Substance use disorders in forensic psychiatric patients
Publication year
2014Number of pages
5 p.
Source
International Journal of Law and Psychiatry, 37, 2, (2014), pp. 155-159ISSN
Publication type
Article / Letter to editor
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Organization
Psychiatry
SW OZ DCC NRP
SW OZ BSI KLP
Journal title
International Journal of Law and Psychiatry
Volume
vol. 37
Issue
iss. 2
Languages used
English (eng)
Page start
p. 155
Page end
p. 159
Subject
DI-BCB_DCC_Theme 3: Plasticity and Memory; Experimental Psychopathology and Treatment; Principles of Public Law; Neuropsychology and rehabilitation psychology; Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience; Grondslagen van het publiekrecht; Neuro- en revalidatiepsychologieAbstract
There is a lack of detailed information on the role of substance use disorders (SUD) as a substantial factor in offences and treatment in forensic psychiatric patients. The aim of this study was to get a better understanding of these specifics. Clinical records of 193 male patients admitted to a Dutch forensic psychiatric hospital were scrutinized on anamnestic, diagnostic and risk assessment data. One of the central findings was that the prevalence of SUDs was high. Patients with an SUD had a more extensive criminal history, unstable and deviant lifestyle and higher risk of violent behavior than patients without a substance use disorder. No differences were found in duration of treatment, aggressive incidents and leave. Another important finding was that a distinction could be made between patients with substance use as a primary criminogenic risk factor and patients with substance use as a secondary risk factor. Although substance use is identified as a general risk factor, this study supports the idea of sub categorization of patients with an SUD and emphasizes the need for a different treatment approach. Further study is needed to identify specific treatment approaches, based on more differentiated profiles of these patients.
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- Academic publications [245262]
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- Faculty of Medical Sciences [93207]
- Faculty of Social Sciences [30344]
- Open Access publications [106238]
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