Jeandarme I, Habets P
Tijdschr Psychiatr. 2019;61(7):455-463.
Forensic psychiatric patients can be treated in different security levels. Clear criteria to estimate the required security level or transfer to a less secure setting are not yet available. A literature review shows that, of the few instruments that are used internationally, the DUNDRUM and the HoNOS-Secure are the most promising.
AIM: To investigate whether these instruments can be used in Flemish forensic psychiatric settings.
METHOD: DUNDRUM-1 scores were collected for 150 internees. The psychometric qualities of the scale were examined. In a subpopulation, the DUNDRUM-1 was compared with the HoNOS-Secure.
RESULTS: The psychometric properties of the DUNDRUM-1 were good and exceeded those of the HoNOS-Secure.
CONCLUSION: The DUNDRUM-1 is an instrument that can help clinicians and judges to better - and in a more transparent way - substantiate their decision-making to secure care. However, further research regarding the practical applicability is needed.
法医精神病患者可以在不同安全级别下接受治疗。目前尚无明确标准来评估所需的安全级别或转至安全级别较低的环境。一项文献综述表明，在国际上使用的少数工具中，邓德拉姆量表（DUNDRUM）和安全版健康需求和问题目录（HoNOS-Secure）最具前景。
调查这些工具是否可用于佛兰芒法医精神病学环境。
收集了150名被拘留者的邓德拉姆-1量表（DUNDRUM-1）得分。检查了该量表的心理测量学特性。在一个亚群体中，将邓德拉姆-1量表与安全版健康需求和问题目录进行了比较。
邓德拉姆-1量表的心理测量学特性良好，超过了安全版健康需求和问题目录。
邓德拉姆-1量表是一种可以帮助临床医生和法官以更透明的方式更好地为其确保护理的决策提供依据的工具。然而，需要进一步研究其实际适用性。
