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使用推理和康复计划减少累犯:瑞士囚犯的多地点对照试验初步研究。

Reducing recidivism using the Reasoning and Rehabilitation program: a pilot multi-site-controlled trial among prisoners in Switzerland.

机构信息

Department of Forensic Psychiatry, Institute of Forensic Medicine, University of Bern, Bern, Switzerland.

Division of Prison Health, Geneva University Hospitals and University of Geneva, Chemin du Petit Bel Air 2, 1226, Thônex, Geneva, Switzerland.

出版信息

Int J Public Health. 2020 Jul;65(6):801-810. doi: 10.1007/s00038-020-01372-9. Epub 2020 Apr 21.

DOI:10.1007/s00038-020-01372-9
PMID:32318781
Abstract

OBJECTIVES

This study evaluated whether the Reasoning and Rehabilitation (R&R2) program was effective in reducing recidivism, minimizing dropout rates, and improving outcomes related to attitudes, behaviors, and personality among people living in detention.

METHODS

Data were collected in eight Swiss German-speaking prisons among males detained for violent offenses using a quasi-experimental controlled design (R&R2: n = 129, treatment as usual [TAU]: n = 84). Measures included recidivism, dropout rate, and self-report questionnaires (hostile attribution bias, aggressiveness, interpersonal problems, and willingness to accept responsibility). Data were analyzed using mixed-effect models.

RESULTS

Participants in the R&R2 group were less likely to reoffend in comparison with the TAU group in the intention-to-treat (n = 51, odds ratio = 0.75, p = .060) and the per-protocol (excluding dropouts; n = 38, odds ratio = 0.65, p = .068) analyses. They also had lower self-reported scores of spontaneous and reactive aggressiveness (p = .047 and p = .070) and excitability (p = .086).

CONCLUSIONS

The findings of this pilot project were promising, with the R&R2 program leading to reduced recidivism and dropout rate. Even though these results should be considered preliminary, the R&R2 program appeared to be a relevant approach in reducing recidivism after prison.

摘要

目的

本研究旨在评估推理与康复 2 期(R&R2)方案是否能有效降低再犯率、减少辍学率,并改善被拘留者的态度、行为和人格相关的结果。

方法

在瑞士德语区的 8 所监狱中,采用准实验对照设计(R&R2:n=129,常规治疗[TU]:n=84),对因暴力犯罪而被拘留的男性进行了数据收集。测量指标包括再犯率、辍学率和自我报告问卷(敌意归因偏差、攻击性、人际问题和接受责任的意愿)。采用混合效应模型进行数据分析。

结果

意向治疗(n=51,比值比=0.75,p=0.060)和方案分析(排除辍学者;n=38,比值比=0.65,p=0.068)中,R&R2 组的参与者再犯率低于 TU 组。他们的自发性和反应性攻击性(p=0.047 和 p=0.070)和兴奋性(p=0.086)的自我报告评分也较低。

结论

本试点项目的结果令人鼓舞,R&R2 方案可降低再犯率和辍学率。尽管这些结果应被视为初步结果,但 R&R2 方案似乎是减少监狱后再犯的一种有效方法。

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