Self-evaluation and risk assesment
Applications for risk assessment
In forensic psychiatry, estimating the risk of recurrence of patients as reliably as possible is crucial. Risk assessment instruments are used to assess whether a patient can go on leave or can return to society safely. These are scientifically based questionnaires, which can be used to estimate how likely it is that a patient will commit a (serious) crime again. Risk assessment is therefore a mandatory part of the leave policy. The quality of risk assessments is a structural subject of research, so that risks can increasingly be "predicted". GGzE and BPI Services have been working since 2014 on digital applications for user-friendly and reliable processing of risk assessments.
The HKT-Spin is a tool that provides a visual insight from a treatment perspective which forensic problems (risk factors) require treatment, to what extent the current problem is and who carries the risk management. This spin also shows in which areas nothing is being taken over; what may go well under the direction of the patient himself, which does not require specific forensic treatment. The picture can serve as a starting point for the treatment (evaluation) discussion with the team and with the patient. This app, which was initially developed for forensic psychiatric clients, was developed after an idea of and in close collaboration with Paul Ter Horst (senior scientific researcher De Woenselse Poort). The app is inspired by the risk assessment instruments HKT-R and HCR-V3 and offers the following benefits.
- One of the great advantages of the app compared to other applications is that you can go randomly through the H - K - T domains. Where other lists address sequential themes, here, guided by disordered file information or a treatment evaluation interview, ad hoc, can be clicked directly on the applicable item to enter the desired information there. The result of the input is immediately visual and visible in the spin. Regular ROM lists that need to be completed sequentially, are less intuitive and do not generate any visual "reward" for the person who has completed the list.
- If several measurements have been made, the patient's development is visible on individual risk factors.
- The spin tag is also useful for patients who do not speak Dutch or who have an intellectual disability. The symbols (red flag) traffic lights used are universal. Because the image is used as a means of talking to the patient, a thorough explanation of the score must be given.
- The score must stand for something. This should do justice to the functioning of the patient. Filling out a ROM list within the framework of financial accountability is quickly and compulsory.
- Just like with regular ROM applications, these scores can be exported. They can be used for accountability in the context of performance indicators and for research.
- Within a few months it will also be possible to compare your own client data against moves against the HKT spin development of tbs (non) repeat offenders (outflow cohort 2009 - 2014) in - through and outflow.
- The aforementioned reference profiles can be supportive in making decisions about leave to use treatments for crime-specific risk factors or the (still) required security level. The arguments put forward to substantiate the scores also. Other applications do not provide an editable word output that teams need to substantiate the hazard criterion and engage in conversation with their patients.
- When creating regular ROM applications, particular attention was paid to the output that is necessary to satisfy financiers. Many of these lists are mandatory and filled in at a time when financial accountability must be made. They are not used as a means to support the primary process. The primary process was leading in the development of the HKT app. A practical tool that can be used to evaluate the treatment invites you to use it in practice at times when the user can benefit from it. Then it delivers good quality data (the image) with which we primarily account for our patients. The secondary gain is quantitative and qualitative data output that can also be used for other purposes
BPI and GGzE offer the software as a complete platform including support. The application meets the requirements arising from IS027001 and NEN7510. Customers can opt for so-called "on premises" installation or "cloud" service.