78 Chapter 3 Interventions Treatment as usual (TAU) The vast majority of potential participants receives forensic FACT, which can include specific therapeutic interventions such as social work, psychotherapy (e.g., CBT, EMDR) and pharmacotherapy. We will include patients at the forensic outpatient care site not receiving forensic FACT as well if social network-related problems are present and social participation is limited. All forensic outpatient care sites include psychotherapies and treatment models that are part of the treatment guidelines for forensic outpatients. In short, forensic FACT is a widely used treatment model developed for forensic outpatients with severe psychiatric disorders, combined with multiple social problems (Place et al., 2011). The primary goal of forensic FACT is to enhance (mental) wellbeing as well as to reduce the risk of criminal recidivism. Forensic FACT teams consist of different healthcare professionals suchas psychiatrists, nurses specialized inpsychiatricproblems, psychologists, job coaches and social workers. Treatment is delivered within the community of the patients. In general, individual face-to-face appointments between professionals and patients take place weekly at the institution or at a patients’ home. The intensity of the treatment is customized to the patient’s needs. If necessary, for example in case of (the prevention of) a crisis, the frequency of appointments can be increased and more professionals can be involved. Furthermore, CBT or psychotherapeutic interventions are indicated and performed by psychologists based on the patients’ needs and their individual risk assessment of criminal recidivism. Examples of common interventions are aggression regulation therapy (Hoogsteder, Stams, Schippers, & Bonnes, 2018), CBT for alcohol- or drug-use disorders (de Wildt, Merkx, Vedel, & Schippers, 2011), community reinforcement approach (Azrin, 1976), delict analysis (Vrinten, Keulen-de Vos, Schel, Cima, & Bulten, 2015) and motivational interviewing (Arkowitz, Miller, & Rollnick, 2015). CBT interventions and psychotherapy consist of weekly face-to-face appointments at the participating site. Besides, interventions may also be offered online or blended. Care professionals of all patients included in the study (TAU and FNC) will be stimulated by the research team to focus on improvement of the social network during treatment. After baseline and follow-up assessments professionals will receive an e-mail with information about a brief social network intervention and to inform them about their patient’s participation. TAU might be discontinued or finished during the course of the study, therefore the type and duration of treatment will be monitored. No treatments are withheld from patients in TAU except forensic network coaching.
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