PMID: 31372967Aug 3, 2019Paper

Determining security need in forensic psychiatric patients: HoNOS-Secure and DUNDRUM-1

Tijdschrift voor psychiatrie
Inge Jeandarme, Petra Habets

Abstract

Forensic psychiatric patients can be treated in different security levels. Clear criteria to estimate the required security level or transfer to a less secure setting are not yet available. A literature review shows that, of the few instruments that are used internationally, the DUNDRUM and the HoNOS-Secure are the most promising.<br/> AIM: To investigate whether these instruments can be used in Flemish forensic psychiatric settings.<br/> METHOD: DUNDRUM-1 scores were collected for 150 internees. The psychometric qualities of the scale were examined. In a subpopulation, the DUNDRUM-1 was compared with the HoNOS-Secure.<br/> RESULTS: The psychometric properties of the DUNDRUM-1 were good and exceeded those of the HoNOS-Secure.<br/> CONCLUSION: The DUNDRUM-1 is an instrument that can help clinicians and judges to better - and in a more transparent way - substantiate their decision-making to secure care. However, further research regarding the practical applicability is needed.

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