监狱中法庭下令的法医精神病治疗:结果的决定因素和风险减轻
Kerstin Weber1,2, Sandrine Morier1, Christophe Menu3
1Division of Institutional Measures, Medical Direction, Geneva University Hospitals, Geneva, Switzerland.
Frontiers in psychiatry
|September 18, 2024
概括
法庭下令的法医精神病治疗 (COT) 旨在降低犯罪者的暴力风险. 然而,具有高基线风险和B组人格障碍的个体可能从这些昂贵的干预中获益最少.
科学领域:
- 法医精神病学 法医精神病学
- 犯罪学 犯罪学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 法庭命令的治疗 (COT) 针对精神障碍犯罪者的暴力风险降低.
- 高昂的成本和道德问题需要对COT进行最佳候选人选择.
- 了解COT结果的决定因素对于有效降低风险至关重要.
研究的目的:
- 分析与犯罪者相关的和与治疗相关的因素,影响法庭下令的法医精神病治疗的结果.
- 在这个人群中确定治疗成功和降低风险的预测因素.
主要方法:
- 在一个专门的法医精神病诊所对117名成年罪犯进行了为期两年的纵向研究.
- 对治疗结果的评估,包括释放地点和历史临床风险管理 (HCR) 评分.
- 通过每六个月的间隔对保护因素,康复和安全的措施来评估进展情况.
主要成果:
- 预处理前风险水平预测的排放地点.
- 较低的HCR分数与低安全排放相关,无论诊断如何.
- 患有B组人格障碍或毒品犯罪定罪的精神障碍犯罪者从COT中获得的益处较小.
结论:
- 犯罪学特征和人格障碍诊断是COT结果的关键决定因素.
- 具有高基线暴力风险和B组人格障碍的囚犯似乎从住院法医精神病治疗中获益最少.
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