title: [The Social Defense Institution in Paifve].
abstract: The author have first studied the outcome of 68 patients, committed on the Social Defense law, out of the institution for five years. He observes that 27 patients have been well integrated, both professionally and socially (in their family). Fifteen patients had only a passive reinsertion and ten others are failures. Eight patients deceased, one through fire immolation, an other one through medicinal overdose during a holiday at home. Eight other had to be transferred: 3 in a specialized therapeutic milieu, 3 in a more closed setting and 2 in another region for linguistic reasons. In the second half of this work, the author has shown the strong incidence of somatic, familial or psychological factors in the patients population. Severly disturbed patients constitute 52% of the population for 16% of severe mental retardation and 34% of psychotics. Regardless of the heterogeneity of the population, it was possible to create a therapeutic community by organizing the permanent education of the attendants through a system of holydays and temporary liberations. This favoured the social reinsertion in the first study or a stabilisation of the situation through the allowance of reality confrontation and progress in familial and social reinsertion in the second group. The holidays and temporaray liberations produced in general few offenses which could be reduced by accompanying personnel able to collaborate more in this procedure.
mesh_terms: D000328:Adult; D000368:Aged; D001530:Belgium; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D005260:Female; D005555:Forensic Psychiatry / Q000331:legislation & jurisprudence*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D013808:Therapeutic Community
vernacular_title: L'Etablissement de Défense sociale à Paifve.