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2014-34: Treatment progress personality disorders (Call 2014-34)

Target group

Forensic psychiatric patients diagnosed with a personality disorder.

Measuring treatment progress in patients with a personality disorder

To measure treatment progress in forensic patients, the instruments HoNOS, Mate7 or DROS are prescribed in the Performance Indicator Guide. An exception has been made for patients with a personality disorder and patients with a sexual disorder. This is because, according to experts, these instruments are not suitable to obtain a clear picture of the treatment progress for these target groups. Their specific problems are not sufficiently mapped out, which means that the treatment progress cannot be determined with sufficient accuracy. This study investigated which instruments could be used to measure the treatment progress of patients with a personality disorder. 

Application and effect

In conclusion, the advice is to use the clinical and future factors from the HCR-20V3 or HKT-R for changes in dynamic risk factors. MANSA is recommended for determining personal recovery; STiP 5.1 is recommended to determine the functioning of adaptive systems in the forensic field. The latter is promising but has not yet been validated for the forensic sector. As a follow-up, KFZ has instigated a validation study into the use of the STiP 5.1 method in the field of forensic care (Call 2017-59 ongoing project, Dutch only). Until there is more clarity about the usability and applicability of the instrument in the specific forensic sector, it will not be included in the Performance Indicators Guide. 

Executive party

GGZ-Noord-Holland Noord, in cooperation with AMC-UvA (psychiatry department)/ Mark Bench.