title: Methodological development of the Hoeven Outcome Monitor (HOM): A first step towards a more evidence based medicine in forensic mental health.
abstract: To comply with the need for a more evidence based risk assessment and management in forensic mental health, an outcome monitor is being developed in the Dutch forensic psychiatric centre Van der Hoeven Kliniek in Utrecht, the Hoeven Outcome Monitor (HOM). Conform evidence based medicine (EBM) guidelines, the HOM is subdivided into three consecutive stages, (1) the evaluation stage, (2) the aetiology stage and (3) the implementation stage. In this article an account is provided for the design of the evaluation stage. To account for predicaments in previous research that pertain to a lack of uniformity and disregard of specific context- and patient-related characteristics, a macro-, meso- and micro-treatment evaluation instrument is developed. This instrument provides for the first step to build an evidence base for specific interventions and treatments in forensic psychiatry.
authors.affiliation: Research Department Van der Hoeven Kliniek, P.O. Box 174, 3500 DA, Utrecht, The Netherlands. Electronic address: lkeune@hoevenkliniek.nl.
authors.forename: Lobke H
authors.initials: LH
authors.lastname: Keune
authors.affiliation: Research Department Van der Hoeven Kliniek, P.O. Box 174, 3500 DA, Utrecht, The Netherlands. Electronic address: vdevogel@hoevenkliniek.nl.
authors.forename: Vivienne
authors.initials: V
authors.lastname: de Vogel
authors.affiliation: Forensic Psychiatry, Erasmus University Medical Centre and Erasmus School of Law Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, DP-0424, The Netherlands.
authors.forename: Hjalmar J C
authors.initials: HJ
authors.lastname: van Marle
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003416:Criminal Law / Q000331:legislation & jurisprudence*; D057237:Criminals / Q000331:legislation & jurisprudence* / Q000523:psychology*; D019317:Evidence-Based Medicine; D005555:Forensic Psychiatry; D006801:Humans; D007298:Insanity Defense; D028642:Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence* / Q000523:psychology*; D009426:Netherlands; D017063:Outcome Assessment, Health Care
keywords: Evaluation; Evidence based medicine; Outcome measures; Recidivism