Criminogenic Needs and Legal Problem Severity Among Legal System Involved Veterans.


Journal

Military medicine
ISSN: 1930-613X
Titre abrégé: Mil Med
Pays: England
ID NLM: 2984771R

Informations de publication

Date de publication:
22 Dec 2023
Historique:
received: 05 06 2023
revised: 06 09 2023
accepted: 29 11 2023
medline: 23 12 2023
pubmed: 23 12 2023
entrez: 23 12 2023
Statut: aheadofprint

Résumé

Many veterans seeking behavioral health services have history of criminal-legal involvement. Research on criminogenic needs of legal system involved veterans is burgeoning. However, most research has relied on cross-sectional examinations and the vast majority of prior work has focused assessment on just one criminogenic need per study. The present study evaluated seven key criminogenic needs of legal system involved veterans (N = 341) enrolled in one of three U.S. Veterans Health Administration residential behavioral health treatment programs. Criminogenic needs and legal problem severity were assessed at baseline, and at 6 months and 12 months post-baseline. Directionality of associations between participants' criminogenic needs and legal problem severity was examined using latent change score models. Results revealed having more antisocial associates at a previous timepoint was associated with greater subsequent improvements in legal problem severity ($\beta $=-0.01, P < 0.02) and greater improvements in legal problem severity predicted greater subsequent improvements in alcohol problem severity ($\beta $=0.13, P < 0.01). In one of the most comprehensive single-study assessments of criminogenic needs among a sample of legal system involved veterans, results highlight links between antisocial associates and alcohol problem severity with legal problem severity.

Sections du résumé

BACKGROUND BACKGROUND
Many veterans seeking behavioral health services have history of criminal-legal involvement. Research on criminogenic needs of legal system involved veterans is burgeoning. However, most research has relied on cross-sectional examinations and the vast majority of prior work has focused assessment on just one criminogenic need per study.
METHODS METHODS
The present study evaluated seven key criminogenic needs of legal system involved veterans (N = 341) enrolled in one of three U.S. Veterans Health Administration residential behavioral health treatment programs. Criminogenic needs and legal problem severity were assessed at baseline, and at 6 months and 12 months post-baseline. Directionality of associations between participants' criminogenic needs and legal problem severity was examined using latent change score models.
RESULTS RESULTS
Results revealed having more antisocial associates at a previous timepoint was associated with greater subsequent improvements in legal problem severity ($\beta $=-0.01, P < 0.02) and greater improvements in legal problem severity predicted greater subsequent improvements in alcohol problem severity ($\beta $=0.13, P < 0.01).
CONCLUSIONS CONCLUSIONS
In one of the most comprehensive single-study assessments of criminogenic needs among a sample of legal system involved veterans, results highlight links between antisocial associates and alcohol problem severity with legal problem severity.

Identifiants

pubmed: 38140960
pii: 7492413
doi: 10.1093/milmed/usad472
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Health Services Research and Development
ID : IIR 14-081
Organisme : Health Services Research and Development
ID : IIR 14-081

Informations de copyright

© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

Molly A Bowdring (MA)

Stanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA 94304, USA.
Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA.

Kathryn S Macia (KS)

National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, CA 94304, USA.
Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA.

Paige M Shaffer (PM)

Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
VA Bedford Healthcare System, Bedford, MA 01730, USA.

David Smelson (D)

Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
VA Bedford Healthcare System, Bedford, MA 01730, USA.

Daniel M Blonigen (DM)

Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA.
HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA 94304, USA.

Classifications MeSH