Assessing Risk: Gender responsive considerations

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Transcript Assessing Risk: Gender responsive considerations

Assessing Risk: Gender responsive considerations

Samantha Crawford & Sarah Passmore Higher Assistant Psychologists

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Statistics

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Female pathways into offending

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Issues women encounter in prison

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Risk Assessments

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Ways Forward

Women in prison

3,814 (4.82%) June 2013

Age group

25-29

Women

796

Men

14,695 30-39 40-49 1,266 830 21,474 13,815

Sentence Length

Women: 12 months – less than 4 years

1,189

Men: 4 years or more (excluding indeterminate)

23,406

www.justice.gov.uk/statistics

Offence Type Men Violence against the person

28.5%

Drug Offences

14.5%

Theft & Handling Stolen Goods

5.5%

Sexual Offences

14.3%

Male % Change from 2007 +1.3% Women

26.7%

-0.9% +0.1%

21.2% 13.2%

Women % Change from 2007 +6.2% -10% +2% +2.9%

2.4%

+1%

www.justice.gov.uk/statistics

“The most common pathways to crime are based on survival (of abuse and poverty) and substance abuse” (Bloom, Owen & Covington, 2003)

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Women as victims as well as offenders

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Relationships

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Mental illness

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Substance abuse

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Little education/work experience

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Homelessness/Accommodation

Loucks, 2004; Corston, 2007; A Distinct Approach: A Guide to Working with Women Offenders – NOMS 2012

Self Harm Location of prison from home area Pregnancy/birth in prison Separation from children Effects of separation on the children Hormonal difficulties

What are risk assessments?

“The assessment of risk for future sexual/violent behaviour in patients/offenders with a violent history and/or mental disorder”

(De Vogel, 2012)

Why have more gender specific risk assessments?

HCR-20

Assessing Risk for Violence (Webster, Douglas, Eaves & Hart, 1997)

Historical (Past) Clinical (Present) Risk Management (Future) R1

. Plans Lack Feasibility

H1

. Previous Violence

H2

. Young Age at First Violent Incident

H3

. Relationship Instability

H4

. Employment Problems

H5

. Substance Use Problems

H6

. Major Mental Illness

H7

. Psychopathy

H8

. Early Maladjustment

H9

. Personality Disorder

H10

. Prior Supervision Failure

C1

. Lack of Insight

C2

. Negative Attitudes

C3

. Active Symptoms of Major Mental Illness

C4.

Impulsivity

C5

. Unresponsive to Treatment

R2

. Exposure to Destabilizers

R3

. Lack of Personal Support

R4

. Noncompliance with Remediation Attempts

R5

. Stress

• The Female Additional Manual (FAM) is a recently developed addition to the HCR-20 for assessing risk for violence in women.

(De Vogel, de Vries Robbe, van Kalmthout & Place, 2011) • Several risk factors for violent behaviour in women differ substantially from those in men.

• The increased number of violent crimes being committing by women and the different pathways into crime is highlighting the need for gender specific risk assessments.

Profile

Miss A: 26 year old female Index offence: Murder Previous offences: theft, assaulting a constable

Background Information

Parents separated age 7 Neglect and physical and sexual abuse as a child Witnessed domestic violence Behavioural difficulties at school Taken in to care age 12 Substance misuse Pregnancy at young age Postnatal depression Prostitution

Prison Behaviour

Self harm Low self esteem Manipulation Borderline personality disorder

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H6 Major Mental Illness

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H7 Psychopathy

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H8 Early Maladjustment

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H8a Problematic Circumstances during childhood

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H8b Problematic behaviour during childhood

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H9 Personality Disorder – cluster B PDs

De Vogel, de Vries Robbe, van Kalmthout & Place, 2011 •

H10 Prior supervision failure

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H11 Prostitution

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H12 Parenting difficulties

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H13 Pregnancy at young age

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H14 Suicidality/Self harm

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H15 Victimization after childhood

Clinical Items Risk Management Items • Covert/Manipulative behaviour • Problematic child care responsibility • Low self esteem • Problematic intimate relationship

Index offence: Murder Pregnancy at young age Self harm Prostitution Manipulation Neglect and physical and sexual abuse as a child Borderline personality disorder Postnatal depression

The increased number of violent offences committed by women have highlighting the need for gender sensitive risk assessment.

The pathways into offending seem to differ from those of males including substance misuse, abuse and mental health problems, prostitution and there are more likely to be missed in traditional risk assessments. FAM development are a step forward in adopting a more gender sensitive approach to assessment and risk and an important factor when assessing risk on female offenders.