Prevalence and treatment of personality disorders in Dutch forensic mental health services.
Offenders with serious personality disorders challenge forensic systems throughout the world. In this article, the authors describe the legal system that shapes the forensic treatment of personality-disordered offenders in the Dutch psychiatric and correctional systems. The evolution of laws and regulations are addressed, as is the bifurcation of treatment between forensic hospitals and correctional settings. Prevalence data of personality disorders in the Dutch systems are presented, and comparisons between the Dutch and American systems are delineated. Current treatment modalities are described. Research initiatives and future directions for the system are presented.
de Ruiter
Corine
C
Department of Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. corine.deruiter@psychology.unimaas.nl
Trestman
Robert L
RL
D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003415:Crime / Q000331:legislation & jurisprudence*; D003431:Cross-Cultural Comparison; D005555:Forensic Psychiatry / Q000706:statistics & numerical data*; D006801:Humans; D007298:Insanity Defense; D016743:Mental Competency / Q000331:legislation & jurisprudence; D008605:Mental Health Services / Q000331:legislation & jurisprudence*; D009426:Netherlands; D010044:Outpatient Clinics, Hospital / Q000331:legislation & jurisprudence; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D011329:Prisoners / Q000331:legislation & jurisprudence* / Q000523:psychology; D012017:Referral and Consultation / Q000331:legislation & jurisprudence; D014481:United States