Methodological development of the Hoeven Outcome Monitor (HOM): A first step towards a more evidence based medicine in forensic mental health

To comply with the need for a more evidence based risk assessment and management in forensic mental health, an outcome monitor is being developed in the Dutch forensic psychiatric centre Van der Hoeven Kliniek in Utrecht, the Hoeven Outcome Monitor (HOM). Conform evidence based medicine (EBM) guidel...

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Bibliographic Details
Published in:International journal of law and psychiatry 2016-03, Vol.45, p.43-51
Main Authors: Keune, Lobke H., de Vogel, Vivienne, van Marle, Hjalmar J.C.
Format: Article
Language:English
Subjects:
Commitment of Mentally Ill - legislation & jurisprudence
Criminal Law - legislation & jurisprudence
Criminals - legislation & jurisprudence
Criminals - psychology
Evaluation
Evidence based medicine
Forensic Psychiatry
Humans
Insanity Defense
Mentally Ill Persons - legislation & jurisprudence
Mentally Ill Persons - psychology
Netherlands
Outcome Assessment (Health Care)
Outcome measures
Recidivism
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Summary:To comply with the need for a more evidence based risk assessment and management in forensic mental health, an outcome monitor is being developed in the Dutch forensic psychiatric centre Van der Hoeven Kliniek in Utrecht, the Hoeven Outcome Monitor (HOM). Conform evidence based medicine (EBM) guidelines, the HOM is subdivided into three consecutive stages, (1) the evaluation stage, (2) the aetiology stage and (3) the implementation stage. In this article an account is provided for the design of the evaluation stage. To account for predicaments in previous research that pertain to a lack of uniformity and disregard of specific context- and patient-related characteristics, a macro-, meso- and micro-treatment evaluation instrument is developed. This instrument provides for the first step to build an evidence base for specific interventions and treatments in forensic psychiatry.
ISSN:0160-2527
1873-6386
DOI:10.1016/j.ijlp.2016.02.009