How Do Forensic Clinicians Decide? A Delphi Approach to Identify Domains Commonly Used in Forensic Juvenile Treatment Planning

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, scientific knowledge on how these treatment decisions take place is scarce. Current study uses a qualitative design for detecting implicit knowledge of clinicians on which offender characteristics they consider while making treatment decisions. Using the Delphi method, 34 experienced clinicians working in forensic care facilities in the Netherlands were asked about the most important domains of offender characteristics that influence their treatment planning. Eight domains were identified as being crucial in treatment planning: Mental health problems, Personal characteristics, Family, Offense, Motivation, Treatment, School/Work/Housing, and Peers/Spare time. Based on current results, focus on a broad spectrum of individual and contextual characteristics is recommended. Moreover, protective factors and comorbid problems on multiple domains should be considered.
LanguageEnglish
Pages591-608
JournalInternational Journal of Offender Therapy and Comparative Criminology
Volume62
Issue number3
DOIs
Publication statusPublished - 2018

Cite this

@article{4134bad14cf64a01bf04b1249f0c92e6,
title = "How Do Forensic Clinicians Decide? A Delphi Approach to Identify Domains Commonly Used in Forensic Juvenile Treatment Planning",
abstract = "Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, scientific knowledge on how these treatment decisions take place is scarce. Current study uses a qualitative design for detecting implicit knowledge of clinicians on which offender characteristics they consider while making treatment decisions. Using the Delphi method, 34 experienced clinicians working in forensic care facilities in the Netherlands were asked about the most important domains of offender characteristics that influence their treatment planning. Eight domains were identified as being crucial in treatment planning: Mental health problems, Personal characteristics, Family, Offense, Motivation, Treatment, School/Work/Housing, and Peers/Spare time. Based on current results, focus on a broad spectrum of individual and contextual characteristics is recommended. Moreover, protective factors and comorbid problems on multiple domains should be considered.",
author = "Hillege, {Sanne L.} and {van Domburgh}, Lieke and Mulder, {Eva A.} and Jansen, {Lucres M. C.} and Vermeiren, {Robert R. J. M.}",
year = "2018",
doi = "10.1177/0306624X16658724",
language = "English",
volume = "62",
pages = "591--608",
journal = "International Journal of Offender Therapy and Comparative Criminology",
issn = "0306-624X",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - How Do Forensic Clinicians Decide? A Delphi Approach to Identify Domains Commonly Used in Forensic Juvenile Treatment Planning

AU - Hillege, Sanne L.

AU - van Domburgh, Lieke

AU - Mulder, Eva A.

AU - Jansen, Lucres M. C.

AU - Vermeiren, Robert R. J. M.

PY - 2018

Y1 - 2018

N2 - Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, scientific knowledge on how these treatment decisions take place is scarce. Current study uses a qualitative design for detecting implicit knowledge of clinicians on which offender characteristics they consider while making treatment decisions. Using the Delphi method, 34 experienced clinicians working in forensic care facilities in the Netherlands were asked about the most important domains of offender characteristics that influence their treatment planning. Eight domains were identified as being crucial in treatment planning: Mental health problems, Personal characteristics, Family, Offense, Motivation, Treatment, School/Work/Housing, and Peers/Spare time. Based on current results, focus on a broad spectrum of individual and contextual characteristics is recommended. Moreover, protective factors and comorbid problems on multiple domains should be considered.

AB - Adolescents in forensic care display wide varieties of complex psychiatric, psychological, and contextual problems. Based on large amounts of information, clinicians need to consider, integrate, and prioritize these offender characteristics to construct individual treatment trajectories. So far, scientific knowledge on how these treatment decisions take place is scarce. Current study uses a qualitative design for detecting implicit knowledge of clinicians on which offender characteristics they consider while making treatment decisions. Using the Delphi method, 34 experienced clinicians working in forensic care facilities in the Netherlands were asked about the most important domains of offender characteristics that influence their treatment planning. Eight domains were identified as being crucial in treatment planning: Mental health problems, Personal characteristics, Family, Offense, Motivation, Treatment, School/Work/Housing, and Peers/Spare time. Based on current results, focus on a broad spectrum of individual and contextual characteristics is recommended. Moreover, protective factors and comorbid problems on multiple domains should be considered.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85040657882&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/27406038

U2 - 10.1177/0306624X16658724

DO - 10.1177/0306624X16658724

M3 - Article

VL - 62

SP - 591

EP - 608

JO - International Journal of Offender Therapy and Comparative Criminology

T2 - International Journal of Offender Therapy and Comparative Criminology

JF - International Journal of Offender Therapy and Comparative Criminology

SN - 0306-624X

IS - 3

ER -