Identifying subpopulations in forensic addiction care: A latent class analysis

IF 3.3 1区社会学 Q1 CRIMINOLOGY & PENOLOGY

Journal of Criminal Justice Pub Date : 2024-11-01 DOI:10.1016/j.jcrimjus.2024.102309

Ilse Luteijn , Joanne E.L. VanDerNagel , Inti A. Brazil , Arnt Schellekens

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引用次数: 0

Abstract

Purpose

Forensic patients with substance use disorder (SUD) vary in clinical.

characteristics like psychiatric comorbidity, including mild intellectual disability (MID). In this study, we examined whether different patient classes could be identified based on type of psychiatric diagnosis (including MID) and historic risk factors at treatment start, using Latent Class Analysis (LCA); whether these classes differed on risk behavior during treatment and treatment outcomes; and whether MID was associated with risk behavior and treatment outcomes.

Method

Data were retrieved from health records in a forensic addiction treatment centre in the Netherlands (n = 252). Information included DSM-5 diagnoses, historical risk factors for recidivism and treatment outcomes (urine toxicology, number of aggression incidents and drop-out).

Results

We identified four patient-classes, including one with a high prevalence of psychopathology and high historic risks, one with severe past substance use and long treatment history and two classes with low historic risks. These classed did not differ in risk behavior or treatment outcomes. MID was associated with risk behavior during treatment, but not with treatment outcomes.

Conclusions

These data suggest that though subgroups of forensic addiction patients are identifiable, historic risks do not predict variations in treatment outcomes, and that co-occurring MID might be clinically more relevant.

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确定法医成瘾护理中的亚人群：潜类分析

目的患有药物使用障碍（SUD）的法医患者的临床特征各不相同，如精神疾病合并症，包括轻度智力障碍（MID）。在这项研究中，我们使用潜类分析法（LCA）研究了是否可以根据精神病诊断类型（包括轻度智力障碍）和治疗开始时的历史风险因素确定不同的患者类别；这些类别在治疗期间的风险行为和治疗结果上是否存在差异；以及轻度智力障碍是否与风险行为和治疗结果相关。信息包括DSM-5诊断、历史再犯风险因素和治疗结果（尿液毒理学、侵犯事件数量和辍学）。结果我们确定了四类患者，包括一类精神病理学患病率高且历史风险高的患者、一类既往药物使用严重且治疗史长的患者和两类历史风险低的患者。这些类别的患者在危险行为或治疗结果方面没有差异。这些数据表明，虽然法医成瘾患者的亚群是可以识别的，但历史风险并不能预测治疗结果的变化，同时存在的 MID 在临床上可能更具相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Criminal Justice CRIMINOLOGY & PENOLOGY-

CiteScore

6.90

自引率

9.10%

发文量

审稿时长

23 days

期刊介绍： The Journal of Criminal Justice is an international journal intended to fill the present need for the dissemination of new information, ideas and methods, to both practitioners and academicians in the criminal justice area. The Journal is concerned with all aspects of the criminal justice system in terms of their relationships to each other. Although materials are presented relating to crime and the individual elements of the criminal justice system, the emphasis of the Journal is to tie together the functioning of these elements and to illustrate the effects of their interactions. Articles that reflect the application of new disciplines or analytical methodologies to the problems of criminal justice are of special interest. Since the purpose of the Journal is to provide a forum for the dissemination of new ideas, new information, and the application of new methods to the problems and functions of the criminal justice system, the Journal emphasizes innovation and creative thought of the highest quality.