Seattle University Collaborative Projects - International Academy of ...

A Better Working Alliance as a Result of Sustainability and Continuity inForensic PsychiatryIvo van Outheusden. FPK Inforsa, Amsterdam, Netherlands (ivo.van.outheusden@inforsa.nl)Background :The group of forensic patients with psychotic disorders in a relatively short-termtreatment is characterized by a high recidivism rate. The severity of their criminal acts aftertreatment seems to be more serious. One reason for the deterioration are the frequent transitionswithin the forensic treatment chain which leads to a fragmented treatment. Fragmentation isalready one of the characteristics of the prototypical psychiatric career of the forensic client. Thisfragmentation comes in handy for the distrusting patient, who’s goal it is to avoid contact. Inaddition, at each transfer information is lost. Harte (2010) has shown that the reduction ofrecidivism of TBS-treatment is related to an improved risk management and to longer treatmentdurations. Therefore it can be assumed that risk management and extend treatment can beeffective also for short-term treatment in a forensic clinic. In the short-term treatment in theNetherlands, there is an absence of a compelling legal framework, which exists in a longer-termTBS-treatment. Continuity of care could be achieved by coaching and building trust andconfidence. Through these means, sustainability and reduction of recidivism can be achieved.Goal: It is expected that sustainability and continuity after short-term treatment leads to areduced recidivism.Method: The FPK Inforsa designed a pilot project to evaluate the effects of working on the basisof this new paradigm of sustainability. Results: The initial experience with this way of workingwill be presented.Conclusion: By focusing in the short-term treatment on continuity and sustainability of care andon trust and confidence in the client the high recidivism rates are reduced. This proposition istested by a study and by a pilot project as a new way of working for clinical forensic practice.116. NeuroscienceBrain Imaging of Violent Juvenile OffendersMichael Caldwell, University of Wisconsin at Madison (mfcaldwell@wisc.edu)This study will examine the fMRI profiles of violent juvenile delinquents with elevated scores onthe PCL: YV as they progress through a specialized treatment program. The presentation willdescribe the characteristics of this unusual population and changes observed among those thatrespond to a specialized treatment program. This presentation is pending the results of our datacollection process.277