“…As a result of the descriptive nature of this study and the small sample size, we cannot be sure if mental health, adverse child experiences and self-sufficiency problems are relevant to violent extremism. Still, we know for sure they exist in this sample, as they do in other groups in Amsterdam that come into contact with the police and judiciary system for so-called high impact crimes ( 43 – 45 ). Thus, we believe the results presented here highlight the importance of professionals in (mental) health and social care being actively involved in CVE initiatives.…”
Section: Discussionmentioning
confidence: 86%
“…While enrollment in the CVE program is not voluntary, the screening is. Results of similar screenings by the PHS in other, forensic-type, populations have been published elsewhere (43)(44)(45). Screenings are preferably done at the main office of the PHS, but some clients are screened at other places such as in their home or in prison.…”
BackgroundPublic health-inspired programs for Countering Violent Extremism (CVE) have developed internationally in a relatively short period of time. Research into these programs is scarce. There is a need for information that helps drive public health interventions.ObjectivesTo present data on the occurrence of psychiatric disorders, self-sufficiency problems and adverse childhood experiences (ACE) in a population suspected of violent extremism.MethodsA cross-sectional study, with data from screening reports for 34 adult subjects included in a multi-agency case-based approach on violent extremism in Amsterdam, the Netherlands. Subjects were screened in the period between December 2015 to May 2021. Screening reports, which included the Screener for Intelligence and Learning Disabilities (SCIL) and the Dutch version of the Self-sufficiency Matrix (SSM-D), were used to gather information on the main outcome measures.ResultsMajor psychiatric disease categories were found to be mood and anxiety disorders and mild intellectual disability (each 29.4%), substance related disorders (35.3%), personality disorders (41.2%), and psychotic disorders (14.7%). Complex self-sufficiency problems, measured by the number of people who had self-sufficiency problems in 4+ domains and the number of people who had similar self-sufficiency problems as homeless people in Amsterdam, were found in 35.3 and 32.4% of the client sample. The most prevalent ACE were emotional neglect (47.1%), household mental illness (44.1%), and loss of a parent (38.2%), 35.3% had been exposed to 4+ ACE. An association was found between NACE and self-sufficiency problems on two domains, namely “Mental Health” (rho = 0.51, p = 0.002) and “Law and order” (rho = 0.42, p = 0.013).ConclusionsAn accumulation of social and psychiatric problems in people suspected of violent extremism underlines the importance of professionals in health and social care being actively involved in developing CVE approaches.
“…As a result of the descriptive nature of this study and the small sample size, we cannot be sure if mental health, adverse child experiences and self-sufficiency problems are relevant to violent extremism. Still, we know for sure they exist in this sample, as they do in other groups in Amsterdam that come into contact with the police and judiciary system for so-called high impact crimes ( 43 – 45 ). Thus, we believe the results presented here highlight the importance of professionals in (mental) health and social care being actively involved in CVE initiatives.…”
Section: Discussionmentioning
confidence: 86%
“…While enrollment in the CVE program is not voluntary, the screening is. Results of similar screenings by the PHS in other, forensic-type, populations have been published elsewhere (43)(44)(45). Screenings are preferably done at the main office of the PHS, but some clients are screened at other places such as in their home or in prison.…”
BackgroundPublic health-inspired programs for Countering Violent Extremism (CVE) have developed internationally in a relatively short period of time. Research into these programs is scarce. There is a need for information that helps drive public health interventions.ObjectivesTo present data on the occurrence of psychiatric disorders, self-sufficiency problems and adverse childhood experiences (ACE) in a population suspected of violent extremism.MethodsA cross-sectional study, with data from screening reports for 34 adult subjects included in a multi-agency case-based approach on violent extremism in Amsterdam, the Netherlands. Subjects were screened in the period between December 2015 to May 2021. Screening reports, which included the Screener for Intelligence and Learning Disabilities (SCIL) and the Dutch version of the Self-sufficiency Matrix (SSM-D), were used to gather information on the main outcome measures.ResultsMajor psychiatric disease categories were found to be mood and anxiety disorders and mild intellectual disability (each 29.4%), substance related disorders (35.3%), personality disorders (41.2%), and psychotic disorders (14.7%). Complex self-sufficiency problems, measured by the number of people who had self-sufficiency problems in 4+ domains and the number of people who had similar self-sufficiency problems as homeless people in Amsterdam, were found in 35.3 and 32.4% of the client sample. The most prevalent ACE were emotional neglect (47.1%), household mental illness (44.1%), and loss of a parent (38.2%), 35.3% had been exposed to 4+ ACE. An association was found between NACE and self-sufficiency problems on two domains, namely “Mental Health” (rho = 0.51, p = 0.002) and “Law and order” (rho = 0.42, p = 0.013).ConclusionsAn accumulation of social and psychiatric problems in people suspected of violent extremism underlines the importance of professionals in health and social care being actively involved in developing CVE approaches.
Identifying incarcerated individuals with poor adaptive functioning (AF) is critical to ensuring their safety and preserving their legal rights, particularly when a diagnosis of intellectual disability (ID) is considered. This study examined the utility of the Problems in Everyday Living Test (PEDL) to identify incarcerated individuals with deficits in AF who may warrant further assessment for ID. The sample consisted of 154 incarcerated adults housed in mental health units in a large urban jail. Latent class analysis supported a three-class model consistent with Impaired, Borderline, and Intact groups, which differed in the level of AF and other indicators of ID. A cutoff score of 13 in the PEDL was optimal to identify incarcerated individuals with deficits in AF, possible intellectual impairment, and a history of special education. Study findings provided preliminary support for using a 12-item modified version of the PEDL as a screening tool in correctional settings.
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