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Introduction
Skills and Expertise
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January 2009 - April 2016
September 1999 - May 2002
Publications
Publications (117)
(1) Background: ‘Images of Self’ (IOS) is a recently developed and evaluated art therapy program of 15 sessions to reduce difficulties in ‘sense of self’, ‘emotion regulation’, ‘flexibility’, and ‘social behavior’ of children diagnosed with Autism Spectrum Disorders (ASD). In this paper, it is explored whether change in the child’s behaviors corres...
ABSTRACT
Introduction
In a previously published multiple case study in which 10 children on
the autism spectrum were offered the “Papageno Music Therapy Program” (PMTP), a favorable development was found with regard to social interaction. As an extension of our previous study, we investigate if the progress can also be observed in a larger group,...
The Historical Clinical Future-Revised [HKT-R] is a risk assessment tool to support forensic psychiatric professionals in their clinical decisions to prevent future recidivism. A self-report version and App has been developed in co-creation with patients and professionals, the so-called HKT-R Spider App. This App aims to helps patients understand t...
Agressief gedrag van jongeren op scholen en binnen de jeugdzorg is een steeds terugkerend probleem. In dit artikel wordt een aantal bestaande interventies, zoals Agressie Replacement training en Agressieregulatie op maat, vergeleken met het General Aggression Model (GAM). Dit model verklaart het ontstaan van agressief gedrag door de input (persoons...
Introduction: Depression can be a serious problem in young adult students. There is a need to implement and monitor prevention interventions for these students. Emotion-regulating improvisational music therapy (EIMT) was developed to prevent depression. The purpose of this study was to evaluate the feasibility of EIMT for use in practice for young...
Introduction: Depression can be a serious problem in young adult students. There is a need to implement and monitor prevention interventions for these students. Emotion-regulating improvisational music therapy (EIMT) was developed to prevent depression. The purpose of this study was to evaluate the feasibility of EIMT for use in practice for young...
Forensic psychiatric patients form a very heterogeneous population regarding psychopathology, criminal history, and risk factors for reoffending. Therefore, the present study aimed to investigate whether there are more homogeneous classes of forensic patients based on DSM-IV-TR Axis I and II diagnoses and previously committed offenses, by means of...
Background
Negative symptoms hamper treatment progress of patients with schizophrenia.
Aim
This study evaluates the effect of a music therapy module on negative symptoms, composed of activating music therapy as usual, augmented by elements of neurologic music therapy on negative symptoms.
Method
A pre- and posttreatment measurement with the Dut...
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...
BACKGROUND Negative symptoms hamper treatment progress of patients with schizophrenia. AIM This study evaluates the effect of a music therapy module on negative symptoms, composed of activating music therapy as usual, augmented by elements of neurologic music therapy on negative symptoms. METHOD A pre- and posttreatment measurement with the Dutch v...
Background
Music therapy is claimed to have a positive effect on the social behavior of children with Autism Spectrum Disorder (ASD). However, in most studies the target behaviors and the interventions are insufficiently defined and described. Also, it is often doubtful whether accurate research designs were performed to study the intervention to f...
Depression is a serious mental health problem. Therefore, Emotion-regulating Improvisational Music Therapy (EIMT) to prevent depression was developed. The main purpose of this study was to assess effects of EIMT on reducing depressive symptoms in young adult students. A multiple-case study design was used with multiple
methods. Eleven cases (female...
Background: Art therapy (AT) is frequently offered to children and adolescents with psychosocial problems. AT is an experiential form of treatment in which the use of art materials, the process of creation in the presence and guidance of an art therapist, and the resulting artwork are assumed to contribute to the reduction of psychosocial problems....
Background: Research has shown that the Instrument for Forensic Treatment Evaluation (IFTE) is useful for a heterogeneous group of forensic psychiatric (tbs-order) patients as a treatment evaluation and risk management tool. It is not clear, however, whether this ROM instrument can predict inpatient violence in the short term for different target g...
In many forensic psychiatric hospitals, patients’ mental health is monitored at regular intervals. Typically, clinicians score patients using a Likert scale on multiple criteria including hostility. Having an overview of patients’ scores benefits staff members in at least three ways. First, the scores may help adjust treatment to the individual pat...
In this study, we investigated network configurations of 14 Clinical risk and protective factors in a sample of 317 male forensic psychiatric patients across two time points: at the time of admission to the forensic psychiatric centers (T1) and at the time of unconditional release (T2). In terms of network structure, the strongest risk edge
was bet...
In this study, growth trajectories (from admission until unconditional release) of crime-related dynamic risk factors were investigated in a sample of Dutch forensic patients ( N = 317), using latent growth curve modeling. After testing the unconditional model, three predictors were added: first-time offender versus recidivist, age, and treatment d...
In dit artikel doen wij verslag van twee verkenningen naar de vraag in hoeverre vaktherapeuten de zeven transdiagnostische factoren (TDF’s) zoals geformuleerd in de Generieke module Vaktherapie (GMVT) herkennen in de problematiek van hun cliënten. Met de keuze voor deze zeven factoren is een start gemaakt om aan de hand van een overzichtelijk aanta...
Two instruments were developed and examined to enable treatment evaluation for art therapy (AT) with children diagnosed with Autism Spectrum Disorders (ASD). One instrument is the OAT-A (Observation in Art Therapy with a child diagnosed ASD), the other the EAT-A (Evaluation of actions of the Art Therapist during treatment of a child diagnosed ASD)....
Risicotaxatie ten behoeve van behandeling In de nasleep van de moord op Anne Faber heeft de zaak van Michael P. veel losgemaakt omtrent de rol van ri-sicotaxatie in het forensische veld. Voor het gevangeniswezen verordonneerde de Minister voor Rechtsbescherming in een brief aan de Tweede Kamer in maart 2019 dat veroordeelden van ernstige gewelds-of...
Objective:
In forensic psychiatric patients, sleep problems as well as impulsivity and aggression are highly prevalent, yet studies on their association over time are lacking. This study investigates the association between sleep quality and changes in impulsivity and aggression in forensic psychiatric patients over one year.
Methods:
Data were...
Depression is a highly prevalent and seriously impairing disorder. Evidence suggests that music therapy can decrease depression, though the music therapy that is offered is often not clearly described in studies. The purpose of this study was to develop an improvisational music therapy intervention based on insights from theory, evidence and clinic...
Despite the increasing use of neurofeedback in clinical psychology, it is rarely used in forensic psychiatric settings. This study investigated whether forensic psychiatric patients (n = 19) diagnosed with substance use disorder were able to learn to control EEG-activity based on a sensorimotor rhythm/theta neurofeedback protocol. Criteria for qual...
Art therapy (AT) offers a specific treatment for developmental, social and behavioural problems of children with autism spectrum disorders (ASD). In this study typical elements of AT with ASD diagnosed children are specified and validated in a two-round Delphi study with 19 art therapists and 10 referrers. In the first round, relevance and applicab...
Electroencephalographic (EEG) neurofeedback could be a promising treatment for forensic psychiatric patients. Increasing evidence shows some patients are unable to regulate cortical activity. Before neurofeedback can be applied successfully, research is needed to investigate the interpersonal mechanisms responsible for patients’ ability to respond...
Electroencephalographic (EEG) neurofeedback could be a promising treatment for
forensic psychiatric patients. Increasing evidence shows some patients are unable to
regulate cortical activity. Before neurofeedback can be applied successfully, research
is needed to investigate the interpersonal mechanisms responsible for patients’
ability to respond...
Risicotaxatie in de Nederlandse rechtspraktijk: op naar een best practice Recent is veel discussie ontstaan over de gangbare methode voor risicotaxatie in de Nederlandse forensische diagnostiek. In dit artikel bespreken wij de voor-en nadelen van de verschillende methoden vanuit zowel de wetenschap als de rechtspraktijk en beargumenteren wij waarom...
Recent is veel discussie ontstaan over de gangbare methode voor risicotaxatie in de Nederlandse forensische diagnostiek. In dit artikel bespreken wij de voor- en nadelen van de verschillende methoden vanuit zowel de wetenschapalsderechtspraktijkenbeargumenterenwijwaaromhetgestructureerdklinischoordeel,naaronze mening, de beste methode is voor risic...
Background: Forensic psychiatric patients are often diagnosed with psychiatric disorders characterized by high levels of
impulsivity as well as comorbid substance use disorders (SUD). The combination of psychiatric disorders and SUD increases the
risk of future violence. Chronic substance abuse can lead to a structural state of disinhibition, resul...
Professionals van School2care (Altra) en van Julia (Spirit) namen in 2017 in hun organisatie deel aan een pilot met groepssupervisie aan de hand van beelden. Zij filmden zichzelf tijdens gesprekken met jongeren en bespraken het beeldmateriaal tijdens de supervisie. In de supervisie is er gebruikt gemaakt van een reflectie-instrument waarin is omsch...
ACHTERGROND: Uit onderzoek is gebleken dat het Instrument voor Forensische Behandelevaluatie (ifbe) bruikbaar is voor een heterogene groep tbs-patiënten als behandelevaluatie-en risicomanagementinstrument. Het is echter niet duidelijk of dit rom-instrument voor verschillende doelgroepen binnen de tbs intramuraal geweld op de korte termijn kan voors...
Voorspellen van intramuraal geweld op korte termijn met het Instrument voor Forensische Behandelevaluatie (IFBE), ROM-instrument in de tbs voor verschillende doelgroepen E. SCHURINGA, M. SPREEN, S. BOGAERTS ACHTERGROND Uit onderzoek is gebleken dat het Instrument voor Forensische Behandelevaluatie (ifbe) bruikbaar is voor een heterogene groep tbs-p...
Background:
The Instrument for Forensic Treatment Evaluation (IFTE) has proven to be useful as an instrument for treatment evaluation and risk management in a heterogeneous group of tbs-patients (tbs = court ordered psychiatric treatment for offenders with a mental disorder). However, it is not known whether this ROM-instrument is a predictor of s...
In het hbo blijft het motto: 'leren door doen'. De vraag is hoe dit actieve leren kan worden ingericht als het om onderzoek gaat. De benadering van Design Based Education (DBE) groeit aan betekenis als onderwijsbenadering in het hbo. De kern van DBE is dat studenten praktijkproblemen kenmerkend voor hun discipline volgens een bepaalde strategie tac...
This study has examined the predictive validity of the Historical-Clinical-Future [Historisch Klinisch Toekomst] Revised risk assessment scheme in a cohort of 347 forensic psychiatric patients, which were discharged between 2004 and 2008 from any of 12 highly secure forensic centers in the Netherlands. Predictive validity was measured two and five...
This study explored to what extent the composition and structure of personal networks of personality-disordered forensic psychiatric patients changed before and after forced confinement in a forensic psychiatric centre. Semi-structured in-depth interviews with 36 patients and selected members of their networks were examined. During forensic psychia...
BACKGROUND
Forensic psychiatric patients are often diagnosed with psychiatric disorders characterized by high levels of impulsivity as well as comorbid substance use disorders (SUD). The combination of psychiatric disorders and SUD increases the risk of future violence. Chronic substance abuse can lead to a structural state of disinhibition, result...
Background
Effective treatment interventions for criminal offenders are necessary to reduce risk of criminal recidivism. Evidence about deviant EEG-frequencies underlying disorders found in criminal offenders is accumulating. Yet, treatment modalities such as neurofeedback are rarely applied in the forensic psychiatric domain. Since offenders usual...
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 I...
Children with autism spectrum disorders (ASD) are often referred to art therapy. To investigate what works in art therapy with children with ASD, the tacit knowledge of 8 experienced art therapists was explored through interviews. Promising components were arranged into the Context and Outcomes of Art Therapy (COAT) model. According to the responde...
Background:
Depression is a highly prevalent mood disorder that is characterised by persistent low mood, diminished interest, and loss of pleasure. Music therapy may be helpful in modulating moods and emotions. An update of the 2008 Cochrane review was needed to improve knowledge on effects of music therapy for depression.
Objectives:
1. To asse...
Abstrac t Substance use appears to have a negative influence on rates of criminal recidivism. The foremost important goal of treatment of forensic psychiatric patients is to protect society from criminal recidivism. Therefore, forensic psychiatric patients need to change maladaptive behaviour, such as substance use. However, lack of problem insight...
This article introduces music therapy clinicians to a research design that can be easily implemented in clinical practice to evaluate and monitor the impact of interventions on individual clients: the systemic N-of-1 design. In this single-case design, the client’s network, consisting of professional and non-professional network members, assumes th...
Substance use appears to have a negative influence on rates of criminal recidivism.
The foremost important goal of treatment of forensic psychiatric patients is to
protect society from criminal recidivism. Therefore, forensic psychiatric patients
need to change maladaptive behaviour, such as substance use. However, lack of
problem insight and high...
Background: Impulsivity and substance use disorder (SUD) are strongly interconnected, with persons scoring high on impulsivity being more vulnerable to develop substance abuse, facing more challenges for successful treatment, and being more prone to engage in criminal behavior. Studies have shown that impulsivity and craving for substances are stro...
L’HKT-Revision (HKT-R) è la versione aggiornata dell’HKT-30 (2002). A partire dal 2005, il team HKT-R, composto via via da professionisti diversi, lavora alla revisione dello strumento HKT-30. Una motivazione importante nella rielaborazione dell’HKT-30 è stata la necessità di rendere la check-list valida per diverse finalità. Questo strumento di va...
The effect of music therapy on anger management and coping skills is an innovative subject in the field of forensic psychiatry. This study explores the following research question: Can music therapy treatment contribute to positive changes in coping skills, anger management, and dysfunctional behavior of forensic psychiatric patients? To investigat...
Link-tracing designs are often used to estimate the size of hidden populations by utilizing the relational links between their members. A major problem in studies of hidden populations is the lack of a convenient sampling frame. The most frequently applied design in studies of hidden populations is respondent-driven sampling in which no sampling fr...
An increase in the length of time until the first escorted leave is granted to a patient detained by court order (tbs) results in a longer period of treatment. Physicians involved in the treatment and clinic managers are striving to reduce, in a responsible manner, the length of the period of treatment preceding the patient's first escorted leave....
ACHTERGROND De toename in duur tot het moment van het eerste begeleide verlof bij terbeschikkingstelling (tbs)
vertaalt zich in een langere behandelduur. Patiënten, behandelaren en kliniekdirecties streven ernaar
deze duur, verantwoord, terug te brengen.
DOEL Onderzoeken in hoeverre sekse, psychiatrische stoornis of het soort delict van invloed was...
Hoe kunnen professionals in Rebounds bereiken dat een leerling die wegens ernstige gedragsproblemen tijdelijk naar een Rebound wordt verwezen, na terugkomst op school minder problematisch gedrag vertoont dan voor de verwijzing? Zijn de schoolresultaten na het Reboundverblijf verbeterd en wordt de leerling bijvoorbeeld minder vaak uit de klas gestuu...
In dit boek worden enige praktische voorbeelden beschreven van N=1 onderzoeken waarin het netwerk een rol speelt.
This prospective case study examines changes over time in the social support network of a forensic psychiatric patient diagnosed with attention deficit hyperactivity disorder (ADHD). The focus is on the functional and dysfunctional influences of the patient’s social support dynamics on his risk behavior during mandatory policlinic treatment. A stru...
De HKT-Revisie (HKT-R) is de opvolger van de HKT-30 (2002). Vanaf 2005 heeft de werkgroep HKT-R in verschillende samenstellingen gewerkt aan de herziening van de HKT-30. Een belangrijke drijfveer om de HKT-30 te reviseren was: de lijst voor meerdere doeleinden toepasbaar maken. Dit risicotaxatieinstrument
ondersteunt het gestructureerd beargumenter...
BACKGROUND Repeated, well-supported measurements of clinical dynamic items from the Historical, Clinical and Future-30 (HKT-30) clinical risk assessment tool are used to monitor behavioural changes on the basis of risks and needs. The addition of extra score parameters allows us to distinguish client-specific risks and needs. In treatment evaluatio...
In this study, the Instrument for Forensic Treatment Evaluation (IFTE) is introduced. The IFTE includes 14 dynamic items of the risk assessment scheme HKT-R and eight items specifically related to the treatment of forensic psychiatric patients. The items are divided over three factors: protective behavior, problematic behavior and resocialization s...
ACHTERGROND Met herhaalde, onderbouwde, metingen op klinisch dynamische indicatoren uit de Historische, Klinische en Toekomst-30 (hkt-30) is het mogelijk om gedragsveranderingen op risks en needs te
monitoren. Door scoreparameters toe te voegen worden cliëntspecifieke risks en needs onderscheiden
die van belang zijn bij klinische besluitvorming ron...
There has hardly been any examination of the personal social networks of personality disordered forensic psychiatric patients leading up to, and at the time of their offence. To shed light on this question, 36 male inpatients were interviewed by forensic social workers about their social contacts in the period in which they committed their crime. N...