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1.
Int J Offender Ther Comp Criminol ; 67(4): 420-441, 2023 03.
Article in English | MEDLINE | ID: mdl-34994230

ABSTRACT

Spiritual criminology (SC) is an umbrella term for various criminological theories, models and practices that share reference to the spiritual dimension of human existence. Informed by a growing body of research that applies spiritual approaches to various aspects of criminology, SC attempts to provide a common thread shared by most approaches to spirituality: a voluntary self-journey that begins with an elevated level of self-centeredness and is aimed at self-transformation. Based on an extensive review of the literature, this paper proposes three general principles for spiritual accompaniment of people who offended: mindful non-doing, being and acting; love and compassion; and compassionate inclusion. These principles can be applied by combining several practices: renouncing control over knowledge, process and outcomes; creating a moral atmosphere that includes forgiveness and nonjudgment; and self-modeling. SC is shown to contribute to the rehabilitation of people who offended and also to crime prevention.


Subject(s)
Crime , Criminology , Humans , Crime/prevention & control , Interpersonal Relations , Spirituality , Morals
2.
J Youth Adolesc ; 51(8): 1463-1482, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35318575

ABSTRACT

Arts and cultural engagement is a potential strategy for reducing or preventing reportedly antisocial or criminalized behaviors (those previously and problematically termed as "delinquent") in adolescence. However, most research to date has focused on arts-based interventions and has not tested arts and cultural engagement in large population-based longitudinal studies. This study investigated whether arts and cultural engagement reduced reportedly antisocial or criminalized behaviors in two large nationally representative cohorts, the National Longitudinal Study of Adolescent to Adult Health (n = 10,610; 50% female, 72% White, age range = 11-21 mean = 15.07) and the National Education Longitudinal Study of 1988 (n = 15,214; 50% female, 73% White, age range = 13-16 mean = 14.38). Structural equation modelling also allowed exploration of two potential mechanisms that might link arts and cultural engagement to reportedly antisocial or criminalized behaviors (self-control and attitudes towards these behaviors). More arts and cultural engagement was associated with fewer reportedly antisocial or criminalized behaviors, better self-control scores, and fewer positive perceptions of reportedly antisocial or criminalized behaviors concurrently and one to two years later. Arts and cultural engagement may provide opportunities for adolescents to realize positive developmental outcomes, reducing their risk of reportedly antisocial or criminalized behaviors.


Subject(s)
Antisocial Personality Disorder , Art Therapy , Crime , Criminal Behavior , Culture , Adolescent , Adult , Antisocial Personality Disorder/prevention & control , Antisocial Personality Disorder/psychology , Antisocial Personality Disorder/therapy , Art Therapy/methods , Attitude , Child , Crime/prevention & control , Crime/psychology , Criminals/psychology , Female , Humans , Longitudinal Studies , Male , Young Adult
3.
Leg Med (Tokyo) ; 47: 101739, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32645558

ABSTRACT

In Japan over the past few years, approximately 13,000 individuals were arrested for drug offenses each year. It is useful to know the trends in drug offenses, in order to devise the most effective countermeasures and addiction treatment programs. Herein, we have revealed the trends in drug offenses in the Tokyo Metropolitan Area. This report was researched the number of individuals arrested for drug offenses in Tokyo during the 3-year study period 2016-2018. The drugs are classified into the six categories: stimulants, narcotics, psychoactive drugs, opium, cannabis, and designated substances. We also calculated the percentages of individuals arrested for various drug offenses based on these six categories. Approximately 86% of the arrests for drug offenses in Tokyo during the 3-year period were for stimulants or cannabis. A higher percentage of individuals were arrested for stimulants, but the percentage of individuals arrested for cannabis increased each year. Given the percentage of individuals arrested for designated substances or narcotics, preventive measures for drug offenses involving stimulants and cannabis should be promptly implemented. Further campaigns to prevent drug offenses and public lectures are also needed. Public education must be provided to prevent drug offenses involving designated substances and narcotics.


Subject(s)
Crime/statistics & numerical data , Crime/trends , Illicit Drugs , Cannabis , Central Nervous System Stimulants , Crime/prevention & control , Designer Drugs , Humans , Illicit Drugs/classification , Narcotics , Opium , Psychotropic Drugs , Tokyo/epidemiology
5.
Int J Offender Ther Comp Criminol ; 63(5): 734-751, 2019 04.
Article in English | MEDLINE | ID: mdl-30348033

ABSTRACT

In Aotearoa/New Zealand, culturally embedded rehabilitation programmes have been developed to reduce criminal offending among the indigenous Maori population. Currently, there is a lack of research investigating the experiences of these programmes from clients' perspectives. This study aimed to enhance understandings of the lived experiences of Maori men who were participating in a residential therapeutic community (TC) programme in Aotearoa/New Zealand. Semistructured interviews were conducted one-on-one by a psychology master's student who was a staff member at the TC and also of Maori descent. Seven Maori TC residents aged 22 to 48 were interviewed about life in a TC. Thematic analysis of the interview data yielded three themes: (a) "The importance of healing family relationships"; (b) "The relevance of Maori culture in rehabilitation"; (c) "Increased self-awareness." The findings highlight the significance of holistic approaches that emphasize culturally relevant approaches and the involvement of family members in the treatment of substance-use disorders and offending behaviour among indigenous populations.


Subject(s)
Crime/prevention & control , Cultural Characteristics , Indigenous Peoples/psychology , Substance-Related Disorders/rehabilitation , Therapeutic Community , Adult , Awareness , Crime/ethnology , Family Relations , Humans , Interviews as Topic , Male , Middle Aged , Native Hawaiian or Other Pacific Islander/psychology , New Zealand , Qualitative Research , Self Concept , Social Identification , Substance-Related Disorders/ethnology , Young Adult
6.
Int J Offender Ther Comp Criminol ; 62(6): 1573-1588, 2018 May.
Article in English | MEDLINE | ID: mdl-28076983

ABSTRACT

Multidimensional family therapy (MDFT) is an established treatment program for youth displaying multiproblem behavior. We examined whether MDFT decreased criminal offending among cannabis abusing adolescents, as compared with individual psychotherapy (IP). In a Western European randomized controlled trial comparing MDFT with IP, a sample of 169 adolescents with a cannabis disorder completed self-reports on criminal offending. Half indicated they had committed one or more criminal offenses in the 90 days before the baseline assessment. Follow-up assessments were at 6 and 12 months after randomization. The proportion of adolescents reporting nondelinquency increased during the study period, most so in the MDFT condition. In addition, MDFT lowered the number of violent offenses more than IP. This difference was not seen for property crimes. In cannabis abusing adolescents, MDFT is an effective treatment to prevent and reduce criminal offending. MDFT outperforms IP for violent crimes.


Subject(s)
Crime/prevention & control , Family Therapy/methods , Juvenile Delinquency/prevention & control , Marijuana Abuse/complications , Adolescent , Europe , Female , Humans , Male
8.
BMJ Open ; 6(5): e010824, 2016 05 25.
Article in English | MEDLINE | ID: mdl-27225650

ABSTRACT

INTRODUCTION: Young people with drug and alcohol problems are likely to have poorer health and other psychosocial outcomes than other young people. Residential treatment programmes have been shown to lead to improved health and related outcomes for young people in the short term. There is very little robust research showing longer term outcomes or benefits of such programmes. This paper describes an innovative protocol to examine the longer term outcomes and experiences of young people referred to a residential life management and treatment programme in Australia designed to address alcohol and drug issues in a holistic manner. METHODS AND ANALYSIS: This is a mixed-methods study that will retrospectively and prospectively examine young people's pathways into and out of a residential life management programme. The study involves 3 components: (1) retrospective data linkage of programme data to health and criminal justice administrative data sets, (2) prospective cohort (using existing programme baseline data and a follow-up survey) and (3) qualitative in-depth interviews with a subsample of the prospective cohort. The study will compare findings among young people who are referred and (a) stay 30 days or more in the programme (including those who go on to continuing care and those who do not); (b) start, but stay fewer than 30 days in the programme; (c) are assessed, but do not start the programme. ETHICS AND DISSEMINATION: Ethics approval has been sought from several ethics committees including a university ethics committee, state health departments and an Aboriginal-specific ethics committee. The results of the study will be published in peer-reviewed journals, presented at research conferences, disseminated via a report for the general public and through Facebook communications. The study will inform the field more broadly about the value of different methods in evaluating programmes and examining the pathways and trajectories of vulnerable young people.


Subject(s)
Residential Treatment , Substance-Related Disorders/therapy , Adolescent , Alcoholism/economics , Alcoholism/therapy , Australia , Crime/prevention & control , Female , Harm Reduction , Humans , Interviews as Topic , Male , Medical Record Linkage , Prospective Studies , Qualitative Research , Research Design , Residential Treatment/economics , Residential Treatment/methods , Retrospective Studies , Substance Abuse Treatment Centers , Substance-Related Disorders/economics , Surveys and Questionnaires , Time Factors , Treatment Outcome , Young Adult
9.
Int J Drug Policy ; 26(4): 345-51, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25677070

ABSTRACT

Very high rates of injury and death during the 1990s were linked with increased alcohol availability and misuse in discrete Indigenous communities in rural and remote Queensland (Australia). To address widespread concerns about a public health crisis, from 2002, the Queensland Government implemented alcohol control strategies known as 'Alcohol Management Plans' (AMPs) in 19 of these communities. Although resources for prevention and treatment were promised, AMPs became increasingly focused on local prohibition, restricted access to alcohol and punitive measures for breaching restrictions. An examination of legislation, regulations, explanatory notes, and published documents indicates this focus evolved across four phases since 2002. The first phase, from 2002 to 2004, saw 'restricted areas' with alcohol 'carriage limits' introduced, restricting the amounts and types of liquor permitted within some communities. The second phase (2002-2007) featured evaluations and reviews by the Queensland Government bringing recommendations for more stringent controls. Additionally, beyond the 'restricted areas', licenced premises situated within the 'catchments' of the targeted communities, mainly located in the nearby regional towns, became subject to 'minimising harm' provisions. These more stringent controls were implemented widely in the third phase (2008-2011) when: the operations of seven community-managed liquor outlets were terminated; the trading arrangements of two others were modified; Police powers to search and seize were increased; and 'attempting' to take liquor into a 'restricted area' also became an offence. Some communities have seen a reduction in alcohol-related harms that have been attributed to these alcohol control strategies. This commentary maps the recent regulatory history of Queensland's alcohol controls targeting discrete Indigenous communities highlighting their increasing focus on punitive measures to reduce access to alcohol. With AMPs in Queensland currently under Government review, and with community resolve for change rising, the limits to Government controls and punitive measures may have been reached.


Subject(s)
Alcohol Drinking/legislation & jurisprudence , Alcohol Drinking/prevention & control , Alcohol-Related Disorders/prevention & control , Alcoholic Beverages , Crime/legislation & jurisprudence , Crime/prevention & control , Government Regulation , Health Policy/legislation & jurisprudence , Native Hawaiian or Other Pacific Islander , Alcohol Drinking/economics , Alcohol Drinking/ethnology , Alcohol-Related Disorders/economics , Alcohol-Related Disorders/ethnology , Alcoholic Beverages/adverse effects , Alcoholic Beverages/economics , Commerce/legislation & jurisprudence , Crime/economics , Crime/ethnology , Harm Reduction , Health Promotion , Humans , Law Enforcement , Program Evaluation , Queensland/epidemiology , Risk Factors , Rural Population , Time Factors
10.
Int J Offender Ther Comp Criminol ; 59(8): 798-809, 2015 Jul.
Article in English | MEDLINE | ID: mdl-24709832

ABSTRACT

Despite the ubiquity of theatre projects in prisons there has been little (published) discussion of the application of theatre to the theories of criminology or rehabilitation of offenders, and scant examination of the potential for criminological theories to inform theatre practice in criminal justice settings. This article seeks to address this deficit and argues that positioning prison theatre within the discipline of positive criminology, specifically contemporary theories of desistance from crime, provides a theoretical framework for understanding the contribution that prison theatre might be making in the correctional setting. Through a review of related literature, the article explores how prison theatre may be motivating offenders toward the construction of a more adaptive narrative identity and toward the acquisition of capabilities that might usefully assist them in the process of desisting from crime.


Subject(s)
Crime/psychology , Prisoners/psychology , Prisons , Psychodrama , Psychological Theory , Social Environment , Awareness , Crime/prevention & control , Female , Humans , Male , Motivation , Self Disclosure , Social Capital , Socialization
11.
Int J Offender Ther Comp Criminol ; 59(8): 855-72, 2015 Jul.
Article in English | MEDLINE | ID: mdl-24535949

ABSTRACT

This article examines the life-history narratives of 25 successful ex-offenders professing Christianity as the source of their desistance. Unstructured in-depth life-history interviews from adult male desisters affirm use of a "feared self" and "cognitive shifts" regarding perceptions of illegal behavior. "Condemnation scripts" and "redemption narratives," however, differ radically from those uncovered in previous research. Stories of behavior change and identity transformation achieved through private religious practice and energetic church membership dominate the narratives. Findings suggest there are diverse phenomenologies of desistance and that by more narrowly tailoring research to explore subjectivities in the desistance process, important discrepancies in perceptions of agency and structure are revealed. Three prominent desistance paradigms--Making Good, Cognitive Transformation, and Identity Theory--are used to examine the narratives.


Subject(s)
Christianity , Motivation , Prisoners/psychology , Religion and Psychology , Social Adjustment , Adult , Crime/prevention & control , Crime/psychology , Female , Humans , Internal-External Control , Male , Psychological Theory , Social Identification , Social Responsibility , Spirituality
12.
Eval Program Plann ; 49: 50-62, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25543538

ABSTRACT

Supervision, Monitoring, Accountability, Responsibility, and Treatment (SMART) is Kentucky's enhanced probation pilot program modeled after Hawaii's Opportunity Probation with Enforcement (HOPE). SMART is proposed to decrease substance use, new violations, and incarceration-related costs for high-risk probationers by increasing and randomizing drug testing, intensifying supervision, and creating linkages with needed resources (i.e., mental health and substance use). SMART adopts a holistic approach to rehabilitation by addressing mental health and substance abuse needs as well as life skills for fostering deterrence of criminal behavior vs. punitive action only. A mixed methods evaluation was implemented to assess program implementation and effectiveness. Qualitative interviews with key stakeholders (i.e., administration, judges, attorneys, and law enforcement/corrections) suggested successful implementation and collaboration to facilitate the pilot program. Quantitative analyses of secondary Kentucky Offender Management System (KOMS) data (grant Year 1: 07/01/2012-06/30/2013) also suggested program effectiveness. Specifically, SMART probationers showed significantly fewer: violations of probation (1.2 vs. 2.3), positive drug screens (8.6% vs. 29.4%), and days incarcerated (32.5 vs. 118.1) than comparison probationers. Kentucky's SMART enhanced probation shows preliminary success in reducing violations, substance use, and incarceration. Implications for practice and policy will be discussed.


Subject(s)
Criminal Law/methods , Amblyopia/diagnosis , Amblyopia/psychology , Crime/prevention & control , Criminal Law/organization & administration , Criminal Law/standards , Growth Disorders/diagnosis , Growth Disorders/psychology , Humans , Intellectual Disability/diagnosis , Intellectual Disability/psychology , Kentucky , Law Enforcement , Program Development/methods , Program Development/standards , Program Evaluation/methods , Program Evaluation/standards , Substance Abuse Detection/methods , Substance Abuse Detection/standards
13.
J Appl Behav Anal ; 46(4): 817-20, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24114614

ABSTRACT

Using a control group design, we evaluated the effectiveness of the Stranger Safety DVD (The Safe Side, 2004) and parent training of abduction-prevention skills with 6- to 8-year-old children. Children in the training or control group who did not demonstrate the safety skills received in situ training from their parents. There was no significant difference in safety skills between the training and control groups after the training group viewed the DVD. Children in both groups scored significantly better after receiving in situ training, with no significant difference in performance between groups.


Subject(s)
Child Behavior/psychology , Crime/prevention & control , Harm Reduction , Health Education/methods , Parent-Child Relations , Teaching/methods , Adult , Child , Efficiency, Organizational , Female , Humans , Male , Role Playing , Surveys and Questionnaires
14.
Eur J Obstet Gynecol Reprod Biol ; 168(2): 195-8, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23434403

ABSTRACT

OBJECTIVES: To assess the knowledge, attitude and training on female genital mutilation/cutting (FGM/C) amongst medical and midwifery professionals working in an area of high prevalence of the condition. STUDY DESIGN: Prospective observational study using a questionnaire designed to assess knowledge, attitude and training received by health care professionals on the practice of FGM/C. Factors which may affect knowledge, attitude and training were compared between groups. RESULTS: 92.9% (n=79) questionnaires were returned. All respondents were aware of FGM/C but only 27.8% correctly identified the grade from a simple diagram. Three quarters (72.4% and 77.2% respectively) were aware of the complications of FGM/C and of the legislation in the United Kingdom. Of the respondents, 13.9% agreed that a competent adult should be allowed to consent to FGM/C if requested but only 8.9% agreed that the procedure should be medicalised to reduce the associated morbidity. Less than 25% of respondents had received formal training in recognising or managing this condition. CONCLUSION: Although the majority of respondents were aware of FGM/C, their ability to identify the condition and its associated morbidity remain suboptimal; more training is recommended in larger cities with a higher prevalence of this condition.


Subject(s)
Circumcision, Female/adverse effects , Crime/legislation & jurisprudence , Health Knowledge, Attitudes, Practice , Health Personnel/education , Human Rights Abuses/legislation & jurisprudence , Adult , Attitude of Health Personnel , Circumcision, Female/education , Circumcision, Female/legislation & jurisprudence , Circumcision, Female/rehabilitation , Crime/prevention & control , Female , Human Rights Abuses/prevention & control , Humans , Lacerations/complications , Lacerations/diagnosis , Lacerations/etiology , Lacerations/physiopathology , London , Male , Middle Aged , Midwifery/education , Nurses , Physicians , Prospective Studies , Surveys and Questionnaires , United Kingdom , Urban Health Services , Workforce , Wounds, Penetrating/complications , Wounds, Penetrating/diagnosis , Wounds, Penetrating/etiology , Wounds, Penetrating/physiopathology , Young Adult
15.
Assessment ; 20(2): 135-49, 2013 Apr.
Article in English | MEDLINE | ID: mdl-22156720

ABSTRACT

The context in which offenders are released is an important component of conducting risk assessments. A sample of 257 supervised male parolees were followed in the community (M = 870 days) after an initial risk assessment. Drawing on community-based information, the purpose of this study was to evaluate the recently developed Risk Context Scale. Four domains from the Risk Context Scale include Resource Engagement, Social Network Presence, Integration of Care, and Social Stability. Using mediation analysis, an initial static risk probability was altered up to 26% by accounting for risk context. Implications of the present results include a broader explanation of recidivism, offering intervention strategies, and further individualizing risk assessments.


Subject(s)
Crime/prevention & control , Crime/psychology , Prisoners/psychology , Residence Characteristics , Risk Assessment/statistics & numerical data , Social Environment , Adult , Criminal Psychology , Delivery of Health Care, Integrated , Family Relations , Humans , Male , Middle Aged , Probability , Psychometrics/statistics & numerical data , Reproducibility of Results , Secondary Prevention , Social Adjustment , Social Identification , Social Support
16.
Int J Offender Ther Comp Criminol ; 57(2): 133-53, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22094598

ABSTRACT

Positive criminology is a new term for a perspective associated with theories and models that relate to socially inclusive, positively experienced influences that assist individuals in desisting or refraining from criminal and deviant behavior. A qualitative phenomenological study of prisoners who were in recovery from substance dependency and who participated in a Vipassana course in a rehabilitative prison introduces features of positive criminology. A total of 22 male prisoners participated in a 10-day Vipassana course run by volunteers in prison. Deep interviews were conducted with participants before, immediately after, and 3 to 4 months after the course. The findings describe components of positive criminology that had meaningful impact on the prisoners in rehabilitation: perceived goodness, positive relationship with the prison staff, positive social atmosphere, and overcoming an ordeal. Implications for practice and further research are outlined.


Subject(s)
Meditation/methods , Prisoners/psychology , Prisons , Substance-Related Disorders/rehabilitation , Adult , Crime/prevention & control , Crime/psychology , Follow-Up Studies , Humans , Interview, Psychological , Israel , Male , Middle Aged , Moral Obligations , Resilience, Psychological , Social Adjustment , Social Perception , Substance-Related Disorders/psychology , Young Adult
17.
Soc Work Public Health ; 27(7): 687-98, 2012.
Article in English | MEDLINE | ID: mdl-23145552

ABSTRACT

Integrated services have the potential to facilitate recovery in drug offenders as well as reduce criminal recidivism. This is significant given that prison overcrowding has led many drug offenders to be released from custody into society via the "reentry movement." Offenders incarcerated for many years often return to society with medical, mental health, behavioral, and drug abuse issues. These issues have been found in similar populations, including those with severe mental illness and the homeless, for which integrated services has shown to have a significant impact on improving functioning. Thus the argument of this article is that because integrated services have shown to be effective with somewhat similar populations, integrated services can be effective in treating paroled drug offenders. These benefits are expected to be to a greater degree than that achieved by current system policy regarding paroled drug offenders being supervised by parole officers rather than case managers facilitating integrated services.


Subject(s)
Crime/prevention & control , Criminals , Delivery of Health Care, Integrated , Prisoners/legislation & jurisprudence , Substance Abuse Treatment Centers , Substance-Related Disorders/rehabilitation , Guidelines as Topic , Humans , Law Enforcement/methods , Outcome and Process Assessment, Health Care , Prisoners/psychology , Secondary Prevention , Substance-Related Disorders/therapy
18.
Int J Drug Policy ; 23(6): 512-21, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22502947

ABSTRACT

BACKGROUND: A plant with dissociative and psychoactive properties began to attract the attention of the media and United States policymakers following a well-publicized suicide in 2006 and reports that the plant served as a 'legal high' and substitute for cannabis. As a result, Salvia divinorum and its active ingredient, salvinorin A, were classified as Schedule I substances by the Florida Legislature on July 1, 2008. As of yet, no research has explored the efficacy of this policy or similar policies in other jurisdictions. METHODS: Three self-report studies collected from young adults both prior to and following the policy's implementation are employed to investigate the potential relationship between the policy and usage rates. In addition, law enforcement personnel from the state's most populated areas were interviewed to determine the extent to which they were encountering salvia in their work. RESULTS: It was indicated that less than two-thirds of those surveyed were aware of the drug's legal status. Lifetime prevalence of salvia use was largely unchanged. However, the rates of self-reported past year and past month use in Florida were significantly lower following the scheduling. Though use of Salvia divinorum appears to have decreased, perceptions of peer use increased markedly. Law enforcement officers and laboratories reported rarely, if ever, dealing with cases of salvia possession. CONCLUSIONS: Data suggests the classification of Salvia divinorum as a Schedule I drug was followed by a substantial reduction in recreational use. We caution that other factors may have influenced use, that the efficacy of scheduling novel substances is likely to vary by drug type, that such a reduction in reported use may only exist transiently until a sophisticated illicit market develops to replace the legitimate one, and that a state's success in regulating salvia may be related to their regulation of and enforcement of other drug prohibitions.


Subject(s)
Crime/legislation & jurisprudence , Diterpenes, Clerodane/supply & distribution , Drug and Narcotic Control/legislation & jurisprudence , Hallucinogens/supply & distribution , Illicit Drugs/legislation & jurisprudence , Illicit Drugs/supply & distribution , Plant Extracts/supply & distribution , Public Policy/legislation & jurisprudence , Salvia , Awareness , Crime/prevention & control , Data Collection , Diterpenes, Clerodane/classification , Female , Florida , Government Regulation , Hallucinogens/classification , Health Behavior , Health Knowledge, Attitudes, Practice , Humans , Illicit Drugs/classification , Law Enforcement , Male , Perception , Plant Extracts/classification , Program Evaluation , Substance-Related Disorders/prevention & control
19.
Psychiatr Prax ; 36(7): 317-9, 2009 Oct.
Article in German | MEDLINE | ID: mdl-19787565

ABSTRACT

OBJECTIVE: The efficacy of specific forensic outpatient treatment should be investigated. METHODS: In 2000 the Ministry of Social Affairs of the State of Bavaria, Germany, implemented a model for forensic outpatient treatment. Three forensic hospitals established forensic outpatient clinics. The Department of Forensic Psychiatry of the Psychiatric Hospital of the Ludwig Maximilian University of Munich evaluated the treatment and management programs with financial support from the Ministry. RESULTS: 111 mentally ill offenders were included after release from forensic hospitals. 65 % suffered from schizophrenia. In 4.5 years time of observation a recidivism rate of 0.9 % of severe offences could be found (3.6 % including cases of suspicion). 17 % of the patients needed a rehospitalisation and 12 % a legal intervention. At the end of the observation period 42 patients still needed treatment, but 44 patients continued therapy in the forensic outpatient setting out of own interests. CONCLUSIONS: In accordance to literature very low rates of criminal recidivism under specific forensic outpatient aftercare could be found, and in addition a relatively high compliance with the treatment.


Subject(s)
Aftercare , Ambulatory Care , Mental Disorders/rehabilitation , Patient Discharge , Prisoners/psychology , Aftercare/economics , Ambulatory Care/economics , Cost-Benefit Analysis/trends , Crime/prevention & control , Crime/statistics & numerical data , Female , Follow-Up Studies , Forecasting , Germany , Hospitals, Psychiatric/economics , Hospitals, University/economics , Humans , Male , Mental Disorders/economics , National Health Programs/economics , Outcome and Process Assessment, Health Care , Patient Discharge/economics , Patient Readmission/economics , Schizophrenia/economics , Schizophrenia/rehabilitation , Secondary Prevention , Substance-Related Disorders/economics , Substance-Related Disorders/rehabilitation , Treatment Outcome
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