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Seattle University Collaborative Projects - International Academy of ...

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Goal: The forensic psychiatric clinic Inforsa (FPK) wanted to get insight into the recidivism rate,the primary outcome measure for forensic treatment.Method: The Peek study is replicated as far as possible in order to be enable to compare thefindings.Conclusion: The results are discussed in the perspective <strong>of</strong> recent developments <strong>of</strong> new andshorter treatment in forensic psychiatry.Increased Severity <strong>of</strong> Offences in Clients after Article 37 CommitmentRon Dekens, FPK Inforsa, Amsterdam, Netherlands (ron.dekens@inforsa.nl)Background: The number <strong>of</strong> patients sentenced to a coerced TBS-treatment in the Netherlandshas steadily decreased during the last two decades. This is not only due to the fact that fewerTBS-equivalent <strong>of</strong>fenses were committed but also to the fact that since the recommendations <strong>of</strong>the parliamentary inquiry commission-Visser, the treatment duration in the TBS clinics hasincreased significantly. Consequently the TBS treatment has become less attractive for clientsand their lawyers. Clients that are sentenced to TBS-treatment with coercion show an increase <strong>of</strong>the severity <strong>of</strong> the criminal acts. In particular, the <strong>of</strong>fences had more <strong>of</strong>ten a violent component.The decrease in the number <strong>of</strong> TBS-treatments and the increase in the severity <strong>of</strong> <strong>of</strong>fense leads tothe hypothesis that the <strong>of</strong>fenses in the group "other forensic sentences” (including Article 37) aremore serious.Goal: To clarify the question <strong>of</strong> whether there is an increase in severity <strong>of</strong> the criminal <strong>of</strong>fenses<strong>of</strong> patients in the FPK Inforsa, that were admitted in 2003/2004 in comparison with patientsadmitted in 2010/2011. It is expected that the <strong>of</strong>fenses in the last group will be significantly moreserious.Method: For this purpose the <strong>of</strong>fenses were classified in different ways: 1. based on themaximum sentence possible for the crime; 2. based on the national classification system (CBS)and 3. based on a seven-point scale designed by FPK Inforsa.Conclusion: The results and the implications for the clinic and the treatment are discussed.Regular Outcome Monitoring in a Forensic Psychiatric ClinicUdo Nabitz, FPK Inforsa, Amsterdam, Netherlands (udo.nabitz@inforsa.nl)Background: Routine Outcome Monitoring (ROM) is popular in psychiatric services over the lastfive years, in order to measure improvement and outcome <strong>of</strong> the treatment. Next to manyspecific questions the central research question is: What is the effect <strong>of</strong> the treatment in a275

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