J Med Syst - Design and development of a Telephone-Linked Care (TLC) system to reduce impulsivity among violent forensic outpatients and probationers.

Tópicos

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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
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Resumo

Forensic services face the challenge of reducing relapse among clients with a history of violent crime. An automated interactive voice response (IVR) service of the complex Telephone-Linked Care (TLC) type, with a focus on reducing impulsivity, could improve the adequacy of service responses to client needs. Theoretically based in Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT) and Motivational Interviewing (MI), the forensic TLC system offers interactive conversations on coping with the emotions of anger, shame and loneliness; activities of daily life such as getting out of bed, asking for help, visiting social services and taking medication; and other areas such as hearing voices, drinking alcohol and self-critical thoughts. We describe the user's flow through the system, with an in-depth synopsis of the hearing voices intervention. Issues regarding voluntary versus mandatory use of the system are addressed in connection with prospective introduction of the system in forensic settings.

Resumo Limpo

forens servic face challeng reduc relaps among client histori violent crime autom interact voic respons ivr servic complex telephonelink care tlc type focus reduc impuls improv adequaci servic respons client need theoret base dialect behavior therapi dbt cognit behavior therapi cbt motiv interview mi forens tlc system offer interact convers cope emot anger shame loneli activ daili life get bed ask help visit social servic take medic area hear voic drink alcohol selfcrit thought describ user flow system indepth synopsi hear voic intervent issu regard voluntari versus mandatori use system address connect prospect introduct system forens set

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