| Literature DB >> 34955997 |
Susan Giles1, Laurence Alison1, Paul Christiansen1, Michael Humann1, Emily Alison1, Ricardo Tejeiro1.
Abstract
Two studies examined whether rapport-based interviewing with child sexual abuse (CSA) suspects provides greater interview yield that could result in overall cost-savings to the investigation. First, multi-level modelling was applied to 35 naturalistic CSA suspect interviews to establish whether rapport-based interviewing techniques increase "yield" - defined as information of investigative value. The Observing Rapport Based Interviewing Technique (ORBIT coding manual was used to code interviews; it includes an assessment of both interpersonal adaptive and maladaptive rapport-based interviewer engagement as well as motivational interviewing (MI) strategies. The impact of these two strands (interpersonal and MI) on extracting information of investigative value (including strengthening a case for court and safeguarding) were examined. Adaptive interpersonal strategies increased case strengthening and safeguarding yield, with motivational interviewing having the largest impact on safeguarding yield. Both strategies increase the likelihood of gaining additional types of economic yield. Maladaptive interviewer strategies reduced case strengthening and different types of economic yield. In study two, literature-based economic estimates were applied to establish the potential cost benefits from following national ORBIT rapport training. Further training in adaptive and motivational interviewing could contribute cost savings between £19 and £78 million (annual unit costs) increasing to £238-£972 million (lifetime costs) for online CSA across England and Wales; and £157-£639 million (annual unit costs) increasing to £2-£8 billion (lifetime costs) for all CSA. Failure to commit training resource to this, or an alternative strategy, could mean the cost burden attributable to maladaptive interviewing (between £1 and £6 million for online CSA and £12 and £48 million for all CSA) is not successfully averted.Entities:
Keywords: ORBIT; child sexual abuse; economic evaluation; investigative interviewing; motivational interviewing; rapport
Year: 2021 PMID: 34955997 PMCID: PMC8696026 DOI: 10.3389/fpsyg.2021.778970
Source DB: PubMed Journal: Front Psychol ISSN: 1664-1078
Economic framework applied in the present research.
| Economic yield | Rationale | Cost |
| Case strengthening – eliciting information contained within these eight variables could help officers to build stronger cases using corroborating evidence. Most of these details draw on the types of evidence outlined by | ||
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| Cost savings in terms of reduced time needed by digital forensic teams | |
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| Cost of enquiries and to view footage, involving 2 detectives working 8 h each enquiry. Detectives costed at £19.71p/h, total cost £315 per case | |
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| Estimated cost of £532 per case for houses or other locations attended along with typical number of people interviewed per victim | |
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| Based on the assumption that 50% of cases proceed to prosecution and average wait time is 9 months, officers needing to maintain regular monthly visits are costed at £118.26 per month and 6 monthly child protection review meeting are costed at £79.85 | |
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| Cases are processed within 8 months (1 month quicker) |
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| Cases are processed within 6 months (3 months quicker) |
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| Based on the assumption that 50% of cases proceed to prosecution, considering police time for court appearances across online and offline offences and witness care in offline offences, the average court costs are estimated at £1,340.50 | |
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| Increase in case strength economic yield, linked to rapport-based interviewing, contributes to 1% increase in guilty pleas |
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| Contributes to a 10% increase in guilty pleas |
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| Safeguarding – Eliciting information contained in these six variables could help officers identify and safeguard additional victims, along with victims of undetected offenders. Drawing upon Home Office incident costs ( | ||
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| In this study, we adopt 12 and 55% as lower and upper bound risk estimates for contact sexual offending (drawing upon | |
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| Assume 12% offenders have additional victim, with 25% rapes and 75% sexual assaults |
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| Assume 55% offenders have additional victim, with 25% rapes and 75% sexual assaults |
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| Assume 12% offenders have additional victim |
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| Assume 55% offenders have additional victim |
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| Again, following the methodology established in | |
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| 2% offenders with additional contact victim and 3.4% additional internet offence, cost averted using | |
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| 2.3% offenders with additional contact victim and 4.6% additional internet offence, cost averted using | |
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| 2% offenders with additional contact victim and 3.4% additional internet offence, cost averted using | |
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| 2.3% offenders with additional contact victim and 4.6% additional internet offence, cost averted using | |
*This rationale is carried throughout the analysis, failure to elicit such information is identified as the same amount of money but as a cost burden.
Adaptive, maladaptive, and MI (case strength).
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| SE |
| OR | 95% CI | |
| Maladaptive | −0.243 | 0.114 | 0.033 | 0.78 | 0.63–0.98 |
| Adaptive | 0.299 | 0.102 | 0.003 | 1.35 | 1.11–1.65 |
| MI | −0.037 | 0.145 | 0.412 | 0.96 | 0.88–1.05 |
Adaptive interviewing (case strength).
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| SE |
| OR | 95% CI | |
| Authoritative | 0.245 | 0.186 | 0.188 | 1.27 | 0.89–1.84 |
| Cooperative | 0.438 | 0.201 | 0.030 | 1.55 | 1.04–2.30 |
| Passive | 0.294 | 0.178 | 0.095 | 1.34 | 0.95–1.89 |
| Confrontational | −0.172 | 0.145 | 0.235 | 0.84 | 0.63–1.12 |
Maladaptive interviewing (case strength).
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| SE |
| OR | 95% CI | |
| Authoritative | −0.134 | 0.339 | 0.694 | 0.87 | 0.45–1.70 |
| Cooperative | 0.474 | 0.482 | 0.326 | 1.61 | 0.62–4.13 |
| Passive | −0.648 | 0.234 | 0.006 | 0.52 | 0.33–0.83 |
| Confrontational | −0.360 | 0.249 | 0.148 | 0.68 | 0.43–1.14 |
Motivational interviewing (case strength).
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| SE |
| OR | 95% CI | |
| Acceptance | 0.494 | 0.299 | 0.098 | 1.64 | 0.91–2.94 |
| Adaptation | −0.037 | 0.255 | 0.884 | 0.96 | 0.58–1.59 |
| Autonomy | 0.206 | 0.286 | 0.471 | 1.23 | 0.70–2.15 |
| Evocation | 0.094 | 0.312 | 0.767 | 1.10 | 0.60–2.05 |
| Empathy | −0.270 | 0.329 | 0.412 | 0.076 | 0.49–1.46 |
Adaptive, maladaptive, and motivational interviewing (safeguard).
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| SE |
| OR | 95% CI | |
| Maladaptive | 0.020 | 0.115 | 0.757 | 1.02 | 0.81–1.27 |
| Adaptive | 0.030 | 0.098 | 0.86 | 1.03 | 0.85–1.25 |
| MI | 0.110 | 0.041 | 0.006 | 1.12 | 1.03–1.21 |
Motivational interviewing (safeguard).
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| SE |
| OR | 95% CI | |
| Acceptance | −0.043 | 0.309 | 0.888 | 0.96 | 0.52–1.74 |
| Adaptation | 0.059 | 0.261 | 0.819 | 1.06 | 0.64–1.77 |
| Autonomy | −0.172 | 0.302 | 0.564 | 0.84 | 0.46–1.50 |
| Evocation | 0.785 | 0.345 | 0.017 | 2.22 | 1.15–4.44 |
| Empathy | −0.039 | 0.318 | 0.902 | 0.96 | 0.52–1.80 |
Adaptive interviewing (safeguard).
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| SE |
| OR | 95% CI | |
| Authoritative | 0.197 | 0.188 | 0.296 | 1.22 | 0.84–1.76 |
| Cooperative | −0.161 | 0.209 | 0.615 | 0.85 | 0.55–1.26 |
| Passive | 0.454 | 0.182 | 0.009 | 1.57 | 1.12–2.28 |
| Confrontational | −0.151 | 0.143 | 0.283 | 0.86 | 0.64–1.13 |
Maladaptive interviewing (safeguard).
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| SE |
| OR | 95% CI | |
| Authoritative | 0.127 | 0.257 | 0.139 | 1.14 | 0.54–2.10 |
| Cooperative | 0.066 | 0.385 | 0.082 | 1.93 | 0.92–4.10 |
| Passive | −0.339 | 0.241 | 0.142 | 0.71 | 0.43–1.11 |
| Confrontational | −0.297 | 0.269 | 0.251 | 0.74 | 0.41–1.22 |
Projected cost savings attributable to predominant use of adaptive cooperative interviewing.
| Cost | ||||
| Lower bound | Upper bound | Lower bound | Upper bound | |
| 1. Passwords | £140,912 | £889,507 | £1,172,160 | £7,399,260 |
| 2. Better targeted enquiries (witness/CCTV) | £227,420.50 | £1,387,102.50 | £2,307,690.00 | 11,538,450.00 |
| 3. Better targeted enquires (other) | £468,532.40 | £1,041,515.83 | £3,897,432.00 | £8,663,727.60 |
| 4. Less time awaiting trial | £520,817.04 | £1,909,706.52 | £4,331,863.80 | £15,883,866.90 |
| 5. Court costs | £58,982.00 | £589,820.00 | £491,293.25 | £4,910,252 |
| Total | £1,416,664 | £5,817,652 | £12,200,439 | 48,395,557 |
Additional victims safeguarded – estimated at one victim per offender.
| Offending prevalence | Contact offenders ( | Incident costs | Lifetime costs | Lifetime costs (with QALY) | |
| 8,807 recorded online CSA | Lower bound: 12% ( | 1,057 | £14,953,740 | £202,071,975 | £231,962,878 |
| Upper bound: 55% ( | 4,844 | £68,564,398 | £926,051,700 | £1,063,035,176 | |
| 73,260 all recorded CSA | Lower bound: 12% ( | 8,791 | £124,439,776 | £1,680,619,425 | £1,929,220,114 |
| Upper bound: 55% ( | 40,293 | £570,319,702 | £7,703,014,275 | £8,842,460,022 |
Reductions in recidivism – estimated at one victim per offender.
| Reoffending prevalence | Recidivists ( | Incident costs | Lifetime costs | Lifetime costs (with QALY) | ||
| Reported online CSA | Future contact offending | Lower bound: 2% ( | 176 | £2,846,272 | £34,766,160 | £39,743,264 |
| Upper bound: 2.3% ( | 203 | £3,293,720 | £40,099,605 | £45,840,242 | ||
| Future internet offending | Lower bound: 3.4% ( | 299 | ||||
| Upper bound: 4.6% ( | 405 | |||||
| All reported CSA | Future contact offending | Lower bound: 2% ( | 1,465 | £22,386,546 | £289,388,775 | £330,817,510 |
| Upper bound: 2.3% ( | 1,685 | £27,240,806 | £332,846,475 | £380,496,590 | ||
| Future internet offending | Lower bound: 3.4% ( | 2,491 | ||||
| Upper bound: 4.6% ( | 3,370 |