{"title":"[Predictors of Early Treatment Termination in Patients Detained under §64 StGB - A Literature Review].","authors":"Lene Scheuschner, Peggy Walde, Birgit Völlm","doi":"10.1055/a-2213-2184","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The treatment of addicted offenders detained under § 64 of the German Criminal Code can be terminated prematurely. There is an extensive literature on predictors of such premature termination concerned with factors established before treatment.</p><p><strong>Objective: </strong>The aim of this paper is to present predictors of premature termination that become apparent during the course of therapy.</p><p><strong>Methods: </strong>We conducted a systematic literature search and included 16 publications.</p><p><strong>Results: </strong>Patients and therapists rated impulsivity/aggressiveness, substance use relapses and a lack of patient-therapist relationship as negative predictors. Both groups assessed as beneficial the presence of motivation and a positive social network.</p><p><strong>Conclusion: </strong>To prevent early treatment termination a positive patient-therapist relationship, motivation and working through incidents during therapy is essential.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatrische Praxis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2213-2184","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/2 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The treatment of addicted offenders detained under § 64 of the German Criminal Code can be terminated prematurely. There is an extensive literature on predictors of such premature termination concerned with factors established before treatment.
Objective: The aim of this paper is to present predictors of premature termination that become apparent during the course of therapy.
Methods: We conducted a systematic literature search and included 16 publications.
Results: Patients and therapists rated impulsivity/aggressiveness, substance use relapses and a lack of patient-therapist relationship as negative predictors. Both groups assessed as beneficial the presence of motivation and a positive social network.
Conclusion: To prevent early treatment termination a positive patient-therapist relationship, motivation and working through incidents during therapy is essential.