title: [Patient Groups with Different Risk Profiles for Irregular Drop-Out from Forensic Psychiatry (§ 64 StGB)].
abstract: OBJECTIVE
  About 50 - 70 % of the patients with substance abuse disorders who are mandated to forensic treatment according to the section 64 of the German penal code are discharged from treatment irregularly. Previous research identified a number of potential risk factors for irregular treatment dropout. Systematic assessment of risks factors and their consideration for treatment planning may help to improve treatment retention. Therefore, the aim of this study was to identify groups of patients with a comparable risk profile for treatment dropout.
  
  
  METHODS
  From 2007 - 2012, patients entering forensic treatment completed the MATE-Crimi and a sociodemographic questionnaire.
  
  
  RESULTS
  From 431 patients entering forensic treatment, 357 patients agreed to participate. Of the 357 included patients 35.9 % had completed the forensic treatment irregular. Using cox regression, young age, low treatment motivation and a primary criminal behaviour with the substance use as a consequence of criminal behaviour were identified as risk factors for early drop-out. A subsequent analysis of latent classes using these variables resulted in three classes.
  
  
  CONCLUSIONS
  Our study revealed a small number of risk factors being relevant for treatment drop-out. Furthermore, we identified three groups of patients with different risk profiles. Next steps include the development of treatment pathways for these patient groups.
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: Ingeborg
authors.initials: I
authors.lastname: Rosch
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: Anita
authors.initials: A
authors.lastname: Lachmanski
authors.affiliation: Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: Lena
authors.initials: L
authors.lastname: Herich
authors.affiliation: Vitos-Klinik für forensische Psychiatrie Hadamar, gemeinnützige GmbH, Hadamar.
authors.forename: Sandra
authors.initials: S
authors.lastname: Taddey
authors.affiliation: Vitos-Klinik für forensische Psychiatrie Hadamar, gemeinnützige GmbH, Hadamar.
authors.forename: Michaela
authors.initials: M
authors.lastname: Lange
authors.affiliation: Vitos-Klinik für forensische Psychiatrie Hadamar, gemeinnützige GmbH, Hadamar.
authors.forename: Marita
authors.initials: M
authors.lastname: Wolf
authors.affiliation: Vitos-Klinik für forensische Psychiatrie Hadamar, gemeinnützige GmbH, Hadamar.
authors.forename: Ralf
authors.initials: R
authors.lastname: Wolf
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
authors.forename: Angela
authors.initials: A
authors.lastname: Buchholz
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D005260:Female; D005555:Forensic Psychiatry / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D005858:Germany; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D010352:Patient Dropouts / Q000523:psychology* / Q000706:statistics & numerical data*; D016016:Proportional Hazards Models; D012307:Risk Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014754:Violence / Q000331:legislation & jurisprudence / Q000523:psychology
chemical_list: D013287:Illicit Drugs