Seattle University Collaborative Projects - International Academy of ...

forensic clinic measured in a routine way? There are additional hypothesis 1. most patients in thelong treatment program (TBS) internalized more visible effect than in the patients in the shorttreatment program. 2. patients with TBS-treatment and with an classified cluster B personalitydiagnosis (Pro Justice Reporting) at admission are not reclassified with cluster B diagnosis atdischarge.Goal: To demonstrate the utility of ROM for a forensic treatment and answer questions about thetreatment effect, the effect of duration of treatment and the change in diagnoses.Method: In the FPK Inforsa the Health of Nation Outcome Scale (HoNOS) is used since 2007 tomonitor the progress and the final result of the treatment. Results: The preliminary results showthat there are three client groups: a group that improves (35%), a group that stabilizes (32%) anda group that deteriorates (33%). The effect of the duration of treatment and the change of thecluster B diagnosis is analyzed.Conclusion: The Results of ROM are discussed in light of studying the possibilities to treatforensic clients effectively in short treatment programs. Methodological problems have to besolved in order to improve the validity of the findings.Client Satisfaction Studies in a Forensic Psychiatric Clinic in the NetherlandsPetra Schaftenaar, FPK Inforsa, Amsterdam, Netherlands (petra.schaftenaar@inforsa.nl)Background: Assessing client satisfaction is one of the standard quality measurements inhospitals. The concept of client satisfaction is also introduced in psychiatric care (Carlson, 2001;Aarssen, 2003) but in forensic psychiatric clinics client satisfaction studies are not yet a standardprocedure. The reason is mainly that the position of the clients in a confined treatment setting isfundamental different than in regular health care.Goal: To demonstrate that client satisfaction can be a meaningful concept for forensic psychiatryand that it can be carried out. To conduct in among forensic psychiatric patients two studies inorder to answer two research question: 1. What is the level of quality perceived by the clients? 2.Is there an improvement in quality over a period of 2 years?Method: In the forensic psychiatric clinic FPK Inforsa in Amsterdam two studies were carriedout in 2010 and in 2012. A satisfaction questionnaire with 23 items covering 5 dimensions(admission, housing, activities, professionals and seclusion). In 2010 the response rate was 69%the study of 2012 is still in progress.Results: The results of 2010 show that 70% of the clients were satisfied with the admissionprocedures, 65% values the activities and work positive, 70% is positive about the professionals,80% is satisfied with the housing. A diverse picture is seen concerning seclusion procedures. Theresults of the 2012 study are analyzed and will be presented in comparison to the findings of2012 and the target formulated.Conclusion: Patient satisfaction studies can be conducted in a forensic psychiatric clinic andprovides important insight in the view of the client about admission, treatment and setting.Methodological aspects of the study should be improved.276