Community Supervision Research Articles

Employment and mental health for adults on probation, 2002-2021.

The 21st century has seen a decline in employment rates in the US at the same time that it has experienced a historically unprecedented rise in the numbers of adults under criminal justice system control. Both low employment and high incarceration have posed serious challenges for public health. Using data from the National Survey on Drug Use and Health from 2002-2021, we estimated employment rates by community supervision status. Variations by sociodemographic subgroups were explored as well as correlations between employment and a range of mental and behavioural health variables. Those on probation were twice as likely as those not to live in poverty. They experienced higher rates of poor mental and behavioural health, including three times the rate of substance use. Employment rates varied little by community supervision status. Health risk factors were associated with more risk and protective factors did less to mitigate risk for those under community supervision. Despite the range of adversities faced by individuals under criminal justice system control, their employment rates are remarkably close to those not. Despite near equivalent involvement in the labour force, this population has substantially poorer health and substantially reduced likelihood of escaping poverty.

Can an Expert Opinion Mitigate Racially Biased Diversion Decisions? An Empirical Examination in the Context of Re-Offense Risk Assessment

Using a vignette-based experimental design, this study tested whether the racial or ethnic identity of a justice-impacted person influences jury-eligible individuals’ perceptions of post-conviction risk, placement (incarceration vs. community supervision), and need for mandated treatment. Furthermore, we examined whether the inclusion of data from a reoffense risk tool could mitigate racial bias. Participants recruited through Amazon’s MTurk ( N = 448) were randomly assigned to conditions varying by race/ethnicity of an examinee (Black, Latino, White) and if/how risk assessment data were included (no risk data, risk data only, and risk data reported by a qualified examiner). There was no statistically significant effect of the examinee’s racial/ethnic identity on ratings of reoffense risk or placement decisions; however, the Black examinee was more likely to be mandated with treatment. Regardless of examinee identity, participants exposed to risk information proffered by an expert more often calibrated their risk decisions to the examinee’s actual risk level.

Feasibility and Performance of a Point-of-Care Hepatitis C RNA Assay in a Community Supervision Cohort

This cross-sectional study examines the feasibility and clinical performance of a fingerstick point-of-care hepatitis C virus (HCV) RNA assay in a community supervision (probation or parole) setting.

“I feel like I'm always on edge”: Perceptions of parole supervision by parolees with substance use disorders

IntroductionWhile extant research has looked at parole and its various actors as an institution, few studies recount the parole experience from the perspective of parolees. Additionally, despite the prevalence of substance use disorders (SUDs) within the criminal justice system, research that assesses the additional challenges this population faces throughout parole supervision is even scarcer. MethodsTo address this gap, we analyze in-depth qualitative interviews (n = 51) conducted with reentering men with SUDs as they navigate parole in Pennsylvania. Three independent coders identified all narratives relating to a broad theme of “parole and probation experiences.” The authors then completed iterative rounds of more fine-grained independent coding within that theme. ResultsOur results emphasize that SUDs present a significant barrier to reentry success, and the tension of surveillance and revocation is amplified for those enduring simultaneous reentry and recovery. Importantly, our respondents regard parole officers more positively than they view parole as an institution, yet this perception of officers does not equate to provision of reintegration and recovery support. Respondents perceive that parole presents unnecessary additional hurdles to their reentry success, and their perceived risk level impacts their surveillance intensity. ConclusionsThe information gleaned through inclusion of perspectives from those enduring parole supervision calls for a critical assessment of current parole practices. Further, the current approach to SUDs within community supervision criminalizes relapse without provision of treatment resources or support.

An initial validation of a new measure of client change in a correctional sample

ABSTRACT Ideally, when an individual enters the Criminal Justice System there is the goal and expectation that they will, over time and through intervention, change from the individual who perpetrated the crime(s) toward adopting a non-criminal identity. However, there are currently few measures of change with established validity for predicting post-program or post-release outcomes with correctional samples. The Client Change Scale [CCS; Serin & Lloyd, 2018] was developed to address this gap to provide an empirically grounded systematic measure of factors relevant for change. This study was the first to assess the psychometric properties of the CCS with post-release outcomes and to predict recidivism outcomes with a Canadian release cohort using archival data. The sample included 390 adult males under community supervision by the Correctional Service of Canada (CSC) between 2015 and 2017. Overall, the CCS reflected acceptable psychometric properties. Additionally, an exploratory factor analysis revealed that all 16 items of the CCS should be retained and provided evidence for separate but correlated consideration of internal and external change factors. These initial findings suggest the CCS has the potential to improve decision-making throughout an individual’s time in the criminal justice system by utilizing a person-centered approach in support of improving client success and subsequent public safety.

Methodological approaches in developing and implementing digital health interventions amongst underserved women.

Minority populations are utilizing mobile health applications more frequently to access health information. One group that may benefit from using mHealth technology is underserved women, specifically those on community supervision. Discuss methodological approaches for navigating digital health strategies to address underserved women's health disparities. Using an intersectional lens, we identified strategies for conducting research using digital health technology and artificial intelligence amongst the underserved, particularly those with community supervision. We explore (1) methodological approaches that combine traditional research methods with precision medicine, digital phenotyping, and ecological momentary assessment; (2) implications for artificial intelligence; and (3) ethical considerations with data collection, storage, and engagement. Researchers must address gendered differences related to health, social, and economic disparities concurrently with an unwavering focus on the protection of human subjects when addressing the unique needs of underserved women while utilizing digital health methodologies. Women on community supervision in South Central Texas helped inform the design of JUN, the mHealth app we reported in the case exemplar. JUN is named after the Junonia shell, a native shell to South Texas, which means strength, power, and self-sufficiency, like the participants in our preliminary studies.

Linkage facilitation for opioid use disorder in criminal legal system contexts: a primer for researchers, clinicians, and legal practitioners

At the intersection of drug policy, the opioid crisis, and fragmented care systems, persons with opioid use disorder (OUD) in the United States are significantly vulnerable to contact with the criminal legal system (CLS). In CLS settings, provision of evidence-based treatment for OUD is variable and often secondary to punitive approaches. Linkage facilitation at every touch point along the CLS Sequential Intercept Model has potential to redirect persons with OUD into recovery-oriented systems of care, increase evidence-based OUD treatment connections, and therefore reduce CLS re-exposure risk. Research in this area is still nascent. Thus, this narrative review explores the state of the science on linkage facilitation across the varied CLS contexts, including general barriers, facilitators, and opportunities for using linkage facilitation for OUD treatment and related services. Following the CLS Sequential Intercept Model, the specific CLS contexts examined include community services, police encounters, the courts (pre- and post-disposition), incarceration (pre-trial detention, jail, and prison), reentry (from jails, prisons, and unified systems), and community supervision (probation and parole). Examples of innovative linkage facilitation interventions are drawn from the Justice Community Opioid Innovation Network (JCOIN). Areas for future research and policy change are highlighted to advance the science of linkage facilitation for OUD services in the CLS.

The Effects of Relationship Quality on Probation/Parole Officer Communication Orientation and the Occupational Self-Efficacy of Women on Probation/Parole

ABSTRACT The relationship between probation/parole officers (POs) and their clients under community supervision plays a crucial role in successful reintegration. This study investigates how POs’ communication orientations influence relationship quality and the occupational self-efficacy of women impacted by the justice system, drawing on family communication patterns and self-efficacy theories. A public dataset of 402 women on probation or parole in Michigan, USA was recruited using a cross-sectional snowball sampling approach. Regression analyses revealed that POs’ communication orientation predicts women’s occupational self-efficacy and relationship quality. Equally important, caring and trust mediate the positive relationship between POs’ conversation orientation and women’s self-efficacy in their job-related abilities, while trust also moderates this relationship. These findings have important implications for POs, counselors, and educators in correctional systems, and inform future research directions on PO-client relationships and career development for justice-involved women.

‘Do no harm’: mass supervision and the ruse of carceral humanism

Abstract In recent years, scholarship has chronicled the role of probation in the rise of mass incarceration and has concluded that community supervision is a trap that routinely punishes the poor under the threat of incarceration. Starting in 2010, under a reform-minded new commissioner, the New York City Department of Probation (DOP) sought to roll back probation’s punitive role. In sharp contrast to the tough-on crime approach of previous decades, the DOP adopted the motto ‘Do no harm, do more good, and do it in the community’, and became the first probation department in the nation to spearhead a local justice reinvestment project. Its signature initiative was the decentralization of probation into a series of store front offices known as the Neighbourhood Opportunity Network, which embedded the agency more deeply into poor and working-class communities of colour. Relying on ethnographic research with probation officers, systems involved youth of colour, and non-profit organizations in the South Bronx, this article examines the limits of carceral humanism as a growing trend in recent criminal justice reform efforts.

Perceived versus actual HIV risk among PrEP indicated persons with criminal legal involvement

ABSTRACT Individuals involved with community supervision experience multi-level obstacles impacting health outcomes. This is a high-risk period for HIV acquisition due to potential reengagement in unprotected sex and/or unsafe injection drug practices. This study aimed to assess the congruence between actual and perceived HIV risk and the degree to which individual, social, and behavioral factors impact risk perception among individuals on community supervision. While all participants were clinically indicated for PrEP, most participants (81.5%) did not consider themselves at risk for HIV (69.5%) or were not sure of their risk (12.0%). Among those with no or unsure perceived risk, 94% engaged in sexual behaviors that put them at-risk of HIV. Perceived HIV risk was associated with sharing injection equipment (aPR = 1.8, 95% CI [1.02, 3.3]), identifying as a sexual minority (aPR = 2.3, 95% CI [1.3, 3.9]), and having sex with a partner living with HIV (aPR = 2.4, 95% CI [1.3, 4.3]). Having sex with a partner living with HIV was the only sexual risk behavior associated with a perceived risk of HIV. These findings indicate a substantial discrepancy between actual and perceived HIV risk, highlighting the need for targeted interventions to improve risk perception accuracy and enhance risk prevention among individuals on community supervision.

Effectiveness of a culturally tailored HIV intervention in promoting PrEP among black women who use drugs in community supervision programs in New York City: a randomized clinical trial

BackgroundIn the U.S. there are significant racial and gender disparities in the uptake of pre-exposure prophylaxis (PrEP). Black Americans represented 14% of PrEP users in 2022, but accounted for 42% of new HIV diagnoses in 2021 and in the South, Black people represented 48% of new HIV diagnoses in 2021 but only 21% of PrEP users in 2022. Women who use drugs may be even less likely than women who do not use drugs have initiated PrEP. Moreover, women involved in community supervision programs (CSP) are less likely to initiate or use PrEP, More PrEP interventions that focus on Black women with recent history of drug use in CSPs are needed to reduce inequities in PrEP uptake.MethodsWe conducted a secondary analysis from a randomized clinical trial with a sub-sample (n = 336) of the total (N = 352) participants from the parent study (E-WORTH), who tested HIV negative at baseline were considered PrEP-eligible. Black women were recruited from CSPs in New York City (NYC), with recent substance use. Participants were randomized to either E-WORTH (n = 172) an HIV testing plus, receive a 5-session, culturally-tailored, group-based HIV prevention intervention, versus an HIV testing control group (n = 180). The 5 sessions included an introduction to PrEP and access. This paper reports outcomes on improved awareness of PrEP, willingness to use PrEP, and PrEP uptake over the 12-month follow-up period. HIV outcomes are reported in a previous paper.ResultsCompared to control participants, participants in this study assigned to E-WORTH had significantly greater odds of being aware of PrEP as a biomedical HIV prevention strategy (OR = 3.25, 95% CI = 1.64–6.46, p = 0.001), and indicated a greater willingness to use PrEP as an HIV prevention method (b = 0.19, 95% CI = 0.06–0.32, p = 0.004) over the entire 12-month follow-up period.ConclusionsThese findings underscore the effectiveness of a culturally-tailored intervention for Black women in CSP settings in increasing awareness, and intention to initiate PrEP. Low uptake of PrEP in both arms highlight the need for providing more robust PrEP-on-demand strategies that are integrated into other services such as substance abuse treatment.Trial RegistrationClinicalTrials.gov Identifier: NCT02391233.

T85 - Aspects of Interorganizational Collaboration in Linking Justice-Involved Persons With Opioid Use Disorder Treatment: A Qualitative Exploration of the Community Supervision and Treatment Provider Relationship

T85 - Aspects of Interorganizational Collaboration in Linking Justice-Involved Persons With Opioid Use Disorder Treatment: A Qualitative Exploration of the Community Supervision and Treatment Provider Relationship

Perinatal Health Outcomes Among Women on Community Supervision: A Scoping Review.

The purpose of this scoping review is to review the extant literature regarding perinatal health outcomes for women on community supervision in the United States. PubMed, CINAHL, Scopus, PsycINFO, and Public Health were searched for peer-reviewed articles published in the United States from January 1, 1970, to March 7, 2023. After removal of duplicates and review of 1,412 article titles and abstracts, 19 articles were retrieved for full-text review; this yielded 4 studies for inclusion. Studies range in size from 10 to 292 participants (N = 405) and only two reported geographic locations. Three studies comprised probation or parole and two studies included court-mandated treatment for substance use. All studies examined outcomes during the postpartum period, such as mood disorder or substance use severity. No studies evaluated the health of women during pregnancy and/or childbirth. To enhance health equity and reduce maternal morbidity and mortality among women on community supervision, more inclusive research that examines health outcomes during the perinatal period is needed. Furthermore, there must be interventions that address the social determinants of health, racial and systemic discrimination, socioeconomic barriers, and violence that are often experienced among women with criminal justice system involvement.

Risk to reoffend changes over time: Improving correctional programming through progress monitoring.

Progress monitoring is integral to evidence-based practice. Correctional settings, especially the supervision of individuals who commit sexual offenses, elicit public concern; negative outcomes can be catastrophic. Using a prospective longitudinal study of 2,939 men with a history of sexual offenses undergoing community supervision, we examined different models of progress monitoring and how they should inform the assessment of risk for sexual recidivism. We found that the most recent assessment scores of the ACUTE-2007 and STABLE-2007 sexual recidivism risk tools provided the best information about reoffending risk compared to using (a) the worst period of adjustments (i.e., highest risk score), (b) the best period of adjustments (i.e., lowest risk score), or (c) a rolling average of scores. We also found that the latest STABLE-2007 scores incrementally predicted sexual recidivism beyond baseline risk as assessed by demographic and criminal history variables (Static-99R). We conclude that the risk for sexual recidivism changes over time and that community corrections is advanced by repeated assessment of dynamic (changeable) risk factors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Toward Social and Emotional Learning for Justice-Involved Youth: A Conceptual Framework

Social and emotional learning (SEL) has been used in many K-12 schools across the United States to improve academic and nonacademic outcomes. Extensive research affirms SEL’s benefits for students in educational settings. However, there is a research gap in adaptations of SEL for alternate settings. This article conceptualizes a SEL framework for justice-involved youth on community supervision to support rehabilitation efforts in the juvenile justice system (JJS). Integrating SEL into JJS may reduce recidivism and help justice-involved youth develop the skills to reintegrate into society successfully.

The Influence of Housing Status and Food Insecurity on a Behavioral HIV/STI Prevention Intervention for Black Women under Community Supervision in New York City: A Moderation Analysis.

Black women in community supervision programs (CSPs) are disproportionately affected by HIV and other sexually transmitted infections (STIs). A randomized controlled trial of a group intervention titled Empowering African-American Women on the Road to Health (E-WORTH) demonstrated effectiveness in reducing sexual risk behaviors and STI incidence among Black women in CSPs. This secondary analysis aimed to assess the moderating effects of housing status and food security on E-WORTH effectiveness in reducing sexual risk behaviors and cumulative incidence of STIs over a 12-month period which were found significant in the original trial among a sample of 351 Black women in CSPs in New York City who use drugs and/or engage in binge drinking who reported engaging in HIV risk behaviors or testing positive for HIV. We examined the moderating effects of housing stability, housing independence, and food insecurity on reducing cumulative STI incidence and number of unprotected sex acts using mixed-effects negative binomial regression and logistic regression models that controlled for age, high school education, employment status, and marital status. Findings indicate that the intervention effect was moderated by housing stability, but not housing independence or food security. Compared to the control group, E-WORTH participants who were housing insecure had 63% fewer acts of condomless sex. Our findings highlight the importance of interventions designed for women in CSPs that account for upstream determinants of health and include service linkages to basic needs provisions. Further research is needed to unpack the cumulative impacts of multiple experiences of poverty faced by this population.

‘Yeah, they suck. It’s like they don’t care about our health.’ Medical mistrust among Black women under community supervision in New York city

Black women in the USA experience some of the poorest health outcomes and this is especially true for those involved in the carceral system who are at elevated risks for HIV/STIs, reproductive health, and chronic diseases. This study aimed to investigate Black women’s experience accessing healthcare services. We conducted semi-structured interviews with 43 women from Project EWORTH under community supervision in New York City. We analysed responses focusing on barriers to healthcare engagement. All interviews were recorded, and data analysis was conducted using NVivo. Themes influencing Black women’s ability to engage with healthcare providers and systems included: 1) disclosed provider mistrust/judgement; 2) feeling disrespected by providers and the medical system; 3) mistrust of medical providers/system/hospital/government; 4) lack of health communication; 5) low health literacy; 6) provider gender preference. Findings highlight the need to improve trust and collaboration between healthcare providers and Black women. This study addresses the critical gap in understanding perceptions of discrimination, stigma, and barriers to attaining health care. Funders and accreditation agencies must hold providers and organisations accountable for acquiring and making available diversity, equity and inclusion training for providers, demonstrating increasingly equitable medical relationships through responsiveness to patient feedback, and increasing the number of Black providers.

Validity and reliability of the Violence Risk Scale-Sexual Offense version in a community sexual offense outpatient setting.

The present study examined the convergent, structural, and predictive properties of Violence Risk Scale-Sexual Offense version (VRS-SO) scores in a sample of 200 men on community supervision for sexual offenses, attending forensic community outpatient services and followed up an average 8.6 years. The VRS-SO and two additional dynamic sexual recidivism risk measures-STABLE 2007 and Sex Offender Treatment Intervention and Progress Scale (SOTIPS)-were coded archivally from clinic files; Static-99R ratings were extracted. Recidivism data were captured from Royal Canadian Mounted Police records. VRS-SO static, dynamic, and total scores demonstrated expected patterns of convergence with total and subscale scores of the risk measures. Moreover, a confirmatory factor analysis of the VRS-SO dynamic item scores demonstrated acceptable model fit for a correlated three-factor solution consistent with prior confirmatory factor analyses. Discrimination analyses demonstrated that VRS-SO dynamic and total scores and STABLE 2007 scores had large prediction effects for 5-year sexual recidivism (area under the curves [AUCs] = .71-.72) while SOTIPS had a medium effect for this outcome (AUC = .67); the measures yielded medium to large effects for nonsexual recidivism. Cox regression survival analyses demonstrated that VRS-SO dynamic, Sexual Deviance factor, and SOTIPS scores each incrementally predicted sexual recidivism controlling for Static-99R or VRS-SO static factor scores. VRS-SO calibration analyses demonstrated that expected or predicted 5-year sexual recidivism rates showed generally close correspondence to the rates predicted or observed in the present community sample. Results support the psychometric properties of the VRS-SO, a sexual violence risk assessment and treatment planning measure, to a community outpatient sample. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

We scrape together pennies: fairness and effectiveness of monetary sanctions

ABSTRACT Monetary sanctions are in every part of the criminal legal system. This paper explores monetary sanctions in community supervision (probation and parole). The findings from a mixed-methods, multiple-state research study illustrate how fines and fees are administered, collected, and enforced within community supervision. Supervision officers have little discretion in the number of fines and fees assessed but have more discretion in collecting the payments and punishing or sanctioning nonpayment. The findings in this paper also elucidate how individuals and their social supports experience having to pay monetary sanctions. The burden of financial sanctions is not felt only by the individual on supervision but also extends to the family. The article concludes with recommendations for improving the use of monetary sanctions within community supervision.

Opportunities for success: perceptions of intensive supervision probation with services

ABSTRACT Probation remains at the forefront in relation to criminal justice supervision strategies. Many variations of probation exist, including intensive forms of community supervision for individuals classified as higher risk. Debate remains ongoing as to the efficacy of such forms of supervision, but most scholars agree that paired with services and treatment, community supervision at a variety of levels holds promise though the degree to which those under supervision agree remains in question. The current study examines the perceptions of those under an intensive supervision and services program, highlighting the experiences of 90 individuals participating in an intensive supervision with services program. Utilizing flexible coding and thematic analysis of responses to open-ended questions regarding the nature of supervision experiences, the results lend insight into what is perceived to be working – or challenging – regarding participation. Most participants indicated the structure, clarity, and service access promoted overall well-being and potential desistance, though structural challenges and time demands could limit the longer-term effectiveness of this type of supervision. These findings suggest probation programs may incorporate specific components to better supervision outcomes.