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Crim Justice Policy Rev. 2017 Oct;28(8):790-813. doi: 10.1177/0887403416628601. Epub 2016 Feb 10.

The Availability and Utility of Services to Address Risk Factors for Recidivism among Justice-Involved Veterans.

Criminal justice policy review

Daniel M Blonigen, Allison L Rodriguez, Luisa Manfredi, Jessica Britt, Andrea Nevedal, Andrea K Finlay, Joel Rosenthal, David Smelson, Christine Timko

Affiliations

  1. HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System; Palo Alto University, Palo Alto, CA.
  2. National Center for PTSD, VA Palo Alto Health Care System.
  3. HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System.
  4. Palo Alto University, Palo Alto, CA.
  5. Veterans Justice Programs, Veterans Health Administration.
  6. HSR&D Center for Health Care Organization and Implementation Research, Bedford VA Medical Center; University of Massachusetts Medical School, Worcester, MA.
  7. HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System; Stanford University School of Medicine, Palo Alto, CA.

PMID: 26924887 PMCID: PMC4765911 DOI: 10.1177/0887403416628601

Abstract

The availability and utility of services to address recidivism risk factors among justice-involved veterans is unknown. We explored these issues through qualitative interviews with 63 Specialists from the Department of Veterans Affairs' (VA) Veterans Justice Programs. To guide the interviews, we utilized the Risk-Need-Responsivity (RNR) model of offender rehabilitation. Specialists reported that justice-involved veterans generally have access to services to address most RNR-based risk factors (substance abuse; lack of positive school/work involvement; family/marital dysfunction; lack of prosocial activities/interests), but have less access to services targeting risk factors of antisocial tendencies and associates and empirically-based treatments for recidivism in VA. Peer-based services, motivational interviewing/cognitive-behavioral therapy, and Veterans Treatment Courts were perceived as useful to address multiple risk factors. These findings highlight potential gaps in provision of evidence-based care to address recidivism among justice-involved veterans, as well as promising policy-based solutions that may have widespread impact on reducing recidivism in this population.

Keywords: Empirically-Based Treatments; Justice-Involved Veterans; Recidivism; Risk-Need-Responsivity

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