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Journal of Medical Systems
Published in: Journal of Medical Systems 3/2012

01-06-2012 | ORIGINAL PAPER

Design and Development of a Telephone-Linked Care (TLC) System to Reduce Impulsivity among Violent Forensic Outpatients and Probationers

Authors: Anne H. Berman, Ramesh Farzanfar, Marianne Kristiansson, Per Carlbring, Robert H. Friedman

Published in: Journal of Medical Systems | Issue 3/2012

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Abstract

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.
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Metadata
Title
Design and Development of a Telephone-Linked Care (TLC) System to Reduce Impulsivity among Violent Forensic Outpatients and Probationers
Authors
Anne H. Berman
Ramesh Farzanfar
Marianne Kristiansson
Per Carlbring
Robert H. Friedman
Publication date
01-06-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 3/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-010-9565-1

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