1
|
Aebi M, Krause C, Barra S, Vogt G, Vertone L, Manetsch M, Imbach D, Endrass J, Rossegger A, Schmeck K, Bessler C. What Kind of Therapy Works With Juveniles Who Have Sexually Offended? A Randomized-Controlled Trial of Two Versions of a Specialized Cognitive Behavioral Outpatient Treatment Program. Sex Abuse 2022; 34:973-1002. [PMID: 35230203 DOI: 10.1177/10790632211070804] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
There is ongoing debate about whether specialized treatment is effective to reduce sexual recidivism in juveniles who have sexually offended (JSOs). Although most treatment programs are based on cognitive behavioral therapy principles for preventing sexual offending, accordant scientific evidence is poor. Following CONSORT guidelines, the present study aimed to evaluate two versions of a short-term outpatient treatment program for JSOs in Switzerland: (a) the Therapy Program for Adequate Sexual Behaviors Version 1 (ThePaS-I), which included offending-specific skills training; (b) the ThePaS-II, which included general socioemotional skills training. Based on changes in self-reported mental health, sexual behaviors, victim empathy, and therapist-rated risk, as well as comprehensive data on sexual and general recidivism, we found some similarities regarding the effects of the two treatments. ThePaS-II showed better short-term changes in self-reported mental health than the ThePaS-I. However, JSOs in the ThePaS-I showed lower rates of sexual reoffending (but not general reoffending) after treatment than those in the ThePaS-II. Despite some methodological limitations, the current findings favor offending-specific skills-based therapy over general skills-based ones for preventing sexual reoffenses. The findings may encourage further methodologically sound studies to examine different treatment approaches for juveniles and adults who have committed criminal offenses.
Collapse
Affiliation(s)
- Marcel Aebi
- Department of Justice and Home Affairs, Research & Development, Corrections and Rehabilitation, Canton of Zurich, Zurich, Switzerland
- Department of Forensic Psychiatry, Child and Adolescent Forensic Psychiatry, 363320University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Chiara Krause
- Department of Forensic Psychiatry, Child and Adolescent Forensic Psychiatry, 363320University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Steffen Barra
- Institute for Forensic Psychology and Psychiatry, Neurocenter - Saarland University Medical Center, Homburg/Saar, Homburg/Saar, Germany
| | - Gunnar Vogt
- Department of Justice and Home Affairs, Psychiatric-Psychological Services, Corrections and Rehabilitation, Canton of Zurich, Zurich, Switzerland
| | - Leonardo Vertone
- Department of Forensic Psychiatry, Child and Adolescent Forensic Psychiatry, 363320University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Madleina Manetsch
- Department of Forensic Child and Adolescent Psychiatry, Forensic Psychiatric Clinic, University Psychiatric Hospitals, University of Basel, Basel, Switzerland
| | | | - Jérôme Endrass
- Department of Justice and Home Affairs, Research & Development, Corrections and Rehabilitation, Canton of Zurich, Zurich, Switzerland
- Department of Forensic Psychology, University of Konstanz, Konstanz, Germany
| | - Astrid Rossegger
- Department of Justice and Home Affairs, Research & Development, Corrections and Rehabilitation, Canton of Zurich, Zurich, Switzerland
- Department of Forensic Psychology, University of Konstanz, Konstanz, Germany
| | - Klaus Schmeck
- Child and Adolescent Psychiatric Research Department, Psychiatric University Hospitals, University of Basel, Basel, Switzerland
| | - Cornelia Bessler
- Department of Justice and Home Affairs, Research & Development, Corrections and Rehabilitation, Canton of Zurich, Zurich, Switzerland
- Department of Forensic Psychiatry, Child and Adolescent Forensic Psychiatry, 363320University Hospital of Psychiatry Zurich, Zurich, Switzerland
| |
Collapse
|
2
|
Vertone L, Euler F, Cavelti L, Stiefel D. Jugendliche Delinquente in der Schweiz. Swiss Arch Neurol Psychiatr Psychother 2022. [DOI: 10.4414/sanp.2022.03248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Leonardo Vertone
- Zentrum für Kinder- und Jugendforensik, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
| | - Felix Euler
- Zentrum für Kinder- und Jugendforensik, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
| | - Ladina Cavelti
- Scientific Researcher
- Zentrum für Kinder- und Jugendforensik
- Neptunstrasse 60
- Zürich
- Zürich
- 8032
- SWITZERLAND
| | - Dorothea Stiefel
- Zentrum für Kinder- und Jugendforensik, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
| |
Collapse
|