However, the results of this first systematic review, synthesis of mechanisms and meta-analysis in this field are promising and show effects of arts therapies on risk and protective factors in individuals in forensic institutions.", More research is needed to gain more solid conclusions about effectiveness and mechanisms of change of arts therapies in forensic institutions. Effects on criminal and/or antisocial behavior were not significant, but this outcome measure was scarcely used among the studies.Discussion: The analyses in this study should be considered explorative. The meta-analyses indicated significant effects on both risk factors (psychiatric symptoms and addiction) and protective factors for criminal behavior (social functioning and psychological functioning). Eighteen studies were included in the meta-analyses (11 RCTs/CCTs 7 pre-post studies). These processes play a role in developing prevention, coping and self-management skills. Synthesis of mechanisms of change involved in the methodical use of the arts in arts therapies resulted in a description of regulatory processes which are stimulated in arts therapies: perceptive awareness (interoceptive and exteroceptive), the regulation of emotions, stress, impulses, cognitions, social regulation, and self-expression. Quality and risk of bias was assessed using EPHPP (Effective Public Health Practice Project).Results: The included studies were heterogeneous in type of outcome measures and intervention characteristics. Twenty-three studies were included in the review. Third, we performed a meta-analysis to investigate the effects of arts therapies in reducing psychosocial problems of offenders. Second, Thematic Analysis was used to synthesize the qualitative narrative results and define the hypothesized mechanisms of change.
There are indications for effectiveness of arts therapies, but a systematic overview of effect studies of all arts therapies in forensic care is lacking.Methods: First, we performed a systematic review. In addition, experience-based therapies are used such as (creative) arts therapies: (visual) art therapy, music therapy, drama therapy and dance (movement) therapy. However, the results of this first systematic review, synthesis of mechanisms and meta-analysis in this field are promising and show effects of arts therapies on risk and protective factors in individuals in forensic institutions.Ībstract = "Introduction: Mental health care provided to offenders with psychiatric problems in forensic settings mainly consists of verbal oriented treatments. Effects on criminal and/or antisocial behavior were not significant, but this outcome measure was scarcely used among the studies.ĭiscussion: The analyses in this study should be considered explorative. Results: The included studies were heterogeneous in type of outcome measures and intervention characteristics. Quality and risk of bias was assessed using EPHPP (Effective Public Health Practice Project). Methods: First, we performed a systematic review. There are indications for effectiveness of arts therapies, but a systematic overview of effect studies of all arts therapies in forensic care is lacking. Introduction: Mental health care provided to offenders with psychiatric problems in forensic settings mainly consists of verbal oriented treatments.
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