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Research ArticleRegular Article

Predictors of Criminal Sentiments Scale-Modified Scores in Outpatients with Legal System Involvement

Luca Pauselli, Adria Zern, En Fu, Oluwatoyin Ashekun, Samantha Ellis, Elisabeth Jackson, Leah G. Pope, Amy C. Watson, Jennifer D. Wood and Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online June 2024, 52 (2) 176-185; DOI: https://doi.org/10.29158/JAAPL.230120-23
Luca Pauselli
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Adria Zern
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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En Fu
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Oluwatoyin Ashekun
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Samantha Ellis
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Elisabeth Jackson
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Leah G. Pope
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Amy C. Watson
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Jennifer D. Wood
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Michael T. Compton
Dr. Pauselli was a Psychiatry Resident at Icahn School of Medicine at Mount Sinai, Department of Psychiatry, Morningside/West Hospital Center, New York, NY; now a fellow in forensic psychiatry at Yale University School of Medicine, New Haven, CT. Ms. Zern and Dr. Fu are Research Project Managers, Ms. Jackson is Research Assistant, Dr. Pope is Assistant Professor of Clinical Behavioral Medicine, and Dr. Compton is Professor at Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY. Ms. Ashekun is Research Assistant at DeKalb Community Service Board, Decatur, GA. Ms. Ellis is Research Assistant at Gateway Behavioral Health Services, Savannah, GA. Dr. Watson is Professor at Wayne State University School of Social Work, Detroit, MI. Dr. Wood is Professor at Temple University, College of Liberal Arts, Philadelphia, PA. Dr. Compton is Research Psychiatrist and Dr. Pope is Research Scientist at New York State Psychiatric Institute, New York, NY.
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Article Figures & Data

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    Table 1

    Sociodemographic and Clinical Characteristics of the Study Sample (n = 1,234)

    MSD
    Age, years37.710.7
    Years of education completed11.62.3
    Adverse Childhood Experiences (ACE) scale score4.52.8
    n%
    Sex, male64952.6
    Ethnicity, non-Hispanic (n = 1,233)1,20397.6
    Race
     Black or African American77362.6
     White40432.7
     Native Hawaiian or Other Pacific Islander50.4
     American Indian or Alaska Native40.3
     Asian20.2
     Other (e.g., identified as more than one race)463.7
    Marital status (n = 1,228)
     Single and never married78964.3
     Divorced, separated, or widowed30324.6
     Married or living with a partner13611.1
    Currently unemployed (n = 1,226)91774.3
    Clinical diagnosis (n = 1,233)
     Mood disorder80865.5
     Psychotic disorder17614.3
     Both psychotic and mood disorder, or schizoaffective disorder24920.7
    Substance use disorder60348.9
    • View popup
    Table 2

    Total and Subscale Criminal Sentiments Scale-Modified (CSS-M) Scores in the Current Study and Two Prior U.S. Studies

    CSS-M, Total Score (41 items)LCP Subscale (25 items)TLV Subscale (10 items)ICO Subscale (6 items)
    StudyMSDMSDMSDMSD
    Pauselli et al., 2024 (the current study): n = 1,234 outpatients with psychotic disorders or mood disorders, and a history of arrest, in public-sector clinics in Georgia enrolling in a randomized controlled trial of a potential new form of prearrest jail diversion and reconnection to care (53% male, 63% African American)32.715.021.110.77.04.34.52.3
    Ashford et al.,24 2008: n = 53 mental health court-involved outpatients in a study of cognitive skills training targeting criminogenic attitudes; psychotic disorders or bipolar disorder, previously booked with a new charge or a probation violation at the Monterey County (California) Jail, and at least one prior arrest (83% male, 19% African American) (preintervention scores from the completed treatment group on top and comparison group below)24.8
    19.3
    9.6
    10.5
    16.5
    11.4
    7.6
    7.6
    4.8
    4.4
    3.1
    3.3
    3.6
    3.6
    2.2
    2.3
    Labrecque et al.,25 2013: n = 238 participants from juvenile and adult probation or parole departments in a large Midwestern state, who were on the caseloads of 37 probation and parole officers, 17 of whom were trained in the Effective Practices in Community Supervision (EPICS) model on how to target criminogenic needs (preintervention scores from trained officers on top, scores from untrained officers below)25.3
    25.8
    11.3
    12.1
    15.4
    16.4
    7.8
    8.2
    5.7
    5.8
    3.6
    3.7
    4.1
    4.0
    2.0
    1.9
    • Abbreviations: ICO = Identification with Criminal Others, LCP = Law, Courts, and Police, TLV = Tolerance for Law Violations.

    • View popup
    Table 3

    Bivariate Analysis of CCS-M Total Score and Sociodemographic and Clinical Characteristics

    MSDTest Statistics, P
    Ager = –0.19, P < .001
    Years of education completedr = –0.03, P = .30
    Adverse Childhood Experiences (ACE) scale scorer = 0.15, P < .001
    Sext = 1.11, df = 1,215, P = .35, d = 0.18
     Male33.115.5
     Female32.214.5
    RaceF = 6.68, df = 5, 1,211, P < .001, Bonferroni’s post hoc: a-b: P < .001
     Black or African American34.214.9
     White29.314.8
     Native Hawaiian or Other Pacific Islander45.812.6
     American Indian or Alaska Native32.517.7
     Asian35.526.1
     Other (e.g., identified as more than one race)34.415.3
    Marital statusF = 2.06, df = 2, 1,213, P = .13
     Single and never married33.015.1
     Divorced, separated, or widowed31.114.6
     Married or living with a partner33.915.5
    Currently employedt = 1.13, df = 1,212, P = .13, d = 0.08
     Yes33.514.6
     No32.415.2
    Clinical diagnosesF = 9.47, df = 2, 1,212, P < .001 Bonferroni’s post hoc: a-b: P < .001 b-c: P < .001
     Mood disorder33.615.0
     Psychotic disorder28.213.8
     Both psychotic and mood disorder, or schizoaffective disorder32.915.5
    Comorbid substance use disordert = 4.92, df = 1,215, P < .001, d = 0.28
     Yes34.815.4
     No30.614.3
    • View popup
    Table 4

    Multiple Linear Regression Model Results

    BSEtP
    Age–0.250.04–6.36<.001
    Adverse Childhood Experiences (ACE) scale score0.760.164.83<.001
    Sex, male1.610.87–1.85.07
    Race, Whitea–6.160.90–6.81<.001
    Clinical diagnosis, psychotic disorderb–5.821.25–4.64<.001
    Presence of a comorbid substance use disorder2.570.862.98.003
    • ↵aReference group = all other race categories.

    • ↵bReference group = those with a mood disorder combined with those with both a psychotic and mood disorder, or schizoaffective disorder.

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Journal of the American Academy of Psychiatry and the Law Online: 52 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 52, Issue 2
1 Jun 2024
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Predictors of Criminal Sentiments Scale-Modified Scores in Outpatients with Legal System Involvement
Luca Pauselli, Adria Zern, En Fu, Oluwatoyin Ashekun, Samantha Ellis, Elisabeth Jackson, Leah G. Pope, Amy C. Watson, Jennifer D. Wood, Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online Jun 2024, 52 (2) 176-185; DOI: 10.29158/JAAPL.230120-23

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Predictors of Criminal Sentiments Scale-Modified Scores in Outpatients with Legal System Involvement
Luca Pauselli, Adria Zern, En Fu, Oluwatoyin Ashekun, Samantha Ellis, Elisabeth Jackson, Leah G. Pope, Amy C. Watson, Jennifer D. Wood, Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online Jun 2024, 52 (2) 176-185; DOI: 10.29158/JAAPL.230120-23
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Keywords

  • criminal justice
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