“…However, while both target populations hold similar proportions of vulnerable individuals, the problem areas slightly differ in terms of ranking. For example, Segeren et al (44) found that 54.7% of violent offenders had self-sufficiency problems with respect to Finances, in contrast to 26.5% in the current study population. Finally, a striking result was that "mental health" was a problematic area in about one-third of the study population, which might be considered lower than expected based on the prevalence of suspected psychiatric disorders in the present study population (i.e., indications for a possible psychiatric disorder in ∼90% of the sample in the current study).…”
Section: 4contrasting
confidence: 60%
“…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)(44)(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: 4mentioning
confidence: 63%
“…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.…”
Section: Methodsmentioning
confidence: 99%
“…Finally, we gathered information from the semi-structured interview on exposure to ACE. This was done in a similar way as Segeren et al, ( 44 ) who originally used items from the Juvenile Forensic Profile (FPJ) ( 58 , 59 ) to score ACE in archived youth-care files. The FPJ consists of 70 items and was developed to measure criminogenic risk factors in patient files.…”
Section: Methodsmentioning
confidence: 99%
“…The FPJ consists of 70 items and was developed to measure criminogenic risk factors in patient files. For this study, we selected the same items as Segeren et al ( 44 ) used, namely the items that corresponded with the major ACE according to the CDC-Kaiser Permanente ACE Study ( 29 ). These are abuse, physical neglect, emotional neglect, sexual abuse, incarceration of a family member, household substance abuse, household mental health problems, household partner violence and loss of a parent.…”
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.
“…However, while both target populations hold similar proportions of vulnerable individuals, the problem areas slightly differ in terms of ranking. For example, Segeren et al (44) found that 54.7% of violent offenders had self-sufficiency problems with respect to Finances, in contrast to 26.5% in the current study population. Finally, a striking result was that "mental health" was a problematic area in about one-third of the study population, which might be considered lower than expected based on the prevalence of suspected psychiatric disorders in the present study population (i.e., indications for a possible psychiatric disorder in ∼90% of the sample in the current study).…”
Section: 4contrasting
confidence: 60%
“…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)(44)(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: 4mentioning
confidence: 63%
“…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.…”
Section: Methodsmentioning
confidence: 99%
“…Finally, we gathered information from the semi-structured interview on exposure to ACE. This was done in a similar way as Segeren et al, ( 44 ) who originally used items from the Juvenile Forensic Profile (FPJ) ( 58 , 59 ) to score ACE in archived youth-care files. The FPJ consists of 70 items and was developed to measure criminogenic risk factors in patient files.…”
Section: Methodsmentioning
confidence: 99%
“…The FPJ consists of 70 items and was developed to measure criminogenic risk factors in patient files. For this study, we selected the same items as Segeren et al ( 44 ) used, namely the items that corresponded with the major ACE according to the CDC-Kaiser Permanente ACE Study ( 29 ). These are abuse, physical neglect, emotional neglect, sexual abuse, incarceration of a family member, household substance abuse, household mental health problems, household partner violence and loss of a parent.…”
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.
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