Violent offenders as a target population for Public Mental Health Care

Fassaert, Thijs; Segeren, Menno; Grimbergen, Christel; Tuinebreijer, Wilco C.; Wit, Matty de

doi:10.1016/j.jflm.2016.03.003

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…However, fulfilling these tasks can be hard to accomplish for young adults with a criminal history [40]. Whereas self-sufficiency, to our knowledge, has not yet been used as an outcome measure in effect studies, a recent study in a forensic population showed that a substantial proportion of the participants had a low level of self-sufficiency [41]. This suggests that many offenders need (mental) health care in order to gain an acceptable level of functioning on essential life domains.…”

Section: Introductionmentioning

confidence: 99%

A multimodal day treatment program for multi-problem young adults: study protocol for a randomized controlled trial

Luijks

Bevaart

Zijlmans

et al. 2017

Trials

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BackgroundEffective interventions for young adults with severe, multiple problems – such as psychosocial and psychiatric problems, delinquency, unemployment and substance use – are scarce but urgently needed in order to support an adequate transition to adulthood. A multimodal day treatment program called “New Opportunities” (in Dutch: “De Nieuwe Kans”; DNK) was specifically developed to target multi-problem young adults in The Netherlands. The aim of this study protocol is to describe the design of a randomized controlled trial (RCT) in clinical practice to examine the effectiveness of DNK in comparison with care as usual (CAU).Methods/designMulti-problem young adults in Rotterdam, The Netherlands, will be assigned randomly to DNK (expected N = 150) and CAU (expected N = 150). Primary outcome measures are recidivism and self-sufficiency. Secondary outcome measures include quality of life, attending school/work, psychological functioning, cognitive distortions and substance use. Participant and program characteristics will be examined as potential moderators of effectiveness. Additionally, cost-effectiveness will be measured. During 14 months, data from multiple resources will be collected at four time points.DiscussionThis study is one of the first RCTs on the effectiveness of interventions developed for multi-problem young adults. The results will contribute to the currently scant knowledge about what works for various multi-problem young adults in their transition to adulthood. In addition, the study protocol will provide insight into implementing an RCT in a dynamic setting of clinical practice.Trial registrationDutch Trial Register, identifier: NTR5163. Registered on 17 April 2015; retrospectively registered during the recruitment phase.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1950-3) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

A multimodal day treatment program for multi-problem young adults: study protocol for a randomized controlled trial

Luijks

Bevaart

Zijlmans

et al. 2017

Trials

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“…While enrollment in the CVE program is not voluntary, the screening is. Results of similar screenings by the PHS in other, forensic-type, populations have been published elsewhere (43)(44)(45). Screenings are preferably done at the main office of the PHS, but some clients are screened at other places such as in their home or in prison.…”

Section: Methodsmentioning

confidence: 99%

“…This was done in two ways, namely by calculating (i) the number of people who had self-sufficiency problems in multiple domains and (ii) the number of people who had a combination of self-sufficiency problems that is typical for homeless people in Amsterdam. The latter was done similar to Fassaert et al ( 43 ) and Buster et al ( 57 ), who determined this based on scores <3 in the SSM-D domains of “Mental Health” or “Substances”, combined with scores <3 in either “Finances,” “Work and education,” or “Housing”.…”

Section: Methodsmentioning

confidence: 99%

Occurrence of Psychiatric Disorders, Self-Sufficiency Problems and Adverse Childhood Experiences in a Population Suspected of Violent Extremism

Grimbergen

Fassaert

2022

Front. Psychiatry

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BackgroundPublic health-inspired programs for Countering Violent Extremism (CVE) have developed internationally in a relatively short period of time. Research into these programs is scarce. There is a need for information that helps drive public health interventions.ObjectivesTo present data on the occurrence of psychiatric disorders, self-sufficiency problems and adverse childhood experiences (ACE) in a population suspected of violent extremism.MethodsA cross-sectional study, with data from screening reports for 34 adult subjects included in a multi-agency case-based approach on violent extremism in Amsterdam, the Netherlands. Subjects were screened in the period between December 2015 to May 2021. Screening reports, which included the Screener for Intelligence and Learning Disabilities (SCIL) and the Dutch version of the Self-sufficiency Matrix (SSM-D), were used to gather information on the main outcome measures.ResultsMajor psychiatric disease categories were found to be mood and anxiety disorders and mild intellectual disability (each 29.4%), substance related disorders (35.3%), personality disorders (41.2%), and psychotic disorders (14.7%). Complex self-sufficiency problems, measured by the number of people who had self-sufficiency problems in 4+ domains and the number of people who had similar self-sufficiency problems as homeless people in Amsterdam, were found in 35.3 and 32.4% of the client sample. The most prevalent ACE were emotional neglect (47.1%), household mental illness (44.1%), and loss of a parent (38.2%), 35.3% had been exposed to 4+ ACE. An association was found between NACE and self-sufficiency problems on two domains, namely “Mental Health” (rho = 0.51, p = 0.002) and “Law and order” (rho = 0.42, p = 0.013).ConclusionsAn accumulation of social and psychiatric problems in people suspected of violent extremism underlines the importance of professionals in health and social care being actively involved in developing CVE approaches.

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“…Next, information from the screenings, combined with data from youth care files (Segeren, Fassaert, Kea, de Wit, & Popma, 2016), enabled the Municipal Public Health Service gain better insight into the group as a whole. Accumulation of problems in the past (i.e., adverse childhood experiences) and present has resulted in the notion that at least one‐third of the Top600 population may be considered a target group for the public mental health care system (Fassaert, Segeren, Grimbergen, Tuinebreijer, & de Wit, 2016). An interesting aspect of the Top600 programme in this regard is the choice to consider family circumstances and siblings who are at risk in the same environment.…”

Section: Case I: the Top600 Approach Of High‐impact Crimesmentioning

confidence: 99%

Nursing and policing as boundary‐spanning professions: From crisis management towards community outcomes in mental health

Dijk¹,

Zoeteman

Fassaert

2020

Psychiatric Ment Health Nurs

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Violent offenders as a target population for Public Mental Health Care

Cited by 8 publications

References 14 publications

A multimodal day treatment program for multi-problem young adults: study protocol for a randomized controlled trial

A multimodal day treatment program for multi-problem young adults: study protocol for a randomized controlled trial

Occurrence of Psychiatric Disorders, Self-Sufficiency Problems and Adverse Childhood Experiences in a Population Suspected of Violent Extremism

Nursing and policing as boundary‐spanning professions: From crisis management towards community outcomes in mental health

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