[Persons held in preventive detention (§ 66 Criminal Code): characteristics of offenders and the impact on prospects for successful completion of therapy].
With its verdict in May 2011 the German Federal Constitutional Court declared the current law for preventive detention unconstitutional and obliged the legislative bodies to undertake a freedom- and treatment-oriented reform. Psychiatrists and psychotherapists are bound to provide therapeutic concepts. Currently there is a lack of information on the intended clientele. In our study we examined 26 persons serving preventive detention, 32 regular prisoners and 29 non-delinquent probands. The groups were matched according to age and intelligence. We gathered sociodemographic data, criminal records and conducted the tests SCID I, SCID II und PCL-R, K-FAF and BIS-11 to obtain diagnoses and characteristics. Based on this information, the HCR-20 and GAF were performed. In comparison to regular prisoners and non-delinquents, the group of those serving preventive detention is characterised by medium to advanced age, antisociality, psychopathy, substance abuse or addiction, aggressivity, a strong criminal record, years of imprisonment, insufficient educational and vocational training and a high risk of recidivism. In our examination of persons serving preventive detention, we demonstrate that this clientele is a group of recidivists difficult to treat. The current laws and a lack of early intervention programs have prevented and delayed their timely and possibly successful treatment. From a psychiatric point of view, there is a strong need for new therapeutic concepts to meet this challenge.
Zentrum für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Lenggstr. 31, 8032 Zürich, Schweiz.
S K
SK
Gairing
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F
de Tribolet-Hardy
K
K
Vohs
E
E
Habermeyer
D000328:Adult; D000367:Age Factors; D000368:Aged; D000374:Aggression / Q000523:psychology; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D015897:Comorbidity; D003415:Crime / Q000517:prevention & control* / Q000523:psychology / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003617:Dangerous Behavior; D003688:Deinstitutionalization / Q000331:legislation & jurisprudence*; D018166:Health Care Reform / Q000331:legislation & jurisprudence; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D010344:Patient Advocacy / Q000331:legislation & jurisprudence; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data*; D010352:Patient Dropouts / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D011329:Prisoners / Q000331:legislation & jurisprudence* / Q000523:psychology*; D011379:Prognosis; D012307:Risk Factors; D055502:Secondary Prevention; D012637:Security Measures / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D013557:Switzerland; D016896:Treatment Outcome