[Characteristics of forensic patients assigned to forensic outpatient treatment]

Fortschr Neurol Psychiatr. 2015 Jan;83(1):38-43. doi: 10.1055/s-0034-1385743. Epub 2015 Jan 20.
[Article in German]

Abstract

Objective: In the Federal State of Baden-Württemberg an administrative regulation specifies which patients should be assigned to forensic outpatient treatment. Empirically, little is known about the clinical and criminological factors supporting these decisions.

Methods: A complete survey of forensic inpatients in Baden-Württemberg was undertaken.

Results: From 476 patients released from unlimited detention (§ 63 StGB) 235 (45.6 %) received a court order for forensic aftercare between 2009 and 2012. Social, forensic, and psychiatric history differed only slightly compared with patients not assigned. Schizophrenia as diagnosis was overrepresented, personality disorder and paraphilia underrepresented. Both groups differed most with respect to the duration of detention.

Conclusions: The decision for forensic outpatient treatment seems to be determined by process variables of inpatient treatment but not by criminological risk factors. This contradicts the R-N-R principles by Andrews and Bonta.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Ambulatory Care*
  • Commitment of Mentally Ill
  • Comorbidity
  • Female
  • Forensic Psychiatry
  • Germany / epidemiology
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Outpatients
  • Schizophrenia / therapy
  • Schizophrenic Psychology