MSc AFP Y1793579 An evaluation of the effectiveness of the JETS programme. 1 MSc AFP Y1793579 Contents Abstract page 1 Introduction page 2 Method page 21 Results page 29 Discussion page 37 Acknowledgements page 55 References page 65 Appendices page 66 2 MSc AFP Y1793579 Abstract The Crime and Justice Survey 2003 indicates a prevalence of juvenile offending in the UK (Budd and Sharp, 2005). The JETS programme is a cognitive-behavioural intervention designed to address offending behaviour in juvenile offenders. This study aims to evaluate the effectiveness of the JETS programme with regards to levels of cognitive deficits and levels of behaviour. The participants in this study were 47 sentenced male juvenile offenders imprisoned in HMYOI Wetherby between 2005 and 2006. The measures used to assess cognitive deficits were: Modified Junior Impulsivity Scale – I6 (junior) (Eysenck and Eysenck, 1980) for impulsivity, venturesomeness and empathy, Emotional Behavioural Scale (Clarbour and Roger, 2004) for social anxiety, social self-esteem and malevolent aggression, Locus of Control Scale for Children (Nowicki and Strickland, 1973) for locus of control and Sociomoral Reflection Measure – Short Form (Gibbs, Basinger and Fuller, 1992) for moral reasoning. Behavioural measures were Governor’s adjudications and Incentive and Earned Privilege levels. A mixed analysis of variance was used to measure for significant differences between and within the groups in the cognitive deficits. The sign test was used to identify significant differences in the behaviour levels over the measured period. A significant difference was found for moral reasoning between the treatment group and control group post programme. No other significant differences were found between or within the groups’ pre to post programme in the cognitive deficits or for the JETS group in behavioural measures. The findings are discussed including limitations of the current study and directions for future research. 3 MSc AFP Y1793579 Introduction Research points to a prevalence of juvenile offending in the UK. The Crime and Justice Survey 2003 (Budd and Sharp, 2005) statistics show that young people under the age of 18 years committed over 36% of all recorded crime in the previous year. There are also estimates that juveniles are responsible for a significant proportion of serious crime. The Crime and Justice Survey 2003 statistics show that 58% of offences committed by juvenile offenders are violent offences. This survey also shows that offending rates rise dramatically in males from 14 to 17 years, with four in ten in this age group being active offenders. The average age to stop offending was found to be 23 years old. These findings are supported in longitudinal research. The Cambridge Study in Delinquent Development found that offending peaked at age 17 (Farrington et al, 2006). In the Cambridge Study (Farrington, 2001) 96% of the young males admitted committing an offence which they could have been charged for. This suggests that this rise in offending behaviour is a result of higher numbers of juveniles offending rather than an increased rate in the offending by a few individuals. Although evidence suggests that the majority of juvenile offenders desist from offending as they reach their twenties, there is a small proportion who continues to offend into later adulthood. Moffitt (1993) referred to the difference between the “adolescent-limited” offenders who stop offending in early adulthood and the “lifecourse persistent” offenders who start at an early age and continue to offend as they get older. Research has provided empirical evidence for Moffitt’s theory. Farrington et al (2006) in the Cambridge Study found that 91% with a first conviction aged between 10 and 13 years had been reconvicted and had a higher number of convictions than those who were first convicted at later age. Aalsma and Lapsley 4 MSc AFP Y1793579 (2001) collected data on 174 adolescents, identifying three groups of offenders: welladjusted, internalizing and externalizing. They found that the externalizing group were engaged in more problem behaviours than the other groups. Farrington (2001) in the Cambridge study found that what he termed as “persisters”, individuals convicted both before and after the age of 21 years, had a tendency to be significantly more deviant on a measure of adult social dysfunction at age 32, than those who were only convicted before the age of 21 but not after (“desisters”). The measure of adult social dysfunction included assessing elements of physical fighting, substance abuse and psychiatric disorder. This study also found that the “persisters”, whilst only making up 6% of the sample, were responsible for committing over half of the offences recorded by the researchers. This would suggest that “persisters” have a tendency to offend chronically. A later review of the Cambridge Study (Farrington et al, 2006) found that on average “conviction careers” of these offenders lasted from the ages of 14 to 35 years. Researchers also refer to distinctions between offenders who commit “serious” crimes and those who commit less serious crimes. Farrington and Loeber (1998) define serious violent offences as including: murder, rape, assault, kidnapping and robbery. They define serious non-violent offending as including: burglary, vehicle theft, theft over £100, fraud, arson and drug trafficking. According to Farrington and Loeber, committing one or more of these crimes allows an offender to be classified as a “serious” offender. In a parallel to the “life-course persistent” classification, they describe serious offenders as starting their offending at an early age and continuing into later life. The potential of distinguishing between “persisters” and “desisters” and the seriousness of their adolescent offending is not yet clear due to a lack of research. 5 MSc AFP Y1793579 There is some research that provides support that the small proportion of juvenile offenders who are “persisters” also have a tendency to commit more serious violent and non-violent offences in adolescence. Clingempeel and Henggeler (2003) conducted research into factors that distinguish between “persisters” and “desisters”. They assessed offenders who had committed one or more aggressive crime as adolescents and then again five years later as they reached early adulthood. They found that during adolescence, “persisters” committed more aggressive acts and property crimes and behaved less positively with their peers. It would appear that, although the majority of juvenile offenders are likely to desist in early adulthood, there is a minority who will continue to persist in committing offences well into later life. The evidence suggests that these juvenile offenders are chronic offenders who commit more serious violent and non-violent offences and continue in adulthood. This lends support to the case for interventions that can effectively reduce juvenile offending behaviour. There is a long history in the UK of attempts to reduce re-offending in convicted juvenile offenders. The Youthful Offenders Act 1854 focussed on the aim of reforming children who committed crime through the development of reformatories and industrial schools as an alternative to punishment (Newburn, 1997). Following this the borstal system was founded in 1908 with the aim of educating and disciplining children in order to reform them (Newburn, 1997). Hollin (2001) refers to interest in the application of psychological theories to identify causes of criminal behaviour and develop interventions to address these dating back to the 1920’s. Practitioners applying psychoanalytic approaches and operant learning theory, were the predominant methods used in juvenile custodial settings until the 1970’s (Hollin, 2001). 6 MSc AFP Y1793579 During the 1970’s an influential study by Martinson (1974) shifted the thinking about interventions with offenders, including juveniles. He analysed the effectiveness of the interventions that were being used with offenders at the time and concluded that there was no real evidence that they worked in reducing re-offending. This work was very influential in an assumption being adopted for a number of years that “nothing works” in offender rehabilitation. A number of other researchers in the field criticised Martinson’s work. Gendreau and Ross (1980) and McGuire and Priestley (1985) compiled lists of interventions with offenders that had achieved positive outcomes and others questioned the methodology used in the study. Martinson (1979) later revised the conclusions that had been drawn from his original work. The debate prompted by the “nothing works” doctrine resulted in a thorough re-evaluation of what actually did work in offender rehabilitation. In recent years adult offending behaviour has been addressed in custodial and community settings with interventions based on the “What Works” principles (McGuire, 1995). These principles were identified following the use of meta-analysis on research since the 1980’s to determine which interventions worked with which offenders. In meta-analysis, researchers treat studies as individual data points which allows for the identification of overall trends and the distinguishing factors between successful and unsuccessful interventions. McGuire (1995) determined that whilst an all-encompassing approach was not apparent, based on meta-analyses by Andrews et al (1990) and Lipsey (1993), that there were a number of principles adopted by interventions in their design and delivery that appeared to improve their levels of success. McGuire described these principles as: risk classification, criminogenic needs, responsivity, community base, treatment modality and programme integrity. 7 MSc AFP Y1793579 Risk classification involves matching the level of risk with the level of intervention; the higher the risk, the more intensive the intervention. Criminogenic needs should be a focus of the goals of an intervention designed to reduce re-offending (Andrews and Bonta, 1994). Effective programmes have a responsive delivery style which is matched to the learning styles of offenders. Community based programmes have greater success rates. With regard to treatment modality; effective programmes were multimodal, skills oriented and based on a cognitive-behavioural approach (Lipsey, 1992). Programme integrity ensures effective programmes when the aims are linked to the methods used, for example, staff are trained and supported and the programme is monitored and evaluated, with adequate resources to do this (Hollin, 1995). McGuire (2000) made an estimate of a reduction in recidivism of about 10% as being the impact of delivering interventions based on the “What Works” principles. Prison and probation services have adopted these principles in order to design and deliver offending behaviour group work programmes. These include the ETS (Enhanced Thinking Skills) programme which will be discussed in detail later. There are a number of meta-analyses that have focused on studies involving interventions designed to address juvenile offending to identify “what works” with this age group. Garrett (1985) analysed 111 papers based on work with over 13,000 imprisoned young offenders. She found that treatment had an overall significant effect on re-offending. In contrast, Whitehead and Lab (1989) reported predominately negative findings of the effect of treatment on reconviction rates. They considered 50 interventions that took place between 1975 and 1984. However, their results have been called into question, as 60% of the studies in the analysis were diversion projects that often lacked any intervention to address offending behaviour (Vennard, Sugg and Hedderman, 1997). Also, McGuire and Priestley (1995) criticised Whitehead and Lab 8 MSc AFP Y1793579 for their use of a too stringent benchmark for success: they considered all treatments with an effect size of less than 0.2 as ineffective. When Andrews et al (1990) conducted a re-analysis of the data for appropriateness of treatment to levels of risk, need and responsivity the results were more positive. They found that in these terms the interventions reduced reconviction rates by an average of 50%. Lipsey (1992) followed Andrews et al’s work with a much larger meta-analysis that lent support to their more positive results. Lipsey conducted a meta-analysis of 397 studies with over 40,000 young offenders aged between 12 and 21 years. He found that out of these studies, 64.5% showed treatment had a positive effect in reducing recidivism and revealed an overall reduction in reconviction of between 10% and 12%. This relatively low level of success is open to criticism. However, Losel (1993) has argued that many medical interventions such as heart bypass surgery show no greater effect size in meta-analysis. Meta-analysis has also provided evidence that the success of an intervention is influenced by its treatment characteristics. Wasserman and Miller (1998) identified some important features for effective interventions in juvenile offending. These include being age appropriate by incorporating a focus on peer relationships and a family component. They suggest that without family involvement anti-social behaviour is likely to be maintained and reinforced through lack of consistent rules, insufficient monitoring and excessive use of physical punishment. McGuire (1995) found that community based interventions had the greatest effect on reducing re-offending. However, Lipsey (1992) found that regardless of location, programmes that were based on cognitive-behavioural approaches, multi-modal and skills based had the greatest effect. In contrast, deterrence or counselling based interventions had a low or negative effect. The effectiveness of interventions that 9 MSc AFP Y1793579 include a cognitive component has also been supported in international research. Izzo and Ross (1990) investigated 46 studies on interventions for juvenile offenders and they found that programmes with a cognitive component were twice as effective as those that did not incorporate this. Lösel (1995) reviewed 13 meta-analyses of intervention studies between 1985 and 1995 which included programmes with juvenile offenders and found an overall average effect size of 0.10 for custodial treatment programmes. Lipsey and Wilson (1998) went on to conduct a systematic review about the elements for an effective intervention in different settings with particularly serious younger offenders. They considered 200 studies with males mostly aged between 14 and 17 years, comparing institutionalised with non-institutionalised young people. They found that the most positive effects for interventions with both groups included those with interpersonal skills, multiple services and behavioural elements. The effectiveness of the custody based interventions was increased when they were of a longer duration, had a high level of monitoring or it was a well-established programme. For the non-institutionalised group of young people duration of the programme was also a factor but interventions were more effective with fewer contact hours. These reviews provide evidence for the use of cognitive-behavioural approaches, different interventions being suited to different settings, that custody based interventions can be effective and that there are key features necessary to increase the effectiveness of interventions with juvenile offenders. The most effective interventions follow methods and take account of criteria as described by McGuire (2002). The methods include: interpersonal and cognitive skills training, closely matched mentoring of young people and mentors on key background variables, 10 MSc AFP Y1793579 behavioural interventions such as modelling, graduated practice and role-playing, structured individual counselling and teaching family homes which involves specially trained staff acting in a parental role (Lipsey and Wilson, 1998). Criteria for effective interventions includes: being responsive in the delivery and content of the programme, focussing on dynamic risk factors, making links to other services and matching programme intensity with level of risk of offenders. A number of interventions for juvenile offenders have been designed over the past few years that have attempted to adopt the conclusions made from the “what works” research. The use of social skills training has been successful with young offenders, this has included methods such as guided group discussion and modelling (Sarason, 1978). However, there appeared to be little long-term impact on offending behaviour (Hollin and Henderson, 1984). There has also been some success in the use of moral reasoning training to produce changes in juvenile offenders (Arbuthnot and Gordon, 1986). The Moral Reconation Therapy (MRT) (Little and Robinson, 1988) programme has been used with young offenders aged between 15 and 22 years. MRT adopts a systematic approach for treatment resistant clients. It is based on a simplified personality theory with the aim of increasing offenders’ moral development using a cognitive-behavioural approach. However, the success of the programme being implemented in real-world settings has not shown the same success as the demonstration projects (Armstrong, 2003). Interventions producing more encouraging results have included those which address risk factors relating to a number of contexts that the young person functions in (Bronfenbrenner, 1979). These programmes have worked not just with the young offenders but also with their peer groups and family. Multisystemic Therapy (MST) (Hennggeler and Borduin, 1990) is an example of this style of intervention. MST is 11 MSc AFP Y1793579 based on the idea that juvenile criminal behaviour is determined by a number of factors; including family, peer, social, educational and individual elements. A therapist provides about four months intervention to the young offender and their family which involves educational assistance in both home and school, parental empowerment and family preservation and targeted intervention on the young offenders peer group membership (or gang) (Hennggeler, Melton and Smith, 1992). Bourduin et al (1995) conducted a controlled study into the long-term effects of MST when compared to individual counselling. They compared 92 MST treated families with 84 families where the young offender received individual counselling and after a four year follow-up period they found that only 22% of the MST group had been rearrested compared to 71% of the individual counselling group. However, this level of success has not yet been replicated in other studies. Another programme that also targets a young offender’s family and peer groups is Aggression Replacement Training (ART), which as the name suggests, focuses on the apparent lack of social skills found in young people who are delinquent or aggressive (Goldstein and Glick, 1996). A participant’s sibling or parent can also take part in the programme. ART comprises of both cognitive and behavioural methods used to assist in training of social skills, anger control and moral education. The training has been used successfully with gang members (Goldstein, Glick, Carthan and Blancero, 1994) with only 13% of the ART group being re-arrested compared to 52% of the control group. Offending behaviour programmes based on “what works” principles, which were designed for adult offenders and have shown some success in reducing re-offending, have also been delivered to juvenile offenders in the UK. 12 MSc AFP Y1793579 The R&R (Reasoning and Rehabilitation) programme is a cognitive skills training intervention originally developed for adult offenders by Ross and Fabiano (1985). The intervention focuses on increasing cognitive skills including: problem solving, rational and logical thinking, assessment of consequences, development of selfregulation, perspective taking and planning. It was originally delivered in Canadian probation and correctional services and has been adopted by several other countries, including the UK. It has been successful in significantly reducing reconvictions in adult offenders (Robinson, 1995). Although it has been delivered to juvenile offenders in the UK, there are few studies into R&R’s effectiveness with this age group and these have provided mixed results and followed less rigorous methodologies than adult studies. Mitchell and Palmer (2004) found a small reduction in re-offending rates for juvenile offenders who completed the programme when compared to matched controls, but this difference was not significant. The R&R programme is no longer delivered to offenders in UK prison and probation services as it has been replaced by the ETS (Enhanced Thinking Skills) programme. The ETS (Enhanced Thinking Skills) programme was developed by the prison service to address offending behaviour. The aim of the ETS programme is similar to the R&R programme. It aims to increase the cognitive skills of offenders in order to reduce cognitive deficits that lead to an inability for them to reach their goals in pro-social ways. The target group for ETS are medium to high risk offenders and the developers refer to the research conducted by Robinson (1995) who found that cognitive skills programmes showed the best results with violent, sexual and drug abusing offenders. The ETS programme is accredited by the Correctional Services Accreditation Panel, formerly the Joint Prison/Probation Service Accreditation Panel. 13 MSc AFP Y1793579 The ETS programme was developed with reference to the “what works” principles (McGuire, 1995) using a cognitive-behavioural approach to address six key cognitive deficits. These deficits are: interpersonal problem solving, cognitive style, selfcontrol, perspective taking, critical reasoning and moral reasoning. The programme consists of 20 sessions of two hours duration. These sessions are supported with homework tasks. The sessions are designed with reference to the “what works” principles to be responsive and skills-oriented by using techniques including: skills practices, relevant examples for illustration and use of discussions and games to ensure learning is interactive. There have now been three large scale evaluation studies to investigate the impact of the ETS and R&R programmes delivered by the prison service in England and Wales. The first, that considered reconviction data for adult male offenders, was conducted by Friendship, Blud, Erikson and Travers (2002). They compared 670 adult male offenders who completed either ETS or R&R between 1992 and 1996, with a matched group of 1801 adult male offenders on two year reconviction rates. The researchers separated the groups into four risk categories: low, medium-low, medium-high and high. The results showed that the levels of reconviction were lower for programme completers in all risk categories. However, the results were only significant for the medium-low category who had a 14% points reduction and for the medium-high category who had an 11% points reduction when compared to the matched group. The second evaluation was conducted by Falshaw, Friendship, Travers and Nugent (2003). They compared 649 adult male offenders who completed either ETS or R&R between 1996 and 1998 with a matched control group. They found no significant reduction in reconviction rates for any condition. 14 MSc AFP Y1793579 The third evaluation was conducted by Cann, Falshaw, Nugent and Friendship (2003). They compared 2195 adult males and 1534 young offenders who completed either ETS or R&R between 1998 and 2000 with matched control groups. They found no significant difference in reconviction rates between the group after both one and two years of release. A significant reduction was found for one year reconviction rates when non-completers were excluded from the data, but this effect was not present for two year reconviction rates. The ETS programme has been delivered to juvenile offenders in England and Wales, however they were not included in any of these large scale evaluations and there is no reconviction data for this age group. All of these evaluation studies are based on reconviction rates. This type of research makes an assumption that all offenders will respond in the same way to treatment. There is some evidence of the ETS programme’s impact with juvenile offenders with regard to psychometric data. Nugent and Birks (2000) considered psychometric data for 203 juvenile offenders (aged 15 – 17 years old), 1818 young offenders (aged 18 – 21 years old) and 6281 adult offenders. They found that the juvenile offenders had higher pre-course levels of risk and need, for example they had more previous convictions and they had higher levels of egocentricity. In a comparison of the post-course levels; the juvenile offenders had made similar improvements to levels of risk and need as the young offenders, yet this was significantly less than the adult offenders. 21% of juvenile offenders had worse post-course scores as compared to 14% of adult offenders. These results indicate that whilst juvenile offenders were identified as having the highest risk and need for the ETS programme, they actually improved the least. These research results for the ETS programme’s impact on juvenile offenders, alongside similar disappointing results for the R&R programme (Mitchell and Palmer, 15 MSc AFP Y1793579 2004) appear to indicate that these interventions are not appropriate to make the greatest impact on reducing re-offending in this age group. Andrews et al (1990) meta-analysis research provided evidence for the positive impact on reducing reoffending of treatment that took account of the three key principles of risk, need and responsivity. It is apparent that juvenile offenders’ levels of risk and need are appropriate for the ETS programme (Nugent and Birks, 2000). Nichols (2000) conducted a research project into how well the ETS and R&R programmes were meeting the responsivity needs for both juvenile and young offenders. The responsivity principle relates to how the style of delivery and material is relevant for the ability and learning styles of the treatment participants. Nichols developed a semi-structured interview to collect responses from the programmes’ tutors and treatment managers about what they thought worked well, least well and changes that could improve responsivity for these offenders. In relation to the responses for improving responsivity with juvenile offenders a number of changes were suggested. These included: more relevant and flexible material with more humour and fun, improving understanding through appropriate language to help address low educational abilities, shorter sessions and exercises to help address attention and concentration difficulties, more concrete material and relevant examples, increased pace of delivery and interactive exercises and individual support sessions, better selection of appropriate participants and improved tutor skills, with increased awareness of adolescence and behaviour management. The JETS programme was developed by Nichols and Mitchell (2004) in response to the research evidence presented above. They used the ETS programme as a basis for the JETS programme, as they argue that although recent research findings have been disappointing, ETS is based on the “what works” principles for effective interventions 16 MSc AFP Y1793579 (McGuire, 1995). They also refer to the findings of Lipsey and Wilson (1998) that custodial based interventions showed higher success if they were based on wellestablished programmes. ETS has now been delivered for several years in prisons in England and Wales. Like ETS, JETS uses a cognitive-behavioural approach to address six key cognitive deficits. These deficits are: interpersonal problem solving, cognitive style, self-control, perspective taking, critical reasoning and moral reasoning. The JETS programme has been developed taking into account the criteria for effective interventions with juvenile offenders (McGuire, 2002). Nichols and Mitchell (2004) also refer to the incorporation of elements in response to the responsivity research project (Nichols, 2000). The JETS programme comprises of 25 sessions that two hours in duration and these are either adapted from ETS or have been newly designed to be more responsive to the target group of juvenile offenders aged between 15 and 18 years. Nichols and Mitchell (2004) state that they have designed JETS sessions to be more responsive to the juvenile age group, which is key to addressing the cognitive deficits effectively. In order to increase the levels of understanding for participants; the language and material used in sessions has been simplified, the individual sessions are used to review sessions to ensure that individuals with low educational ability do not fall behind and workbooks for the completion of work outside sessions have been designed using colourful images and require minimal writing to complete assignments. The individual sessions are also used to relate skills to real life examples and problems with a greater level of tutor assistance in response to the more concrete thinking in juveniles. In order to avoid too much repetition; the reviews at the start of sessions have been designed to be minimal and homework reviews are completed in individual sessions so that continuity and links are still made. Also the presentational 17 MSc AFP Y1793579 structure of social skills and moral reasoning sessions, that follow the same structure in the ETS programme, has been varied to avoid repetition. Each session varies in the way that skills are introduced and different exercises are used to teach the skills. The JETS sessions were designed to be more responsive to take account of the active learning styles of juveniles and the importance of recognition of achievement (McGuire, 2002). Nichols and Mitchell (2004) state that this was achieved through an increase in the number and frequency of games and competitions, including the use of ice-breaker exercises at the start of sessions to ensure immediate engagement of participants. The use of certificates and prizes following completion of homework and winning competitions also contributes to the element of recognition of achievement. Nichols and Mitchell (2004) also state that they have made a number of adaptations to sessions to ensure that the sessions remain relatively stress free. Adolescents can feel threatened when asked to complete tasks in front of their peer group. To address this, strategies such as graduating their involvement in social skills practices have been adopted. Also there is an increase in the amount of visual material presented in sessions to reduce the feelings of stress for participants with poor literacy skills. Nichols and Mitchell (2004) argue that these changes will also assist in group control and management of group behaviour. They state that they have incorporated additions to tutor training in order to ensure a more responsive delivery of changes described above. They refer to additional training requirements for tutors including; motivational interviewing, group control and management and attending an adolescence awareness course. This course is designed to increase the awareness and knowledge of staff in key areas that impact on the juvenile offender age group, including adolescence, child protection and substance misuse. 18 MSc AFP Y1793579 The JETS programme selection process incorporates different elements to the ETS programme. Nichols and Mitchell (2004) refer to the relevance of these changes with regards to research evidence for effective programmes with juvenile offenders. The removal of the consideration of offence type in the selection process is made with reference to the systematic review conducted by Lipsey and Wilson (1998). They found no relationship between prior or current offence type and treatment effects for institutionalised juvenile offenders. The introduction of motivation as a selection criteria is argued by Nichols and Mitchell (2004) as relevant for a number of reasons including; evidence of high dropout rates in young offenders (Cann, Falshaw, Nugent and Friendship, 2003), evidence of a higher risk of offending for dropouts (Robinson, 1995) and experience that low motivation can disrupt learning for the individual and the group. Group composition for the JETS programme includes differences in group size and age range. Nichols and Mitchell (2004) refer to recommendations made by Merrell and Gimpel (1998) about adolescent groups. They recommend that the optimal group size for this age group is between three and eight and that the age range of the group should vary no more than three years. Therefore, JETS groups consist of eight participants aged between 15 and 18 years old. Nichols and Mitchell (2004) have made a number of additions to the JETS programme from the basis of the ETS programme again with reference to research evidence. They have included a number of individual sessions designed to run alongside and support the group sessions. They state that these sessions provide a safe context away from the group setting to aid understanding and generalisation of skills and that they offer individually tailored support for learning. Nichols and Mitchell (2004) refer to evidence for the inclusion of these sessions from McGuire (2002) that 19 MSc AFP Y1793579 a mix of individual and group methods is best practice with juveniles, and from Lipsey and Wilson (1998) that structured individual counselling in a problem solving framework is effective in reducing re-offending. To complement the individual sessions Nichols and Mitchell (2004) have included a workbook for participants to complete homework assignments outside sessions. It is designed to help participants reinforce and generalise learning points. They also point to the benefits of the workbook encouraging reflection and practice outside the group sessions and how it acts as a record of achievement as shown as important in research evidence (McGuire, 2002). Nichols and Mitchell (2004) have also included elements of family support and mentoring used in a structured way to support learning. This is based on evidence from other programmes such as MST (Hennggeler and Borduin, 1990) which demonstrated success with the inclusion of these elements. Also McGuire (2002) referred to the increase in effectiveness of programmes which use closely matched mentoring and teaching family homes. It is apparent from the elements in design and delivery outlined above that the JETS programme has been developed to incorporate a number of factors highlighted in research to provide a more effective intervention in reducing re-offending in the juvenile age group. The JETS programme has been delivered to juvenile offenders in establishments in England since 2004. There has so far been one small study to explore the effectiveness of the programme. Falgate (2007, unpublished) investigated the level of clinically significant change (Jacobson and Truax, 1991) shown for eight JETS participants on the deficits measured by psychometric tests administered pre and post programme. She found that some participants moved in the desired direction, crossed the cut-off between the dysfunctional groups and showed a clinically 20 MSc AFP Y1793579 significant change in the deficits of empathy and locus of control. Falgate also found that participants moved in the desired direction for the deficits of impulsivity and venturesomeness, although this movement did not cross the cut-off between groups and it was not a clinically significant change. These results show some positive impact of the JETS programme in addressing the cognitive deficits measured by the psychometric tests. The aim of this study is to investigate the impact of the JETS programme in addressing cognitive deficits. JETS participants who complete the programme will be compared with a control group on pre and post programme measures. The deficits measured will be moral reasoning, locus of control, impulsivity, venturesomeness, empathy, social anxiety, social self-esteem and malevolent aggression. The JETS group will also be compared to the control group for behaviour levels before, during and after the programme. This will be measured by comparing numbers of Governor’s adjudications and level attained on the Incentive and Earned Privilege scheme. Hypotheses: 1) Juvenile offenders who have attended the JETS programme will display different levels of moral reasoning, locus of control, impulsivity, venturesomeness, empathy, social anxiety, social self-esteem and malevolent aggression than before the programme. 2) Juvenile offenders who have attended the JETS programme will display different levels of moral reasoning, locus of control, impulsivity, venturesomeness, empathy, social anxiety, social self-esteem and malevolent aggression than juvenile offenders who have not attended the JETS programme. 21 MSc AFP 3) Y1793579 Juvenile offenders who have attended the JETS programme will display more positive levels of behaviour than juvenile offenders who have not attended the JETS programme. 22 MSc AFP Y1793579 Method Design The current study uses both a between subjects and a within subject design as there are two groups being tested on the same psychometrics and their scores compared before and after the JETS programme. The independent variables are the juvenile offenders who attend the JETS programme and a control group of juvenile offenders who have not attended the JETS programme. The dependent variables are the cognitive deficits measured by the psychometric tests and the levels of behaviour assessed by the behavioural measures. Participants The participants in this study are 47 male juvenile offenders imprisoned in HMYOI Wetherby between 2005 and 2006. HMYOI Wetherby houses approximately 360 remanded and convicted offenders aged between 15 and 18 years. The sentence lengths served in this establishment range between four months and life. Index offences of offenders in HMYOI Wetherby include: burglary, robbery, vehicle offences, murder, sexual offences and grevious bodily harm. The participants in this study were all convicted and sentenced offenders. All 32 JETS group participants responded to all the pre and post programme questionnaires. There was a lower response rate for the control group, only 15 participants completed both the pre and post programme questionnaires. 23 MSc AFP Y1793579 Table 1: JETS group participants Participant 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Age 17 18 17 17 17 18 17 17 17 17 17 17 16 17 17 16 16 17 16 16 16 18 17 16 18 17 17 17 18 18 17 16 Ethnic Origin White British Black Caribbean White British Asian Pakistani White British White British White Irish White British White British Black Other White British White British White British White British White British White British Black Other White British White British White British White British White British White British White British White British White British White British White British Black Caribbean White British White British White British Offence Grievous Bodily Harm Supply Drugs Robbery Robbery Theft Robbery Robbery Actual Bodily Harm Robbery Attempted Burglary Grievous Bodily Harm Robbery Robbery Assault Robbery Arson Burglary Burglary Burglary Burglary Escape Theft Robbery Robbery Burglary with intent to rape Robbery Grievous Bodily Harm Indecent Assault Burglary Grievous Bodily Harm Burglary Grievous Bodily Harm Sentence Length 4 years 1 year 2 years 3 months 1 year 6 months 1 year 2 years 1 year 6 months 1 year 6 months 3 years 1 year 6 months 3 years 6 months 3 years 1 year 8 months 10 months 1 year 6 months 3 years 1 year 1 year 1 year 1 year 6 months 1 year 6 months 1 year 1 year 6 months 1 year 6 months 6 years 3 years 2 years 3 years 6 months 1 year 1 year 6 months 2 years 1 year 24 MSc AFP Y1793579 Table 2: Control group participants Participant 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Age 17 16 16 15 17 16 17 17 17 18 18 17 17 17 16 Ethnic Origin White British Black Other White British White British White British White British White British Black African Asian Other White British White British White British White British Black Caribbean White British Offence Actual Bodily Harm Grievous Bodily Harm Burglary Breach of Supervision Order Criminal Damage Grievous Bodily Harm Burglary Supply Drugs Robbery Robbery Actual Bodily Harm Supply Drugs Robbery Burglary Robbery Sentence Length 1 year 6 months 1 year 6 months 1 year 2 years 1 year 2 years 1 year 1 year 6 months 2 years 1 year 6 months 1 year 6 months 3 years 3 years 6 months 2 years 1 year Recruitment and Selection of Participants The participants were all referred and assessed to be suitable to participate in the JETS programme. Risk was assessed by the ASSET juvenile offender management system. This is an IT based structured assessment tool developed by the Youth Justice Board (2003). There are 16 areas relating to different areas of risk and need, each is rated on a scale of zero – four in terms of association with re-offending. A score of zero represents an assessment of no association and a score of four indicates a strong association. JETS developers (Nichols and Mitchell, 2004) outline the key areas that directly reflect the treatment targets of the programme as being lifestyle, perception of self and others, thinking and behaviour, motivation to change and attitudes to offending. Offenders scoring highly on these areas are referred to be assessed for the JETS programme. Need and motivation were assessed with the Cognitive Skills Semi-Structured Interview (Offending Behaviour Programmes Unit and Pathfinder Projects, 2000). This interview is designed to measure the level of the six cognitive deficits 25 MSc AFP Y1793579 (interpersonal problem solving, self control, social perspective taking, cognitive style, moral reasoning and critical reasoning) to assess for need. It is also designed to measure for motivation to participate in the programme and to change. JETS tutors are given guidance in conducting the interview and applying the scale to the responses. The interview uses a five point scale to measure these dimensions, ranging from a score of one denoting poor skills, to a score of three denoting average skills and a score of five denoting excellent skills. All participants were assessed to meet the need criteria with scores of three or below in at least five of the cognitive deficit dimensions. Participants with higher levels of motivation to participate in the programme and to change (a score of three and over) were placed in the JETS group to complete the programme, participants with lower levels of motivation to participate in the programme and to change (a score under three) were placed in the control group. It is acknowledged that the use of motivation as a criterion to distinguish between the JETS group and the control group is problematic. This establishes a key difference between the groups before any intervention has taken place. It is recognised that a Randomised Control Trial (RCT) provides the most thorough and vigorous method for conducting research that involves a control group and a treatment group. However, the use of an RCT in this study was not possible within the guidelines for participant selection and due to operational constraints at HMYOI Wetherby. Therefore, the Cognitive Skills Semi-structured Interview (Offending Behaviour Programmes Unit and Pathfinder Projects, 2000) was used to control for motivation. This has resulted in a control group who are less motivated than the JETS group. As the Cognitive Skills Semi-structured Interview measures participants’ level of motivation, a correlation 26 MSc AFP Y1793579 between these motivation scores and the difference scores pre and post programme for the measures will be used to determine if motivation has an impact on performance. Measures Psychometric tests were used to assess the dependent variables. These are: Modified Junior Impulsivity Scale – I6 (junior) (Eysenck and Eysenck, 1980) This is a 77 item questionnaire developed by Eysenck and Eysenck (1980) to measure impulsivity, venturesomeness and empathy in children. Subjects are asked to give yes or no responses to questions related to these areas. These responses are then scored to provide a level of impulsivity, venturesomeness and empathy. The reliabilities for the scale were derived from a sample of 633 British school boys aged 11.88 +/- 1.96. The reliabilities were 0.74 for impulsiveness, 0.80 for venturesomeness and 0.70 for empathy, and are considered satisfactory (Eysenck, Easting and Pearson, 1983). Emotional Behavioural Scale (EBS) (Clarbour and Roger, 2004) This is a 65 item questionnaire originally developed by Clarbour and Roger (2000) to measure adolescent emotional behaviour comprising three sub-scales of social anxiety, malevolent aggression and social self-esteem. Subjects are asked to respond with either “more like me” or “less like me” to statements related to these areas. These responses are then scored to provide a level of social anxiety, malevolent aggression and social self-esteem. A sample of 609 adolescents aged between 11 and 14 years old derived internal consistency coefficients of 0.84 for social anxiety, 0.83 for malevolent aggression and 0.79 for social self-esteem, and these were considered substantial and satisfactory (Clarbour and Roger, 2004). An independent sample of 175 Year Seven pupils was used to assess for test-retest reliability. The coefficients were 0.76 for social anxiety, 0.73 for malevolent aggression and 0.79 for social self- 27 MSc AFP Y1793579 esteem and again these were considered substantial and satisfactory (Clarbour and Roger, 2004). Locus of Control Scale for Children (LCSC) (Nowicki and Strickland, 1973) The LCSC was designed to measure locus of control in children (Nowicki and Strickland, 1973). It is a 40 item questionnaire that provides a single, dimensional score of the degree of internal or external locus of control. An internal locus of control is present when an individual believes their behaviour is under the control of the self whereas an external locus of control is present when an individual believes that consequences of behaviour are due to luck and chance (Sylva and Stevenson, 1997). The reliabilities of the scale were taken from the original standardised sample of 1017 children from 9 – 18 years of age (Nowicki and Strickland, 1973). The internal consistency of the scale was estimated using split half reliabilities for 15-17 year olds (r=0.74) and test-retest reliability for 16 year olds (r=0.71). Sociomoral Reflection Measure – Short Form (SRM-SF) (Gibbs, Basinger and Fuller, 1992). This is an 11 item measure developed by Gibbs, et al. (1992) to measure moral reasoning. Subjects are asked to give explanations relating to areas that may be important to them. These responses are then scored as to which stage of moral reasoning they reflect. Gibbs, et al (1992) define four stages of moral reasoning, with stages one and two being classed as ‘immature’ and stages three and four as ‘mature’. This measure evidences acceptable levels of test-retest reliability (r = 0.88) and internal consistency (r = 0.92). The measure also achieves acceptable concurrent validity (r = 0.69). 28 MSc AFP Y1793579 Behavioural Measures The participants are also being compared by measuring behaviour in the establishment before, during and after the treatment programme. Governor’s adjudications are awarded for a breach of prison rules. The Incentive and Earned Privilege (IEP) scheme is designed to reward prisoners for consistent good behaviour and enforce sanctions for consistent poor behaviour. It is a three tier scheme where the middle tier (named silver level at HMYOI Wetherby) is considered appropriate for consistent acceptable levels of behaviour. The top tier (named gold level at HMYOI Wetherby) is considered appropriate for consistent good levels of behaviour. The bottom tier (named red level at HMYOI Wetherby) is considered appropriate for consistent poor levels of behaviour. The number of Governor’s adjudications was determined for each participant in the six weeks before, the six weeks during and the six weeks after the programme. The IEP level was determined for each participant on the programme start date, programme end date and the date six weeks following the programme end date. Statistical Analyses As level of motivation was the distinguishing factor that determined whether participants were placed in the JETS or control group, a Pearson’s correlation coefficient will be used to measure for any linear relationships that exist between the difference scores for each measure and the motivation scores. As an analysis of both repeated measures and between subjects is required and in order to reduce the probability of Type 1 errors, a mixed analysis of variance (ANOVA) will be used to measure for any significant differences between and within the groups on the pre and post programme scores. If any significant differences are 29 MSc AFP Y1793579 found between the groups then a t-test will be used to determine where these differences lay, pre or post programme. The sign test will be used to measure for any significant differences between the behaviour levels over the course of the intervention for both the control group and the JETS group. Procedure Following selection to either the JETS programme group or the control group, written consent was gained from participants to take part in the study. The participants were given a consent form, which was also read out to them by the administrator, to account for any literacy problems. Participants were informed that participation in the study was voluntary and that they could withdraw from the study at any time. (A copy of the form can be found in appendix A). If participants agreed to take part in the study, they were asked to sign the consent form. The psychometric tests were administered to each participant on an individual basis. They were administered in the week before the programme start date and then again in the week immediately following the programme completion date. Participants were given a copy of each of the psychometric tests and the instructions were read out for each one in turn. The participants were encouraged to express any difficulty in understanding a question, and the administrator would then further explain the question. Once all the psychometrics had been completed, the participants were asked if they had any further questions and then they were thanked for taking part. 30 MSc AFP Y1793579 Results Pearson’s correlation coefficient was used to measure for any linear relationships that exist between the difference scores from pre to post programme for each measure and the motivation scores for all participants in the study. The assumptions for homogeneity of variance and normal distribution were met. Table 1: Results from the Pearson’s correlation coefficient. Measure Malevolent Aggression r p value 1 .46 .171 Social Anxiety -.142 .379 Social Self-Esteem .195 .094 Moral Reasoning .087 .280 Locus of Control -.079 .298 Empathy .006 .484 Venturesomeness -.099 .254 Impulsivity -.094 .264 The results in Table 1 show that there was no significant relationship between the difference in scores for any measure and the level of motivation. Therefore, it is likely that the selection criteria for motivation did not have an impact on the treatment effect. 1 Significance level p < .05 31 MSc AFP Y1793579 A mixed analysis of variance was carried out on the data. The assumption of homogeneity was met. The assumption of normal distribution was met for all sets of data except for social self-esteem and moral reasoning. For social self-esteem, a square root transformation was conducted to address a negative skew in the distribution. For moral reasoning, two outliers were removed from the analysis, due to the responses given by these participants in post-programme questionnaires being minimal in nature and relevance. It was decided appropriate for these participants to be excluded from the moral reasoning data. Table 2. Mean scores (and standard deviations) pre and post treatment of the JETS group and the control group. Measure Pre-programme Control JETS Post-programme Control JETS Malevolent Aggression 11.73 (3.95) 8.38 (4.96) 12.07 (4.98) 9.16 (4.62) Social Anxiety 9.53 (4.82) 12.78 (5.09) 10.67 (6.32) 11.53 (4.61) Social Self-Esteem 1.91 (.629) 1.67 (.685) 1.83 (1.068) 1.56 (.730) Moral Reasoning 1.62 (.28) 1.81 (.31) 1.66 (.24) 2.09 (.31) Locus of Control 15.87 (4.24) 12.75 (3.36) 16 (4.74) 12.66 (4.89) Empathy 14.33 (4.47) 16.13 (3.78) 14.73 (5.01) 15.38 (4.32) Venturesomeness 16.07 (3.28) 18.44 (3.72) 18.07 (3.24) 18.13 (4.76) Impulsivity 13.87 (4.36) 14.19 (5.25) 14.67 (4.88) 13.72 (5.27) The descriptive statistics in Table 2 show that the JETS group moved in the desired direction of an increase in scores for the measures of social self-esteem and moral reasoning. The JETS group moved in the desired direction of a decrease in scores for the measures of social anxiety, locus of control, venturesomeness and impulsivity. 32 MSc AFP Y1793579 The JETS group did not move in the desired direction for malevolent aggression and empathy. The control group did not move in the desired direction for all measures except for moral reasoning and empathy. Table 3. Results from the mixed analysis of variance Measure Repeated measures F p value2 Between-subjects F p value2 Malevolent Aggression .121 .730 5.608 .022* Social Anxiety 2.183 .146 2.22 .143 Social Self-Esteem .021 .884 1.524 .223 Moral Reasoning 3.587 .067 12.819 .001* Locus of Control .028 .869 7.818 .008* Empathy .543 .465 1.247 .270 Venturesomeness 2.278 .138 1.52 .224 Impulsivity .537 .467 .056 .815 The results in Table 3 show that there is a significant difference between the JETS group and the control group for malevolent aggression, F (1, 45) = 5.61, r = 0.33. However, the estimated marginal means demonstrate that a similar level of difference was present both pre and post programme. The difference pre-programme was significant t (45) = 2.3, p < .05. Therefore, the difference post programme cannot be attributed to treatment effect. 2 Significance level p < .05 * denotes significance 33 MSc AFP Y1793579 Graph 1. Estimated marginal means for malevolent aggression in the JETS group and the control group. 13 E S T I M 12 A T E D 11 M A R G I 10 N A L M E A N S 9 GROUP Control 8 Pre-programme JETS Post-programme The results in Table 3 also show that there is a significant difference between the JETS group and the control group for locus of control, F (1, 45) = 7.82, r = 0.38. However, the estimated marginal means demonstrate that a similar level of difference was present both pre and post programme. The difference pre-programme was significant t (45) = 2.72, p < .05. Therefore, the difference post programme cannot be attributed to treatment effect. Graph 2. Estimated marginal means for locus of control in the JETS group and the control group. E 17 S T I M 16 A T E D 15 M A R G I 14 N A L GROUP M 13 E A N S 12 Pre-programme Control JETS Post-programme 34 MSc AFP Y1793579 The results in Table 3 show that there is a significant difference between the JETS group and the control group for moral reasoning, F (1, 33) = 12.82, r = 0.53. The estimated marginal means demonstrate that this difference was evident post programme due to the increase in the desired direction of the scores for moral reasoning for the JETS group. The difference pre-programme was not significant t(45) = 1.1, p > .05. Therefore, the significant difference between the JETS and control groups post programme can be attributed to treatment effect. Graph 3. Estimated marginal means for moral reasoning in the JETS group and the control group. E 2.2 S T I 2.1 M A T 2.0 E D M 1.9 A R G I 1.8 N A L 1.7 M E 1.6 A N S 1.5 Pre-programme GROUP Control JETS Post-programme 35 MSc AFP Y1793579 Behavioural Measures The number of Governor’s adjudications in the six weeks before, six weeks during and six weeks after the course are shown in Figure 1. The desired direction is a decrease in the number of Governor’s adjudications over this period. The sign test was used to determine any significant differences between before, during and after the programme. Figure 1: The number of Governor's adjudications for the JETS group and control group before, during and after the programme. 16 14 12 10 No. of Governor's adjudications 8 JETS group 6 Control group 4 2 0 Pre-programme During programme Post-programme Time Period Results for control group extrapolated up to be comparable. It is clear from Figure 1 that the JETS group show a movement in the desired direction of a decrease in Governor’s adjudications over the measured period. However, these differences did not yield a significant result, pre-programme to during programme (sign test, n = 9, p ns) and pre-programme to post programme (sign test, n = 10, p ns). In contrast the control group showed a movement in the wrong direction with an increase in the number of Governor’s adjudications over the measured period. The 36 MSc AFP Y1793579 sign test could not be used to test for significant differences because there were fewer than 6 pairs of scores (ignoring any tied pairs). The movement in IEP level for the JETS group and control group during and after the programme compared to the pre-programme level is shown in Figure 2. The desired direction is the maintenance or improvement of the level at the programme start date. Figure 2: The movement in IEP level for the JETS group and control group during and after the programme when compared to the preprogramme level. No. of participants 25 20 15 JETS group 10 Control group 5 0 Decrease Maintain Increase during during during prog. prog. prog. Decrease Maintain Increase post post post prog. prog. prog. Movement in IEP level compared to pre-programme level Results for control group extrapolated up to be comparable. It is clear from Figure 2 that the majority of the JETS group participants maintained their privilege level both during and after the programme and that a slightly higher number in the JETS group showed an increase in level than those showing a decrease in level both during and after the programme. However, these differences did not yield a significant result, pre-programme to during programme (sign test, n = 7, p ns) and pre-programme to post programme (sign test, n = 9, p ns). 37 MSc AFP Y1793579 The control group participants showed lower numbers maintaining a privilege level during and after the programme, but higher numbers increasing in privilege level during and after the programme than the JETS group. The difference between preprogramme to during programme yielded a significant result (sign test, n = 6, p ï‚£ 0.05). However, the difference between pre-programme to post programme did not yield a significant result (sign test, n = 10, p ns). The percentage of JETS group and control group participants on red, silver and gold IEP level before, during and after the programme is shown in Figure 3. Incentives and Earned Privilege Scheme 100 90 % of participants 80 70 60 50 JET S group 40 Control group 30 20 10 0 Before During After prog. prog. prog. Red level Before During After prog. prog. prog. Before During After prog. prog. prog. Silver level Gold level IEP level for time period It is clear from Figure 3 that the majority of the JETS group participants were on the highest privilege level (gold) before, during and after the programme. In contrast the majority of the control group were on the middle privilege level (silver) before and during the programme with an increase to the gold level evident after the programme. 38 MSc AFP Y1793579 Discussion The aim of the current study was to evaluate the effectiveness of the JETS programme. As level of motivation was the key distinguishing factor between the JETS group and the control group, it was investigated to determine if there was a relationship between motivation scores and difference in scores for all measures. No significant relationship was found. Therefore, it is likely that the selection criteria for motivation did not have an impact on the treatment effect. There were three hypotheses for the current study. Hypothesis one: juvenile offenders who have attended the JETS programme (JETS group) will display different levels of moral reasoning, locus of control, impulsivity, venturesomeness, empathy, social anxiety, social self-esteem and malevolent aggression as measured by the standard JETS course battery than before the programme. The null hypothesis can be accepted for hypothesis one. The mean scores for the JETS group showed a move in the desired direction for the measures of moral reasoning, locus of control, impulsivity, venturesomeness, social anxiety and social self-esteem. However, there were no significant differences. The mean scores for the JETS group did not move in the desired direction for malevolent aggression and empathy. Hypothesis two: juvenile offenders who have attended the JETS programme will display different levels of moral reasoning, locus of control, impulsivity, venturesomeness, empathy, social anxiety, social self-esteem and malevolent aggression as measured by the standard JETS course battery than juvenile offenders who have not attended the JETS programme (control group). Partial support was found for this hypothesis with a significant difference being found between the JETS group and the control group for moral reasoning post programme. Significant differences were also found post programme between the groups for locus of control 39 MSc AFP Y1793579 and malevolent aggression. However, these significant differences were also present pre-programme and so cannot be attributed to treatment effect. No other significant differences were found. Hypothesis three: juvenile offenders who have attended the JETS programme will display more positive levels of behaviour than juvenile offenders who have not attended the JETS programme. The null hypothesis can be accepted for hypothesis three. The JETS group moved in the desired direction of reducing the number of Governor’s adjudications over the measured period whereas the control group showed an increase of Governor’s adjudications. However, there were no significant differences. The majority of the JETS group participants maintained their Incentive and Earned Privilege (IEP) level both during and after the programme. In contrast the control group showed a significant increase in IEP level between pre-programme to during programme, although this significant difference was not evident between preprogramme to post programme. However, the majority of the JETS group had achieved the highest IEP level pre-programme whereas the majority of the control group had achieved the middle level pre-programme. Therefore, the control group were more able to increase their IEP level than the JETS group. The results will now be discussed in more detail with regards to the measures and potential explanations for the lack of significant differences. Moral Reasoning There was a significant difference in this deficit between the JETS group and control group post programme, this significant difference was not present pre-programme. There was no significant difference between pre and post programme scores for both the JETS and the control group. However, there was a movement in the desired 40 MSc AFP Y1793579 direction with an increase in the level of moral reasoning for both groups. The JETS group showed higher levels of moral reasoning than the control group both pre and post programme. It is interesting that whilst a significant difference was found between the groups post programme, there was no significant difference found in the JETS group from pre to post programme. A possible explanation for this is that the JETS group had a higher level of moral reasoning pre-programme than the control group and although the JETS group’s level post programme was not significantly different to the pre-programme level there was some movement whereas the control group showed very little movement. Therefore, the difference between the groups post programme yielded a significant result. It may also be that a larger sample size would have produced a more significant effect. These results suggest that the JETS programme has had some positive impact on moral reasoning because the mean scores for the JETS group show a greater increase post programme compared to those of the control group. These results are interesting as the moral reasoning sessions in JETS have been designed very differently from the ETS programme. As previously stated, research using psychometric data on juvenile offenders who completed the ETS programme indicated that they made the least improvements when compared to young offenders and adults (Nugent and Birks, 2000). It may be that the differences in the JETS design for addressing this deficit could have impacted on these more positive results. Nichols and Mitchell (2004) refer to the necessity to have a clear focus on moral development with the juvenile age group. They point to research by Kohlberg (1976) who identified three conditions for moral change: exposure to higher levels of moral reasoning, role-taking opportunities and cognitive conflict developed through moral dilemmas. Nichols and Mitchell (2004) have designed the JETS moral reasoning 41 MSc AFP Y1793579 sessions with regard to these conditions. It would appear from the results found in this study that this has had a positive impact on moral development. The elements of responsivity incorporated in the design of JETS that were referred to earlier may have been a factor in producing these results. The presentational structure of the moral reasoning sessions are varied to avoid repetition, the dilemmas have simpler language and they are presented in more visual ways through cartoons and videos to help address poor literacy issues. The Social Reflection Measure – Short Form (Gibbs et al, 1992) used to measure participants’ moral reasoning defines four stages of moral reasoning, with stages one and two being classed as ‘immature’ and stages three and four as ‘mature’. The immature level consists of stage 1: unilateral and physical and stage 2: exchanging and instrumental. The mature level consists of stage 3: mutual and pro-social and stage 4: systemic and standard. This is evident from the results which show that, although there was not a significant difference, the mean scores for the JETS group moved up in the immature level from stage 1 into stage 2 during the programme. The normative data for this measure showed high school students, average age 17, functioning in the mature level at stage 3. It also shows that school children, average age 12, function at stage 2. It would appear that the JETS programme has shown some effectiveness in moving the participants closer to the norm for their age group. These results are consistent with the findings of research into the effectiveness of the Moral Reconation Therapy programme (Arbuthnot and Gordon, 1986). This offers some further support to the use of cognitive-behavioural approaches to develop moral reasoning in juvenile offenders. 42 MSc AFP Y1793579 Locus of Control No significant difference was found in the deficit of locus of control for the JETS group and the control group between pre and post programme levels. However, the JETS group moved in the desired direction of a decrease in locus of control whereas the control group showed an increase. A significant difference was found pre and post programme between the JETS group and the control group. The JETS group showed lower levels of locus of control both pre and post programme. The results for the mean scores moving in the desired direction for the JETS group and not the control group for locus of control indicates the possibility that the JETS programme may have had some impact in decreasing an externalised locus of control that could result in taking more personal responsibility for actions and outcomes and that without the programme the level may have increased. Skills taught on the JETS programme, such as the problem solving strategy, enable participants to feel more in control in dealing with difficult situations that they might face. Also additions made to the programme by Nichols and Mitchell (2004), as previously mentioned, may have reinforced development in this area. The workbook for completion of tasks outside sessions encourages participants to take personal responsibility of their development during the programme. The individual sessions allow participants with the opportunity to take ownership of the use of the skills by providing opportunities to apply them directly to their own situations. These results are consistent with the findings of Falgate (2007, unpublished) that showed a move in the desired direction in locus of control for some JETS participants between pre and post programme. However, the results for three participants in that study yielded a significant difference not evident in the present study. 43 MSc AFP Y1793579 Impulsivity and Venturesomeness There was a move in the desired direction for the JETS group in reducing impulsivity and venturesomeness between pre and post programme, whereas the control group showed an increase in both deficits. However, none of these differences was significant. There was also no significant difference between the groups pre and post programme for both deficits, although the JETS group showed higher levels of impulsivity pre-programme and lower levels post programme than the control group. The JETS group showed higher levels of venturesomeness both pre and post programme than the control group. The results for the mean scores moving in the desired direction for the JETS group and not the control group for both impulsivity and venturesomeness indicates the possibility that the JETS programme may have had some impact in reducing the impulse to act on the spur of the moment regardless of whether an awareness of risk is present and that without the programme levels of both deficits may have increased. The JETS programme is designed to teach participants skills in managing emotions and in assessing risk. Also responsivity elements included by Nichols and Mitchell (2004) referred to earlier may have had a positive effect on this deficit. An important element of the design of JETS is that skills are delivered in an accessible manner for this age group with the incorporation of simplified materials, the use of visual aids and games to encourage engagement. These may all have contributed to reducing negative impulsive reactions to skills that address impulsivity and venturesomeness, increasing the likelihood that they gain a greater understanding of these skills. These results are consistent with the findings of Falgate (2007, unpublished) that showed a move in the desired direction in impulsivity and venturesomeness for some JETS participants between pre and post programme. 44 MSc AFP Y1793579 Empathy The JETS group did not move in the desired direction for empathy, whereas the control group did. However, the JETS group showed higher levels of empathy both pre and post programme than the control group. There was no significant difference found within either group or between the groups pre and post programme. It is concerning that in the current study the measured levels of empathy decreased for the JETS group from pre to post programme. However, these results contrast with the findings of Falgate (2007, unpublished) that showed a move in the desired direction in empathy for some JETS participants between pre and post programme with a significant difference found for one participant. Therefore, the impact of the JETS programme on levels of empathy requires further exploration. Social Anxiety The JETS group showed higher levels of social anxiety both pre and post programme than the control group. A move in the desired direction of reducing social anxiety was evident in the JETS group, whereas the control group showed an increase in this deficit. However, none of these differences was significant. There was also no significant difference between the groups pre and post programme. The results for the mean scores moving in the desired direction for the JETS group and not the control group for social anxiety indicates the possibility that the JETS programme may have had some impact in reducing this deficit and that without the programme levels of social anxiety may have increased. Skills taught on the programme and the responsivity elements included in the programme design might have had an influence in the positive observed change in the JETS group for social anxiety. Social skills are taught in JETS to provide effective 45 MSc AFP Y1793579 approaches to dealing with people. The presentational structure of these sessions has been varied to avoid the negative impact of repetition on this age group (Nichols and Mitchell, 2004). Also Nichols and Mitchell (2004) included elements to reduce possible stressors when learning these skills in order in increase engagement and confidence in using them, such as graduated involvement in skills practices. Additions to the programme such as the workbook and individual sessions are used to reinforce the learning of the social skills in a safe context outside the group sessions. Social Self-Esteem No significant differences were found for the JETS group and the control group or between the groups pre and post programme for social self-esteem. However, the JETS group moved in the desired direction of increasing the level of social selfesteem, whereas the control group moved in the opposite direction decreasing their levels in this deficit. The JETS group showed higher levels in social self-esteem both pre and post programme. The results for the mean scores moving in the desired direction for the JETS group and not the control group for social self-esteem indicates the possibility that the JETS programme may have had some impact in increasing social self-esteem and that without the programme levels of social self-esteem may have decreased. As with the deficit of social anxiety, the increase in social self-esteem evident in the JETS group could be attributed to the social skills taught in the programme, similar elements of responsivity incorporated in the design of the programme and reinforcement of skills through the workbook and individual sessions having a positive impact (Nichols and Mitchell, 2004). In addition tutors are trained to place an 46 MSc AFP Y1793579 emphasis on praise and positive reinforcement for appropriate behaviour that could have had an influence on increasing the participants’ social self-esteem. Another factor that might have influenced the increase in social self-esteem for the JETS group is the reduction that was evident in the level of social anxiety experienced by the participants post programme. It is possible that if the JETS programme is successful in reducing social anxiety then this could contribute to an increase in social self-esteem. Malevolent Aggression No significant difference was found in the deficit of malevolent aggression for the JETS group and the control group between pre and post programme levels. Neither group moved in the desired direction, instead showing an increase in the deficit. There was a significant difference between the groups, however this was evident both pre and post programme. The JETS group showed lower levels of malevolent aggression both pre and post programme than the control group. It is concerning that in the current study the measured levels of malevolent aggression increased for the JETS group from pre to post programme. Therefore, the impact of the JETS programme on levels of malevolent aggression requires further exploration. Behavioural Measures There was decrease in the number of Governor’s adjudications for the JETS group from before through to during and after the programme and an increase in the number of Governor’s adjudications over the same period for the control group. However, none of these differences were significant. 47 MSc AFP Y1793579 The results for the Incentive and Earned Privilege (IEP) levels show that the majority of JETS group participants maintained their privilege level during and after the programme when compared to the pre-programme level. In contrast, the control group shows a greater number increasing their IEP level than the JETS group. None of the differences in the JETS group yielded a significant result. However, for the control group there was a significant difference between pre and during the programme, although this was not evident between pre and post programme. These results appear to suggest that participants who did not participate in the JETS programme were more successful in increasing their IEP level. However, the results also show that the majority of the JETS group were on the highest privilege level before, during and after the programme, whereas the majority of the control group were on the middle privilege level. Therefore, the control group had a greater likelihood of increasing their IEP level than the JETS group. It is also possible that the nature of an IEP scheme may impact on how reliable it is as a measure of behaviour levels. IEP schemes are designed to reward prisoners for maintaining positive behaviour over a period of time. As a result, the level achieved by a prisoner can be influenced by the length of time he has been in the prison. Therefore, it is possible that two prisoners may be demonstrating similar levels of positive behaviour but be on different IEP levels due to the length of time they have been in the prison. Overall, there is some positive movement evident in these results for the potential impact of the JETS programme, however there is a lack of significant differences. One potential explanation for this is that JETS is a very new treatment programme. As previously mentioned more positive outcomes are found in custody based 48 MSc AFP Y1793579 programmes that are well-established (Lipsey and Wilson, 1998). The JETS programme is still very much in its infancy, as despite being based on the established ETS programme, the changes and additions to make JETS effective for the juvenile age group are numerous and those responsible for applying the programme are relatively inexperienced in doing so. The majority of tutors that delivered the JETS programme at HMYOI Wetherby to the participants in this study are relatively new to delivering cognitive skills programmes to juvenile offenders and in the main have only received the initial tutor training. Some aspects of the additional training for tutors, such as group control and management and motivational interviewing, that Nichols and Mitchell (2004) emphasise is necessary, have not yet been available for tutors to attend. Also the JETS programme, during the data collection period, was relatively new to the staff and managers at HMYOI Wetherby. Research has shown that the environment for treatment is key to delivering effective programmes. The theoretical basis of skills training (Hansen, Nangle and Meyer, 1998) suggests that skills need to be positively received in the environment in which they are used. JETS participants may acquire skills in sessions, however if they are not positively reinforced when they practice them out of sessions then they are unlikely to continue to use them. Staff awareness training for the JETS programme is delivered to staff in order to promote the course and address the issue of environment for treatment. However, due to the relative newness of the JETS programme over the data collection period and the high staff turnover at HMYOI Wetherby, not all staff will have attended this training. Another potential explanation for the lack of significant differences is participants’ level of understanding of the programme. As previously mentioned, Nichols and Mitchell (2004) incorporated a number of elements into the programme design to 49 MSc AFP Y1793579 increase participants’ level of understanding, including simplified material and language and the inclusion of individual sessions to review skills. However, it is possible that these elements are either ineffective or insufficient to increase levels of understanding. Nichols and Mitchell (2004) recommend that JETS participants demonstrate a level of intellectual functioning that ensures they will benefit from the programme. However, due to resources, participants at HMYOI Wetherby are not currently tested with regards to their level of intellectual ability before the programme. Therefore, there may have been some participants who did not meet the appropriate level of intellectual functioning and this may have been a factor that influenced their level of understanding. Another potential factor that might inhibit participants’ understanding of the programme is the negative impact of disruptive behaviour in sessions. Problematic behaviour displayed by participants may have a negative impact on the effectiveness of the programme as it may impede participants’ level of understanding. This could include both the participants displaying disruptive behaviour and other participants who are distracted by the behaviour. Some of the participants in this study displayed some disruptive behaviour during sessions, these incidents were recorded in the individual daily debrief files and included refusing to complete exercises, throwing objects at other participants and distracting others by talking. As previously mentioned, in response to the responsivity research (Nichols, 2000) which highlighted the need to address concentration and attention difficulties experienced by juvenile offenders, Nichols and Mitchell (2004) incorporated a number of elements into the JETS programme design, including ones to improve understanding and reduce repetition. Also, they incorporated systems of reward to 50 MSc AFP Y1793579 ensure recognition of achievement (McGuire, 2002) and provide the opportunity to positively reinforce good behaviour. However, it is possible that these elements are either ineffective or insufficient to address disruptive behaviour so that it does not impact on programme effectiveness. Also, as stated above, tutors who delivered the JETS programme to participants in the current study have not yet received training in group control and management. Therefore, they may not have the required skills to effectively manage disruptive behaviour so that it does not negatively impact on programme effectiveness. The lack of significant differences might also be in part a result of group composition. As previously stated, Nichols and Mitchell (2004) determined that a group size of eight participants would be appropriate for the JETS programme. They state that this decision was made with reference to Merrell and Gimpel (1998) who recommend that the optimal group size for adolescent groups is between three and eight participants. It is possible that a total of eight participants is not the most appropriate group size for the JETS programme and that this has an impact on the effectiveness of the programme. Other factors that might have influenced the lack of significant differences found in the current study may include limitations and sources of error in the design of the study. Limitations and Sources of Error It is important to consider that there are some factors that could have influenced the results found in this study. The requirement of the JETS course to allocate according to levels of motivation may have had an impact in producing other differences between the JETS group and the 51 MSc AFP Y1793579 control group pre-programme. Random allocation would have reduced the level of systematic bias in allocation pre-programme and increased the level of internal validity. However, this was not possible due to the guidelines for operating the course and operational constraints at HMYOI Wetherby. It is worth considering that JETS includes a number of aspects that are designed to provide continuity to the learning that takes place in sessions, including family support and mentoring (McGuire, 2002). These are designed to continue after the programme is completed. As previously mentioned, Multisystemic Therapy (MST) (Hennggeler and Bourduin, 1990) which includes elements of family support showed positive results after a four year follow-up, 22% of the MST group had been rearrested compared to 71% of the comparison group. The current study only measured for impact as soon as the programme was complete and so it cannot account for the impact of these elements. In addition to this there is research that indicates personality traits of juveniles are not that stable over time and in different settings (Steinberg and Cauffman, 1996). This could account for any changes found in the deficits measured in this study. The current study only considers a small snapshot of change for participants by measuring just pre and post programme levels. A better reflection of any change would be gained if the tests were administered over a longer period of time. The sample used in the current study may have limited the results that were found. The sample was only drawn from one establishment, HMYOI Wetherby. This may cause problems of external validity; same results might not have been found if participants had been available from other establishments in the juvenile prison estate. Aspects of HMYOI Wetherby may have influenced the results. For example, the 52 MSc AFP Y1793579 social self-esteem of a participant may have been affected by the prison regime and by their experiences with the staff who look after them. The sample size was small and only included 47 participants (32 JETS participants and 15 in the control group). However, HMYOI Wetherby are only resourced to deliver five programmes in a 12 month period with eight participants on each one so it took this period of time to collect the data. Also population pressures across the prison estate at the time of the data collection and the fact that prisoners are transferred to young offender establishments when they turn 18 years old, resulted in a number of original control group participants being transferred out of HMYOI Wetherby before post programme measures could be administered. The small sample size restricts the current study as it may have made it more difficult to detect any differences between the two groups. Also, despite finding a significant difference in the deficit of moral reasoning between the two groups, a larger sample size may have produced a more significant effect. Further potential limitations of this study may be found in the administration of the measures used. Gudjonsson and Haward (1998) point to a number of factors that may have influenced the test scores of participants in the current study including: the participant’s attention, concentration, co-operation, motivation, cultural factors and response bias. In order to maximize the quality of data collected the tests were administered on an individual basis. The tests were designed to be appropriate for use with the juvenile age group. However, a total of four psychometric tests were administered and this resulted in a required response to a total of 193 questions. Participants were asked to complete these tests twice. It is possible that some participants had difficulty in attending to and concentrating on completing so many responses, particularly as many 53 MSc AFP Y1793579 of them will have been identified with deficits in self-control (impulsivity and venturesomeness). Many participants expressed feelings of frustration to administrators when completing the test battery particularly on the second occasion. Participants also experienced some difficulty in understanding some of the questions on the Modified Junior Impulsivity Scale – I6 (junior). These questions were those that required a response to a comparison, e.g. “at the fairground, would you prefer to play darts and see sideshows to going on the big dipper and the dodgem cars?” Some participants expressed confusion as to which response (yes or no) reflected their intent. Administrators would assist in resolving their confusion when asked, however it is possible that some participants did not express their confusion or even recognise the conflict in responses this would have resulted in inaccurate responses. Another factor potentially limiting the current study involves the co-operation and motivation of the participants. The first test battery was conducted during a process of selection for the treatment programme. It is possible that participants will have felt the need to respond in certain ways in order to gain a place on a programme that can have a beneficial impact in achieving early release or parole. This factor will still have been present for the JETS group post programme. Participants’ suspicions were expressed in the form of questions such as, “am I meant to have changed?” The current study tried to gain honesty in responses by promising confidentiality and anonymity and by explaining that the findings would not affect their sentences in any way. However, some participants may have still had suspicions that influenced their responses. This limitation might have influenced the findings, resulting in inconsistencies. The test battery for the current study was administered by members from the programmes team at HMYOI Wetherby who are JETS programme tutors. Therefore, the participants may not have felt that the administrator was impartial and may have 54 MSc AFP Y1793579 believed they had a particular ideology about what responses were wanted, ultimately influencing the responses given. Participants in the present study may have been subject to other treatment that might have had an impact on the deficits measured in the current study. None of the participants in this study had attended any other offending behaviour programme during their current sentence. However, every juvenile offender who in HMYOI Wetherby is allocated a Young Person’s Substance Misuse worker who, dependent on the levels of reported misuse, conduct individual and group interventions. Also it is possible that this study’s participants may have attended another offending behaviour or treatment programme on a previous sentence. The presence of other treatment may have influenced the findings, resulting in inconsistencies. Future Research It is encouraging that the JETS programme appears to show some effectiveness in improving levels of moral reasoning. It would be useful for future research to investigate what is effective about the way that the programme addresses moral reasoning and whether any aspects related to this are missing from the way the other cognitive deficits are addressed. It is clear that while the current study offers some evidence for the positive impact of the JETS programme in addressing cognitive deficits to help reduce the likelihood of re-offending by participants, more research is necessary to support this. It would be useful for future research to incorporate reconviction data, larger randomized samples of participants and to control for any other treatment effects in order to increase the likelihood of a producing a more significant effect. 55 MSc AFP Y1793579 It is recommended that in future research, data is collected over a longer period of time than the current study, as this would help to take account of the potential instability of personality traits shown in this age group (Steinberg and Cauffman, 1996) that may impact on levels of reliability and validity. Also, as previously stated, an extended period of data collection would enable measurement of the impact of elements, such as family support and mentoring (McGuire, 2002) that are designed to provide continuity following the end of the programme. Further exploration is required into the potentially negative impact of the JETS programme on empathy and malevolent aggression as shown in the results of the current study. 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Offending Behaviour Programmes Unit and Pathfinders Project. (2000). Cognitive Skills Semi-structured Interview. 64 MSc AFP Y1793579 Robinson, D. (1995). The impact of cognitive skills training on post-release recidivism among Canadian Federal Offenders. No. R-41. Research Branch. Ottawa: Correctional Service Canada. Ross, R.R. and Fabiano, E.A. (1985). Time to think: a cognitive model of delinquency prevention and offender rehabilitation. Johnson City, TN: Institute of Social Sciences and Arts. Sarason, I.G. (1978). A cognitive social learning approach to juvenile delinquency. In R.D. Hare and D. Schalling (Eds). Psychopathic Behaviour: Approaches to Research. New York: Wiley. Steinberg, L. and Cauffman, E. (1996). Maturity of judgement in adolescence: Psychosocial factors in adolescent decision making. Law and Human Behaviour, 20, 249-272. Sylva, K. and Stevenson, J. (1997). Social Behaviour and Competence in Childhood. In I. Sclare (Ed.) Child Psychology Portfolio. NFER-NELSON Health and Social Care, London. Vennard, J., Sugg, D. and Hedderman, C. (1997). Changing offender's attitudes and behaviour: What works? Home Office Research, Development and Statistics Directorate Research Study 171. London: Home Office. 65 MSc AFP Y1793579 Wasserman, G. A. and Miller, L. S. (1998). The prevention of Serious and Violent Juvenile Offending. In R. Loeber & D. Farrington (Eds), Serious and Violent Juvenile Offenders (pp. 13-29). Thousand Oaks, CA: Sage. Whitehead, J.Y. and Lab, S.P. (1989). A meta-analysis of juvenile correctional treatment. Journal of Research and Crime and Delinquency, 26, 276-295. Youth Justice Board (2003). ASSET: an assessment framework for young people involved in the youth justice system. London. 66 MSc AFP Y1793579 Acknowledgements I would like to thank my academic supervisor, Professor Cynthia McDougall for her support, guidance and patience. I would like to express my gratitude to my practitioner supervisor, Kirstin Barnes for her support and guidance and the Governor of HMYOI Wetherby for funding my MSc and enabling my research to take place. To my husband Paul and my friends Sally, Emily, Caroline and Becky thank you for all your encouragement and patience that helped me maintain my sanity. 67 MSc AFP Y1793579 Appendices 68 MSc AFP Y1793579 Appendix A 69 MSc AFP Y1793579 Participant Consent Form MSc in Applied Forensic Psychology Investigators name: xxxxxxxxxx Title of study: The Effectiveness of the JETS Programme in changing thoughts, feelings and behaviours. Brief description of study: I am currently carrying out a study into the thoughts, feelings and behaviours of juvenile offenders in prison and the impact that the JETS Programme has on these. Therefore, I have some questionnaires that I would be very grateful if you would fill in. There are a number of questionnaires that will take about ½ an hour to complete. These questionnaires will only be used for my research. I would like you to complete them three times over the next three months. Nobody taking part in the study will be identified and all information will be kept in the strictest of confidence. I will help you understand how to fill them in, and I will read them to you if you have difficulty reading. A summary of the research findings will be made available on request from the Establishment Research Contact. If you are willing to do the questionnaires, please sign this letter at the bottom of this paper. Declaration of consent: The person giving me the questionnaires has explained to me the purpose of them, and I have agreed to fill them in. I understand that the information will be used only for research purposes, that I will not be identified as having taken part, and that all information will be kept in strictest confidence and in compliance with the Data Protection Act. However, should I give any information that puts others or myself at risk of harm, or breaks the establishment rules, or is illegal, I understand that the relevant agencies will be informed. I understand that my participation in this study will not affect my sentence and that I have the right to take away my consent at any time. If I decide to withdraw from this study any information that I have provided as part of this study will be destroyed or my identity removed unless I agree otherwise. I do agree to take part in this research and I allow prison records about me and my offence(s) to be examined for the purpose of this study. Name: Signature: Date: Thank you for your help (Note: this form will be kept separately from your data, so you will not be identifiable). 70