72 Chapter 3 Figure 1. Overview of the trial design Baseline 3 months 6 months 9 months 12 months 18 months 36 months TAU + FNC Randomization TAU Selection Figure 1. Overview of the trial design. Participants This study is conducted at the outpatient care site of Inforsa Forensic Mental Healthcare, specialist in forensic psychiatric care for (young) adults, located in Amsterdam. Inforsa consists of three different forensic outpatient care sites: (1) forensic flexible assertive community treatment (forensic FACT) for adults, (2) forensic FACT for youth and young adults, and (3) forensic outpatient clinic. The overall patient population of Inforsa is characterized by complex addiction, psychiatric and personality disorders in combination with delinquent behavior. The type of crimes committed by patients are diverse, most common offences are violence or theft. Treatment is a mandatory part of a conditional sentence, for 87% of the patients. The majority of the patients (69%) suffers from psychiatric or personality disorders in combination with addiction – double diagnoses. On top of that, at least 11% of the patients suffers from intellectual disabilities – triple diagnosis. Most patients have social problems such as housing problems, work problems and financial problems. Our goal is to include 105 (young) adult forensic outpatients with limited social networks and social participation. Inclusion criteria are: (1) the patient is at least 3 months in treatment at Inforsa and capable of accomplishing appointments according to the primary clinician, (2) the patient is diagnosed with addiction, psychiatric or personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders (Fourth edition, Text Revision and Fifth edition; DSM-IV-TR/5), (3) the patient is aged 16 years or older, (4) the patient is indicated as limited self-sufficient regarding social participation and social network as measured with corresponding items on the Self-Sufficiency Matrix (SSM) (Lauriks et al., 2017; Lauriks et al., 2013), and (5) the patient is not completely satisfied with social relationships and the social support as measured with the Manchester Short
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