Victoria University of Wellington, New Zealand.
J Interpers Violence. 2011 Mar;26(4):664-82. doi: 10.1177/0886260510365854. Epub 2010 Jun 3.
As the empirical evidence accumulates, so does confidence that carefully designed and delivered rehabilitation approaches can reduce risk. Yet little is known about how to rehabilitate some specialized groups, such as high-risk violent offenders: career criminals with an extensive history of violent behavior. Since 1998, New Zealand's Rimutaka Violence Prevention Unit (RPVU) has provided intensive cognitive-behavioral rehabilitation to violent men. In this evaluation, 112 medium- and high-risk prisoners who entered the program after 1998 are case matched to 112 untreated men. Reconviction outcome data over an average of 3.5 years postrelease show that 10% to 12% fewer program completers were reconvicted for violence compared to their untreated controls. High-risk completers also are less likely to be reconvicted for any offense. Those men who opted out of the study are a slightly higher-risk group than those who completed it, but noncompletion does not further increase their risk. Given the lack of program theory, and formidable practical challenges involved in working with such a high-risk group, these results are very promising.
随着经验证据的积累，人们越来越相信精心设计和实施的康复方法可以降低风险。然而，对于如何康复一些特殊群体，如高风险暴力罪犯：有广泛暴力行为史的职业罪犯，我们知之甚少。自 1998 年以来，新西兰的里穆塔卡暴力预防股（RPVU）一直为暴力男性提供密集的认知行为康复治疗。在这项评估中，1998 年后进入该项目的 112 名中高危囚犯与 112 名未经治疗的男性进行了病例匹配。在出狱后平均 3.5 年的重新定罪结果数据显示，与未经治疗的对照组相比，完成康复项目的人重新定罪为暴力犯罪的比例低 10%至 12%。高危完成者也不太可能因任何犯罪被重新定罪。那些选择退出研究的人比完成研究的人风险略高，但不完成研究并不会进一步增加他们的风险。鉴于缺乏项目理论，以及与这样一个高风险群体合作所涉及的艰巨实际挑战，这些结果非常有希望。
