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The role of the Dutch addiction services in the approach of addicted repeat offenders   drs. Chris van der Meer Man. Director Palier EFTC conference June 4th 2009 Eyes on the Future
Overview of presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Hague, demographic data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Expert – Respectful - Optimistic SOV ,[object Object],[object Object],[object Object],[object Object],Parnassia Bavo Groep 2008
Repeat Offender Project (ROP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Central Government ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role community The Hague ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Top 500 definition and demography  (The Hague)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Top 500 criminal careers (The Hague) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Top 500: mental health aspects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Judicial modalities on entry (300 trajectories) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Different strokes for different folks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MP 10% DD 20% Subst 30% Recov 40% Subgroups from  treatment  perspective + + + + + + + + + + + + ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(+) (+) + + + + + ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],+ + + ! + ! ,[object Object],[object Object],[object Object]
Treatment  modalities: inpatient / residential treatment (n=50 PO’s / moment) Emiliehoeve  TC (40)   Triple-Ex  modified TC (crim. add.)(40) Forensic psychiatric ward  (46)  Motivational Centre  (low threshold)(24)
Treatment  modalities: outpatient / outreaching treatment (n=120 / moment) forensic outpatient   treatment in prison  substitution program forensic  ACT outpatient drug free
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Forensic ambulatory,  a comprehensive outpatient chain   ,[object Object],[object Object],[object Object],forensic  A CT
+ + + + + + + + + + + + ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],+ + + + NB Intensive MH  probation !! MP 10% DD 20% Subst 30% Recov 40% Subgroups from  reintegration  perspective (+) (+) (+) + + + + + + + + ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],+ + + + + + + + ,[object Object],[object Object],[object Object]
Remise  25 drugfree places (for RO’s)  Re-Entry  (TX & EH) 30 drugfree places   Remise 26 plaatsen  Reintegration 2: housing projects MiCasa  47 places  De overloop  15 places  Woodstock  30 places
Vocational training  ‘t Filiaal  en job coach  BV Reintegration 3a: vocational skills technics - health care - catering / restaurant – cleaning - roadman / gardening -  individual programmes   70-100 pupils / wk
Schoon & Zn     Clean River Kringloopwinkel  Rehabilitation 3b: day care / day wages Reflex  (for RO’s) Recycle-shop
Triple-Ex:   ex-addict, ex-criminal en ex-unemployed 40 places
Outcome study: results SOV  vs. regular detention and coercion projects (TX) ,[object Object],[object Object],intervention 12 months pre-treatment phase 12 months post-treatment phase SOV  (compulsory stay detention with treatment 18 months  with 6 months community based aftercare)  Compared to TX  (modified TC; 9-12 months; coercion / voluntary; plus RE) FVK  (inpatient treatment, non TC) Thanks to: Amsterdam Inst. Addiction Research (Maarten Koeter) and Parnassia Addiction Research Center (Peter Blanken)
Client characteristics  TX  at admission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criminality during FU (>1 yr) (police & self-report) Reduction = > 50% red. & <5 crimes TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m Short =<3m n= SOV 154 TX-c 50 TX-v 51
Substance abuse at FU (>1 yr) (self-report) Reduction = > 50% red. & <6d dr/alc TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m Short =<3m n= SOV 154 TX-c 50 TX-v 51
Combined success on FU (SU & crim.) TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m n= SOV 154 TX-c 50 TX-v 51
Results ROP: community level 2002 73.500 2005 50.500 Analyse & Research Politie Haaglanden 2007
Results ROP: RO group level Analyse & Research Politie Haaglanden   2008
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you !

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Michael G

  • 1. The role of the Dutch addiction services in the approach of addicted repeat offenders drs. Chris van der Meer Man. Director Palier EFTC conference June 4th 2009 Eyes on the Future
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  • 14. Treatment modalities: inpatient / residential treatment (n=50 PO’s / moment) Emiliehoeve TC (40) Triple-Ex modified TC (crim. add.)(40) Forensic psychiatric ward (46) Motivational Centre (low threshold)(24)
  • 15. Treatment modalities: outpatient / outreaching treatment (n=120 / moment) forensic outpatient treatment in prison substitution program forensic ACT outpatient drug free
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  • 18. Remise 25 drugfree places (for RO’s) Re-Entry (TX & EH) 30 drugfree places Remise 26 plaatsen Reintegration 2: housing projects MiCasa 47 places De overloop 15 places Woodstock 30 places
  • 19. Vocational training ‘t Filiaal en job coach BV Reintegration 3a: vocational skills technics - health care - catering / restaurant – cleaning - roadman / gardening - individual programmes 70-100 pupils / wk
  • 20. Schoon & Zn Clean River Kringloopwinkel Rehabilitation 3b: day care / day wages Reflex (for RO’s) Recycle-shop
  • 21. Triple-Ex: ex-addict, ex-criminal en ex-unemployed 40 places
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  • 24. Criminality during FU (>1 yr) (police & self-report) Reduction = > 50% red. & <5 crimes TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m Short =<3m n= SOV 154 TX-c 50 TX-v 51
  • 25. Substance abuse at FU (>1 yr) (self-report) Reduction = > 50% red. & <6d dr/alc TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m Short =<3m n= SOV 154 TX-c 50 TX-v 51
  • 26. Combined success on FU (SU & crim.) TIP: SOV 24 m TX-c 6.5 m TX-v 6.8 m n= SOV 154 TX-c 50 TX-v 51
  • 27. Results ROP: community level 2002 73.500 2005 50.500 Analyse & Research Politie Haaglanden 2007
  • 28. Results ROP: RO group level Analyse & Research Politie Haaglanden 2008
  • 29.

Notas do Editor

  1. The Hague is the 3 rd largest city in the Netherlands, with 440.000 inhabitants. The number of drug adicts
  2. Ik wil bij enkele nieuwe voorzieningen stilstaan. Forensisch ambulant is het geheime wapen geworden, omdat we denken dat het een slimme mix is geworden van forensisch psychiatrische (bemoei)zorg: met al die kenmerken die ik zo straks noemde (geen contraindicaties, proactief / optimistisch) De MJD die een absolute maatschappelijke bodem onder het bestaan van de meeste patiënten helpt leggen (budgethulp, fondsen, verzekeringen, ID papieren, etc etc) De GGZ reclassering die zorgt voor de toeleiding zorg en het organiseren van drang (via toezicht en trajectbegeleiding), z.n. terugmelden, etc.
  3. Iets over resultaten. In 2002 is de veelplegersaanpak van start gegaan. Op stedelijk nivo zien we sindsdien een forse daling van de vermogenscriminaliteit, eigenlijk voor alle typische veelplegersdelicten Het eerder genoemde veelplegersonderzoek probeert de diverse factoren (detentie, zorginterventies) te relateren aan het recidivegedrag van de deelnemers. Kortom we weten nog niet wat werkt en Wat de resultaten op lange termijn zijn?
  4. Hier zien we een politiemaat voor de criminaliteit van de groep veelplegers. Dwz de gemiddelde veelpleger is minder crimineel geworden. In ieder geval tot 2005, daarna zien we een stabilisatie en wellicht lichte stijging, maar op een veel lager nivo. Ook hier is nog niet te zeggen wat incapacitatie effect is en wat het aandeel van zorginspanningen.
  5. Dames en heren, Ik heb met u stilgestaan bij een interessante uitdaging voor de GGz, zeker in de grote steden, maar ook daarbuiten, die zich vooral laat samenvatten als uiterst interessant, veelbelovend en erg zinvol. Er is nog veel te doen, maar wij zijn trots op wat onze medewerkers tot stand brengen met echt ingewikkelde doelgroepen, maar tegelijk dankbaar voor alle partners (incl de CR!) en financiers die het mogelijk gemaakt hebben. Literatuur Drangbehandeling Belenko S. Research on drug courts: a critical review 2001 update. The national center on addiction and substance abuse at Columbia University Bullock T. (2003) Key findings from the literature on the effectiveness of drug treatment in prison. In: Ramsay M. (ed) Prisoners’ drug use and treatment: seven research studies. Home office research and statistics directorate, London. Gezondheidsraad (2002) De behandeling van drugverslaafde gedetineerden. Gezondheidsraad, Den Haag. Godley S.H., Finch nM. Dougan L., e.a. (2000) Case management for dually diagnosed individuals involved in the criminal justice system. J Subst Abuse Treat 18:137-148 Hubbard R.L., Craddock S.G., Anderson J. (2003) Overview of 5-year followup outcomes in the drug abuse treatment outcomes studies (DATOS). J Subst Abuse Treat 25:125-134 Hurk, van den A.A., nelissen P. (2004) What Works, een nieuwe benadering van resocialisatie van delinquenten. Ministerie van justitie DJI, Den Haag Inciardi J.A., martin S.S., Butzin C.A. (2004) Five year outcomes of therapeutic community treatment of drug-involved offenders after release from prison. Crime and Delinquency 50:88-107 Koeter M.W.J., Maastricht A.S. (2006) ZonMw, Programma Verslaving, Den Haag Kogel, C.H. de, Nagtegaal, M.H. (2008) Toezichtprogramma&apos;s voor delinquenten en forensisch psychiatrische patiënten Min. Van Justitie/WODC, Den Haag. Lipton D.S., pearsons F.S., Cleland C.M., e.a. (2002) The effects of therapeutic communities and milieu therapy on recidivism; meta analytic findings from the correctional drug abuse treatment effectiveness (CDATE) study. In: McGuire J. (ed) Offender rehabilitation and treatment / effective programmes and policies to reduce re-offending. Wiley and Sons, Chichester, pp 39-77 Malinowski A (2003) What works with substance users in prison? Journal of Substance use 8:223-233 McGuire J. (1995) What Works: reducing reoffending. Wiley and Sons, Chichester Ooyen van M., (2004) Drang bij criminele harddruggebruikers. Een onderzoek naar de toepassing van drang in Nederland. Tijdschrift voor Crimionologie 46:233-247 Pearson F.S., Lipton D.S. (1999) A meta-analytic review oftheeffectivieness of corrections-based treatment for drug abuse. The Prison Journal 79:384-410 Perry, A. e.a. Interventions for drug using offenders in the courts, secure establishments en the community (Cochrane collab. 2008, review) Prendergast M.L., Hall E.A., Wexler H.K. e.a. (2004) Amity prison-based therapeutic community: 5 year outcomes. Prison Journal 84: 36-60 Smith, L.A., Therapeutic communities for substance related disorders, (Cochrane collab. 2008, review) SVG werkgroep Interventiematrix JVZ (2004) Interventies voor verslaafde justitiabelen. Stichting Verslavingsreclassering GGz, Amersfoort. Vermeulen K, Hendriks V.M., Zomerveld R. (2000) Drangbehandeling in Den Haag. Evaluatieonderzoek naar de effectiviteit van het behyandelprogramma Triple-Ex voor justitiabele verslaafden. Parnassia Addiction Research Center, Den Haag Wartna B.S.J., Tollenaar N. (2004) Bekenden van Justitie. Een verkennend onderzoek naar de “veelplegers”in de populatie van vervolgde daders. Boom juridische uitgevers, Meppel. Wartna B.S.J. Baas N.J., Beenakkers E.M.T. (2004) Beter, anders en goedkoper: een literatuurverkenning t.b.v. het traject Modernisering Sanctietoepassing. Min. Van Justitie/WODC, Den Haag. Wexler H.K., DeLeon G., e.a. (1999) The Amity Prison TC evaluation: reincarceration outcomes. Criminal Justice and Behavior 26:147-167