Schaftenaar Petra, van Outheusden Ivo, Stams Geert-Jan, Baart Andries
Inforsa, forensic psychiatric hospital, Amsterdam, The Netherlands.
Inforsa, forensic psychiatric hospital, Amsterdam, The Netherlands.
Int J Law Psychiatry. 2018 Sep-Oct;60:45-50. doi: 10.1016/j.ijlp.2018.07.011. Epub 2018 Jul 25.
Criminal recidivism within two years after discharge from secure Forensic Psychiatric Hospitals (FPHs) is high, that is, over 36% for short-term judicial measures. It is assumed that relational care during treatment and continued voluntary contact and informal care after discharge, are factors that contribute to the reduction of criminal recidivism.
To examine whether the provision of relational care and continued contact after treatment can be effective in reducing criminal recidivism two years after discharge (prevalence and time to re-offense) in patients who received treatment according to article 37 of the Dutch Penal Law (i.e., a hospital order for one year) compared to patients with the same order receiving Care As Usual.
An evaluation study of criminal recidivism in adult patients (N = 111) residing in 4 FPHs in the Netherlands two years after discharge. The intervention 'relational care' group was compared with a historical control group from the same hospital before the new approach had been introduced, and a concurrent control group from three other FPHs in the Netherlands.
In the intervention group 15,6% of the participants reoffended within two years following discharge, which was significantly lower than recidivism in the historical (46,5%) and concurrent (47,8%) control group. The odds-ratio for recidivism in the intervention group was 0.245 (95% CI: 0.076-0.797) which was significant at p = .019.
Patients who received relational care and subsequently were provided with voluntary contact after treatment recidivated later and at a lower rate than patients from two control groups receiving CAU. Relational care and the voluntary continuation of contact and informal (after)care, which was build up during the treatment period, may bridge the difficult period that patients face when they have left the forensic psychiatric hospital.
从安全的法医精神病医院出院后的两年内，再次犯罪率很高，即短期司法措施下超过36%。据推测，治疗期间的关系性照护以及出院后的持续自愿接触和非正式照护是有助于降低再次犯罪率的因素。
研究对于根据荷兰刑法第37条接受治疗（即一年的住院令）的患者，提供关系性照护和治疗后持续接触是否能有效降低出院两年后的再次犯罪率（再犯率和再次犯罪时间），并与接受常规照护的同类型患者进行比较。
对荷兰4家法医精神病医院出院两年后的成年患者（N = 111）的再次犯罪情况进行评估研究。将“关系性照护”干预组与新方法引入前同一医院的历史对照组以及荷兰其他3家法医精神病医院的同期对照组进行比较。
干预组中15.6%的参与者在出院后两年内再次犯罪，这显著低于历史对照组（46.5%）和同期对照组（47.8%）的再犯率。干预组再次犯罪的优势比为0.245（95%置信区间：0.076 - 0.797），在p = 0.019时具有显著性。
接受关系性照护并在治疗后获得自愿接触机会的患者，比接受常规照护的两个对照组患者再次犯罪的时间更晚且发生率更低。关系性照护以及在治疗期间建立起来的接触和非正式（出院后）照护的自愿延续，可能会弥合患者离开法医精神病医院后面临的困难时期。
