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Tijdschrift voor Psychiatrie 56 (2014) 4, 228 - 236

New research

Treatment evaluation and clinical decision making using HKT-30-ROM

P. Ter Horst, M. van Ham, M. Spreen, S. Bogaerts

background By means of repeated, well-supported measurements of clinical dynamic indicators from the Historical, Clinical and Future – 30 (hkt-30) it is possible 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 evaluation it is important to visualise changes in these indicators of treatment evaluation because they are the key to the clinical decision-making process that determines further treatment and rehabilitation.
aim To investigate whether hkt-30 indicators can be used to measure and visualise behavioral changes for the purpose of treatment evaluation.
method A case study is used to illustrate how clinicians at the Forensic Psychiatric Clinic (fpk), De Woenselse Poort, ascertain risks, needs and changes and clarify these factors for the purpose of treatment evaluation and clinical decision-making.
results Routine treatment evaluation aided by visualised clinical hkt-30 indicators give the treatment team and the client a clearer picture of the behavioral changes for which the forensic treatment was prescribed. This evaluation provides significant starting-points for clinical decision making.
conclusion Routine treatment evaluation along with a suitably adjusted hkt-30 make behavioural changes visible, render clinical decisions more transparent and provide valuable starting-points for a dialogue with the client about his treatment.

keywords clinical decision making, HKT-30, risk assessment, ROM, treatment evaluation