5 106 CHAPTER 5 ABSTRACT OBJECTIVE Forensic case formulation is the process through which patient and therapist formulate working hypotheses about the development and maintenance of a patient’s offenses. The current study investigated to what extent personalized information on interrelated riskrelevant behavioral, psychological, and contextual features obtained using experience sampling method (ESM) can be deployed to inform forensic case formulations of adult men with a history of sexual offenses. Additionally, the possible burdensomeness of collecting this information and its impact on participants was evaluated. METHOD Five adult men in outpatient forensic treatment for their history of committing sexual offenses monitored personal risk-relevant features using ESM and discussed the resulting feedback report with their therapist. To answer the research questions, data were collected using the Twente engagement with Ehealth technologies Scale, an online questionnaire, a semi-structured interview, and log data. RESULTS Participants reported increased awareness in personal patterns of risk-relevant features and in their possible association with the risk of sexual reoffending. Further, they did not perceive the ESM procedure as burdensome, nor did they experience daily assessments as invasive. CONCLUSION Obtaining personalized information on risk-relevant features by ESM was achievable and doable for participating adult men with a history of sexual offenses. New insights derived from ESM measurement could enhance traditional forensic case formulation. KEYWORDS Experienced sampling method (ESM), risk-relevant features, forensic case formulation, dynamic risk factors, adult men with a history of sexual offenses
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