Determinants of Dropout From Correctional Offender Treatment

Brünner, Franziska; Neumann, Insa; Yoon, Dahlnym; Rettenberger, Martin; Stück, Elisabeth; Briken, Peer

doi:10.3389/fpsyt.2019.00142

Cited by 37 publications

(39 citation statements)

References 59 publications

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“…Divergence in findings may be explained by differences in samples and treatment focus—we studied violent offenders whilst Olver and Wong (2011) studied sexual offenders—or by differences in treatment settings—whether run by a health department as here or correctional services as in the study by Brunner et al. (2019). Indeed, 11 of 81 (13.6%) of the programmes in Olver et al.…”

Section: Discussionmentioning

confidence: 98%

Is non‐completion of treatment related to security need?

Jeandarme

Habets

O’Reilly

et al. 2021

Criminal Behav Ment Health

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Background Treatment completion difficulties are common in forensic mental health settings and may have a profound impact on recidivism rates. Aims To test for associations between measures of risk and of security needs on the one hand and treatment non‐completion on the other among male offender‐patients in one medium security hospital. Methods We conducted a retrospective file study in a Flemish medium security hospital. A random sample of 25 treatment non‐completers was compared to a random same‐size sample of completers, each rated, blind to outcome, on the DUNDRUM‐1 security needs scale from data recorded at the time of admission to the unit. ‘Non‐completion’ was defined as any failure to complete treatment, whether staff‐terminated or self‐terminated; in Flanders, failure to comply with the judicial conditions of placement can result in re‐imprisonment. We used binary logistic regression to test relationships between treatment completion/non‐completion and security need, measured with the DUNDRUM‐1, together with a range of possible confounding variables. Results Most patients had psychosis and/or personality disorder and often substance use disorders also. Treatment non‐completion was invariably staff ordered because of security breaches. DUNDRUM‐1 and PCL‐R Facet 4 scores at the time of admission and HCR‐20 scores during admission were significantly higher among non‐completers than completers, but after binary logistic regression, only the DUNDRUM‐1 rating was independently associated with non‐completion. Conclusions Our study showed that an admission DUNDRUM‐1 rating, indicating levels of security need, co‐varies only to a small extent with the historical items of the HCR‐20, so may be regarded as measuring complementary domains. While conditions in Flanders at the time of the study complicated it in that medium security hospital units offered the highest level of hospital security available, the finding that non‐completion of treatment was particularly likely when the DUNDRUM‐1 indicated a higher security need than facilities could provide may have implications for all secure hospital services.

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Section: Discussionmentioning

confidence: 98%

Is non‐completion of treatment related to security need?

Jeandarme

Habets

O’Reilly

et al. 2021

Criminal Behav Ment Health

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“…abbrechen muss. Aus früheren Untersuchungen ist bekannt, dass ein Behandlungsabbruch einerseits mit einem erhöhten Rückfallrisiko in Verbindung steht (Olver und Wong 2009, 2011, andererseits v. a. die Personen abbrechen, die die Behandlung aufgrund ihres Ausgangsrisikos und des (Fremd-)Gefährdungspotenzials am meisten benötigen würden (Brunner et al 2019).…”

Section: Diskussionunclassified

Therapie bei Straffälligkeit: Zur Entwicklung der Sozialtherapie im deutschen Justizvollzug

Etzler

Moosburner²,

Rettenberger

2020

Forens Psychiatr Psychol Kriminol

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Zusammenfassung Die Stichtagserhebung der Kriminologischen Zentralstelle (KrimZ) fragt jedes Jahr zum Stichtag am 31. März die Gegebenheiten in allen sozialtherapeutischen Einrichtungen deutschlandweit ab. Inzwischen liegen Daten aus 23 Erhebungsjahren vor und geben Aufschluss über die Entwicklungen der Versorgungslage (Anzahl der Einrichtungen bzw. Haftplätze), bezüglich der demografischen Daten der Gefangenen (Alter, Staatsbürgerschaft, Dauer der Haftstrafe, schwerste Straftat, Vorstrafen), über institutionelle Vorgänge (Aufnahmen, Abgänge und Nachbetreuung) sowie hinsichtlich von Daten zum Personal (Anzahl der Personalstellen und Frauenanteil). Die vorliegenden Auswertungen verdeutlichen die Entwicklungstrends in der Sozialtherapie zwischen 1997 und 2019 und legen nahe, dass nach einem starken Ausbau der sozialtherapeutischen Einrichtungen ab 1969 nun mit 71 Einrichtungen eine Sättigungsgrenze erreicht zu sein scheint. Die inhaftierten Personen werden zunehmend älter, sodass 2019 die über 50-Jährigen die größte Altersgruppe stellen. Schon seit 2003 liegt der Anteil derjenigen, die aufgrund eines Sexualdelikts inhaftiert sind, bei ca. 50 %, was gegenüber anderen Deliktgruppen eine deutliche Mehrheit darstellt. Ein Großteil der Gefangenen hat keine Haftlockerungen, wobei hier eine zunehmend restriktivere Praxis zu erkennen ist. Die Personalausstattung hat sich über die letzten 23 Jahre insofern verändert, als dass mehr Fachdienste und tendenziell weniger Stellen im allgemeinen Vollzugsdienst (AVD) eingerichtet wurden.

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“…It is possible that individual factors made the experience of stigmatization particularly salient for this sample, increasing their propensity to drop-out. Indeed, individual characteristics have been linked to treatment outcomes, with internal resources such as coping skills, intelligence, and self-control predicting therapy completion in individuals with sexual convictions (Brunner et al, 2019) Subordinate Theme 1:2-Cracks in the Culture…”

Section: Subordinate Theme 1:1-stigmatized Identities and Negotiatingmentioning

confidence: 99%

“I’ve Got the Energy to Change, But I Haven’t Got the Energy for This Kinda Therapy”: A Qualitative Analysis of the Motivations Behind Democratic Therapeutic Community Drop-Out for Men With Sexual Convictions

Duncan

Winder

Blagden

et al. 2020

Int J Offender Ther Comp Criminol

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Prison-based democratic therapeutic communities (TCs) provide an alternative to mainstream prison, where prisoners can work on psychological difficulties and address offending behavior. Research demonstrates TCs are effective at reducing reoffending rates for residents who stay in therapy 18+ months, and those who drop out of TCs offend at a significantly higher rate than those who complete therapy. Thus, it is important to reduce attrition in TCs. No research has yet explored the explanations for TC drop out offered by those with sexual convictions. The present study uses Interpretive Phenomenological Analysis to qualitatively explore the accounts of men with sexual convictions ( n = 7) who dropped out of a TC in a UK prison. Results highlight that issues surrounding external responsivity, therapeutic relationships, and treatment readiness were salient in the participants’ accounts of drop out. This research has implications for TCs seeking to better understand and address attrition of people with sexual convictions.

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Determinants of Dropout From Correctional Offender Treatment

Cited by 37 publications

References 59 publications

Is non‐completion of treatment related to security need?

Is non‐completion of treatment related to security need?

Therapie bei Straffälligkeit: Zur Entwicklung der Sozialtherapie im deutschen Justizvollzug

“I’ve Got the Energy to Change, But I Haven’t Got the Energy for This Kinda Therapy”: A Qualitative Analysis of the Motivations Behind Democratic Therapeutic Community Drop-Out for Men With Sexual Convictions

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