Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes
Many jurisdictions implement mandatory substance use treatment for justice-involved persons. Germany is one such country; however, debates about the appropriateness and effectiveness of this disposal abound. Very little attention has been paid in the international literature to patients receiving ma...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1217561/full |
| _version_ | 1797323968127959040 |
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| author | Jack Tomlin Esther Meise Juliane Wegner Birgit Völlm |
| author_facet | Jack Tomlin Esther Meise Juliane Wegner Birgit Völlm |
| author_sort | Jack Tomlin |
| collection | DOAJ |
| description | Many jurisdictions implement mandatory substance use treatment for justice-involved persons. Germany is one such country; however, debates about the appropriateness and effectiveness of this disposal abound. Very little attention has been paid in the international literature to patients receiving mandatory treatment in Germany. This systematic review synthesises research on patients receiving substance use treatment in forensic hospitals under §64 of the German Penal Code with regard to three primary outcomes: treatment completion, reoffending, and the recurrence of substance use. Forty-five publications reporting on 36 studies were reviewed; publication dates ranged from 1988 to 2023. On average, 47% of patients did not successfully complete treatment, compared to 45% who did. Average follow-up reconviction rates were higher than in mentally ill and general offender populations as reported elsewhere. Approximately half of all patients reused substances during treatment. Suggestions for future research, including a focus on strength- and recovery-based indicators, and harmonising routine outcomes measurements, are given. |
| first_indexed | 2024-03-08T05:36:39Z |
| format | Article |
| id | doaj.art-3077416d2579408699a1943f140c27ed |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T05:36:39Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-3077416d2579408699a1943f140c27ed2024-02-05T16:10:07ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-02-011410.3389/fpsyt.2023.12175611217561Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomesJack Tomlin0Esther Meise1Juliane Wegner2Birgit Völlm3School of Law and Criminology, University of Greenwich, London, United KingdomDepartment of Forensic Psychiatry, University Medicine, Rostock, GermanyInstitut für Medienforschung, University of Rostock, Rostock, GermanyDepartment of Forensic Psychiatry, University Medicine, Rostock, GermanyMany jurisdictions implement mandatory substance use treatment for justice-involved persons. Germany is one such country; however, debates about the appropriateness and effectiveness of this disposal abound. Very little attention has been paid in the international literature to patients receiving mandatory treatment in Germany. This systematic review synthesises research on patients receiving substance use treatment in forensic hospitals under §64 of the German Penal Code with regard to three primary outcomes: treatment completion, reoffending, and the recurrence of substance use. Forty-five publications reporting on 36 studies were reviewed; publication dates ranged from 1988 to 2023. On average, 47% of patients did not successfully complete treatment, compared to 45% who did. Average follow-up reconviction rates were higher than in mentally ill and general offender populations as reported elsewhere. Approximately half of all patients reused substances during treatment. Suggestions for future research, including a focus on strength- and recovery-based indicators, and harmonising routine outcomes measurements, are given.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1217561/fullforensic mental healthsubstance use disordermandatory treatmentGermanyreoffending |
| spellingShingle | Jack Tomlin Esther Meise Juliane Wegner Birgit Völlm Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes Frontiers in Psychiatry forensic mental health substance use disorder mandatory treatment Germany reoffending |
| title | Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes |
| title_full | Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes |
| title_fullStr | Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes |
| title_full_unstemmed | Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes |
| title_short | Mandatory substance use treatment for justice-involved persons in Germany: a systematic review of reoffending, treatment and the recurrence of substance use outcomes |
| title_sort | mandatory substance use treatment for justice involved persons in germany a systematic review of reoffending treatment and the recurrence of substance use outcomes |
| topic | forensic mental health substance use disorder mandatory treatment Germany reoffending |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1217561/full |
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