How Do Forensic Clinicians Decide? A Delphi Approach to Identify Domains Commonly Used in Forensic Juvenile Treatment Planning

Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, sci...

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Bibliographic Details
Published in:International journal of offender therapy and comparative criminology 2018-02, Vol.62 (3), p.591-608
Main Authors: Hillege, Sanne L., van Domburgh, Lieke, Mulder, Eva A., Jansen, Lucres M. C., Vermeiren, Robert R. J. M.
Format: Article
Language:English
Subjects:
Adolescents
Comorbidity
Correctional treatment programs
Decision making
Delphi method
Health planning
Health problems
Housing
Juvenile delinquency
Medical decision making
Mental disorders
Mental health services
Motivation
Peers
Personal characteristics
Protective factors
Psychiatry
Scientific knowledge
Tacit knowledge
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Summary:Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, scientific knowledge on how these treatment decisions take place is scarce. Current study uses a qualitative design for detecting implicit knowledge of clinicians on which offender characteristics they consider while making treatment decisions. Using the Delphi method, 34 experienced clinicians working in forensic care facilities in the Netherlands were asked about the most important domains of offender characteristics that influence their treatment planning. Eight domains were identified as being crucial in treatment planning: Mental health problems, Personal characteristics, Family, Offense, Motivation, Treatment, School/Work/Housing, and Peers/Spare time. Based on current results, focus on a broad spectrum of individual and contextual characteristics is recommended. Moreover, protective factors and comorbid problems on multiple domains should be considered.
ISSN:0306-624X
1552-6933
DOI:10.1177/0306624X16658724