from healthy people in ways of dealing with stress. Among participants with mental disorders, women were more likely to report that they “talk to others” and “eat more/less” to deal with stress. Men were more likely to use “avoid people” and “drink alcohol” to deal with stress than women. Age differences within groups in ways of dealing with stress were found and having a history of mental disorders was also associated with reported ways of dealing with stress. Ways of dealing with stress differ by gender and age, but there is no over-arching pattern of maladaptive coping associated with mental disorders that applies across illness, age and gender categories. Healthy behaviors should be promoted as ways to relieve stress, leading to better self-care skills.

OBJECTIVE: Process model of stress and coping guided psychometric assessment of two brief measures of psychological well-being: Parenting Morale Index (PMI); Family Impact of Childhood Disability (FICD) scale. METHODS: Canadian mothers (N = 195) of children with disability (CWD) completed PMI, FICD, and validation measures (Brief Family Assessment Measure [FAM], Personal Well-Being Index, Positive and Negative Affect Schedule, General Self-Efficacy Scale, Social Desirability Scale) via computer-assisted telephone interview. Of these, 154 completed additional validation measures (Center for Epidemiological Studies-Depression Scale, Parenting Stress Index, Family Hardiness Index, Brief FAM) 1 year later. RESULTS: Factor structures of PMI and FICD were supported; both demonstrated internal consistency, temporal stability, and convergent and discriminant validity. After 1 year, PMI and FICD jointly predicted depressive symptoms, parenting stress, family hardiness, and family adjustment. CONCLUSION: PMI and FICD can identify mothers of CWD at risk for poor psychological well-being to increase the specificity of supports. Language: en

Objective: To determine whether the effects of factors associated with the development of childhood (aged 6 years or younger) physical aggression were immediate (cross-sectional), sustained (longitudinal), or both. Methods: A longitudinal subsample ( n = 975) of children born between December 1994 and April 1995 was drawn from the Canadian National Longitudinal Survey of Children and Youth and followed from birth to 6 years of age. Using random- and fixed-effects logistic panel regression models, child (sex and preterm birth), maternal (education, employment, and positive or hostile/ineffective parenting), and family (lone-parent, older and younger siblings, and income) indicators were regressed on childhood physical aggression. Results: Hostile/ineffective parenting contributed significantly to explaining the variance in aggression. At each measurement time point (birth, 2, 4, and 6 years of age), a change in hostile/ineffective parenting had an effect on aggression, and this effect carried forward across time up to 6 years. Being a boy, having a mother with less education, and living in a lone-parent family with siblings also contributed significantly to aggression. Preterm birth, maternal employment, depressive symptoms, positive interaction, and income failed to contribute significantly to aggression. Conclusions: These results support the hypothesis that hostile/ineffective parenting has an immediate effect on aggression. Contrary to predictions that it would have an immediate effect only at the time it was occurring, hostile/ineffective parenting had a sustained effect on aggression that carried forward in time up to 6 years of age. The results suggest that hostile/ineffective parenting has an effect on aggression prior to any evidence of aggressive behaviour in the child.