A maximum Security Forensic-Psychiatric Clinic, Based on Psycho-Analytic Principles: The Dr. S. Van Mesdag-Clinic in Groningen, The Netherlands

Psychiatry ◽  
1985 ◽  
pp. 353-357
Author(s):  
R. C. Hoekstra
2016 ◽  
Vol 24 (3) ◽  
pp. 440-457
Author(s):  
Idor Svensson ◽  
Linda Fälth ◽  
Bengt Persson ◽  
Staffan Nilsson

2020 ◽  
Vol 11 ◽  
Author(s):  
Dhanuja Senn ◽  
Erik Bulten ◽  
Jack Tomlin ◽  
Birgit Völlm

Background: A significant proportion of forensic patients in England are long-stayers. This can be problematic as individuals are kept in restrictive environments at potentially inappropriate levels of security for many years, sometimes decades. Improvements to the current English forensic mental health system to meet the needs of long-stay forensic patients more effectively might be informed by the Dutch service for long-stay forensic patients.Aims: To compare the characteristics of representative samples of long-stay patients in England and in the Netherlands in an attempt to draw conclusions on the degree to which the Dutch service model might be relevant to England.Method: This cross-sectional study explores the relevance of the Dutch service model by comparing the characteristics of representative samples of long-stay patients in England (n = 401) and the Netherlands (n = 102). Descriptive statistics and analyses of differences between groups are presented. The Risk-Need-Responsivity model was used to guide the selection of the study variables and structure the interpretation of the findings.Results: Compared to their English counterparts, the long-stay Dutch patients were less likely to be diagnosed with schizophrenia, but more likely to have personality disorder and have committed sex offences. The English group were younger at first conviction and at first custodial sentence. The total number of offences and the proportion of violent offenders were similar, but the Dutch HCR-20 scores indicated a significantly higher risk of violence.Conclusions: Whilst there may be barriers to adopting the Dutch service model in England, the differences in the characteristics of the two groups studied here do not necessarily preclude this approach.


2011 ◽  
Vol 26 (S2) ◽  
pp. 769-769
Author(s):  
A.M. Cardoso ◽  
M. Talina ◽  
F. Fortes ◽  
T. Leal ◽  
J.M. Caldas de Almeida ◽  
...  

IntroductionDrugs addiction, suicide and mental health disorders are the major problems of inmates health. In Portugal the suicide is the second cause of death and is increasing in a panorama of general decreased mortality in prisons.ObjectivesTo characterize and compare the inmate population with high versus low risk of suicidality, according several variables including the needs for care.MethodsA descriptive study of a non-probabilistic sample constituted by all male inmates referenced to a forensic psychiatric clinic in Lisbon region, during a year (April 2009–2010), was performed. The data was collect from user and professional interviews and user file. The instruments, besides a specific questionnaire, includes MINI; BPRS and the Camberwell Assessment of Need, Forensic Version (CANFOR). The suicide risk was defined by C section from MINI and defined as a dichotomic variable: null/low or moderate/high suicide risk.ResultsThe sample was composed of seventy nine inmates (median age 36). Major depression was the only diagnostic significantly associated with suicide risk. There was a significant association between moderate/high risk of suicide and the unmet needs rated by users in psychological distress, safety to self, drugs and company domains and unmet needs rated by staff in daytime activities, psychological distress, safety to self and drugs domains.ConclusionThe suicide prevention is a crucial issue in prisons. The assessment of suicide risk, psychiatric care and care delivery in unmet needs domains may have a positive impact in self harm and suicide incidence.


1981 ◽  
Vol 9 (2) ◽  
pp. 203-207
Author(s):  
James M. Mullen ◽  
Robert C. Reinehr

The study examines the question of appropriate placement of forensic psychiatric patients, by comparing population characteristics of a penal institution, a general psychiatric hospital, and a maximum security forensic psychiatric facility. Results suggest that forensic patients resemble general psychiatric patients more closely than they resemble prisoners. In demographic areas the patient groups are quite similar and quite different from the prisoner group. The results of psychological testing are equivocal, but support the impression patient groups differ from prisoners. The study suggests courts are reasonably successful in identifying those offenders placed in mental health institutions rather than in a criminal justice setting.


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