Exit procedures of forensic psychiatric hospitals in The Netherlands: current problems and future prospects.
In this paper, I have outlined both the legal framework and the organizational structure of the Dutch system of hospital order treatment. I have also dealt with a number of developments, such as the changing composition of the patient population and the disappointing results achieved with sexually violent patients. In addition, I have described a number of developments in the field of exit procedures: the lack of interim rehabilitation facilities, the need for constant supervision of some patients after completion of their hospital order, and the critical attitude of the courts towards recommendations for the extension of hospital orders. Finally, I have issued a plea for comparative international research of a descriptive nature aimed at improving the quality of forensic psychiatric care worldwide.
Tigges
L C
LC
Ministry of Justice, The Netherlands.
D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003416:Criminal Law; D005555:Forensic Psychiatry / Q000331:legislation & jurisprudence*; D005610:Freedom; D006778:Hospitals, Psychiatric / Q000331:legislation & jurisprudence*; D006801:Humans; D009426:Netherlands; D010351:Patient Discharge / Q000331:legislation & jurisprudence*; D010554:Personality Disorders / Q000534:rehabilitation; D011050:Policy Making; D011383:Progressive Patient Care; D012637:Security Measures / Q000331:legislation & jurisprudence