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[Clinical decision making with regard to the granting of escorted leave for forensic patients detained by court order in a Dutch psychiatric clinic. Role of gender, disorder and the type of offence in the procedure].

Authors
  • Ter Horst, P
  • Jessen, A
  • Bogaerts, S
  • Spreen, M
Type
Published Article
Journal
Tijdschrift voor psychiatrie
Publication Date
Jan 01, 2015
Volume
57
Issue
5
Pages
314–322
Identifiers
PMID: 26028011
Source
Medline
License
Unknown

Abstract

Partly on the basis of risk management scales, clinicians judge whether the patient has adopted a more positive or a more negative attitude to risk factors relating to his or her offence. If the risk factors have become more positive, one would expect the application for leave to be made earlier. Surprisingly, this was not the case. In order to speed up the decision-making process regarding the application for leave, a clinical method for evaluating risk related treatment needs to be developed in which offence related risk factors are identified and the patient's positive or negative attitude to these risks are measured and monitored. At each treatment evaluation practitioners should be required to produce arguments that determine whether or not the patient is to be granted permission to go on leave at a particular moment.

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