title: [Dilemmas of expert opinion and coercive treatment according to section sign 64 German penal code].
abstract: OBJECTIVE
  Compulsory admissions according to section sign 64 German penal code are rising. There is also a dramatic increase in dropout-rates with regard to coercive therapeutic interventions in forensic facilities specialized in the treatment of offenders addicted to drugs or alcohol.
  
  
  METHODS
  By means of two case histories dilemmas of expert opinion and coercive treatment of offenders addicted to drugs or alcohol are illustrated.
  
  
  CONCLUSIONS
  Consideration of current results in addiction research should be an obligatory element of expert opinion and coercive treatment programmes in forensic facilities to provide for sufficient quality standards. Even when strict quality criteria are considered failures in placement of offenders with drug or alcohol addiction can not be ruled out. Besides scientific criteria a variety of other factors may influence the decision to coercive drug addiction therapy in a forensic facility e. g. jurisdiction or even tactical statements of the offender.
authors.affiliation: Zentrum für Psychiatrie, Reichenau, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Hoffmann
authors.forename: Reinhard
authors.initials: R
authors.lastname: Mielke
authors.forename: Harald
authors.initials: H
authors.lastname: Dressing
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000534:rehabilitation*; D000987:Antisocial Personality Disorder / Q000534:rehabilitation; D019970:Cocaine-Related Disorders / Q000534:rehabilitation; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006556:Heroin Dependence / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011329:Prisoners / Q000331:legislation & jurisprudence* / Q000523:psychology; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013800:Theft / Q000331:legislation & jurisprudence; D016312:Treatment Refusal / Q000331:legislation & jurisprudence*