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通过服刑后成功重返社会保护公众健康。

Protecting the Public's Health Through Successful Reentry for Sex Offender After Incarceration.

机构信息

RAND, Boston, MA, USA.

VA Boston Healthcare System, Boston, MA, USA.

出版信息

J Interpers Violence. 2022 Sep;37(17-18):NP15231-NP15254. doi: 10.1177/08862605211016344. Epub 2021 May 26.

Abstract

This paper describes the post-incarceration reintegration experiences of military veterans convicted of sex offenses and identify potential interventions to ease reintegration for this population. Participants were a convenience sample of 14 veterans who were on sex offender (SO) registries and 21 community stakeholders involved in supporting persons during re-entry. Subjects were identified purposively and through snowball sampling, in Massachusetts. We employed semi-structured qualitative interviews of participants, followed by analysis including process mapping to identify barrier and facilitation points. We used both a grounded thematic approach and codes, guided by the Behavioral Model for Vulnerable Populations. We found re-entry barriers include older age, stigma, lack of social support, inadequate information about sexual offense levels, limited housing options and access to mental health treatment to reduce sexual impulses, and re-entry information tailored to SOs. Re-entry facilitators include access to SO treatment, knowledge about services, self-efficacy, ability to self-advocate, and social support. Interventions to aid successful re-entry include pre-release counseling and classes tailored to SO needs, re-entry planning including housing resources, sexual deviance treatment, and referral to legal counseling to assist with altering assigned SO level. Specific needs and resources unique to veterans should be integrated into reentry plans. Convicted SOs often lack information and assistance to prepare for life after release, putting them at increased risk of homelessness, emotional difficulties, and financial hardship. Failure to recognize the unique needs of this population, and to leverage resources, creates a public health risk as it increases the likelihood that SOs will recidivate. Veterans who are SOs have unique resources available to them through the Veterans Administration such as SO treatment and peer-support specialists. Nevertheless there are additional steps that could be beneficial, such as timely provision of information, creating more opportunities for treatment, and providing more housing options.

摘要

本文描述了被判性犯罪的退伍军人在监禁后的重新融入社会的经历,并确定了可能有助于这一人群重新融入社会的干预措施。参与者是 14 名在性犯罪者(SO)登记册上的退伍军人和 21 名参与支持重返社会人员的社区利益相关者的便利样本。在马萨诸塞州,我们通过有目的的和滚雪球抽样的方式确定了研究对象。我们对参与者进行了半结构化的定性访谈,然后进行了分析,包括流程映射,以确定障碍和促进点。我们使用了扎根主题方法和 代码,以弱势群体行为模型为指导。我们发现重新融入社会的障碍包括年龄较大、耻辱感、缺乏社会支持、性犯罪程度信息不足、住房选择有限以及获得减少性冲动的心理健康治疗的机会有限,以及针对 SO 的重新融入社会信息。重新融入社会的促进因素包括获得 SO 治疗、了解服务、自我效能、自我倡导能力以及社会支持。有助于成功重新融入社会的干预措施包括为 SO 量身定制的释放前咨询和课程、包括住房资源在内的重新融入社会计划、性偏差治疗以及转介法律咨询以协助更改指定的 SO 级别。退伍军人特有的特定需求和资源应纳入重新融入计划。被判性犯罪的 SO 往往缺乏为出狱后生活做准备的信息和帮助,使他们面临更大的无家可归、情绪困难和经济困难的风险。未能认识到这一人群的独特需求,以及未能利用资源,会增加 SO 再次犯罪的可能性,从而构成公共卫生风险。退伍军人如果是 SO,他们可以通过退伍军人事务部获得一些独特的资源,例如 SO 治疗和同伴支持专家。尽管如此,还有一些额外的步骤可能会有所帮助,例如及时提供信息、创造更多的治疗机会和提供更多的住房选择。

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本文引用的文献

1
Association Between Registered Sex Offender Status and Risk of Housing Instability and Homelessness among Veterans.
J Interpers Violence. 2022 Apr;37(7-8):NP5818-NP5829. doi: 10.1177/0886260520959646. Epub 2020 Sep 22.
3
Veterans in Prison for Sexual Offenses: Characteristics and Reentry Service Needs.
Sex Abuse. 2019 Aug;31(5):560-579. doi: 10.1177/1079063218793633. Epub 2018 Aug 10.
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US veterans and their unique issues: enhancing health care professional awareness.
Adv Med Educ Pract. 2015 Dec 1;6:635-9. doi: 10.2147/AMEP.S89479. eCollection 2015.
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JAMA Psychiatry. 2014 Sep;71(9):1041-8. doi: 10.1001/jamapsychiatry.2014.724.
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