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Evidence-Based Treatment in Forensic Settings

  • Norbert Schalast
  • Conni Lebbing
  • Birgit Völlm
Chapter

Abstract

Standards and guidelines of forensic psychiatric care and treatment have not been agreed upon in the European Community respectively, and are only insufficiently established in a small number of European states. The legal situation of forensic care differs between countries, affecting different legal frameworks for care and treatment. Treatment concepts which were internationally discussed over the last decades have been recognized, but not acknowledged as guidelines. Concepts which do play a role in the professional debate are the RNR approach and the good lives approach. In practice, there has been a tradition of psychodynamic and psychoanalytic thinking even with regard to offender treatment in European countries, which is not outdated. Attachment theory and the concept of mentalization have revitalized this perspective and strengthened a focus on therapeutic relationship issues. However, effective treatment must include efforts of guiding the integration of patients into society and a supportive network of supervision and aftercare.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Norbert Schalast
    • 1
  • Conni Lebbing
    • 1
  • Birgit Völlm
    • 2
  1. 1.Institute of Forensic Psychiatry, University Duisburg-EssenEssenGermany
  2. 2.Department of Psychiatry and Applied PsychologySchool of Medicine, University of NottinghamNottinghamUK

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