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Field validity of the HCR-20 in forensic medium security units in Flanders |
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| Authors: | Inge Jeandarme Claudia Pouls Jan De Laender T. I. Oei Stefan Bogaerts |
| Affiliation: | 1. Knowledge Centre Forensic Psychiatric Care, OPZC Rekem, Rekem, Belgiuminge.jeandarme@opzcrekem.be;3. Knowledge Centre Forensic Psychiatric Care, OPZC Rekem, Rekem, Belgium;4. Medium security unit, Public Psychiatric Care Centre Rekem, Rekem, Belgium;5. Department of Criminal Law, Tilburg Law School, Tilburg University, Tilburg, The Netherlands;6. Department of Developmental Psychology, Tilburg University, Tilburg, The Netherlands |
| Abstract: | Structured risk assessment has become a part of routine practice in forensic settings. However, little attention has been paid to the clinical applicability of existing tools. The present research focused on the performance of the Historical Clinical Risk Management-20 (HCR-20) – one of the most commonly used tools for structured professional judgment – in the daily practice of three medium security units in Flanders. Areas under the curve for the prediction of violent recidivism during (N?=?168) and after (N?=?105) medium security treatment were non-significant. In addition, analyses showed that the HCR-20 was mainly of interest in identifying low-risk individuals. Further research measuring different aspects of predictive validity in applied settings is recommended. |
| Keywords: | Risk assessment structured professional judgment HCR-20 forensic psychiatry field validity |