LES-211 · Lesson 11 of 12 · 21 min

Prevention and early intervention: what works for young people

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In June, a month after the robbery, a city councillor proposed bringing a 'scared straight' program to Eastgate: groups of teenagers who had been in trouble would spend a day at the state correctional facility, where inmates would describe prison life in frightening detail. 'Show them where they're headed,' the councillor said at a community meeting. Ferreira, who was at the meeting, asked to speak. 'I understand why that sounds right,' she said. 'But every good study of those programs has found they make kids more likely to offend, not less.' This lesson is about what the evidence says works to prevent youth offending, what does not, and what police can contribute.

Why good intentions are not enough

Youth crime prevention has a long history of popular programs that turned out not to work, or to cause harm. Scared Straight and similar 'juvenile awareness' programs are the best-known example. A Campbell Collaboration systematic review led by Anthony Petrosino, updated in 2013, combined randomized trials of these programs and found that participants were more likely to offend afterward than similar young people who did not take part. The reasons are debated: the programs may glamorize prison, bring at-risk youth together, or simply fail to address why they offend. Military-style boot camps for young offenders, popular in the 1990s, were found in reviews to have little or no effect on reoffending. The original version of the DARE drug education program, delivered by police officers in schools, did not reduce drug use in most evaluations, which led to its redesign.

Desjardins draws two lessons. First, programs should be judged by evidence of their effects, not by how sensible or tough they sound. Second, bringing together groups of high-risk young people can make things worse, an effect researchers call deviancy training, so programs need to be designed with care. He points students to registries that summarize the evidence: the Office of Juvenile Justice and Delinquency Prevention's Model Programs Guide and the Blueprints for Healthy Youth Development registry, which rate programs by the quality of their evidence.

Risk, need and responsivity

One of the most useful frameworks in youth corrections is the risk-need-responsivity model developed by Canadian psychologists Don Andrews and James Bonta. The risk principle says that the intensity of services should match the young person's risk of reoffending: intensive services for high-risk youth, and minimal intervention for low-risk youth. The need principle says that services should target the factors that actually drive offending and can be changed, called criminogenic needs, such as antisocial attitudes, antisocial peers, family problems, school failure and substance use. The responsivity principle says that services should be delivered in ways that fit the young person's learning style, abilities, culture and motivation, usually through cognitive-behavioral and skill-building methods.

The risk principle explains a finding that surprises many students: giving intensive programs to low-risk youth can increase their reoffending. It mixes them with higher-risk peers and disrupts the parts of their lives, such as school, family and pro-social friends, that are keeping them out of trouble. This is one reason the extrajudicial measures and diversion in lesson 4 work: for most young people, a light response that keeps them connected to normal life is the right dose. It also explains why Noah and Devon needed such different responses.

A two-by-two diagram. The horizontal axis is the young person's risk of reoffending, low to high; the vertical axis is the intensity of services, low to high. The lower-left box, low risk and low intensity, is green and labeled good match: warnings, diversion. The upper-right box, high risk and high intensity, is green and labeled good match: intensive family and community programs. The upper-left box, low risk and high intensity, is red and labeled can increase reoffending. The lower-right box, high risk and low intensity, is red and labeled not enough to change behavior.
The risk principle: match the intensity of services to the young person's risk.

Programs with strong evidence

Several kinds of programs have consistently good evidence. Family-based programs for high-risk adolescents are among the strongest. Multisystemic Therapy sends therapists into the home to work with the young person, family, school and peers on the specific problems driving behavior, and Functional Family Therapy works with families over a few months to improve communication and parenting; both have been tested in many trials in several countries with reductions in reoffending and out-of-home placements. Early childhood and school programs, such as nurse home visiting for at-risk first-time mothers and classroom behavior programs like the Good Behavior Game, show long-term effects on later offending, although the benefits appear years after the program. Cognitive-behavioral programs that teach young people to recognize risky situations, manage anger and solve problems have reduced reoffending in many evaluations, including in custody and community settings.

Other approaches have more mixed but promising evidence. Mentoring programs, such as Big Brothers Big Sisters, have modest positive effects on behavior, strongest when relationships last at least a year and mentors are well supported. Summer jobs programs for teenagers in high-violence neighborhoods have reduced violent-crime arrests in some randomized trials, including a well-known Chicago study. After-school programs can reduce offending during the high-risk afternoon hours, but only when they are well attended and structured, not simply drop-in. And community-wide approaches such as Communities That Care, which help local coalitions choose evidence-based programs to address their own risk factors, have shown reductions in delinquency in a randomized trial across several states.

What the evidence says about selected youth crime prevention approaches.
ApproachEvidenceNotes
Scared Straight and juvenile awarenessHarmful: increases offendingShould not be used
Boot campsLittle or no effectPopular in the 1990s
Diversion for low-risk youthEqual or lower reoffending than formal processingLesson 4
Multisystemic Therapy, Functional Family TherapyStrong: reduced reoffending and placementsFor high-risk youth and families
Cognitive-behavioral programsGood: reduced reoffendingCommunity and custody settings
MentoringModest positive effectsLong, well-supported relationships work best
Summer jobs in high-violence areasPromising: reduced violent-crime arrests in some trialsEffects vary by program
Structured after-school programsMixed: depends on attendance and structureTargets high-risk hours

What police can do

Police are not therapists, and most effective youth programs are run by families, schools, health services and community organizations. But police contribute in several ways. They make the first decisions that determine whether a young person is diverted or drawn deeper into the system, and they can make sure those decisions follow the evidence. They can refer young people and families to the programs that fit, if they know what is available. They can take part in coordinated responses, such as the Eastgate Multidisciplinary Team that students saw in the community policing course, where police, schools, health and social services meet weekly to respond to people at acutely elevated risk before a crisis. They can address places as well as people: the community policing course showed how lighting, design and management of spaces like Eastgate Park can reduce opportunities for crime. And they can build relationships with young people outside enforcement, through programs like the youth basketball league Ferreira runs.

Bell is careful about that last point. Police-run youth programs are good for relationships and trust, but they are not a substitute for evidence-based programs delivered by trained staff, and their effects on offending have rarely been measured. 'Basketball doesn't stop a kid from robbing someone,' he says. 'Devon came to basketball. What basketball does is give a kid an adult who knows their name and will notice when something's wrong. That's worth a lot. It's not therapy.'

After the robbery

At the community meeting, Ferreira proposed an alternative to the councillor's idea. The Eastgate Multidisciplinary Team had already discussed the park. The plan that emerged had four parts: new lighting on the path between the park and the Lindell towers, which the city installed in August; extending the community center's supervised evening program to 9 p.m. on weekdays during the summer; a referral pathway for families to the region's Functional Family Therapy team for teenagers with repeated police contact; and a summer jobs placement program for 30 Eastgate teenagers, funded by the city and two local businesses. Tariq Haidari's mural was painted on the field house that summer. Ben Arsenault started playing basketball again in August, in the evening program.

The councillor's scared straight proposal was withdrawn. Desjardins tells students that this kind of moment, when a frightened community wants something to be done and a popular idea is on the table, is where police can do the most good or the most harm. Speaking up for evidence takes some courage. Ferreira did it calmly, acknowledged why the idea appealed, and offered something better.

An invented program evaluation: rearrest within 12 months for similar youth randomly assigned
GroupYouthRearrestedRearrest rate
Program200460.23
Comparison200620.31

Worked problem

Absolute and relative reductions

Using the table, find the absolute and the relative reduction in rearrest.

Show solution
  1. The absolute reduction is the difference between the two rates.
  2. \[0.31-0.23=0.08\]
  3. The relative reduction divides that difference by the comparison group's rate.
  4. \[\frac{0.08}{0.31}\approx 0.26\]
  5. Put the absolute figure into people: out of every 100 youth in the program, about 8 fewer were rearrested than would have been expected without it.

Answer: An absolute reduction of 0.08, or about 8 fewer rearrests per 100 youth, and a relative reduction of about a quarter. Both numbers are true, but the relative one sounds larger, which is why careful readers ask for the absolute one.

Random assignment is what makes the comparison fair. If youth had chosen the program for themselves, the ones who joined might have been more motivated to change, and part of the gap would reflect who joined rather than what the program did. Assigning places by lottery, when there are more applicants than places, gives two groups that differ, on average, only in whether they received the program.

In the invented evaluation, the program group was rearrested at a rate of 0.23 and the comparison group at 0.31: an absolute reduction of 0.08, or a relative reduction of about a quarter. Desjardins teaches students to ask three questions about any evaluation they hear about: was there a fair comparison group, ideally by random assignment; how big was the effect, in absolute terms; and has it been replicated somewhere else?

After a first contact: keeping the door open

Prevention does not stop once a young person has come to police attention. The months after a first contact are a window in which the right response can make later offending less likely. Several practices help. Follow-up matters: a call to the family a few weeks after a warning or referral, to ask how things are going, signals that someone noticed. Connection to school is protective, so officers and youth workers should help young people stay in school rather than adding conditions that push them out of it. Pro-social activities and adults matter, which is why programs like the Eastgate evening program and the art program that worked with Tariq Haidari are worth supporting. And families often need help themselves: parents of teenagers in trouble may be struggling with work, health, housing or their own past contact with the justice system, and a referral for the family can do more than a referral for the young person alone.

Prevention also needs to fit communities. Programs led by organizations rooted in the neighborhoods they serve, including faith groups and community organizations in Black and Latino neighborhoods, often reach young people and families who distrust official agencies, and many cities now fund such organizations directly as part of their violence prevention strategies. Desjardins reminds students that the community policing course showed how trust is built: by showing up, keeping promises and sharing decisions. Youth crime prevention depends on the same things.

Worked problem

Evaluating a proposal

A school principal proposes that police officers give a one-time assembly to all grade 9 students about the consequences of crime, including videos of real arrests and a talk from a young man who served time for robbery. He asks the youth unit to take part. How should the unit respond?

Show solution
  1. A single assembly is unlikely to change behavior; one-time awareness sessions have little evidence of effect.
  2. Content designed to frighten students resembles juvenile awareness programs, which have been found to increase offending.
  3. A talk by a person with lived experience can be valuable if it is part of a structured program, but should not glamorize or frighten.
  4. The unit could offer instead to help connect the school with evidence-based programs, and to support relationships through regular, low-key contact.
  5. The unit should explain its reasons respectfully and offer an alternative.

Answer: Decline the fear-based assembly, explain the evidence, and offer to help with approaches that work.

Common mistakes

  • MistakeShowing young people prison deters them.

    InsteadScared Straight programs increase offending.

  • MistakeMore intensive programs are always better.

    InsteadIntensive programs for low-risk youth can increase reoffending; match intensity to risk.

  • MistakePolice youth programs prevent crime on their own.

    InsteadThey build relationships and trust; evidence-based programs need trained staff.

  • MistakeIf a program sounds sensible, it probably works.

    InsteadPrograms must be judged by rigorous evidence; many popular ones failed.

Summary and key terms

  • Scared Straight programs increase offending, and boot camps have little effect.
  • The risk-need-responsivity model matches service intensity to risk, targets changeable criminogenic needs, and uses methods that fit the young person.
  • Family-based programs like Multisystemic Therapy and Functional Family Therapy, early childhood and school programs, and cognitive-behavioral programs have strong evidence.
  • Mentoring, summer jobs and structured after-school programs have promising but more mixed evidence.
  • Police contribute through diversion decisions, referrals, coordinated responses, place-based prevention and relationships.
  • Judge programs by fair comparisons, effect sizes and replication.
Juvenile awareness program
A program that exposes young people to prison life to deter them, such as Scared Straight.
Risk principle
The principle that service intensity should match the risk of reoffending.
Criminogenic needs
Changeable factors linked to offending, such as antisocial peers and attitudes.
Deviancy training
The reinforcement of antisocial behavior when high-risk young people are grouped together.
Multisystemic Therapy
An intensive home-based program addressing a young person's family, school and peers.
Randomized trial
An evaluation in which participants are randomly assigned to a program or comparison group.

Practice problems

Work each problem on paper first, then reveal the answer to check.

  1. Why did Ferreira oppose the scared straight proposal?

    Show answer

    Evaluations have found such programs increase offending.

  2. What does the risk principle say?

    Show answer

    Match the intensity of services to the young person's risk: intensive for high risk, minimal for low risk.

  3. In the code example, what was the absolute reduction in rearrest?

    Show answer

    0.08.

  4. Name the four parts of the Eastgate plan.

    Show answer

    Path lighting, extended evening program, Functional Family Therapy referrals, and summer jobs.

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