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Three different groups of therapy leavers and current residents (total n = 80) from Dovegate Prison's Therapeutic Community (TC) were compared on various demographic, criminogenic and psychometric attributes. Statistically significant findings distinguished the leaver groups from current residents and differentiated between type of leavers. Those leavers judged as unsuitable for therapy were characterised by high scores of Psychopathy, Neuroticism, Criminality, Addiction, Venturesomeness, and Avoidant and Schizoid Personality Disorders. Those leavers who had elected to leave the TC were more likely to have a sexual index offence, significant scores on the Multiphasic Sex Inventory, and Paranoid and Depressive Personality Disorders. Logistic Regression analysis confirmed that particular personality disorders were predictive of therapy leaver group membership. Paranoid Personality Disorder was identified as a predictor of all types of drop-out. These findings provide a psychological profile of the different types of residents who have left a prison therapeutic community and can be used to support and inform selection and assessment practices.

With growing emphasis on improving the value of health care, there is increased scrutiny of quality outcomes and high health expenditures during the final months of life.The purpose of this project is to answer 1) how do next of kin (NOK) perceive the quality of their loved ones' dying and death; 2) are there patient and NOK characteristics that predict lower quality; and 3) are there structural aspects of care associated with lower quality?A mailed survey was administered to a stratified random sample of NOK of Geisinger Health System patients who had died in the past year. The Quality of Death and Dying, the General Anxiety Disorder seven-item scale, the Patient Health Questionnaire eight-item depression scale, and selected questions from the Toolkit of Instruments to Measure End of Life Care were used.There were 672 respondents. Significant predictors of Quality of Death and Dying score were number of doctors involved in care (P = 0.0415), location of death (P 0.0001), frequency of receiving confusing or contradictory information (P 0.0001), illness progression (P = 0.0343), Patient Health Questionnaire-2 score (P = 0.0148), and General Anxiety Disorder seven-item scale score (P 0.0070).Several findings suggest that factors such as NOK depression and anxiety, prolonged illness, dying in the hospital, receipt of conflicting information, and confusion around the doctor in charge are associated with lower quality of the dying and death experience for NOK. Further investigation is warranted to facilitate high-quality measurement and the use of measurement results to improve care.