refugee children, Watters’ book provides more generally significant insights into a wide array of issues relevant to contemporary refugees. Rather than concentrating on those who receive refugee status from host societies, Watters asserts “the focus of this book is not restricted to legal and administrative definitions of refugee children, but instead accords with what Zolberg has referred to as a ‘sociological’ definition ‘grounded in observable social realities’” (p. 2). In addition, Watters draws extensively from contemporary theorists of inequality, exclusion and domination—Michel Foucault, Aihwa Ong, Pierre Bourdieu, Homi Bhabha, Liisa Malkki among them—to create a refined appreciation of the ways that states and bureaucracies affect refugees’ understandings of themselves, their social position and their ability to act in their own interest. Refugee Children is based upon the analysis of refugees in several (mostly European) countries of settlement, including Germany, the Netherlands, Belgium, France and especially the U.K., which according to the author is regarded by many stateless persons as the most desirable point of settlement. In addition, the book examines populations originating from and travelling through multiple world regions. Drawing from his own research as well as his reviews of journalistic and academic literature, Watters gives readers numerous first-hand accounts of the settings, interactions and assistance programs that refugee youth encounter. The author carefully attends to the origins of refugees, considering their history, religion and cultural background. Based on this, he questions both the assimilationist approach to refugee resettlement that would compel recent arrivals into the acceptance of host society practices in order to facilitate access to jobs and health care, as well as multicultural models that see refugees as inextricably immersed in the cultural and religious patterns of their country of origin, and as such, fundamentally unlike persons native to the host society. Championing neither, he regards both as paternalistic and potentially limiting to refugee children’s ability to make choices based upon their own outlooks, goals and understandings. In a like manner, Watters assesses models of resettlement in terms of their allocation of resources. He critiques both tight-fisted programs that fail to provide minimal levels of support as well as therapeutic regimes that assume all forced migrants to be deeply wounded and as such, in immediate need of culturally alien and sometimes unwanted rehabilitation. Despite its impressive scholarship, Refugee Children: Towards the Next Horizon is not simply an exercise in academic analysis. Rather, it offers valuable information with many practical examples drawn from successful programs devoted to refugee youth. If there is one downside to this book, it is that the volume is so rich in theories, examples, case studies, suggestions for practice and evaluations of the political and ethical implications of various approaches to working with young refugees, that readers may become overwhelmed. Its scholarly exuberance notwithstanding, Refugee Children: Towards the Next Horizon is a thought-provoking and sophisticated resource for scholars and practitioners interested in the experience of forced migrants in general and refugee youth in particular. The book does an impressive job of filling the conceptual, contextual and theoretical gaps that have, until recently, limited the breadth and quality of research on forced migrants.

Imprisoning Communities: How Mass Incarceration Makes Disadvantaged Neighborhoods Worse

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Integrated Treatment for Dual Disorders. A Guide to Effective Practice

Budget cuts have had a devastating effect on public defenders and their ability to effectively represent indigent clients, mostly in the form of increasing caseloads. Much has been written about the effect these excessive caseloads have had on indigent defendants’ right to counsel. This article, instead, focuses on how excessive caseloads are placing public defenders in ethical dilemmas. Public defenders are bound by the Model Rules of Professional Conduct, but these high caseloads are making it increasingly difficult for them to meet these required ethical standards. Specifically, it is more challenging for an attorney to represent indigent clients diligently and competently when dealing with caseload numbers well beyond the recommended levels. The author discusses why the solutions being offered by the American Bar Association‘s Formal Opinion 06-441 are not tenable and concludes that true reform in indigent defense is the only way to alleviate the excessive caseloads.

Too Many Clients, Too Little Time: How States are Forcing Public Defenders to Violate Their Ethical Obligations

afstudeerscriptie van studente Psychologie Yasmin Gharavi gepubliceerd in BMC Psychiatry: Background: Family members who care for patients with severe mental illness experience emotional distress and
report a higher incidence of mental illness than those in the general population. They report feeling inadequately
prepared to provide the necessary practical and emotional support for these patients. The MAT training, an Interaction-
Skills Training program (IST) for caregivers, was developed to meet those needs. This study used a single-arm pretestposttest design to examine the impact of the training on caregivers’ sense of competence (self-efficacy) and burden.

Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness

Mental health court (MHC) research consistently finds that defendants who successfully complete and graduate from the court are less likely to recidivate than those who do not. However, research has not assessed what happens to these noncompleters once they are sent back to traditional court. Using follow-up data on six years of noncompleters from pre-adjudication MHC, we examine what happens to these defendants in traditional court. Findings suggest that 63.7% of defendants' charges were dismissed, 21.0% received probation, and 15.3% were sentenced to incarceration. We examine the time to disposition and differences in defendant characteristics and disposition outcome as well as the relationship between disposition and subsequent recidivism. Results suggest that more severe punishments in traditional court are associated with recidivism. Logistic regression analysis shows that defendants whose charges were dismissed in traditional court were less likely to recidivate than those who were sentenced to probation or incarceration. Our findings highlight the need for future MHC evaluations to consider traditional court outcomes and support trends towards post-adjudication courts. Copyright © 2015 John Wiley & Sons, Ltd.

What Happens to Mental Health Court Noncompleters

Recidivism rates vary by conviction offense type and release status. Less is understood regarding associations of conviction offense type and release status on the specific recidivism outcomes of o...

Recidivism by Conviction Offense Type and Release Status Among Prisoners Released in Iowa

Mental health courts are one potential means to mitigate violence against family members by people with mental illness. This study identified the rate at which cases of family violence come before ...

The Role of Mental Health Courts in Mitigating Family Violence.

This study empirically examines the associations between legal representation and four key outcomes in mental health courts. The outcomes include whether eligible defendants chose to participate in a municipal mental health court (MMHC); if defendants chose to participate, whether the MMHC resolved their criminal charges without court supervision; whether eligible defendants attended the initial MMHC court hearings; and whether defendants successfully completed the MMHC program. The study included 1012 defendants who were accepted into a MMHC in a state where municipal court defendants do not have to be represented by a defense attorney. We conducted bivariate and logistic regression analyses to identify differences in each of the four outcomes between MMHC defendants who did or did not have a defense attorney. The results of the bivariate and logistic regression analyses found defendants represented by defense attorneys were more likely to choose not to participate in the MMHC, to resolve their criminal charges without court supervision, to participate in initial court hearings, and to successfully complete the MMHC program. All four regression models were statistically significant, although the amount of variance explained was relatively low, ranging from 6% to 13%.

Associations between Legal Representation and Mental Health Court Outcomes

BACKGROUND
Individuals released from prisons to community supervision often experience unstable housing, unemployment, substance misuse, mental ill-health, and lack of support systems contributing to high rates of recidivism. Occupational therapy practitioners have distinct value in promoting engagement in new habits and routines to support "occupation," or development of daily living skills to support community reentry.


OBJECTIVE
We developed an occupational therapy (OT) program within a Department of Corrections (DOC) Community Supervision Center in the Midwest United States. The purpose of this study was to determine feasibility and efficacy of an OT program for community reentry.


METHOD
The program was piloted with a sample of five justice-involved men received OT interventions. Pre- and posttest assessments included a behavioral health interview, demographic survey, five Patient-Reported Outcomes Measurement Information System (PROMIS) assessments, the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT) and Activity Card Sort-Advancing Inclusive Assessment. Descriptive analyses were performed to determine goal attainment and compare pre- and post-test scores over time and to a reference population (PROMIS). Staff of the DOC were also interviewed to assess perceived feasibility and efficacy of this pilot.


RESULTS
Significant health changes were reported in participant self-efficacy, managing emotions, anxiety, and sleep disturbances (1 >  SD). Moderate changes were seen in reduced feelings of social isolation (0.5 >  1SD).


CONCLUSION
It was feasible to implement an OT program with tailored reentry interventions based on unique needs of criminal justice involved individuals. Initial findings suggest OT offers health promotion benefits to reduce risk of recidivism and prepare individuals for community reentry following incarceration.

Evaluation of an occupational therapy reentry program: Achieving goals to support employment and community living after incarceration.

Peer support specialists (PSS) are people with previous psychiatric illness or substance use disorders who use their experience to support those facing similar hardships. PSS offer a range of beneficial outcomes to both the PSS and clients. The most immediate social connections to those seeking treatment are often their families, yet no PSS studies are inclusive of family involvement. Strong theoretical and empirical support exists for family involvement in addiction treatment, but no studies to date on families in substance use treatment include PSS. This study offers a first look at PSS's experiences with client families. We aimed to describe experiences and attitudes of PSS in working with families of those seeking substance use treatment. This qualitative study included 25 adult PSS with at least 1 year of work experience in substance use treatment and state credentialing board certification. Participants had one interview either in a focus group format or individually. The recruitment and data collection phase lasted from November 2020 to June 2021. The semi-structured interview protocol included six main questions and interviews lasted 60 to 75 min. Upon completion of each interview, the recordings were transcribed and inductively coded. Thematic analysis of the codes identified overarching themes and their implications were described with associated quotes. Thematic analysis generated three interrelated themes. First, participants described the various ways they often work with the families of their clients, which seemed to be dependent on the age of the client. Second, participants identified the negative aspects of working with families such as family drama, stress, and co-dependency issues. Last, the third theme identified the ways in which PSS assist families in healing from the effects of addiction. The themes identify a complicated and conflicting approach to work with families. Overall, it seemed PSS were operating on their own experiences or suggestions given by supervisors to guide them with no training on how to approach families. This study highlights a deficit in PSS training on their role with families, family intervention, and the impact of family on substance use treatment for adults and youth. More research needs to establish the PSS role with families and with clients from marginalized backgrounds. Credentialing and national associations that support PSS should develop additional training and education opportunities related to working with families for PSS, supervisors, and organizational leadership who employ PSS for substance use treatment. 

Jacob Eikenberry

Papers

Recidivism by Conviction Offense Type and Release Status Among Prisoners Released in Iowa

The Role of Mental Health Courts in Mitigating Family Violence.

Associations between Legal Representation and Mental Health Court Outcomes

Evaluation of an occupational therapy reentry program: Achieving goals to support employment and community living after incarceration.

Helping families heal in substance use treatment: A qualitative study about the role of peer support specialists with client families.