Too risky to use, or too risky not to? Lessons learned from over 30 years of research on forensic risk assessment with Indigenous persons.

IF 4 2区 医学 Q2 CHEMISTRY, MEDICINAL
ACS Infectious Diseases Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI:10.1037/bul0000414
Mark E Olver, Keira C Stockdale, L Maaike Helmus, Phil Woods, Jordan Termeer, Jessica Prince
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引用次数: 0

Abstract

Indigenous peoples are overrepresented in correctional systems internationally, reflecting a history of systemic racism and colonial oppression, and the practice of risk assessment with this population has been a focus of legal and sociopolitical controversy. We conducted a systematic review and meta-analysis of the risk assessment literature comparing Indigenous and non-Indigenous (White majority) groups. We retrieved 91 studies featuring 22 risk tools and 15 risk/need/cultural domains (N = 59,693, Indigenous; N = 237,729, non-Indigenous/White) and four documents identifying culturally relevant factors. Most measures demonstrated moderate predictive validity but often had significant ethnoracial differences, particularly for static measures. The Service Planning Instrument/Youth Assessment Screening Inventory, Level of Service Inventory youth variants, Psychopathy Checklist-Revised and Youth Version, and the Violence Risk Scale and its Sexual Offense version had the strongest predictive validity and least ethnoracial discrepancy. The Static Factors Assessment and Dynamic Factors Identification and Analysis-Revised had the weakest predictive validity. For Indigenous persons, the strongest individual predictors of recidivism were low education/employment, substance abuse, antisocial pattern, and poor community functioning, while mitigating factors that predicted decreased recidivism were measures of risk change (i.e., from culturally integrated programs combining mainstream and traditional healing approaches), cultural engagement/connectedness, and protective factors. In practice, static measures need to be supplemented with dynamic ones, and assessors should select measures with at least moderate predictive validity and ideally the least ethnoracial bias. These conclusions are tempered by the quantity and quality of the literature coupled with the circumstance that some study authors have coauthored tools in this review. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

使用风险太大,还是不使用风险太大?从 30 多年来对土著人的法医风险评估研究中汲取的经验教训。
原住民在国际管教系统中所占比例过高,这反映了系统性种族主义和殖民压迫的历史,而对原住民进行风险评估的做法一直是法律和社会政治争议的焦点。我们对风险评估文献进行了系统回顾和荟萃分析,对土著群体和非土著群体(白人占多数)进行了比较。我们检索了 91 项研究,其中包括 22 种风险工具和 15 个风险/需求/文化领域(N=59,693,原住民;N=237,729,非原住民/白人),以及 4 篇确定文化相关因素的文献。大多数测量结果显示出中等程度的预测有效性,但往往存在明显的种族差异,尤其是静态测量结果。服务规划工具/青少年评估筛查量表、服务水平量表青少年变体、变态心理检查表-修订版和青少年版、暴力风险量表及其性犯罪版本的预测有效性最强,种族差异最小。静态因素评估和动态因素识别与分析-修订版的预测有效性最弱。对原住民而言,预测累犯率最高的个人因素是低教育/就业率、药物滥用、反社会模式和社区功能差,而预测累犯率下降的缓解因素是风险改变措施(即来自结合主流和传统治疗方法的文化综合方案)、文化参与/联系和保护因素。在实践中,静态测量需要动态测量的补充,评估者应选择至少具有适度预测有效性的测量,最好是种族偏差最小的测量。这些结论因文献的数量和质量以及一些研究作者在本综述中与他人合作撰写工具的情况而有所缓和。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
ACS Infectious Diseases
ACS Infectious Diseases CHEMISTRY, MEDICINALINFECTIOUS DISEASES&nb-INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.80%
发文量
213
期刊介绍: ACS Infectious Diseases will be the first journal to highlight chemistry and its role in this multidisciplinary and collaborative research area. The journal will cover a diverse array of topics including, but not limited to: * Discovery and development of new antimicrobial agents — identified through target- or phenotypic-based approaches as well as compounds that induce synergy with antimicrobials. * Characterization and validation of drug target or pathways — use of single target and genome-wide knockdown and knockouts, biochemical studies, structural biology, new technologies to facilitate characterization and prioritization of potential drug targets. * Mechanism of drug resistance — fundamental research that advances our understanding of resistance; strategies to prevent resistance. * Mechanisms of action — use of genetic, metabolomic, and activity- and affinity-based protein profiling to elucidate the mechanism of action of clinical and experimental antimicrobial agents. * Host-pathogen interactions — tools for studying host-pathogen interactions, cellular biochemistry of hosts and pathogens, and molecular interactions of pathogens with host microbiota. * Small molecule vaccine adjuvants for infectious disease. * Viral and bacterial biochemistry and molecular biology.
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