The Instrument for Forensic Treatment Evaluation: Reliability, Factorial Structure, and Sensitivity to Measure Behavioral Changes

2018 ◽  
Vol 18 (3) ◽  
pp. 229-253 ◽  
Author(s):  
Frida C. A. van Der Veeken ◽  
Stefan Bogaerts ◽  
Jacques Lucieer
Keyword(s):  
Treatment Evaluation ◽  
Behavioral Changes ◽  
Factorial Structure ◽  
Forensic Treatment

Treatment Evaluation in Forensic Psychiatry. Which One Should Be Used: The Clinical Judgment or the Instrument-based Assessment of Change?

2021 ◽  
pp. 0306624X2110239
Author(s):  
Erwin Schuringa ◽  
Marinus Spreen ◽  
Stefan Bogaerts
Keyword(s):  
Risk Assessment ◽  
Psychiatric Patient ◽  
Clinical Judgment ◽  
Forensic Psychiatry ◽  
Treatment Evaluation ◽  
Behavioral Changes ◽  
Professional Judgment ◽  
Forensic Treatment ◽  
Forensic Psychiatric ◽  
Structured Professional Judgment

In forensic psychiatry, it is common practice to use an unstructured clinical judgment for treatment evaluation. From risk assessment studies, it is known that the unstructured clinical judgment is unreliable and the use of instruments is recommended. This paper aims to explore the clinical judgment of change compared to the calculated change using the Instrument for Forensic Treatment Evaluation (IFTE) in relation to changes in inpatient violence This study shows that the clinical judgment is much more positive about patient’s behavioral changes than the calculated change. And that the calculated change is more in accordance with the change in the occurrence of inpatient violence, suggesting that the calculated change reflects reality closer than the unstructured clinical judgment. Therefore, it is advisable to use the IFTE as a base to make a structured professional judgment of the treatment evaluation of a forensic psychiatric patient.

Instrument for Forensic Treatment Evaluation

2018 ◽  
Author(s):  
Erwin Schuringa ◽  
V. E. Heininga ◽  
Marinus Spreen ◽  
Stefan Bogaerts
Keyword(s):  
Treatment Evaluation ◽  
Forensic Treatment

Concurrent and Predictive Validity of the Instrument for Forensic Treatment Evaluation: From Risk Assessment to Routine, Multidisciplinary Treatment Evaluation

2016 ◽  
Vol 62 (5) ◽  
pp. 1281-1299 ◽  
Author(s):  
Erwin Schuringa ◽  
V.E. Heininga ◽  
Marinus Spreen ◽  
Stefan Bogaerts
Keyword(s):  
Risk Assessment ◽  
Predictive Validity ◽  
Assessment Tool ◽  
Multidisciplinary Treatment ◽  
Treatment Evaluation ◽  
Individual Treatment ◽  
Good Reliability ◽  
Forensic Practice ◽  
Forensic Treatment ◽  
Therapy Attendance

Besides assessment of forensic patients’ risk of future violence and criminogenic needs, knowledge on their responsivity to treatment is equally important. However, instruments currently used for risk assessment are not sensitive enough for treatment evaluation. Therefore, the Instrument for Forensic Treatment Evaluation (IFTE) was developed. The IFTE is a treatment evaluation tool, which uses the dynamic risk items of the Dutch risk assessment tool, the HKT-R (Historical, Clinical, Future–Revised). The IFTE has an extended answering scale, which makes it more sensitive for measuring change and enables clinicians to monitor patients’ responsivity to treatment closely. This study examines the concurrent and predictive validity of the IFTE. We found moderate to strong correlations between IFTE items and HKT-30 items (the HKT-30 is the predecessor of the HKT-R), with work and therapy attendance, and positive drug tests. In addition, we found moderate to modest correlations between some IFTE items and work and therapy attendance in a 6-month follow-up period and modest to high discriminative power for some IFTE items for violence and drug use 6 months after the measurement. Given its good reliability and validity properties, and comprehensive but short-term nature, implementation of the IFTE in forensic practice likely improves individual treatment of forensic psychiatric patients and has high potential for risk management purposes.

Supervision: A Case Study

1977 ◽  
Vol 8 (4) ◽  
pp. 256-263
Author(s):  
Roberta Chapey ◽  
Geraldine Chapey
Keyword(s):  
Organizational Communication ◽  
Behavioral Changes ◽  
Personal Problems ◽  
Clinically Significant

Occasionally, it is the responsibility of a supervisor to help a staff speech clinician resolve professional and or personal problems that interfere with the delivery of quality services. To deal with this situation, the supervisor must be equipped with the techniques and procedures for effective organizational communication. This article presents a case study in which a speech clinician demonstrated irresponsibility in various job areas. The supervisor’s philosophy and the procedures used in managing these problems are presented. The behavioral changes suggest that the supervisor’s interventive procedures were clinically significant and warrant further investigation.

The Biological Clock and Sleep in the Elderly

2006 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Myriam Juda ◽  
Mirjam Münch ◽  
Anna Wirz-Justice ◽  
Martha Merrow ◽  
Till Roenneberg
Keyword(s):  
Circadian Rhythms ◽  
Biological Clock ◽  
The Elderly ◽  
Early Morning ◽  
Behavioral Changes ◽  
Older Age ◽  
Age Related ◽  
Theoretical Considerations ◽  
Sleep Difficulties ◽  
Circadian Biology

Abstract: Among many other changes, older age is characterized by advanced sleep-wake cycles, changes in the amplitude of various circadian rhythms, as well as reduced entrainment to zeitgebers. These features reveal themselves through early morning awakenings, sleep difficulties at night, and a re-emergence of daytime napping. This review summarizes the observations concerning the biological clock and sleep in the elderly and discusses the documented and theoretical considerations behind these age-related behavioral changes, especially with respect to circadian biology.

The Need Inventory of Sensation Seeking (NISS)

2012 ◽  
Vol 28 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Marcus Roth ◽  
Philipp Hammelstein
Keyword(s):  
Sensation Seeking ◽  
Reliability And Validity ◽  
Assessment Method ◽  
Factorial Structure ◽  
Conventional Methods ◽  
New Research ◽  
Sensation Seeking Scale ◽  
Temperamental Trait ◽  
Nonclinical Study

Based on the conception of sensation seeking as a need rather than a temperamental trait ( Hammelstein, 2004 ), we present a new assessment method, the Need Inventory of Sensation Seeking (NISS), which is considered to assess a motivational disposition. Three studies are presented: The first examined the factorial structure and the reliability of the German versions of the NISS; the second study compared the German and the English versions of the NISS; and finally, the validity of the NISS was examined in a nonclinical study and compared to the validity of conventional methods of assessing sensation seeking (Sensation Seeking Scale – Form V; SSS-V). Compared to the SSS-V, the NISS shows better reliability and validity in addition to providing new research possibilities including application in experimental areas.

Age Differences in Eye Movements During Reading: Degenerative Problems or Compensatory Strategy?

2019 ◽  
Vol 24 (4) ◽  
pp. 297-311
Author(s):  
José David Moreno ◽  
José A. León ◽  
Lorena A. M. Arnal ◽  
Juan Botella
Keyword(s):  
Eye Movements ◽  
Eye Movement ◽  
Meta Analysis ◽  
Age Groups ◽  
Behavioral Changes ◽  
Aging Effects ◽  
Movement Data ◽  
Sentence Reading ◽  
The Difference ◽  
Eye Movements During Reading

Abstract. We report the results of a meta-analysis of 22 experiments comparing the eye movement data obtained from young ( Mage = 21 years) and old ( Mage = 73 years) readers. The data included six eye movement measures (mean gaze duration, mean fixation duration, total sentence reading time, mean number of fixations, mean number of regressions, and mean length of progressive saccade eye movements). Estimates were obtained of the typified mean difference, d, between the age groups in all six measures. The results showed positive combined effect size estimates in favor of the young adult group (between 0.54 and 3.66 in all measures), although the difference for the mean number of fixations was not significant. Young adults make in a systematic way, shorter gazes, fewer regressions, and shorter saccadic movements during reading than older adults, and they also read faster. The meta-analysis results confirm statistically the most common patterns observed in previous research; therefore, eye movements seem to be a useful tool to measure behavioral changes due to the aging process. Moreover, these results do not allow us to discard either of the two main hypotheses assessed for explaining the observed aging effects, namely neural degenerative problems and the adoption of compensatory strategies.

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