We examined the predictive validity of individual, service, and neighborhood factors for aggression by 1,491 forensic clients found Not Criminally Responsible on account of Mental Disorder (NCRMD), under the jurisdiction of a Review Board, and thus subject to supervision conditions. Younger patient age and personality disorder diagnosis were associated with both clinically documented aggression and recidivism. Medication adherence was related to clinically documented aggression, but not criminal recidivism. Number of reports from an institution (possibly reflecting assessor or institutional experience with NCRMD assessments) did not predict clinically documented aggression, but more comprehensive risk reports were associated with fewer such clinical incidents. More community mental health resources within a 45-min drive of an individual’s residence were associated with less recidivism, but not less clinically documented aggression. We conclude that extra-individual factors are related to aggression, the neighborhood to which forensic clients return matters, and effects can differ for criminal recidivism versus clinically documented aggression.
American Psychological Association. (2013). Specialty guidelines for forensic psychology. American Psychologist, 68, 7-19. doi:10.1037/a0029889
2.
AndrewsD. A.BontaJ. (2010). The psychology of criminal conduct (5th ed.). New York, NY: Routledge.
3.
ApparicioP.AbdelmajidM.RivaM.ShearmurR. (2008). Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues. International Journal of Health Geographics, 7(1), 7-28. doi:10.1186/1476-072X-7-7
4.
BaillargeonJ.BinswangerI. A.PennJ. V.WilliamsB. A.MurrayO. J. (2009). Psychiatric disorders and repeat incarcerations: The revolving prison door. American Journal of Psychiatry, 166, 103-109. doi:10.1176/appi.ajp.2008.08030416
5.
BatesD.MaechlerM.BolkerB.WalkerS. (2015). lme4: Linear mixed-effects models using ‘Eigen’ and S4 [R package version 1.1–7. 2014].
6.
BontaJ.BlaisJ.WilsonH. A. (2014). A theoretically informed meta-analysis of the risk for general and violent recidivism for mentally disordered offenders. Aggression and Violent Behavior, 19, 278-287. doi:10.1016/j.avb.2014.04.014
7.
BronfenbrennerU. (1977). Toward an experimental ecology of human development. American Psychologist, 32, 513-531.
8.
Canadian Centre for Justice Statistics Policing Services Program. (2008). Uniform Crime Reporting Incident-Based Survey: Reporting manual. Ottawa, Ontario: Statistics Canada.
9.
CharetteY.CrockerA. G.SetoM. C.SalemL.NichollsT. L.CauletM. (2015). The National Trajectory Project of individuals found Not Criminally Responsible on Account of Mental Disorder in Canada: Part 4: Criminal recidivism. Canadian Journal of Psychiatry, 60, 127-134.
10.
CicchettiD.BronenR.SpencerS.HautS.BergA.OliverP.TyrerP. (2006). Rating scales, scales of measurement, issues of reliability: Resolving some critical issues for clinicians and researchers. Journal of Nervous and Mental Disease, 194, 557-564.
11.
Criminal Code, R.S.C., 1985, c. C-46.
12.
CrockerA. G.NichollsT. L.SetoM. C.CharetteY.CôtéG.CauletM. (2015a). The National Trajectory Project of individuals found Not Criminally Responsible on account of Mental Disorder in Canada. Part 1: Context and methods. Canadian Journal of Psychiatry, 60, 98-105.
13.
CrockerA. G.NichollsT. L.SetoM. C.CharetteY.CôtéG.CauletM. (2015b). The National Trajectory Project of individuals found Not Criminally Responsible on account of Mental Disorder in Canada: Part 2: The people behind the label. Canadian Journal of Psychiatry, 60, 106-116.
14.
DesmaraisS. L.NichollsT. L.WilsonC. M.BrinkJ. (2012). Using dynamic risk and protective factors to predict inpatient aggression: Reliability and validity of START assessments. Psychological Assessment, 24, 685-700. doi:10.1037/a0026668
15.
de VogelV.de Vries RobbéM.Van KalmthoutW.PlaceC. (2012). Female Additional Manual (FAM). Additional guidelines to the HCR-20 for assessing risk for violence in women. English version. Utrecht, Netherlands: Van der Hoeven Kliniek.
16.
de Vries RobbéM.de VogelV.de SpaE. (2011). Protective factors for violence risk in forensic psychiatric patients: A retrospective validation study of the SAPROF. International Journal of Forensic Mental Health, 10, 178-186. doi:10.1080/14999013.2011.600232
17.
DouglasK. S.HartS. D.WebsterC. D.BelfrageH.GuyL. S.WilsonC. M. (2014). Historical-Clinical-Risk Management-20, Version 3 (HCR-20v3): Development and overview. International Journal of Forensic Mental Health, 13, 93-108. doi:10.1080/14999013.2014.906519
18.
DouglasK. S.SkeemJ. (2005). Violence risk assessment: Getting specific about being dynamic. Psychology, Public Policy, and Law, 11, 347-383. doi:10.1037/1076-8971.11.3.347
19.
Environmental Systems Research Institute. (2013). ArcGIS Release 10. Redlands, CA: Author.
20.
FazelS.SinghJ. P.DollH.GrannM. (2012). Use of Risk Assessment Instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: Systematic review and meta-analysis. British Medical Journal, 345(2), Article e4692. doi:10.1136/bmj.e4692
21.
GlancyG. D.AshP.BathE. P.BuchananA.FedoroffP.FriersonR. L.. . . ZonanaH. V. (2015). AAPL Practice Guideline for the Forensic Assessment. Journal of American Academy of Psychiatry and the Law, 43(2, Suppl.), S3-S53.
22.
HarrisG. T.RiceM. E.QuinseyV. L.CormierC. A. (2015). Violent offenders: Appraising and managing risk. Washington, DC: American Psychological Association.
23.
HeilbrunK. (2009). Evaluation for risk of violence in adults. New York, NY: Oxford University Press.
24.
HewkoJ.Smoyer-TomicK. E.HodgsonM. J. (2002). Measuring neighbourhood spatial accessibility to urban amenities: Does aggregation error matter?Environment and Planning A, 34, 1185-1206. doi:10.1068/a34171
25.
HidayV. A. (1995). The social context of mental illness and violence. Journal of Health and Social Behavior, 36, 122-137. doi:10.2307/2137220
26.
HodginsS. (1992). Mental disorder, intellectual deficiency, and crime: Evidence from a birth cohort. Archives of General Psychiatry, 49(6), 476-483. doi:10.1001/archpsyc.1992.01820060056009
27.
McDermottB. E.EdensJ. F.QuanbeckC. D.BusseD.ScottC. L. (2008). Examining the role of static and dynamic risk factors in the prediction of inpatient violence: Variable-and person-focused analyses. Law and Human Behavior, 32, 325-338.
28.
MelnychukR. M.Verdun-JonesS. N.BrinkJ. (2009). Geographic risk management: A spatial study of mentally disordered offenders discharged from forensic psychiatric care. International Journal of Forensic Mental Health, 8, 148-168. doi:10.1080/14999010903358755
29.
NichollsT.CrockerA. G.SetoM. C.WilsonC. M.CôtéG. (2015). The National Trajectory Project of individuals found Not Criminally Responsible on Account of Mental Disorder in Canada: Part 5: How essential are gender-sensitive forensic psychiatric services?Canadian Journal of Psychiatry, 60, 135-145.
30.
NichollsT. L.CruiseK.GreigD.HinzH. (2015). Female offenders: Adults and juveniles in conflict with the law. (pp. 79-124). American Psychological Association Handbook of Forensic Psychology. Washington, DC: American Psychological Association.
31.
OgloffJ. R. P.LemphersA.DwyerC. (2004). Dual diagnosis in an Australian forensic psychiatric hospital: Prevalence and implications for services. Behavioral Sciences & the Law, 22, 543-562.
32.
OgloffJ. R. P.TalevskiD.LemphersA.WoodM.SimmonsM. (2015). Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Psychiatric Rehabilitation Journal, 38, 16-23.
33.
OttoR. K.DouglasK. S. (Eds.). (2011). Handbook of violence risk assessment. New York, NY: Routledge.
34.
QuinseyV. L.ColemanG.JonesB.AltrowsI. F. (1997). Proximal antecedents of eloping and reoffending among supervised mentally disordered offenders. Journal of Interpersonal Violence, 12, 794-813. doi:10.1177/088626097012006002
35.
RobbinsP. C.MonahanJ.SilverE. (2003). Mental disorder, violence, and gender. Law & Human Behavior, 27(6), 561-571. doi:10.1023/B:LAHU.0000004886.13268.f2
36.
R Core Team. (2015). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Retrived from https://www.R-project.org
37.
R. v. Swain, 1991 S.C.R.1 933 (1991).
38.
SalemL.CrockerA. G.CharetteY.SetoM. C.CotéG. (2015). The influence of intermediary housing on the recidivism patterns of individuals found Not Criminally Responsible on Account of Mental Disorder. Law and Human Behavior, 39, 311-320. doi:10.1037/lhb0000112
39.
SilverE. (2000). Race, neighborhood disadvantage, and violence among persons with mental disorders: The importance of contextual measurement. Law and Human Behavior, 24, 449-456. doi:10.1023/A:1005544330132
40.
SilverE.MulveyE. P.MonahanJ. (1999). Assessing violence risk among discharged psychiatric patients. Law and Human Behavior, 23, 237-255. doi:10.1023/A:1022377003150
41.
SinghJ. P.DesmaraisS. L.HurducasC.Arbach-LucioniK.CondemarinC.DeanK.. . . HoR. M. Y. (2014). International perspectives on the practical application of violence risk assessment: A global survey of 44 countries. International Journal of Forensic Mental Health, 13, 193-206. doi:10.1080/14999013.2014.922141
42.
SkeemJ.MulveyE. (2002). Monitoring the violence potential of mentally disordered offenders being treated in the community. In BuchananA. (Ed.), Care of the mentally disordered offender in the community (pp. 111-142). New York, NY: Oxford Press.
43.
SkeemJ. L.SchubertC.OdgersC.MulveyE. P.GardnerW.LidzC. (2006). Psychiatric symptoms and community violence among high-risk patients: A test of the relationship at the weekly level. Journal of Consulting and Clinical Psychology, 74(5), 967-979. doi:10.1037/0022-006X.74.5.967
44.
StahlerG. J.MennisJ.BelenkoS.WelshW. N.HillerM. L. (2013). Predicting recidivism for released state prison offenders: Examining the influence of individual and neighborhood characteristics and spatial contagion on the likelihood of reincarceration. Criminal Justice and Behavior, 40, 690-711. doi:10.1177/0093854812469609
45.
SteeleF. (2008). Multilevel models for longitudinal data. Journal of the Royal Statistical Society, Series A: Statistics in Society, 171, 5-19. doi:10.1111/j.1467-985X.2007.00509.x
46.
SteinerB.MakariosM. D.TravisL. F. (2015). Examining the effects of residential situations and residential mobility on offender recidivism. Crime & Delinquency, 61, 375-401. doi:10.1177/0011128711399409
47.
StrubD. S.DouglasK. S.NichollsT. L. (2014). The validity of version 3 of the HCR-20 violence risk assessment scheme amongst offenders and civil psychiatric patients. International Journal of Forensic Mental Health, 13, 148-159. doi:10.1080/14999013.2014.911785
48.
SwansonJ. W.SwartzM. S.EssockS. M.OsherF. C.WagnerH. R.GoodmanL. A.. . . MeadorK. G. (2002). The social-environmental context of violent behavior in persons treated for severe mental illness. American Journal of Public Health, 92, 1523-1531. doi:10.2105/AJPH.92.9.1523
49.
SweetenG.PiqueroA. R.SteinbergL. (2013). Age and the explanation of crime, revisited. Journal of Youth and Adolescence, 42(6), 921-938. doi:10.1007/s10964-013-9926-4
50.
VaughanA. D.HewittA. N.AndresenM. A.BrantinghamP. L. (2015). Exploring the role of the environmental context in the spatial distribution of calls-for-service associated with emotionally disturbed persons. Policing: A journal of policy and practice, 10(2), 121-133. doi:https://doi.org/10.1093/police/pav040
51.
Verdun-JonesS. N. (1994). The insanity defence in Canada: Setting a new course. International Journal of Law and Psychiatry, 17, 175-189. doi:10.1016/0160-2527(94)90024-8
52.
WangX.HayC.TodakN. E.BalesW. (2014). Criminal propensity, social context, and recidivism: A multilevel analysis of interactive relationships. Criminal Justice and Behavior, 41, 300-317. doi:10.1177/0093854813507055
53.
WebsterC. D.DouglasK. S.EavesD.HartS. D. (1997). HCR-20: Assessing risk for violence (Version 2). Vancouver, British Columbia, Canada: Mental Health, Law, and Policy Institute, Simon Fraser University.
54.
WebsterC. D.MartinM.BrinkJ.NichollsT. L.DesmaraisS. L. (2009). Short-Term Assessment of Risk and Treatability (START). Clinical guide for evaluation risk and recovery (Version 1.1). Hamilton, Ontario, Canada: St. Joseph’s Healthcare Hamilton.
55.
WhiteC.WeisburdD. (2017). A co-responder model for policing mental health problems at crime hot spots: Findings from a pilot project. Policing: A Journal of Policy and Practice. Advance online publication. doi:10.1093/police/pax010
56.
WilsonC. M.DesmaraisS. L.NichollsT. L.HartS. (2013). Predictive validity of dynamic factors: Assessing violence risk in forensic psychiatric inpatients. Law and Human Behavior, 37, 377-388. doi:10.1037/lhb0000025
57.
Winko v. British Columbia (Forensic Psychiatric Institute), 1999 S.C.R.2 625 (1999).
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