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[Predictors of Early Treatment Termination in Patients Detained under §64 StGB - A Literature Review]
Lene Scheuschner1, Peggy Walde1, Birgit Völlm1
1Klinik für Forensische Psychiatrie, Universität Rostock.
Background:
The treatment of addicted offenders detained under § 64 of the German Criminal Code can be terminated prematurely. There is an extensive literature on predictors of such premature termination concerned with factors established before treatment.
Objective:
The aim of this paper is to present predictors of premature termination that become apparent during the course of therapy.
Methods:
We conducted a systematic literature search and included 16 publications.
Results:
Patients and therapists rated impulsivity/aggressiveness, substance use relapses and a lack of patient-therapist relationship as negative predictors. Both groups assessed as beneficial the presence of motivation and a positive social network.
Conclusion:
To prevent early treatment termination a positive patient-therapist relationship, motivation and working through incidents during therapy is essential.
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