youth firesetting an insight for professionals
Transcription
youth firesetting an insight for professionals
YOUTH FIRESETTING YOUTH FIRESETTING AN INSIGHT FOR PROFESSIONALS Youth firesetting has important implications for both clinical and forensic professionals working within a variety of settings. In providing a basic introduction to this complex and multifaceted topic, US forensic mental health Researcher Jerrod Brown and his colleagues point out that numerous people die worldwide each year as a result of adolescent firesetting. (AUTHORS: Jerrod Brown, Mario L. Hesse, Michael Flanagan, Erv Weinkauf, Samantha R. Lee, & Hannah Brown; Consultant: Kathi Osmonson) E xact prevalence rates of youthfacilitated firesetting crimes is unknown, for many reasons. The fire department may be cancelled if the fire is extinguished before they arrive upon the scene. Police officers may not report a youth-set-fire to the fire department unless extinguishment is required. Parents may not report “small fires” set by their children. Schools often do not report fires set by students if they do not require a fire department response. Moreover, therapists may not be aware that help is available from the fire service in most states and many countries. The International Association of Fire Fighters is working with experts and stakeholders on a national database in an effort to achieve accurate reporting. When the project entitled Youth Firesetting Information Repository Evaluation System (YFIRES) is completed, information will be entered through internet portals by mental health care professionals, fire service, law enforcement, juvenile justice, hospitals and burn units. It is important to note that most children exhibit some level of normal curiosity about fire at some point during adolescence. When natural curiosity turns into actually starting fires, firesetting behaviours can range from a one-time event to incidents involving multiple, ongoing occurrences that can become pathological in nature. Understanding the various reasons why some young people start fires is complex and multifaceted, requiring special consideration by professionals. Unfortunately, the literature pertaining to intentional firesetting continues to be marked by significant discrepancies and areas requiring future research. CLINICAL CONSIDERATIONS Adolescents who exhibit firesetting behaviours should receive a frontline assessment to determine their risk level of repeating the behaviour. If the risk level is low, simple fire education may be enough to stop the behaviour, however if their risk level is moderate or extreme, significant clinical attention is necessary. Some studies have reported elevated levels of firesetting behaviours among youth who need clinical services compared to adolescents in the general population. In fact, many youths who start fires have a host of co-morbid conditions and problematic histories that will require some level of treatment. Healthcare professionals often lack the appropriate awareness and training necessary to accurately detect and treat problematic firesetters. Intentional v Unintentional Operational definitions associated with youth firesetting differ among scholars and researchers. Problematic youth firesetting is considered deliberate, while fire or match play is generally done without intent to cause harm to others and/or property. Both intentional and unintentional firesetting can result in property damage, injury, and death. YOUTH FIRESETTING The International Association of Fire Fighters is working with experts and stakeholders on a national database in an effort to achieve accurate reporting. Most often, adolescent intentional firesetting results in damage to property and in some cases loss of life. In our experience, unintentional youth firesetting is often a result of fire experimentation with complete disregard for any consequences, whereas intentional youth firesetting includes, but is not limited to, carrying out a dare from peers, seeking attention, or retribution for a past event. The following is a brief review of some factors professionals should consider when working with adolescents who have a history of intentional firesetting behaviours: ADHD: Children who start fires may have higher rates of attention deficit hyperactivity disorder (ADHD) and hyperactive behaviours compared to adolescents who do not set intentional fires. However, additional research is necessary in order to determine what relationship if any there is between ADHD and youth firesetting. Antisocial Behaviours: Adolescents who deliberately set fires often participate in various other forms of antisocial behaviours. Case examples show some youths who set fires are attempting to fit into a group and have had difficulty being accepted by other peer groups. Clinical and forensic mental health professionals often play a vital role in the identification and treatment of such behaviours. Adverse Childhood Experiences: It is common for firesetters to report histories of traumatic exposure to various adverse life events. In fact, youths who engage in intentional acts of firesetting may do so as a result of unaddressed or untreated emotional and psychological pain caused by various forms of child maltreatment. Multiple studies show harsh, dysfunctional and physically abusive parents are more frequent among young firesetters than among young nonfiresetters. In one case study, a young male set fire to his home while his brother was inside, killing his brother in the blaze. Investigator discovered that the young male was acting out against his parents for what he believed was a lack of attention. Conduct Disorder: Among some youths who engage in acts of deliberate firesetting, conduct disorder is a frequent psychiatric diagnosis. Yet, controversy and debate exists in the literature as to the extent of this relationship and the ability to use conduct disorder as a predictor of recidivism in these cases. While firesetting may be highly predictive for diagnosing conduct disorder in some of these cases, only a small number of youths with conduct disorder repeatedly set fires. Criminality: Intentional and problematic firesetting behaviours may be a precursor to later offending and subsequent association with the criminal justice system if they go unaddressed and untreated. Firesetters often self-report more antisocial and offending behaviours than their non-firesetting counterparts. These behaviours range from playing truant from school or work and repeated lying to shoplifting and destruction of other’s property. One youth we investigated for firesetting was later found responsible for torturing animals as an older adolescent, and criminal violent acts against humans as an adult. YOUTH FIRESETTING Family Dynamics: Family dynamics may play a role with maladaptive home settings serving as a common feature among some adolescents who set intentional fires. Research has found an association between a youth’s exposure to family violence as the perpetrator, complainant, or victim, and increased severity of the offending behaviour. There is also a high prevalence of self-reported firesetters and family history of antisocial behaviour. For more information: • www.usfa.fema.gov • Burn Institute www.burninstitute.org • SOS Fires www.sosfires.com Gender: Adolescent males are more likely to engage in firesetting compared to young females. In one study, multiple firesetting incidents were found to be more common among boys compared to girls. The nature of this relationship requires further exploration. Impulsivity: Adolescents who engage in persistent firesetting behaviours often show higher rates of impulsivity compared to non-firesetting youths. Deficits associated with planning and forward thinking may also be present in some cases involving juvenile firesetters. A high number individuals with both pyromania and impulse control disorders implies that there may be a neurobiological basis for individuals compelled to start fires. However, further studies are warranted to better understand the neurobiological aspects of firesetters. Social Skill Deficits: Some firesetters lack appropriate social functioning. Peer rejection and shyness are other variables to consider in cases involving adolescent firesetting. In one study, the researchers found that peer rejection and shyness coupled with a history of aggressive behaviours were significantly higher for firesetters compared to non-firesetters. From a social learning theory lens these youths have poor social skills to start and then unable to successfully gain social reinforcement. Youth firesettters may then use firesetting as an alternative to pro-social problem solving, which does not involve a need for direct interpersonal confrontation. Substance Misuse: Children who set fires with the intent to destroy property often experience increased rates of chemical misuse compared to nonfiresetters. In addition, research has found a relationship between the cumulative number of risk factors and the severity of firesetting behaviors with more severe firesetting behaviours being linked to increased reports of psychological distress, sensation seeking, also binge drinking, cannabis use, and other illicit drug use. Suicidal and Self-Injurious Behaviours: Another variable for professionals to consider is suicidal and self-injurious behaviors among some youth who participate in deliberate firesetting. Some researchers have reported higher rates of suicidal thoughts and behaviours among adolescent firesetters compared to adolescents who do not start fires. TREATMENT OPTIONS Few empirical studies have been conducted on adolescent firesetting interventions and in particular, treatmentrelated outcomes for this population. The research that is available suggests the best intervention approach for youth is often restorative justice, while other times youths need education on fire science. Still others may require mental health assessment and care, and most require a combined approach. Moreover, there is a dearth of published research on the topic of best practices for the treatment of juvenile firesetters within the context of secured treatment facilities. It is crucial to engage practitioners, family members and other key stakeholders in collaborative approaches when treating adolescent firesetters. Some adolescent firesetters display a host of academic and learning challenges. As a result, service providers should be mindful of this and adapt intervention and treatment approaches to accommodate such needs and challenges. Children who set deliberate fires will also often benefit from learning about fire science and related skills, problem-solving techniques, affect regulation strategies, and increased awareness regarding the motivations and triggers associated with their firesetting behaviours. Another vital component in the overall treatment of adolescent firesetters is to ensure the safety of the individual, their family, and community. One such way to achieve this goal is to establish a home safety visit by a qualified fire professional. Fire science education has been shown to be an effective intervention for low risk juvenile firesetters. Cognitive-behavioural therapy, clinical outpatient treatment and individual counseling are various other options available to assist youth who start fires. Parent education and training is necessary for successful treatment of juvenile firesetters. Youth firesetting treatment should also focus on helping the adolescent improve their decision-making abilities and prosocial behaviours. Overall, the task of treating young firesetters is complex and frequently requires the involvement of a multidisciplinary group of professionals and caregivers. YOUTH FIRESETTING SCREENING AND ASSESSMENT Healthcare professionals often lack the appropriate awareness and training necessary to accurately detect and treat firesetting behaviours. As stated previously, firesetting behaviours are often multifaceted and can significantly vary between individuals. As such, appropriate and comprehensive screening and assessment is strongly encouraged in order to accurately treat the adolescent’s unique concerns. Youth firesetting prevention & Intervention programmes often use frontline assessment tools to determine the child’s risk for repeating the behaviour. If the risk is low, fire education may be enough. To date, few validated screening instruments are available for fire professionals working within the realm of adolescent firesetting awareness and prevention. There is a national group of professionals addressing this issue. If the child is at high risk for repeating the behaviour it is recommended that a medical health and neurological assessment be administered as well as a thorough investigation of maladaptive behaviours and emotional benefits associated with starting fires. Another crucial component to the assessment of adolescent firesetters is a critical examination of previous trauma and maltreatment exposure. Professionals who provide services to adolescents with a history of firesetting behaviours ABOUT THE AUTHORS • Jerrod Brown, MA, MS, MS, MS, is the Treatment Director for Pathways Counseling Center, Inc. Pathways’ focus is to provide programmes and services that benefit individuals impacted by mental illness and addictions. He is also the founder and CEO of the American Institute for the Advancement of Forensic Studies (AIAFS) and lead developer and programme director for a graduate degree programme in Forensic Mental Health from Concordia University, St. Paul, Minnesota. For a complete list of references used for this article, email Jerrod01234Brown@live.com • Mario L. Hesse, PhD, is a professor of Criminal Justice at St. Cloud State University. Dr. Hesse’s areas of research focus on corrections, delinquency, gangs, and media and crime. • Michael Flanagan, BBA, BS, EMT-P, is an instructor for the Illinois Fire Safety Alliance Juvenile Fire Setter Intervention programme. He has been in the fire service for 24 years, as a fire investigator and the lead developer and program director of a juvenile fire setter intervention program conducting intake and intervention development. He has served as a consultant to the Dublin Institute of Technology for the development of curriculum for the Irish Fire Service. • Kathi Osmonson, (consultant) Deputy Minnesota State Fire Marshal, co-ordinates statewide Youth Firesetting Prevention & Intervention (YFPI) programmes, which incorporate the fire service, social services, mental health, juvenile justice, school staff and law enforcement. Kathi has been in the fire service since 1987 and is currently a contract instructor for the National Fire Academy (FEMA), and consults with the New Zealand Fire Awareness Program. • Erv Weinkauf, MA, serves as Criminal Justice Online Programme Co-ordinator at Concordia University, Saint Paul. Erv is a retired of police chief and served 39 years as a military and civilian law enforcement officer. He is a graduate of the FBI National Academy, pastpresident of the Association of Training Officers of Minnesota (ATOM), and guest speaker for the Minnesota Chiefs’ of Police Association Leadership and CLEO and Command Academies. • Samantha R. Lee, MS, is a doctoral candidate and instructor of Psychology at Texas Woman’s University in Denton, Texas. Her research has largely focused on chemical dependence, eating disorders, spirituality, and trauma, most notably in relation to sex trafficking. • Hannah Brown, BA, is a mental health research assistant with the American Institute for the Advancement of Forensic Studies (AIAFS). She will graduate from Macalester College in 2015 with a Bachelor of Arts degree in Neuroscience. should also explore the youth’s level of empathy and ability to demonstrate remorse for criminal wrongdoing. Clinicians working within adolescent treatment settings should also consider incorporating questions into intake and screening procedures pertaining to youth firesetting behaviours. IMPORTANT IMPLICATIONS Youth firesetting has important implications for both clinical and forensic professionals working within a variety of settings. The causes, origins, and factors that contribute to and maintain chronic firesetting behaviours are frequently complex, multifaceted, and largely speculative in nature. As such, professionals who have an increased awareness of possible risk factors, situations, and life histories that may contribute to these behaviours, may be in a better position to identify and treat high-risk adolescent firesetters. The primary purpose of this article was to enhance the knowledge base of fire, forensic mental health, correctional, and other criminal justice and healthcare professionals working in both clinical and forensic settings who may come in contact with youth firesetters. Professionals employed in such settings are encouraged to increase their knowledge base pertaining to this complex topic and establish partnerships and connections with other professionals and community organisations who understand this subject matter.