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惩教罪犯治疗中辍学的决定因素。

Determinants of Dropout From Correctional Offender Treatment.

作者信息

Brunner Franziska, Neumann Insa, Yoon Dahlnym, Rettenberger Martin, Stück Elisabeth, Briken Peer

机构信息

Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Institute of Psychology, FernUniversität in Hagen, Hagen, Germany.

出版信息

Front Psychiatry. 2019 Mar 22;10:142. doi: 10.3389/fpsyt.2019.00142. eCollection 2019.

Abstract

Research indicates that approximately one third of offenders admitted to social-therapeutic correctional facilities in Germany fail to complete treatment and that treatment dropout is linked to higher recidivism in both sexual and violent offenders. The purpose of this study was to examine determinants of treatment dropout in a social-therapeutic correctional facility in Germany. The sample consisted of 205 incarcerated adult male offenders (49.8% sexual, 38.1% non-sexual violent) admitted to correctional treatment. Completers and dropouts were compared on variables pertaining to demographics, offense type, substance abuse, psychopathy, risk, and protective factors. Univariate analyses showed that treatment dropouts demonstrated significantly higher scores on measures of risk and psychopathy and lower scores on protective factors. Logistic regression analyses identified unemployment, non-sexual violent index offense, higher risk scores (HCR-20), and Facet 1 (interpersonal deficits) of the Psychopathy Checklist-Revised (PCL-R) as significant predictors of treatment dropout. Surprisingly, substance abuse disorder was a negative predictor of dropout. With the exception of substance abuse, the results support the notion that treatment dropouts represent a group of high-risk offenders with particular treatment needs. Practical implications and suggestions for further research are discussed.

摘要

研究表明,在德国被收治到社会治疗性惩教机构的罪犯中,约有三分之一未能完成治疗,而且治疗中断与性犯罪者和暴力犯罪者的再犯率较高有关。本研究的目的是调查德国一家社会治疗性惩教机构中治疗中断的决定因素。样本包括205名被监禁的成年男性罪犯(49.8%为性犯罪者,38.1%为非性暴力犯罪者),他们均接受了惩教治疗。对完成治疗者和中断治疗者在人口统计学、犯罪类型、药物滥用、心理变态、风险及保护因素等变量方面进行了比较。单因素分析显示,治疗中断者在风险和心理变态测量指标上的得分显著更高,而在保护因素方面得分更低。逻辑回归分析确定,失业、非性暴力指数犯罪、较高的风险得分(HCR - 20)以及《修订版心理变态检查表》(PCL - R)的第1方面(人际缺陷)是治疗中断的显著预测因素。令人惊讶的是,药物滥用障碍是治疗中断的一个负向预测因素。除药物滥用外,研究结果支持了这样一种观点,即治疗中断者代表了一群有特殊治疗需求的高风险罪犯。文中讨论了实际意义及对进一步研究的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ebb/6440434/c3e497babf2f/fpsyt-10-00142-g0001.jpg

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