The presumed link between mental disorder and violence has been the driving force behind mental health law and policy for centuries. Legislatures, courts, and the public have come to expect that mental health professionals will protect them from violent acts by persons with mental disorders. Yet for three decades research has shown that clinicians' unaided assessments of "dangerousness" are barely better than chance. Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence tells the story of a pioneering investigation that challenges preconceptions about the frequency and nature of violence among persons with mental disorders, and suggests an innovative approach to predicting its occurrence. The authors of this massive project -- the largest ever undertaken on the topic -- demonstrate how clinicians can use a "decision tree" to identify groups of patients at very low and very high risk for violence. This dramatic new finding, and its implications for the every day clinical practice of risk assessment and risk management, is thoroughly described in this remarkable and long-anticipated volume. Taken to heart, its message will change the way clinicians, judges, and others who must deal with persons who are mentally ill and may be violent will do their work.
This study followed 1,300 serious juvenile offenders for 7 years after their conviction. Here are the key findings: (1) Chronic offenders are much more likely than other juvenile offenders to be substance users and to qualify as having substance use (SU) disorders. SU and offending at one age is a consistent predictor of continued serious offending at a later age; (2) Dispositional factors (e.g., sensation seeking, behavioral disinhibition, poor affect regulation, stress, depression) can lead to ¿externalizing¿ behaviors such as SU and criminal activity; (3) SU and serious offending fluctuate in similar patterns over time, suggesting a reciprocal or sequential relationship; (4) SU and serious offending decrease in late adolescence. Illus. A print on demand report.
Poverty and Power suggests that today's poverty results from deep-rooted disparities in income, wealth, and power. The rate and severity of poverty remain high, because millions of Americans are trapped in low-wage jobs, inadequately served by government policy, excluded from mainstream policy debates, and vitimized by discrimination and social exculsion
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