Abstract

In Belgium, when forensic patients infringe their conditional release, they are remitted to prison. Given the poor conditions of detention and the current lack of alternatives, revoking conditional releases has a high impact. However, little is known about which patients are remitted to prison and why. In this article, we compared a sample of remitted patients (n = 50) to a matched control group (n = 48). We found that patients with high actuarial risk factors (as assessed by the Violent Risk Appraisal Guide, VRAG), antisocial personality disorder traits (measured by the Comprehensive Assessment of Psychopathic Personality, CAPP), and substance abuse disorder were more likely to be remitted. New acts of violence and substance abuse are the most prevalent reasons for revoking a conditional release, at 71% and 65%, respectively. The current results are independent of living conditions, and highlight the need for future research regarding this subgroup of forensic patients, who are more likely to be set back in their rehabilitative processes.

摘要

在比利时，如果法医患者违反了他们的有条件释放，他们就会被送进监狱。鉴于拘留条件恶劣且目前缺乏替代办法，撤销有条件释放的影响很大。然而，对于哪些患者被送进监狱以及原因知之甚少。在本文中，我们将一个出院患者样本 ( n  = 50) 与匹配的对照组 ( n = 48)。我们发现，具有高精算风险因素（通过暴力风险评估指南，VRAG 评估）、反社会人格障碍特征（通过精神病人格综合评估，CAPP 衡量）和药物滥用障碍的患者更有可能获得缓解。新的暴力行为和药物滥用是撤销有条件释放的最普遍原因，分别为 71% 和 65%。目前的结果与生活条件无关，并强调了对这一法医患者亚组进行未来研究的必要性，他们更有可能在康复过程中受挫。