160 Chapter 5 treatment outcomes among forensic outpatients. Although no benefits were found on the primary outcome of mental wellbeing, the findings suggest that the additive intervention improved other relevant treatment outcomes, such as the duration of hospitalization and criminal behavior. Noteworthy, no evidence of dose-response effects were found. We did find evidence of stronger effects in patients in specific subgroups, such as patients without primary substance use disorders, with comorbid disorders, and males. On the other hand, effects may be adverse in patients who fail to adhere, patients with primary substance use disorders, patients without comorbid disorders, and females. In sum, these findings suggest that forensic psychiatric treatment for outpatients can be optimized by collaborating with informal care initiatives aimed at improving supportive social networks within the community. Future research should further explore which patients might benefit from additive informal social network interventions and determine whether longer timeframes and better patient adherence will lead to sustainable supportive social networks and improved mental wellbeing.
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