[Treatment of Opioid-dependent Inmates - Attitudes and Treatment Practice of medical Staff in Bavarian Prisons]. / Behandlung opioidabhängiger Inhaftierter ­ Einstellungen und Behandlungspraxis des medizinischen Personals in bayerischen Justizvollzugsanstalten.

BACKGROUND: The present study examines the treatment practice and attitudes of medical staff towards opioid-dependent inmates in Bavarian prisons. METHOD: We interviewed medical staff (n=20) from 18 Bavarian prisons about substitution practice and attitudes by semi-structured interviews. RESULTS: With regard to the treatment routines and the attitudes of the medical staff, we found mixed results. From the perspective of the medical staff, the treatment decision depends on the patients' wishes, the severity and duration of the dependence, the length of sentence and organizational factors. Problems were discussed in particular with regard to the care situation inside and outside the prisons and difficulties in transition management. CONCLUSIONS: Substitution therapy is considered a standard treatment method in prisons today. However, our respondents highlighted some disadvantages (e. g. passing on the substitution drug). Although the treatment goal of complete abstinence was generally viewed positively by a part of the medical staff, it was not considered very realistic. From the point of view of the respondents, special attention should be paid to the continuity of the chosen treatment strategy in the context of discharge management.

On the Effectiveness of Sexual Offender Treatment in Prisons: A Comparison of Two Different Evaluation Designs in Routine Practice.

Although there is less continuity of sexual offending in the life course than stereotypes suggest, treatment should lead to a further reduction of reoffending. Contrary to this aim, a recent large British study using propensity score matching (PSM) showed some negative effects of the core sex offender treatment program (SOTP) in prisons. International meta-analyses on the effects of sex offender treatment revealed that there is considerable variety in the results, and methodological aspects and the context play a significant role. Therefore, this study compared different designs in the evaluation of sex offender treatment in German prisons. PSM was compared with an exact matching (EM) by the Static-99 in a sample of 693 sex offenders from Bavarian prisons. Most results were similar for both methods and not significant due to low base rates. There was a treatment effect at p < .05 on general recidivism in the EM and at p = .06 on serious reoffending in the PSM. For sexual recidivism, EM showed a negative trend, whereas PSM suggested the opposite. Overall, the study underlines the need for more replications of evaluations of routine practice, methodological comparisons, sensitive outcome criteria, and differentiated policy information.

Prisoners with Islamist Relations: Are Prisoner Files a Valuable Data Source for Individual Assessment and for Research?

Violent extremism research is still lacking a sound empirical basis for the validation of assessment instruments. Yet there is a growing need for these instruments to assess the dangerousness of individuals, but also the success of interventions. By analysing prisoner files of one female and 39 male inmates (average age 28.83 years, SD = 7.58) with administratively assigned Islamism-related security labels in Bavarian prisons, we tried to clarify two questions: Firstly, is it possible to collect relevant data from prisoner files drawing on risk assessment procedures? Secondly, how do inmates associated with the Salafist scene (security label "Salafist scene") differ from those who are apparently involved with terror networks (security label "terror"), and do these differences predict the risk they pose? Our results suggest that files are a valuable, though not perfect data source for individual assessment and research. The two groups defined by the labels differ significantly in their biographies, mental health, and behaviour. Conclusions pertaining to biographical background factors, risk assessment, and management are discussed.

The language of the psychopath: characteristics of prisoners' performance in a sentence completion test.

AIM AND BACKGROUND: Verbal productions of prisoners were studied as possible correlates of psychopathic personality. METHOD: A sample of 76 inmates of a German high-security prison were administered a new sentence completion test (SCT). The subjects' verbal responses to 63 sentence cues were coded using 23 content and linguistic categories which had been derived from Loevinger's stage model of ego development. Moreover, the Psychopathy Checklist Revised (PCL R) was scored for each subject after a clinical interview and a perusal of the prisoner's file. RESULTS: Moderate positive correlations were found between PCL R scores and cognitive and linguistic characteristics in the SCT (concerns with exerting power and being dominated, use of coarse language and the expression of dysphoric emotions). These characteristics were highly sensitive but not specific to psychopaths. CONCLUSIONS: In the context of recent research, verbal patterns are seen, together with interpersonal behaviour patterns and linguistic properties, as valid indicators of psychopathy and might be particularly useful when biographical information is lacking.