Risk-Need-Responsivity Research Articles

Applying the Risk-Needs-Responsivity (RNR) Model to Juvenile Justice

Application of the Risk-Needs-Responsivity (RNR) model in adult correctional research and practice is well developed, but remains underway in the juvenile justice system. The RNR model may facilitate a shift from punitive practices in the juvenile justice system toward individualized assessment and treatment of youth fostering rehabilitation and reintegration. This article reviews the history of the RNR model in adult correctional settings, its theoretical application to the juvenile justice system, and available tools and literature utilizing RNR principles in juvenile justice settings. Criticisms of applying the RNR model to the juvenile justice system and future research directions are addressed.

Multidimensional evaluation of a mental health court: Adherence to the risk-need-responsivity model.

The current study examined the impact of a mental health court (MHC) on mental health recovery, criminogenic needs, and recidivism in a sample of 196 community-based offenders with mental illness. Using a pre-post design, mental health recovery and criminogenic needs were assessed at the time of MHC referral and discharge. File records were reviewed to score the Level of Service/Risk-Need-Responsivity instrument (Andrews, Bonta, & Wormith, 2008) to capture criminogenic needs, and a coding guide was used to extract mental health recovery information at each time point. Only mental health recovery data were available at 12 months post-MHC involvement. Recidivism (i.e., charges) was recorded from police records over an average follow-up period of 40.67 months post-MHC discharge. Case management adherence to the Risk-Need-Responsivity (RNR) model of offender case management was also examined. Small but significant improvements were found for criminogenic needs and some indicators of mental health recovery for MHC completers relative to participants who were prematurely discharged or referred but not admitted to the program. MHC completers had a similar rate of general recidivism (28.6%) to cases not admitted to MHC and managed by the traditional criminal justice system (32.6%). However, MHC case plans only moderately adhered to the RNR model. Implications of these results suggest that the RNR model may be an effective case management approach for MHCs to assist with decision-making regarding admission, supervision intensity, and intervention targets, and that interventions in MHC contexts should attend to both criminogenic and mental health needs.

Making “What Works” Work: Examining Probation Officers’ Experiences Addressing the Criminogenic Needs of Juvenile Offenders

This study qualitatively explored frontline perspectives on the challenges of addressing youths’ criminogenic needs within a risk–need–responsivity (RNR)-based case management framework. Twenty-nine probation officers from Toronto, Canada participated in semistructured interviews. Emergent themes included the importance of targeting “high impact” criminogenic needs (needs that—when effectively addressed—also have an impact on other need domains in addition to a direct impact on criminogenic risk), the salience of specific responsivity factors in case management, the lack of evidence-based programming available to youth, and respondents’ uncertainty regarding their role in addressing criminogenic needs. Results highlight the need for research examining the interrelationship of criminogenic needs, specific responsivity factors, and educational outcomes of youth on probation. Findings also support recent initiatives that provide concrete training to probation officers around implementation of the need and responsivity principles in effective case management of justice-involved youth.

An Examination of Criminogenic Needs, Mental Health Concerns, and Recidivism in a Sample of Violent Young Offenders: Implications for Risk, Need, and Responsivity

Young offender populations typically display high rates of substance use pathology and mental health concerns, however, little is known regarding how these factors relate to dynamic risk factors for reoffending (criminogenic needs) among young offenders. The present study investigated a Canadian sample of 186 youth charged with serious/violent offenses on measures of psychopathology, substance abuse, risk, and recidivism. Significant relationships were found between measures of substance abuse with most indices of the Youth Level of Service/Case Management Inventory (YLS/CMI), a validated risk assessment tool designed to assess criminogenic risk and need. Furthermore, measures of substance abuse predicted general, violent, and nonviolent recidivism for both youth and adult outcomes to varying degrees. Youth with disruptive behavior disorders, comorbid substance use concerns with another disorder (dual diagnosis), or with two or more disorders evidenced more serious criminogenic need profiles, whereas mood, anxiety, and cognitive disorders were unrelated to criminogenic risk. With the exception of conduct disorder and substance use pathology, mental health concerns tended not to be related to recidivism. The implications of these findings in terms of assessing risk and providing treatment services for young offenders is discussed in relation to the risk-need responsivity (RNR) model of effective correctional intervention.

Implementation of the Risk–Need–Responsivity Framework across the Juvenile Justice Agencies in Singapore

The Risk–Need–Responsivity (RNR) framework is regarded as the forefront of offender rehabilitation in guiding youth offender risk assessment and interventions. This article discusses the juvenile justice system in Singapore and the local research that has been conducted in relation to the RNR framework and the associated Youth Level of Service (YLS) measures. It describes a journey that saw the implementation of the RNR framework across the juvenile justice agencies and highlights the challenges that were faced during the implementation process on the ground. Finally, the article concludes by providing future directions for the implementation of the RNR framework in Singapore.

Risk levels, treatment duration, and drop out in a clinically composed outpatient sex offender treatment group.

Previous research in the Netherlands documented that clinical judgment may yield a substantial amount of treatment referrals for sexual offenders that are inconsistent with actuarial risk assessment and the Risk Need Responsivity (RNR) principles. The present study tested the risk level distribution of a high-intensity, open-format outpatient treatment group. Eighty patients were enrolled during a 620-week period, and their STATIC-99R risk levels were retrospectively determined. The distribution of risk levels in this treatment group did not differ from the distribution of a representative sample of sex offenders referred to outpatient treatment in the Netherlands between 1996 and 2002 (n = 145), nor from the combined Canadian samples (n = 2011) used to assess STATIC-99R normative percentile. These findings suggest that no selection in terms of actuarial risk level occurred between conviction and treatment, leading to over-inclusion of low risk offenders in this high-intensity outpatient treatment group. It is concluded that the standard use of structured risk assessment for the compilation of treatment groups may improve both the effectiveness and efficiency of sex offender treatment in the Netherlands.

Evaluation of the Citizenship Evidence-Based Probation Supervision Program Using a Stepped Wedge Cluster Randomized Controlled Trial

This study evaluated a Risk-Need-Responsivity (RNR) evidence-based offender supervision program, Citizenship, using a randomized controlled trial (RCT). Citizenship has a cognitive-behavioral basis and focuses on education, increasing motivation to change, and community integration. The RCT is a stepped wedge cluster randomized design that has rarely been used in criminal justice and overcomes some ethical objections to RCT implementation. Participants were all medium- and high-risk offenders commencing probation supervision ( N = 1,091) in any one of the six office units during the 1-year rollout of the program. Overall, there was a non-significant 20% effect of Citizenship in reducing reconvictions. However, controlling for risk, the hazard with higher risk offenders was 34% lower than for the control group. Results therefore support RNR-based probation supervision.

Measuring Antisocial Values and Attitudes in Justice-Involved Male Youth

The Risk–Need–Responsivity (RNR) framework for working with offenders has been well validated. Factors that contribute to reoffending within adult and youth forensic populations have been identified, including antisocial attitudes, but less is known about the measurement of this construct in youth. Thus, in the present study, the reliability and validity of criminal attitudes measures were examined in a sample of justice-involved male youth ( N = 291). Two measures widely used with adult offenders were included in the present study: the Pride in Delinquency Scale (PID) and the Criminal Sentiments Scale–Modified (CSS-M). Both measures were found to be reliable and valid, and of importance, useful in the prediction of reoffending behavior (area under the curve = .70 and .69 respectively). These findings further support the use of the RNR framework in general with youthful offenders, and more specifically, the use of criminal attitudes measures with youth.

Effectiveness of Risk-Needs-Responsivity-Based Family Violence Programs with Male Offenders

The following presents the outcome of an evaluation of family violence prevention programs for male offenders. The moderate and high intensity programs were designed and implemented to conform to the Risk-Needs-Responsivity (RNR) principles. Results showed that program participation significantly reduced attitudes that supported violence against women and improved pro-social skills related to non-abusive relationships; treatment effects were moderate to high. Parole officer feedback generally reported positive changes in behavior and attitude associated with treatment. A post-release follow-up indicated that program completion significantly reduced spousal violence and general violent recidivism. Program participation did not, however, have a significant impact on non-violent crime. Results indicate that domestic violence programs respecting the RNR principles may be effective in reducing partner violence.

Justice Reinvestment in the United States: An Empirical Assessment of the Potential Impact of Increased Correctional Programming on Recidivism

Recent efforts in justice reinvestment in the United States have echoed the importance of using evidence-based practices. Legislative initiatives support the expansion of these practices and related programming to a broader array of correctional populations and settings. But the efforts to date are likely to have limited success altering the outcomes from the use of incarceration unless more attention is paid to the principles of effective interventions and access to efficacious treatment services. The most comprehensive survey of services, conducted in 2005–2006, found that less than 10% of offenders can participate in treatment services on a given day. Two simulation models are reported in this paper that demonstrate different impacts from increasing the number and type of programs offered within correctional and community correctional settings: expanding access and participation rates in programs can yield reductions in recidivism, adding treatment matching will accelerate the recidivism reduction, and by offering risk-need-responsivity (RNR) programming the reincarceration rate can be reduced by 3–6%. This paper offers four measures that can be used to gauge performance of systems undergoing justice reinvestment initiatives. Expanding correctional programming is an important, if not essential, component of undoing the impact of mass incarceration policies.

From risk assessment to risk management: Matching interventions to adolescent offenders' strengths and vulnerabilities

Though considerable research has examined the validity of risk assessment tools in predicting adverse outcomes in justice-involved adolescents, the extent to which risk assessments are translated into risk management strategies and, importantly, the association between this link and adverse outcomes has gone largely unexamined. To address these shortcomings, the Risk–Need–Responsivity (RNR) model was used to examine associations between identified strengths and vulnerabilities, interventions, and institutional outcomes for justice-involved youth. Data were collected from risk assessments completed using the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV) for 120 adolescent offenders (96 boys and 24 girls). Interventions and outcomes were extracted from institutional records. Mixed evidence of adherence to RNR principles was found. Accordant to the risk principle, adolescent offenders judged to have more strengths had more strength-based interventions in their service plans, though adolescent offenders with more vulnerabilities did not have more interventions targeting their vulnerabilities. With respect to the need and responsivity principles, vulnerabilities and strengths identified as particularly relevant to the individual youth's risk of adverse outcomes were addressed in the service plans about half and a quarter of the time, respectively. Greater adherence to the risk and need principles was found to predict significantly the likelihood of externalizing outcomes. Findings suggest some gaps between risk assessment and risk management and highlight the potential usefulness of strength-based approaches to intervention.

Treatment programs for high risk sexual offenders: Program and offender characteristics, attrition, treatment change and recidivism

Abstract The present manuscript is a review of program and offender characteristics, attrition, treatment change, and recidivism outcomes in programs targeting high risk sexual offenders. We begin by providing an overview of the characteristics of such programs within the lens of the risk, need, responsivity (RNR) model. We then review treatment outcome research from four international high intensity sex offender programs and discuss the methodological, clinical, and practical limitations of this body of work. We proceed to discuss the issue of treatment change in high risk sexual offenders, the broad methods through which change may be evaluated, and review the literature examining within-program change and its relationship to sexual and violent recidivism. A brief review of the sexual offender treatment attrition literature follows, particularly in regards to the RNR issues embedded within this clinical conundrum given that high risk sex offenders pose the greatest risk for non-completion yet also stand to yield the most benefit from services. Finally, we review the research on the therapeutic responses of psychopathic sexual offenders and discuss the clinical implications for treating and managing individuals with substantial psychopathic traits applying the RNR framework. Future clinical and research directions with high risk sexual offenders in terms of treatment, risk reduction, reducing attrition, and attempting to effect positive changes are discussed.

Treatment Referral for Sex Offenders Based on Clinical Judgment Versus Actuarial Risk Assessment

The Risk Need Responsivity (RNR) principles (Andrews & Bonta, 2010) dictate that higher risk sex offenders should receive more intensive treatment. The present study investigates how clinically based treatment assignment relates to risk level in a sex offender sample from The Netherlands. Correlational analyses served to identify sources of mismatches: that is, variables differing significantly in their relation between treatment selection and risk level. Our study sample consisted of 194 convicted rapists and 214 convicted child molesters. All participants' criminal files were retrospectively coded in terms of the items of the STATIC-99R, PCL: SV, and SVR-20. A low to moderate correlation was observed between clinical treatment selection and actuarial risk levels. A substantial part of the sex offenders, especially child molesters, received overly intensive treatment and another substantial part, especially rapists, received treatment of lesser intensity than indicated by their risk levels. General violent and antisocial risk factors seemed to be underemphasized in the clinical evaluation of sex offenders, especially rapists. A negative attitude toward intervention was negatively associated with clinical treatment selection. It is concluded that clinical treatment selection leads to an insufficient match between risk level and treatment level and systematic use of validated structured risk assessment instruments is necessary to ensure optimal adherence to the risk principle.

The risk need responsivity model of offender rehabilitation: Is there really a need for a paradigm shift?

The current paper critically reviews the Risk-Need-Responsivity (RNR) and Good Lives Model (GLM) approaches to correctional treatment. Research, or the lack thereof, is discussed in terms of whether there is a need for a new model of offender rehabilitation. We argue that although there is a wealth of research in support of RNR approaches, there is presently very little available research demonstrating the efficacy of the GLM in terms of the impact that programs based on this model of rehabilitation have on observed rates of recidivism among offender populations. Additionally, the emphasis of the GLM approach on the principles and techniques of positive psychology is untested in the area of forensic psychology. Evidence with reference to the assessment and treatment of sexual offenders is discussed as this is a particular focus of the GLM approach. We conclude, in agreement with the developers of the GLM approach, that the RNR model needs to be adapted in order to incorporate recent research related to the factors associated with recidivism among sexual offenders. However, we argue that the GLM is largely an empirically untested model, and further offers little in terms of adding to or replacing the RNR model. We recognize that a revised version of the RNR based approach is necessary, incorporating an integrated approach to treatment, and we introduce and briefly describe the RNR-I (Integrated)), a model developed by the authors and supported by a variety of empirical research, including a number of outcome studies produced by our team and others.

Applying Effective Corrections Principles (RNR) to Partner Abuse Interventions

Results of outcome evaluations of the domestic violence (DV) programs are not encouraging. Overall, the most optimistic conclusion is that these programs have only a modest impact on reducing repeat partner violence. Recently, there are calls for DV programs to “grow up,” adapt a paradigm shift, shed ideology, and determine how the maximum impact can be realized from work to reduce intimate partner violence (IPV). The following review examines why program results are so unconvincing and proposes a comprehensive framework to advance the field. Specifically, it recommends that applying the risk-need-responsivity (RNR) principles of effective corrections could substantially improve treatment results. Using this framework, the article identifies selected risk assessment tools to screen offenders into appropriate levels of service (the risk principle) and provides an extensive review of the literature on appropriate targets for change (the need principle). Problems with substance use (particularly alcohol abuse), emotion management, self-regulation, and attitudes supportive of partner abuse have substantial empirical support as factors related to IPV. There is weaker but promising support for targeting the impact of association with peers who are supportive of abuse of women, poor communication skills, and motivation to change abusive behavior patterns. Responsivity could be enhanced through incorporation of motivational interviewing techniques, the processes of change identified in the Transtheoretical Model, solution-focused and strength-based approaches, and attention to identity change and cultural issues. In addition, the review describes strategies to insure ongoing program integrity, a key factor in implementing effective interventions.

Drug Treatment Courts: A Quantitative Review of Study and Treatment Quality

The effectiveness of drug courts has been the subject of numerous studies, and three major meta-analyses have examined many of these studies in regard to two main factors: (1) study quality and (2) treatment quality. The current study examines these two factors more closely. Study quality was assessed using the Collaborative Outcome Data Committee Guidelines (CODC); studies were rated as “rejected,” “weak,” “good,” or “strong” based on methodological quality. Drug court treatment quality was assessed by evaluating adherence to the principles of Risk-Need-Responsivity (RNR). The RNR principles have been previously shown to mediate the effectiveness of offender treatment across various offender groups and a variety of criminogenic needs. In total, 96 studies were reviewed and assessed according to study and treatment quality. Results found that the study quality of the literature is poor and that this accounts for much of the variability in findings seen across studies. Furthermore, analyses revealed that although adherence to the RNR principles was poor, increasing adherence to RNR resulted in more effective treatment of offenders and reduced recidivism. Using only methodologically acceptable studies, the least biased estimate of the effectiveness of drug courts in reducing recidivism was found to be approximately 8%.

Addressing Criminality in Childhood

The responsivity principle is the third element of the now well-established risk-need-responsivity (RNR) model of offender rehabilitation. Accruing evidence suggests it is often sacrificed in intervention programs. We aim to demonstrate the central importance of this principle when designing offender interventions by describing the results of a successful, highly responsive intervention for very young children (aged 7 upward) who have offended. A small slice of the offending population as a whole, child offenders are nevertheless tomorrow's serious, violent, and prolific lawbreakers, yet little is understood about what reduces their risk. Recent developments on responsivity are reviewed, before presenting the evaluation indicating significant and sustained drops in risk of recidivism. In-program factors such as the nature and dosage of interventions are examined, alongside outcome data. The article discusses how RNR and other models might apply to this particularly young and underresearched age group.

How to Integrate the Good Lives Model Into Treatment Programs for Sexual Offending

The good lives model (GLM) represents a new theoretical framework informing sex offender treatment programs; however, substantial variation has been observed in terms of how GLM-related ideas and practices have been applied. Integrated appropriately, the GLM offers potential for improving outcomes of programs following a cognitive-behavioral therapy (CBT) approach and operating according to a narrow operationalization of risk, need, responsivity (RNR) principles. Conversely, misguided or otherwise poor integration could increase the very risk practitioners work to prevent and manage. The purpose of this article is to provide an introduction and overview on how to integrate the GLM into treatment using CBT and RNR. The authors describe clinical implications of the GLM as they relate to program aims and orientation, assessment and intervention planning, content, and delivery.

A random study of Staff Training Aimed at Reducing Re-arrest (STARR): using core correctional practices in probation interactions

The recent application of the risk–need–responsivity (RNR) model, in conjunction with core correctional practices, has offered promising results. In the present study, supervision officers were trained in core correctional skills and the RNR model. Supervision officers were randomly assigned to training groups and provided audio recordings of interactions with clients to assess their use of learned skills. The current study utilizes taped interactions between officers and offenders, individual-level offender data, and outcome/recidivism data to investigate the impact of the training regimen, which is the core focus of this paper. Trained probation officers demonstrated greater use of the skills taught during training and their clients had lower failure rates. These findings suggest that providing Staff Training Aimed at Reducing Re-arrest (STARR) training to community supervision officers can impact the officers’ use of important correctional skills and improve client outcomes.

Examining Improvements in Criminogenic Needs: The Risk Reduction Potential of a Structured Re‐entry Program

The risk-need-responsivity (RNR) model describes the importance of targeting criminogenic needs through planned interventions in order to reduce the risk of future offending behavior. Although risk/needs instruments capture these dynamic risk factors and previous research has demonstrated their sensitivity to change in these domains, correctional programs may not be leveraging the full case management potential of these instruments. This study explored the potential for improvements in criminogenic needs through participation in a brief, structured re-entry program consistent with the principles of RNR. Four criminogenic needs were identified as having the potential to change during the course of this program: education/employment, family/marital, procriminal attitudes/orientation, and antisocial pattern. The results indicated that overall risk level significantly decreased during the course of the treatment program, as did risk level for each of these criminogenic needs. For three of these domains, the participants in the highest risk category experienced significant improvements, consistent with the risk principle of RNR. Implications for the interface between assessment and treatment planning are discussed.