Deinstitutionalization Versus Transinstitutionalization

Marquant, Thomas; Torres-González, Francisco

doi:10.1007/978-3-319-74664-7_19

Cited by 9 publications

(6 citation statements)

References 28 publications

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“…Experience shows that if changes in general psychiatry and FT services do not occur in parallel, this could lead to an increase in the number of patients in the forensic services, socalled transinstitutionalisation (Jüriloo, Pesonen, & Lauerma, 2017), albeit this process does not occur in all situations (Blüml et al, 2015;Marquant & Torres-Gonzalez, 2018). In CR, the process of deinstitutionalisation has not yet fully started and it is thus necessary to address the needs of forensic services systemically.…”

Section: Discussionmentioning

confidence: 99%

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Páv

Skřivánková

Wiseman

et al. 2020

International Journal of Forensic Mental Health

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In the Czech Republic (CR), Forensic Treatment (FT) is provided to approximately 600 individuals per year. FT services consist of Protective Treatment (PT) provided in healthcare services, and quasi-compulsory treatment and Secure Detention (SD) provided by prison services. Currently, there are 13 facilities providing inpatient PT treatment; meanwhile, 386 clinics provide outpatient PT treatment. 950 patients receive inpatient and 2300 outpatient treatment; there are 85 patients placed in Secure Detention. Czech psychiatric care is currently undergoing a reform that aims to develop community care services and improve psychiatric hospitals. PT system development must be part of this reform process. The long-term aim should be to separate PT systems from the rest of psychiatric care, build Protective Multidisciplinary Teams providing community care, and support outpatient PT care. There is a need to implement risk assessment using structured professional judgment tools to ensure routine risk assessment is undertaken in all phases of the treatment system, and to adjust interventions and management plans to these risks. Furthermore, as a part of the care system transformation, it is necessary to build special services for minority populations to target their specific needs. There is also a need to improve data collection in regard to FT.

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Section: Discussionmentioning

confidence: 99%

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Páv

Skřivánková

Wiseman

et al. 2020

International Journal of Forensic Mental Health

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“…20,000 in the 1970 to the current number of about 3500 [12]. However, as has been the case elsewhere [56][57][58][59], it has been debated in Finland whether this process should be, rather, seen as re-or transinstitutionalization through the "forensification" of psychiatric presentations previously treated within a more robust general psychiatric hospital service. What is more, the number of psychotic prisoners in Finland has increased as the number of forensic examinations, as described above, has decreased [60].…”

Section: Current Trends and Reflections On The Futurementioning

confidence: 99%

Forensic psychiatry in Finland: an overview of past, present and future

Seppänen

Joelsson

Ahlgrén-Rimpiläinen

et al. 2020

Int J Ment Health Syst

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Despite a recent contrary trend, Finland has been for decades one of the most violent countries in Western Europe. Also, Finland has had one of the highest number of psychiatric beds per capita in Europe, although this, too, has seen a sharp decline. Against this background, among other national idiosyncrasies, Finland has developed its forensic psychiatric services. Here, we describe the legal, organizational and clinical structure of these services, and outline the historical and current issues that have shaped them. Finally, we consider future challenges facing the Finnish forensic service system, as part of wider European and global trends.

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“…Through community care, recipients in need of care are provided with the benefits of welfare and medical services that meet their needs while they live in the community, in their own houses, group homes, or the like. Community care is also a system through which self-realization and daily activities are enabled as part of the community (12)(13)(14)(15). Before the full community care project began, the government, through a pilot project initiated in 2010, began providing three major at-home care services for postpartum women and infants, house and health help, and elderly care in 2012.…”

Section: Introductionmentioning

confidence: 99%

Quality of Community-based Care Services in Korea

Yoon

Lee²,

Lee

et al. 2020

Preprint

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Background: Aging societies are increasing the need for care services. In order to solve the problem of care, we suggest community care, and through this, we will provide medical services that meet individual needs. Korea provides care services in advance of the community care project and implements quality control to improve the quality of these social services. Therefore, this study aims is to intend to compare and analyze the factors affecting user satisfaction in care services in both 2013 and 2016.Methods: We used quantified secondary data based on social services performed analysis reports. Based on the evaluation indexes for care service in 2013 and 2016, we used commonly used indexes for analysis.Results: As a result, there was a difference between care services quality evaluation (QE) indexes by profit type, and care services evaluation indexes had an effect on user satisfaction. In addition, the change rate in the care service evaluation scores affects the change rate in user satisfaction.Conclusions: Therefore, in order to increase satisfaction with care service, evaluation indexes by service type should be diversified and differentiated. In addition, it should be composed of field evaluations related to user satisfaction to provide care services appropriate for local characteristics.

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Deinstitutionalization Versus Transinstitutionalization

Cited by 9 publications

References 28 publications

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Forensic psychiatry in Finland: an overview of past, present and future

Quality of Community-based Care Services in Korea

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