The current literature on academic skill difficulties, whether considered as part of the continuum of ability or as a specific learning disability (LD), indicates that these problems often coexist with conduct problems and juvenile delinquency, and are risk factors for initial law-breaking behavior and for its persistence. However, less is understood about how this relationship develops. It is these broad questions that this project seeks to address. First, what is the causal pathway? Does LD cause delinquency, delinquency cause LD, or are both caused by something else? And can big data analytics applied to statewide datasets of information about juvenile justice (JJ) involvement help to answer this question? Second, as it is known that learning to read and do math (and thus becoming more employable) increases the likelihood of desistance (i.e., not committing any more illegal acts), what are the necessary parts of an intervention designed to teach these skills? And what role might technology play in such an intervention? To answer these questions, we will implement a study that includes two components, (a) a big data component and (b) an intervention component. For (a), we will work with a large historical dataset from the Harris County Juvenile Probation Department. For (b), we will work, in total, with 192 (48 per year) delinquent youth with severe LD in residential placement. These individuals, in a nonconcurrent multiple baseline design, will be offered an educational therapy designed to address severe reading problems in juvenile detainees using a novel mixed media intervention in which the person-to-person intensive 1:1 component is completed while youth are in residential settings (24 sessions, delivered in 90 minute settings 3 times a week) and a "gamified" educational smartphone learning tool follow-up completed upon release (with appropriate network fidelity monitoring and participant reinforcement). The person-to-person component is developed specifically for juvenile offenders with severe LD, combining two well-established and highly-regarded intervention programs designed to systematically build students' repertoire of grapheme-phoneme correspondence rules as well as develop comprehensive reading skills, from beginning reading to proficiency.

Brief Title

Reading Remediation and Outcomes in Detention

Official Title

Severe LD in Juvenile Delinquents: Presentation, Course, and Remediation

Brief Summary

The current literature on academic skill difficulties, whether considered as part of the <br /> continuum of ability or as a specific learning disability (LD), indicates that these problems <br /> often coexist with conduct problems and juvenile delinquency, and are risk factors for <br /> initial law-breaking behavior and for its persistence. However, less is understood about how <br /> this relationship develops. It is these broad questions that this project seeks to address. <br /> First, what is the causal pathway? Does LD cause delinquency, delinquency cause LD, or are <br /> both caused by something else? And can big data analytics applied to statewide datasets of <br /> information about juvenile justice (JJ) involvement help to answer this question? Second, as <br /> it is known that learning to read and do math (and thus becoming more employable) increases <br /> the likelihood of desistance (i.e., not committing any more illegal acts), what are the <br /> necessary parts of an intervention designed to teach these skills? And what role might <br /> technology play in such an intervention? To answer these questions, we will implement a study <br /> that includes two components, (a) a big data component and (b) an intervention component. For <br /> (a), we will work with a large historical dataset from the Harris County Juvenile Probation <br /> Department. For (b), we will work, in total, with 192 (48 per year) delinquent youth with <br /> severe LD in residential placement. These individuals, in a nonconcurrent multiple baseline <br /> design, will be offered an educational therapy designed to address severe reading problems in <br /> juvenile detainees using a novel mixed media intervention in which the person-to-person <br /> intensive 1:1 component is completed while youth are in residential settings (24 sessions, <br /> delivered in 90 minute settings 3 times a week) and a "gamified" educational smartphone <br /> learning tool follow-up completed upon release (with appropriate network fidelity monitoring <br /> and participant reinforcement). The person-to-person component is developed specifically for <br /> juvenile offenders with severe LD, combining two well-established and highly-regarded <br /> intervention programs designed to systematically build students' repertoire of <br /> grapheme-phoneme correspondence rules as well as develop comprehensive reading skills, from <br /> beginning reading to proficiency.

Detailed Description

Learning disabilities (LD) are among the most common types of disabilities in juvenile
offenders that have been linked to delinquency. Nationwide, children and youth with special
education needs are overrepresented in the US justice systems. Reports estimate delinquent
juveniles with a disability to comprise about 30% to 60% of the entire delinquent population.
A national survey in the US states an average prevalence rate of 33.4% of incarcerated
juveniles with disabilities in correctional facilities. Moreover, concerns have long been
raised on the recidivism rates of youth with disabilities and special education backgrounds.
In general, regarding educational performance, academic deficits such as a lack of basic
skills in reading, writing, and mathematics have been associated with recidivism. However,
these studies largely neglect the dynamic nature of delinquent and criminal behavior that has
been documented within the field of developmental criminology with a focus on the onset,
continuity, and extinction of deviant behavior. In light of this research, the identification
and remediation of LD as a risk factor for repeat offending has been a persistent challenge
given the accumulation of and overlap with other risk factors such as poverty, familial
patterns of criminality, influence of delinquent peers, and the differential impact of risk
factors across an individual's developmental trajectory. Altogether, there is a challenge
around the implementation of sophisticated methodology to model the complex longitudinal and
reciprocal links between juvenile delinquency and educational problems such as LD, and how
they relate to other risk factors over time. This challenge is intensified by the required
large samples to detect robust and interpretable patterns and predictive relationships for
groups of youth with severe LDs that, by definition, are small in size and censored with
regard to various educational outcomes (e.g., academic performance). This research is
conceived to contribute to the field's understanding of the connection between LD and
delinquent behavior. We hope to generate unique findings capitalizing on the availability of
the relevant big data, the clinical strengths of its members and their capacity to develop
and administer educational therapy to juvenile offenders, and its embedment within
communities empowering the creation and processing of multi-level longitudinal datasets,
merging sociological (i.e., criminological), behavioral, neurophysiological, and
genetic/genomic data.

Big Data:

The Big Data component seeks to address three objectives: (1) to conduct big data analytics
and data mining to quantify/qualify the complexities of severe LD among juvenile justice
(JJ)-involved youth using statistical methods applied to big datasets that capture multiple
indicators (i.e., offending and educational outcomes) cross-sectionally (for one-time
offenders) and longitudinally (for repeat offenders); (2) to utilize big data analytics to
identify a group of youth with severe LD who will serve as a comparison group for individuals
participating in a reading intervention; and (3) to evaluate the findings from the first two
objectives based on the statistical assumptions underlying the models applicable to the big
data at hand.

Hypotheses. Extending previous research, Big Data seeks to identify factors that relate LD to
recidivism, frequency of re-offending and re-arrest, and the time to post-involvement
recidivism. We hypothesize that (a) overall recidivism rates (i.e., regardless of the
specific type of offense) will be higher among JJ-involved youth with severe LD
(operationalization based on standardized achievement tests and special education status)
than in youth without LD; (b) youth with severe LD will show more incidents of school-related
problems after their first involvement (e.g., attendance problems, disciplinary incidents
such as in-school and out-of-school suspensions and expulsions) than youth without LD; (c)
youth with severe LD who had school-related problems prior to their first JJ involvement will
be at higher risk of recidivism than youth without LD; (d) lower levels of reading
achievement will be associated with shorter periods of time to repeated offending; and (e)
participation in the intervention will significantly decrease recidivism risk compared to
other youth with severe LD who did not participate in the intervention.

Intervention:

The intervention component seeks to address three objectives: (1) to improve the reading
skills of an understudied, high-risk population (JJ-involved youth) using an educational
therapy that has been specifically designed for JJ-involved youth, provided in a 1:1 setting,
and expanded with technology, including material relevant to daily living skills and
appropriate reinforcement that will extend the program into the post-release period; (2) to
reinforce skills and maintain reading gains made during the educational therapy, and increase
the automaticity of skill use by using a high-interest "gamified" learning tool that youth
will play on a SmartPhone given to them when they leave detention; and (3) to investigate the
individual response to therapy with respect to other variables (e.g., attention, executive
functioning, impulse control, learning ability, other academic achievement) collected at
baseline.

Hypotheses. The key hypotheses of the intervention component seek to identify the factors
associated with response to therapy for severe LD relative to pre-therapy functioning. We
hypothesize that (a) overall improvement in reading will be related to pre-therapy academic
skills, attention, and executive functioning; (b) inclusion of a metacognitive component in
the therapy will provide carry-over effects, improving other academic skills; and (c) the
gamification of the learning tool will result in robust technology usage, with a
dose-response relationship between time spent on task and improvement in skills trained (and
measured) via game play.

Outcome Measures

Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.

Inclusion Criteria:

  -  Between ages 14 and 16

  -  Conversational English ability (sufficient to benefit from the intervention program)
     based on the CASL-2 core score

  -  Reading below the 3rd grade level on the KTEA-3 pseudoword decoding subtest and the
     TOWRE-2 phonemic decoding efficiency subtest

  -  IQ at or above 70 on the KABC-II

Exclusion Criteria:

  -  Hearing or vision problem that would preclude the use of visual and auditory materials

  -  Developmental delay, autism spectrum disorder, or intellectual disability

  -  Known genetic syndrome

  -  Neurological disorder (e.g., epilepsy)

  -  Current psychosis or suicidal ideation

  -  Recent (within 6 months) traumatic brain injury