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2014-30: E-health: Self-score app (Call 2014-30)

Target group

The application is intended for forensic psychiatric patients who want to prepare their own treatment evaluation and assess their progress in relation to developments that the team sees.

Self-score app for patients

Taking risk assessments is mandatory in Dutch forensic clinics. The clinics must use either the HKT-R or the HCR-20V3. These instruments are primarily developed for professionals so that they can provide insight into the developments of their patients in a structured way and can also make estimates of the risk of recidivism with regard to leave situations. However, when patients can score themselves and their progress in treatment, they could provide them with new insights into their progress, the (treatment) goals to be set and the impact of treatment over time. The outcome of their self-score can be a reason to start a discussion about the treatment and the progress with the practitioner. In this way, patients also gain insight into which aspects, for example, care providers pay attention to and how they interpret behavior.

Application & effect

With the use of this self-score application, forensic psychiatric patients can enter their own protective and risk factors. For this purpose, the items from the risk assessment instruments HKT-R and HCR-20V3 have been translated into questions that connect as closely as possible to the perception of patients. The scoring of the questions is then visually represented in a spider web-like figure. Shifting the balls on the axes inwards or outwards in this spider web indicates the progress / deterioration on the various factors. What has been scored by the patient can then be evaluated in consultation with the practitioner, but this is not mandatory. The ultimate goal is therefore to make the patient more the owner of recovery and thus, for example, to increase treatment motivation.

Executive party

The Woenselse Poort in collaboration with de Pompe Stichting.

Forensic psychiatric patients who suffer from (serious) aggression issues and who have only limited impulse control skills and/or an inadequate level of impulse control.