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Multidisciplinary Routine Outcome Monitoring in Forensic Psychiatry: Concordance Between Clinician and Patient

Sophie Verschueren¹, Ruben van den Ameele¹, Inge Jeandarme¹

¹Forensic Psychiatric Centre Antwerpen, Belgium.

International Journal of Offender Therapy and Comparative Criminology

|July 11, 2026

Summary

Patient and clinician ratings on treatment progress often differ, especially regarding problematic behaviors. Addressing these discrepancies in forensic mental health care is key for better patient engagement and collaborative treatment.

Keywords:

IFTE concordance feedback-informed care forensic psychiatry offender therapy routine outcome monitoring

Related Experiment Videos

Area of Science:

Forensic Psychiatry
Clinical Psychology
Mental Health Services Research

Background:

Routine outcome monitoring (ROM) is crucial for collaborative treatment.
Understanding patient and clinician perspectives is vital in forensic settings.

Purpose of the Study:

To assess agreement between patient and clinician ratings using the Instrument for Forensic Treatment Evaluation (IFTE) and its self-report version (IFTE-S).
To identify discrepancies in patient and clinician perspectives in high-security forensic psychiatric centers.

Main Methods:

Utilized the IFTE and IFTE-S in high-security forensic psychiatric centers in Flanders, Belgium.
Analyzed agreement and discrepancies between patient and clinician ratings over 15 months of treatment.

Main Results:

Concordance observed in protective behavior and resocialization skills.
Patients reported less severe problematic behavior than clinicians.
Discrepancies were more common in subjective/stigmatized behaviors and remained stable over time.
Differences were not influenced by primary psychiatric diagnosis.

Conclusions:

Addressing patient-clinician discrepancies in forensic treatment is essential for shared understanding and feedback-informed care.
Enhanced patient engagement can be facilitated by acknowledging and managing differing perspectives.
Further longitudinal research is recommended to refine ROM practices in forensic settings.