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Design and Development of a Telephone-Linked Care (TLC) System to Reduce Impulsivity among Violent Forensic Outpatients and Probationers
Karolinska Institutet, Department of Clinical Neuroscience, Center for Psychiatric Research, Stockholm, Sweden.
Medical Information Systems Unit (MISU), Boston University Medical Campus, Boston, MA, USA .
Department of Clinical Neuroscience, Center for Research in Psychiatry, Social and Forensic Psychiatry Research Program Karolinska Institutet/National Board of Forensic, Medicine, Dept of Forensic Psychiatry in Stockholm, Huddinge, Sweden .
Umeå University, Faculty of Social Sciences, Department of Psychology.
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2012 (English)In: Journal of medical systems, ISSN 0148-5598, E-ISSN 1573-689X, Vol. 36, no 3, 1031-1042 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Springer Netherlands, 2012. Vol. 36, no 3, 1031-1042 p.
Keyword [en]
IVR systems, System design, Forensic, psychiatry, Criminal justice, Impulsivity, Telemedicine
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Research subject
URN: urn:nbn:se:umu:diva-55211DOI: 10.1007/s10916-010-9565-1OAI: diva2:526523
Available from: 2012-05-14 Created: 2012-05-14 Last updated: 2012-05-21Bibliographically approved

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