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Timely access to effective treatment is a primary goal for mental health services; however, when demand exceeds available resources, services may place clients on a waitlist or restrict services. This paper aims to identify approaches used by mental health services to manage service demand and waitlists.

A review of research literature between 2009 and 2019 was conducted using the Medline, PsycINFO, CINAHL, Embase and Cochrane databases. Articles were screened and assessed against inclusion criteria and the methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool.

In total, 20 articles were located that met the inclusion criteria. Five demand management approaches were identified, namely, walk-in models, triage processes, multi-disciplinary care, patient-led approaches and service delivery changes.

This review identifies effective approaches that services can consider adapting to their local setting; however, further research is needed to demonstrate the clinical effectiveness of services provided under these models.

This review makes a valuable contribution to mental health care service delivery by detailing the strategies that services have adopted to manage demand and, where available, comparative outcomes with traditional service delivery models.

It is proposed that social capital, a societal‐level construct, can be measured at the individual level. This ‘personal social capital’ is a psychological construct defined as a logically linked sequence of social behaviours: community participation, social support and trust in others. Individuals who have more personal social capital will participate in their communities more and have more social support, greater trust in others and less psychological distress than those with less. It was also predicted that social values would influence levels of personal social capital, indirectly influencing distress. Structural equations modelling revealed that, within the construct of personal social capital, the strongest predictor of distress was community trust. Harmony values also directly predicted distress, while security values had an indirect effect via reduced community participation, social support and community trust.

The purpose of this paper is to examine the recovery environment of a sub-acute residential mental health service. Such services are increasingly filling a gap in the continuum of care for people with recurrent mental illness and have a major role supporting the processes of recovery.

A cross-sectional design was used with clients and staff completing the recovery enhancing environment measure. Nine clients who had entered the service from the community (step-up), 18 who had transferred from an inpatient unit (step-down) and ten staff completed the measure.

Clients and staff rated the organisational climate of the service positively, with the role of caring staff being identified as particularly valuable. Clients and staff had similar positive views on the importance of recovery-based elements and rated the service as performing well in these areas. Step-up clients identified performance gaps in the areas of self-management, general health, personal strengths, and personal relationships. Step-down clients identified a range of gaps, including meeting basic needs, empowerment, and fundamental recovery processes.

An assessment of the perceptions of clients and staff can allow services to identify differences in the attitudes of each group and ascertain areas in which the service can be improved to better meet the needs of individual clients. This may include being responsive to the setting from which clients have entered the service.

This is the first study that has examined the recovery environment of a residential mental health service and how it meets the recovery needs of both step-up and step-down admissions.

The purpose of this paper is to summarise the available risk and assessment tools for child abuse material (CAM) offenders. Noting the rise of internet-based offences surrounding CAM, it has been proposed that there may be substantial differences between internet only (IO) offenders, contact only and mixed profile sexual offenders.

Through online searches, risk assessment tools for sexual offenders were identified. Scoring manuals were consulted for applicability to IO offenders.

Nine risk assessment tools for sexual offenders were included. Risk assessment tools for sexual offenders use cautionary language regarding the application of sexual offence risk assessment tools to IO offenders. An additional five tools were identified specifically addressing IO offenders. Three of these tools address risk assessment and two assess cognitions and behaviours.

Limitations include the identification of static and dynamic risk factors and the application of structured professional judgement.

By drawing together existing tools and recommendations for use with the IO offender population, a gap is identified for CAM specific risk assessment tools.

Appropriate risk assessment, case planning and treatment will contribute to the appropriate management and treatment of the IO offender population.

There are a limited number of risk assessment tools relevant to the internet child abuse material (I/CAM) offender cohort. The purpose of this paper is to introduce a new tool, the “Estimated Risk for Internet Child Sexual Offending” (ERICSO). The ERICSO has been developed to assist in the treatment and prevention of sexual crimes against children.

The ERICSO was developed through a multi-stage process including systematic review, survey of professionals and offender case study.

An empirically guided tool for estimating risk for I/CAM offenders, the ERICSO is composed of four domains. The Demographic domain questions provide information about the offender, while Collection domain questions address the content of the offender’s files. The Nature of Engagement domain considers the offender’s interaction with I/CAM, behavioural aspects and contact with children. The Social Aspect domain questions address the offender’s engagement with other I/CAM users. Finally, the assessor may use Structured Professional Judgement to provide additional information, and a summary of the offender’s relevant circumstances and a risk estimation.

The ERICSO provides guidance for the assessment of I/CAM offenders who may reoffend with online child sexual offences, and I/CAM offenders who may reoffend with contact child sexual offences.

Born from a history of generational attitudes towards rehabilitation and risk assessment, the launch of the ERICSO presents an exciting opportunity in the risk estimation of I/CAM offenders.

The purpose of this paper is to collate the available research into the characteristics of child abuse material (CAM) offenders to inform future assessment and treatment options. This systematic review collates the contribution and directionality of variables from existing research assessing an offenders’ use of CAM.

Background and definitions of terminology are reviewed, and a summary of sexual reoffending rates provided. Articles were then identified for inclusion through a systematic review using online searches, EBSCOHost and other databases. Articles were also identified from reference lists. After exclusions, the final sample (n=17) were reviewed for identified variables and their directional contribution to risk.

Internet only (IO) offenders present with a range of similarities and differences. The demographic, psychological and offence-specific risk variables identified suggest IO offenders differ from other types of sexual offenders. Using the collated variables, IO offender profiles are suggested.

Limitations have been identified in the availability of research in this area, the variety of terminology and the definitions in common usage. Additionally, there are challenges in ascertaining the truthfulness of self-reported data.

Development of IO offender-specific risk assessment tools would contribute to advances in targeted supervision and treatment. In turn, this contributes to community safety by protecting children from online sexual victimisation.

Based on identified gaps, this review contributes to ongoing research by signalling future pathways for IO offender-specific risk assessment.

There are limited risk assessment tools validated for use with the internet child abuse material (I/CAM) offender cohort. Developed through a multi-stage process, the purpose of this paper is to present the “Estimated Risk for Internet Child Sexual Offending” (ERICSO), a new tool for I/CAM offender assessment, including demographic, collection, nature of engagement and social domains, plus a structured professional judgement section. Validation studies remain ongoing.

This paper presents a case series analysis of six Australian men, including two Aboriginal men, convicted of I/CAM offences to pilot proposed ERICSO domains and commence validation against the short self-esteem scale, University of California Los Angles loneliness scale, internet sex screening test and the sexual violence risk-20 V2.

Participants of all ages generally reported histories of mental health diagnosis and/or treatment and substance abuse. Two participants reported prior sexual offending, one for I/CAM offences. Participants expressed sexual preferences for female child victims and were convicted of possessing thousands of I/CAM files. Two participants reported accessing I/CAM for over six and 10 years, respectively, before detection by law enforcement.

Preliminary implications indicate ERICSO higher scores are consistent with I/CAM offenders having more online sexual behaviour diversity and more areas of risk/treatment need. For example, participants with problematic self-esteem and loneliness in our data set have higher ERICSO scores. Social connectedness may be a relevant factor though definitive conclusions cannot be drawn from the small sample size.

The ERICSO presents novel assessment of factors in considering treatment targets in addressing both illegal I/CAM and problematic legal sexual behaviours.

Internet child abuse material (I/CAM) offences negatively affect children in our own communities and in the wider virtual world. This study aims to understand the differentiation between online (internet) and offline (contact) offenders. The development of the Estimated Risk for Internet Child Sexual Offending (ERICSO), a proposed instrument for I/CAM offenders, incorporated a case study component to test on a known offender before the tool is applied to a wider sample.

The case study approach provides a unique opportunity for researchers to consider reflections from an I/CAM offender. These insights provide unique perspectives on areas for further exploration, including suggestions for consideration in the assessment and treatment of I/CAM offenders.

Mr A is a male convicted of possessing I/CAM with previous convictions for contact child sexual offending. During the development of the ERICSO, Mr A provided commentary on proposed questions based on his experiences as an offender and his communications with other offenders. Mr A’s feedback was generally consistent with current research findings, with notable suggestions in recognising the importance of differentiating between fantasy/reality, violence/voyeurism and the role technology plays in I/CAM offences. These reflections will be considered in conjunction with ongoing development and validity studies of the ERICSO to contribute to the targeted assessment and risk-relevant treatment for I/CAM offenders.

The use of a case study in the development of a proposed assessment instrument provides a unique perspective to improve ecological validity.