Alm Charlotte, Eriksson Åsa, Palmstierna Tom, Kristiansson Marianne, Berman Anne H, Gumpert Clara Hellner
Department of Clinical Neuroscience, Division of Social and Forensic Psychiatry, Karolinska Institutet, Box 4044, 141 04 Huddinge, Sweden.
J Behav Health Serv Res. 2011 Oct;38(4):497-509. doi: 10.1007/s11414-011-9237-z.
Research on treatment utilization among offenders with mental health problems and substance use problems, i.e. the 'triply troubled', is scarce. The aim was to contribute to the general knowledge about treatment patterns among the triply troubled. This register-based study explored treatment patterns during a 3-year follow-up among 157 Swedish offenders with substance use problems who had undergone forensic psychiatric assessment. There were three subgroups of treatment users: low treatment, planned substance abuse treatment and substance abuse emergency room visits, and planned psychiatric treatment. About 40% of the participants displayed a stable treatment pattern. Outcomes were less successful for those participants displaying a non-stable treatment pattern. Allocation of treatment resources should take into account the associations between treatment patterns and recidivism into criminality. Also, it should be valuable for clinicians to gather information on treatment history in order to meet various treatment needs.
针对同时存在心理健康问题和药物使用问题的罪犯（即“三重困扰者”）的治疗利用情况的研究很少。目的是为有关三重困扰者治疗模式的一般知识做出贡献。这项基于登记册的研究探讨了157名接受过法医精神病评估、有药物使用问题的瑞典罪犯在3年随访期间的治疗模式。治疗使用者有三个亚组：低治疗量、计划内药物滥用治疗和药物滥用急诊室就诊，以及计划内精神科治疗。约40%的参与者呈现出稳定的治疗模式。对于那些呈现出不稳定治疗模式的参与者，治疗结果不太理想。治疗资源的分配应考虑治疗模式与再次犯罪之间的关联。此外，临床医生收集治疗史信息以满足各种治疗需求应该是有价值的。
