Forensic Psychiatric Care in Belgium

Pesout, Kevin; Pham, Thierry H.

doi:10.1007/978-3-030-12594-3_18

Cited by 3 publications

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent decades, the state of Belgium has been condemned several times by the European Court of Human Rights for the inhumane treatment of PNCR in prison facilities ( 38 ). As a consequence, the Belgian authorities have developed and significantly increased forensic mental healthcare capacity in designated (forensic) in- and outpatient wards or facilities ( 39 ). These (forensic) wards and facilities can be stratified according to the Trinitarian model of therapeutic security in high-, medium- and low-secure wards and facilities ( 1 ).…”

Section: Methodsmentioning

confidence: 99%

Voices to be heard: Understanding family perspectives in forensic care trajectories

et al. 2022

View full text Add to dashboard Cite

IntroductionDe-institutionalization of psychiatric care has greatly increased the role of family members in the recovery pathways of Persons labeled as Not Criminally Responsible (PNCR). However, the role of family members in supporting PNCR in forensic psychiatric care remains understudied. Scarce evidence indicates that PNCR have to deal with stigma and endure specific burdens (i.e., symptom-specific, financial, social, and emotional). Recovery-focused research showed that recovery in both persons with a severe mental illness and family members develop in parallel with each other and are characterized by similar helpful principles (e.g., hope and coping skills). As such, the recovery pathways of PNCR often goes hand in hand with the recovery pathway of their family members. During the family recovery process, family members often experience not being listened to or being empowered by professionals or not being involved in the decision-making process in the care trajectory of their relative. Therefore, the aim of this study is to capture how family members experience the care trajectories of their relatives, more specifically by looking at family recovery aspects and personal advocacy of family members.MethodsSemi-structured interviews were conducted with 21 family members of PNCR from 14 families. A thematic analysis confirms that family members suffer from stigma and worry significantly about the future of their relative.ResultsRegarding the care trajectory of PNCR, family members experienced barriers in multiple domains while trying to support their relative: involvement in care and information sharing, visiting procedures, transitions between wards, and the psychiatric and judicial reporting by professionals. In addition, family members emphasized the importance of (social) support for themselves during the forensic psychiatric care trajectories and of a shared partnership.DiscussionThese findings tie in with procedural justice theory as a precondition for family support and family recovery within forensic psychiatric care.

show abstract

Section: Methodsmentioning

confidence: 99%

Voices to be heard: Understanding family perspectives in forensic care trajectories

et al. 2022

View full text Add to dashboard Cite

show abstract

Organizing Forensic Mental Health Care Delivery: Putting the Trinitarian Model of Therapeutic Security to the Test

Pau

Nicaise

Bourmorck

et al. 2021

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

The Trinitarian model of therapeutic security is used to organize forensic mental health care in Ireland, England and Scotland. However, it remains unclear whether this model captures all significant factors for the organization of forensic mental health care delivery. In this case study, the Trinitarian model is applied to and tested on Belgian forensic mental health services. Relational security as a discriminative factor is debated and an extension of this institution-oriented model to the policy-and service users' level is recommended. Finally, we propose to disentangle the concepts of therapeutic security, risk and care in forensic mental health.

show abstract

Are Mentally Disordered Offenders Admitted to Appropriate Secure Settings according to Security Needs? A Cross Sectional Study in Belgium

Nicaise

Bourmorck

Pau

et al. 2022

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

Mentally Disordered Offenders (MDOs) who have been declared not criminally responsible for their offense due to their mental condition should be admitted to settings with lowest possible level of security to support their social reintegration. In the context of the reorganization of care for MDOs in Belgium, we assessed the predictors and retrospective appropriateness of 3529 MDO admissions in 2017 according to security needs. Although there was a positive association between the security needs of MDOs and the level of security of the settings to which they were admitted, there was a gap between high and lower security levels. Medium-security settings made up 46% of all admissions, covering a variety of security need profiles. Half the sample of MDOs with high security needs was found in low-and medium-security settings, while a significant proportion of MDOs with low security needs was found in medium-security settings. Clinical characteristics predicted admissions more strongly than custodial characteristics. Decision-makers should refine criteria and procedures for MDOs' care access. Indeed, the mixed results in relation to admission appropriateness in medium-security services may result from the lack of formal guidelines.

show abstract

Forensic Psychiatric Care in Belgium

Cited by 3 publications

References 2 publications

Voices to be heard: Understanding family perspectives in forensic care trajectories

Voices to be heard: Understanding family perspectives in forensic care trajectories

Organizing Forensic Mental Health Care Delivery: Putting the Trinitarian Model of Therapeutic Security to the Test

Are Mentally Disordered Offenders Admitted to Appropriate Secure Settings according to Security Needs? A Cross Sectional Study in Belgium

Contact Info

Product

Resources

About