Jihadist Travelers and Terrorism Risk Assessment in the Netherlands

2021 ◽  
Author(s):  
Anton Weenink ◽  
Shanti Vooren-Morsing
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
The Netherlands ◽  
Mental Health Problems ◽  
Assessment Instrument ◽  
Terrorism Risk ◽  
Risk Assessment Instrument ◽  
New Findings ◽  
History Of ◽  
Managing Risk

In the Netherlands, police use IR46 as a Terrorism Risk Assessment Instrument for identifying radicalized individuals and the risk or threat they pose. Originally, its focus was on ideological radicalization as a precursor to terrorist violence. Here, it reflected mainstream thinking in terrorism studies, which held that terrorists overall are ‘normal’ in terms of mental health and socio-economic backgrounds. New empirical research called this ‘normality paradigm’ into doubt, and IR46 has changed accordingly. One example of this research was a 2015 study in Dutch police files describing behavioural problems and disorders in jihadist travelers to the Middle East. This chapter presents new findings from a follow-up study from 2019. The studies, and similar research elsewhere, have indicated that jihadist travelers on average have a history of adverse socio-economic conditions, high criminality, and more mental health problems than their peers. Individual backgrounds may have contributed to their susceptibility to extremist messages. These backgrounds can be quite diverse though, which does not allow for an accurate prediction of those who actually commit a terrorist crime. Nevertheless, insight in these backgrounds provides new angles for identifying and managing risk in individuals of concern.

Improving police risk assessment and management of family violence through a collaboration between law enforcement, forensic mental health and academia

2017 ◽  
Vol 3 (2) ◽  
pp. 119-131 ◽  
Author(s):  
Troy E. McEwan ◽  
Stuart Bateson ◽  
Susanne Strand
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Law Enforcement ◽  
Family Violence ◽  
Assessment Instrument ◽  
Content Type ◽  
Risk Assessment Instrument ◽  
Increased Risk ◽  
Risk Assessment And Management ◽  
Practical Implications

Purpose Police play an essential role in reducing harms associated with family violence by identifying people at increased risk of physical or mental health-related harm and linking them with support services. Yet police are often poorly trained and resourced to conduct the kind of assessments necessary to identify family violence cases presenting with increased risk. The paper aims to discuss this issue. Design/methodology/approach This paper describes a multi-project collaboration between law enforcement, forensic mental health, and academia that has over three years worked to improve risk assessment and management of family violence by police in Victoria, Australia. Findings Evaluation of existing risk assessment instruments used by the state-wide police force showed they were ineffective in predicting future police reports of family violence (AUC=0.54-0.56). However, the addition of forensic psychology expertise to specialist family violence teams increased the number of risk management strategies implemented by police, and suggested that the Brief Spousal Assault Form for the Evaluation of Risk assessment instrument may be appropriate for use by Australian police (AUC=0.63). Practical implications The practical implications of this study are as follows: police risk assessment procedures should be subject to independent evaluation to determine whether they are performing as intended; multidisciplinary collaboration within police units can improve police practice; drawing on expertise from agencies external to police offers a way to improve evidence-based policing, and structured professional judgement risk assessment can be used in policing contexts with appropriate training and support. Originality/value The paper describes an innovative collaboration between police, mental health, and academia that is leading to improved police practices in responding to family violence. It includes data from the first evaluation of an Australian risk assessment instrument for family violence, and describes methods of improving police systems for responding to family violence.

The nursing care of an adult in crisis with mental health problems

2009 ◽  
Author(s):  
Simon Steeves ◽  
Chris Smith
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Problems ◽  
Bipolar Affective Disorder ◽  
Mental Health Crisis ◽  
Mental Health Nursing ◽  
History Of ◽  
Future Events ◽  
Health Nursing ◽  
Serious Disease

In this chapter we will look at the issues arising from an acute crisis in two people’s lives. Two differing crises with separate needs and outcomes but similarities in risk assessment and planning of care will be discussed. First you will meet Joyce, a mature family woman who has a history of mental health crises. You will also meet Andrew, a young man who is very troubled by his current circumstances, which have led to a significant mental health crisis. Dictionary.com defines crisis in many ways, and there are two useful definitions here: • A stage in a sequence of events at which the trend for all future events, especially for better or for worse, is determined; turning point • The point in the course of a serious disease at which a decisive change occurs, leading either to recovery or death So we will examine the nature of a crisis, what must be done about it, and what we need to do in the future to either prevent recurrence or minimize its impact. We will pay special attention to the risks included in both definitions to ensure our outcomes are for better not worse and lead to recovery not death. In mental health nursing there is, historically, difficulty in accepting death, whereas in all other branches of nursing it is accepted that a percentage of clients will die. For example in oncology, surgery, and neonatal care it is accepted that death may occur, but in our branch of nursing it causes angst, blame, and fear. In light of this we will discuss risk assessment and planning in some depth. Joyce is a 57-year-old woman, now divorced, with three children who are all now grown up and leading their own careers. The eldest is a highly respected solicitor. Joyce has a long history of bipolar affective disorder. She has, when in low mood, attempted suicide on several occasions. Some have been very serious attempts, one requiring the administration of acetycysteine (Parvalex) to redress her symptoms. For the last 18 months she has been living in Cedar Lodge, a rehab and recovery unit, following her most recent relapse. Her progress appeared to be successful until about six or seven weeks ago. She had formed a relationship with a younger man, Mark, whom many of the staff distrusted. Recently she had exhibited changes in behaviour.

scholarly journals Effects of Pregnancy Loss on Subsequent Postpartum Mental Health: A Prospective Longitudinal Cohort Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2179
Author(s):  
David C. Reardon ◽  
Christopher Craver
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Live Birth ◽  
Pregnancy Loss ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Reproductive Services ◽  
History Of ◽  
Mental Health Treatments ◽  
Prospective Longitudinal

Pregnancy loss, natural or induced, is linked to higher rates of mental health problems, but little is known about its effects during the postpartum period. This study identifies the percentages of women receiving at least one postpartum psychiatric treatment (PPT), defined as any psychiatric treatment (ICD-9 290-316) within six months of their first live birth, relative to their history of pregnancy loss, history of prior mental health treatments, age, and race. The population consists of young women eligible for Medicaid in states that covered all reproductive services between 1999–2012. Of 1,939,078 Medicaid beneficiaries with a first live birth, 207,654 (10.7%) experienced at least one PPT, and 216,828 (11.2%) had at least one prior pregnancy loss. A history of prior mental health treatments (MHTs) was the strongest predictor of PPT, but a history of pregnancy loss is also another important risk factor. Overall, women with a prior pregnancy loss were 35% more likely to require a PPT. When the interactions of prior mental health and prior pregnancy loss are examined in greater detail, important effects of these combinations were revealed. About 58% of those whose first MHT was after a pregnancy loss required PPT. In addition, over 99% of women with a history of MHT one year prior to their first pregnancy loss required PPT after their first live births. These findings reveal that pregnancy loss (natural or induced) is a risk factor for PPT, and that the timing of events and the time span for considering prior mental health in research on pregnancy loss can significantly change observed effects. Clinicians should screen for a convergence of a history of MHT and prior pregnancy loss when evaluating pregnant women, in order to make appropriate referrals for counseling.

scholarly journals Common Mental Disorders and Substance Use in School Children of Eastern Nepal

2019 ◽  
Vol 8 (1) ◽  
pp. 17-21
Author(s):  
P Sharma ◽  
P Sharma ◽  
N Thakur ◽  
S Sharma ◽  
M Pokharel
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
School Mental Health ◽  
Prevalence Studies ◽  
Common Mental Health Problems ◽  
Current Scenario ◽  
History Of

Introduction: School mental health is one of the important areas where early detection can lead to appropriate early intervention and burden of disease can be minimized. There is dearth of prevalence studies of common mental disorders on school going adolescents in Nepal. Considering this we aimed to study the prevalence of common mental health problems and substance use in school going adolescents. Material And Method: We evaluated 240 students for common mental disorders (depression and anxiety) using translated version of PHQ-4 and substance use single validated question after taking consent from school authorities and assent from students. Results: It was seen that 68.8 % students had psychological distress. 22.9 % and 27.5% of students had anxiety and depression respectively on screener and 23.3% students had use of substance at least once within a year. When compared male had significantly higher number of substance use as compared to female but no difference in PHQ-4 scores were seen when compared between gender and history of substance use. Conclusion: The study shows the current scenario of school going adolescents in Nepal and highlights the need of prevalence data on more generalizable setting.

scholarly journals Predictors of clinical deterioration in patients with suspected COVID-19 managed in a ‘virtual hospital’ setting: a cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045356
Author(s):  
Nick A Francis ◽  
Beth Stuart ◽  
Matthew Knight ◽  
Rama Vancheeswaran ◽  
Charles Oliver ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Hospital Setting ◽  
Health Problems ◽  
Clinical Deterioration ◽  
Care Services ◽  
Increased Risk ◽  
Remote Assessment ◽  
History Of

ObjectiveIdentify predictors of clinical deterioration in a virtual hospital (VH) setting for COVID-19.DesignReal-world prospective observational study.SettingVH remote assessment service in West Hertfordshire NHS Trust, UK.ParticipantsPatients with suspected COVID-19 illness enrolled directly from the community (postaccident and emergency (A&E) or medical intake assessment) or postinpatient admission.Main outcome measureDeath or (re-)admission to inpatient hospital care during VH follow-up and for 2 weeks post-VH discharge.Results900 patients with a clinical diagnosis of COVID-19 (455 referred from A&E or medical intake and 445 postinpatient) were included in the analysis. 76 (8.4%) of these experienced clinical deterioration (15 deaths in admitted patients, 3 deaths in patients not admitted and 58 additional inpatient admissions). Predictors of clinical deterioration were increase in age (OR 1.04 (95% CI 1.02 to 1.06) per year of age), history of cancer (OR 2.87 (95% CI 1.41 to 5.82)), history of mental health problems (OR 1.76 (95% CI 1.02 to 3.04)), severely impaired renal function (OR for eGFR <30=9.09 (95% CI 2.01 to 41.09)) and having a positive SARS-CoV-2 PCR result (OR 2.0 (95% CI 1.11 to 3.60)).ConclusionsThese predictors may help direct intensity of monitoring for patients with suspected or confirmed COVID-19 who are being remotely monitored by primary or secondary care services. Further research is needed to confirm our findings and identify the reasons for increased risk of clinical deterioration associated with cancer and mental health problems.

An Examination of Changes in LSI-R Scores Over Time: Making the Case for Needs-Based Case Management

2011 ◽  
Vol 38 (6) ◽  
pp. 541-553 ◽  
Author(s):  
Melinda D. Schlager ◽  
Daniel Pacheco
Keyword(s):  
Risk Assessment ◽  
Case Management ◽  
Predictive Validity ◽  
Community Corrections ◽  
Policy Implications ◽  
Assessment Instrument ◽  
Level Of Service ◽  
Change Scores ◽  
Risk Assessment Instrument ◽  
Over Time

The Level of Service Inventory—Revised (LSI-R) is an actuarially derived risk assessment instrument with a demonstrated reputation and record of supportive research. It has shown predictive validity on several offender populations. Although a significant literature has emerged on the validity and use of the LSI-R, no research has specifically examined change scores or the dynamics of reassessment and its importance with respect to case management. Flores, Lowenkamp, Holsinger, and Latessa and Lowenkamp and Bechtel, among others, specifically identify the importance and need to examine LSI-R reassessment scores. The present study uses a sample of parolees ( N = 179) from various community corrections programs that were administered the LSI-R at two different times. Results indicate that both mean composite and subcomponent LSI-R scores statistically significantly decreased between Time 1 and Time 2. The practical, theoretical, and policy implications of these results are discussed.

Comment on “The Influence of Risk Assessment Instrument Scores on Evaluators’ Risk Opinions and Sexual Offender Containment Recommendations”

2017 ◽  
Vol 44 (9) ◽  
pp. 1236-1241
Author(s):  
Christopher Lobanov-Rostovsky
Keyword(s):  
Risk Assessment ◽  
Sex Offender ◽  
Sexual Offender ◽  
Assessment Instrument ◽  
Assessment Instruments ◽  
Management Board ◽  
Risk Assessment Instrument ◽  
Potential Confounding Variable ◽  
Standards And Guidelines ◽  
And Behavior

The work of the Colorado Sex Offender Management Board (SOMB) has been called into question as a result of the manuscript “The Influence of Risk Assessment Instrument Scores on the Evaluators’ Risk Opinions and Sexual Offender Containment Recommendations” published in Criminal Justice and Behavior (2017). This response covers the following areas: significant nomenclature problems used to describe the Adult Standards and Guidelines, the dated nature of the SOMB citations in the manuscript, the flaws in the interpretation of the use of the 17 SOMB risk factors and the SOMB policy related to risk assessment, a potential confounding variable that may explain the results obtained, and finally the work of the SOMB to foster the use of validated risk assessment instruments and evidence-based policies and practices. The SOMB takes pride in providing up-to-date, research-supported practices for its providers and would never intentionally do otherwise, as suggested by the article.

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