{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T21:10:27Z","timestamp":1785273027532,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Treatment completion difficulties are common in forensic mental health settings and may have a profound impact on recidivism rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To test for associations between measures of risk and of security needs on the one hand and treatment non\u2010completion on the other among male offender\u2010patients in one medium security hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective file study in a Flemish medium security hospital. A random sample of 25 treatment non\u2010completers was compared to a random same\u2010size sample of completers, each rated, blind to outcome, on the DUNDRUM\u20101 security needs scale from data recorded at the time of admission to the unit. \u2018Non\u2010completion\u2019 was defined as any failure to complete treatment, whether staff\u2010terminated or self\u2010terminated; in Flanders, failure to comply with the judicial conditions of placement can result in re\u2010imprisonment. We used binary logistic regression to test relationships between treatment completion\/non\u2010completion and security need, measured with the DUNDRUM\u20101, together with a range of possible confounding variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most patients had psychosis and\/or personality disorder and often substance use disorders also. Treatment non\u2010completion was invariably staff ordered because of security breaches. DUNDRUM\u20101 and PCL\u2010R Facet 4 scores at the time of admission and HCR\u201020 scores during admission were significantly higher among non\u2010completers than completers, but after binary logistic regression, only the DUNDRUM\u20101 rating was independently associated with non\u2010completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study showed that an admission DUNDRUM\u20101 rating, indicating levels of security need, co\u2010varies only to a small extent with the historical items of the HCR\u201020, so may be regarded as measuring complementary domains. While conditions in Flanders at the time of the study complicated it in that medium security hospital units offered the highest level of hospital security available, the finding that non\u2010completion of treatment was particularly likely when the DUNDRUM\u20101 indicated a higher security need than facilities could provide may have implications for all secure hospital services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cbm.2213","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T03:48:07Z","timestamp":1631677687000},"page":"321-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Is non\u2010completion of treatment related to security need?"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1682-435X","authenticated-orcid":false,"given":"Inge","family":"Jeandarme","sequence":"first","affiliation":[{"name":"Knowledge Centre for Forensic Psychiatric Care (KeFor) OPZC Rekem  Rekem Belgium"},{"name":"Law Faculty KULeuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9184-517X","authenticated-orcid":false,"given":"Petra","family":"Habets","sequence":"additional","affiliation":[{"name":"Knowledge Centre for Forensic Psychiatric Care (KeFor) OPZC Rekem  Rekem Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1514-220X","authenticated-orcid":false,"given":"Ken","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"National Forensic Mental Health Service Central Mental Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3174-3272","authenticated-orcid":false,"given":"Harry G.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"National Forensic Mental Health Service Central Mental Hospital  Dublin Ireland"},{"name":"Department of Psychiatry Trinity College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0093854890017001004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00142"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X06289176"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201013\u2010185"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2021.1876795"},{"key":"e_1_2_9_8_1","first-page":"455","article-title":"Bepalen beveiligingsnood van forensisch psychiatrische pati\u00ebnten: Een vergelijking tussen HoNOS\u2010Secure en DUNDRUM\u20101","volume":"61","author":"Jeandarme I.","year":"2019","journal-title":"Tijdschrift Voor Psychiatrie"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2019.04.006"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2017.1286414"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260516670884"},{"key":"e_1_2_9_12_1","volume-title":"The DUNDRUM toolkit draft V1.0.30","author":"Kennedy H. 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