Tijdschrift voor Forensische Psychiatrie en Psychologie

Practice

Eerste ervaringen met intensieve traumabehandeling in een forensische kliniek

Trefwoorden trauma, intensieve traumabehandeling, forensische psychiatrie
Auteurs Annabel Simjouw, Hanneke de Bruijn, Leneke Van Maris, Wineke Smid en Vivienne de Vogel
DOI
Auteursinformatie

Annabel Simjouw
Annabel Simjouw MSc is psycholoog en onderzoeker bij de Van der Hoeven Kliniek.

Hanneke de Bruijn
Hanneke de Bruijn MSc is psycholoog i.o. tot GZ-psycholoog bij de Van der Hoeven Kliniek.

Leneke Van Maris
Leneke Van Maris MSc is GZ-psycholoog bij de Van der Hoeven Kliniek.

Wineke Smid

Vivienne de Vogel
Prof. dr. Vivienne de Vogel is bijzonder hoogleraar Forensische Zorg aan de Universiteit Maastricht, lector Werken in Justitieel Kader aan de Hogeschool Utrecht en onderzoeker in de Van der Hoeven Kliniek, de Forensische Zorgspecialisten, Utrecht.
  • Samenvatting

      Within forensic populations, exposure to traumatic experiences is high. These experiences are associated with multiple mental and physical health problems later in life. Besides this, trauma may be a risk factor for the development of delinquent behavior and reduce responsiveness to forensic treatment. Treating trauma more specifically and intensively could potentially contribute to increasing the effect of forensic treatment and thus reducing the risk of recidivism. The expected symptom relief creates more room for the patient to participate in other treatment components within his or her program. Short-term, intensive trauma treatment appears to be more effective than long-term trauma treatment. This study describes the implementation, and first experiences with intensive trauma treatment within a forensic hospital. This treatment is a short-term trauma treatment consisting of eight days filled with Eye Movement Desensitization and Reprocessing (EMDR), Imaginary Exposure (IE), an activating sports and exercise program and psychoeducation. According to the experience of several patients and staff members, intensive trauma treatment appears to have a short-term effect on the trauma-related symptoms of patients who participate in this treatment. It is however still unclear whether these results are long-lasting. Implementing intensive trauma treatment takes time and requires extra efforts and investment from many different staff members. For a successful implementation it is important that this time is made available organization wide. The aftercare of patients after the intensive trauma treatment is crucial, and attention must be paid to the transition back to the regular program.

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