@article{ref1,
title="'I'll serve my time…' II. A replication study of recidivism in patients with a one-year hospital order",
journal="Tijdschrift voor Psychiatrie",
year="2014",
author="Nowak, M. J. and Nugter, M. A.",
volume="56",
number="4",
pages="237-246",
abstract="BACKGROUND: In the Netherlands a one-year hospital order is often imposed on forensic patients with a psychotic disorder. The purpose of the order is to reduce the patient's violence behaviour by forcing him/her to receive medical treatment for a year. A pilot study showed that the recidivism rate for this group, following discharge, was relatively high. Patients who re-offended had relatively high HCR-20 scores and were more often involved in incidents during treatment than patients who had not re-offended. <br><br>AIM: To replicate the findings of the pilot study and to compare the recidivism rate of this group to the recidivism rate of patients who had been given a detention order for a longer time with possibilties for prolongation ('tbs'). <br><br>METHOD: The study involved 95 patients with a psychotic disorder who had been treated in an FPA (Forensic Psychiatric Clinic) by reason of a one-year hospital order or a detention order for an unspecified time. Hospital records were consulted in order to complete the HKT-30 and the PCL-R and to check how many incidents had occurred during each patient's treatment. The HKT-30 is a dutch version of the HCR-20. The results were counted at a later date by persons not informed about the outcome. After the hospital records had been checked, the recidivism figures were obtained from the Information Service of the Ministry of Justice. <br><br>RESULTS: Of the patients subject to the one-year hospital order 43.5% reoffended following discharge. Recidivism by patients who had been given the longer-term detention order was significantly lower, namely 23.1%. The seriousness of the offences committed following discharge differed significantly from the offence for which they were originally charged/convicted. The HKT-30 and factor 2 of the PCL-R predicted the possibility of recidivism, but the number of violent incidents that occurred on the ward did not. <br><br>CONCLUSION: Our findings indicate that the recidivism among patients subject to a one-year hospital order is relatively high compared to the rate among patients who had received a longer-term detention order. The most likely explanation for this difference is that the hospital order was imposed for a shorter period.<p /> <p>Language: nl</p>",
language="nl",
issn="0303-7339",
doi="",
url="http://dx.doi.org/"
}