Abstract
Purpose:
Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers.
Design/methodology/approach:
Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence).
Findings:
Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption.
Practical implications:
This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence.
Originality/value:
This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.
Original language | English |
---|---|
Pages (from-to) | 39-52 |
Journal | Journal of Forensic Practice |
Volume | 23 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2021 |
Keywords
- Dual diagnosis