Hausam Joscha, Franke Melissa, Lehmann Robert J B, Dahle Klaus-Peter
Institute of Forensic Psychiatry, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Department of Psychology, Medical School Berlin, Berlin, Germany.
Front Psychiatry. 2022 Oct 20;13:909781. doi: 10.3389/fpsyt.2022.909781. eCollection 2022.
Due to legislative changes in Germany, there has been an increasing expansion of social-therapeutic facilities for juvenile offenders over the past 15 years. Social therapy comprises an eclectic mix of psychotherapeutic, educational, vocational, and recreational measures in a milieu-therapeutic setting to reduce recidivism of high-risk violent and sexual offenders. This study examined the effectiveness of social-therapeutic treatment on post-release recidivism among juvenile offenders. The sample included male offenders ( = 111) of the juvenile detention center in Berlin, Germany, aged 14-22 years, who were convicted of a violent (94%) or sexual offense (6%). Seventy-three subjects admitted to the social-therapeutic unit were compared to an offense-parallelized control group ( = 38) from the regular units using a propensity score based matching procedure. Initially, the groups did not differ with respect to risk (i.e., Level of Service Inventory - Revised) or risk-related characteristics (e.g., age). Subsequent Cox regression analyses revealed no average treatment effect on recidivism. Since the results indicated that the control group was not untreated, differential treatment effects were examined in a second step. School and vocational trainings had an effect on recidivism. The findings are discussed in light of the challenges in evaluating legally mandated offender treatment.
由于德国的立法变革,在过去15年里,针对少年犯的社会治疗设施一直在不断增加。社会治疗在环境治疗背景下,综合了心理治疗、教育、职业和娱乐等多种措施,以减少高危暴力和性犯罪者的再犯率。本研究考察了社会治疗对少年犯释放后再犯的有效性。样本包括德国柏林少年拘留中心年龄在14至22岁之间的男性罪犯(n = 111),他们被判定犯有暴力罪(94%)或性犯罪(6%)。使用基于倾向得分的匹配程序,将73名进入社会治疗单元的受试者与来自常规单元的犯罪平行对照组(n = 38)进行比较。最初,两组在风险(即修订后的服务水平量表)或与风险相关的特征(如年龄)方面没有差异。随后的Cox回归分析显示,对再犯没有平均治疗效果。由于结果表明对照组并非未接受治疗,因此在第二步中考察了差异治疗效果。学校和职业培训对再犯有影响。结合评估法定罪犯治疗的挑战对研究结果进行了讨论。