title: "Scared Straight" and other juvenile awareness programs for preventing juvenile delinquency.
abstract: BACKGROUND
  'Scared Straight' and other programmes involve organised visits to prison by juvenile delinquents or children at risk for criminal behavior. programmes are designed to deter participants from future offending through first-hand observation of prison life and interaction with adult inmates. These programmes remain in use world-wide despite studies and reviews questioning their effectiveness.
  
  
  OBJECTIVE
  To assess the effects of programmes comprising organised visits to prisons by juvenile delinquents (officially adjudicated or convicted by a juvenile court) or pre-delinquents (children in trouble but not officially adjudicated as delinquents), aimed at deterring them from criminal activity.
  
  
  METHODS
  Handsearching by the first author in identifying randomised field trials 1945-1993 relevant to criminology was augmented by structured searches of 16 electronic data bases, including the Campbell SPECTR database of trials and the Cochrane CCTR. Experts in the field were consulted and relevant citations were followed up.
  
  
  METHODS
  Studies that tested the effects of any program involving the organised visits of juvenile delinquents or children at-risk for delinquency to penal institutions were included. Studies that included overlapping samples of juvenile and young adults (e.g. ages 14-20) were included. We only considered studies that randomly or quasi-randomly (i.e. alternation) assigned participants to conditions. Each study had to have a no-treatment control condition with at least one outcome measure of "post-visit" criminal behavior.
  
  
  METHODS
  We report narratively on the nine eligible trials. We conducted one meta-analysis of post-intervention offending rates using official data. Information from other sources (e.g. self-report) was either missing from some studies or critical information was omitted (e.g. standard deviations). We examined the immediate post-treatment effects (i.e. "first-effects") by computing Odds Ratios (OR) for data on proportions of each group re-offending, and assumed both fixed and random effects models in our analyses.
  
  
  RESULTS
  The analysis show the intervention to be more harmful than doing nothing. The program effect, whether assuming a fixed or random effects model, was nearly identical and negative in direction, regardless of the meta-analytic strategy.
  
  
  CONCLUSIONS
  We conclude that programmes like 'Scared Straight' are likely to have a harmful effect and increase delinquency relative to doing nothing at all to the same youths. Given these results, agencies that permit such programmes must rigorously evaluate them not only to ensure that they are doing what they purport to do (prevent crime) - but at the very least they do not cause more harm than good.
authors.affiliation: Initiatives for Children Program (IFC), American Academy of Arts & Sciences, Center for Evaluation, 136 Irving Street, Cambridge, MA 02138, USA. apetrosino@amacad.org
authors.forename: A
authors.initials: A
authors.lastname: Petrosino
authors.forename: C
authors.initials: C
authors.lastname: Turpin-Petrosino
authors.forename: J
authors.initials: J
authors.lastname: Buehler
mesh_terms: D000293:Adolescent; D000328:Adult; D001364:Awareness; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology / Q000534:rehabilitation*; D011330:Prisons; D015397:Program Evaluation