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Artikel

De politie als nationale hulpverlener

Politieoptreden bij incidenten waarbij personen met verward gedrag betrokken zijn

Tijdschrift PROCES, Aflevering 4 2020
Trefwoorden Verwarde personen Persons with confused behavior, GGZ Mental health service, Frontlijnwerkers Police officers, Lipsky
Auteurs Drs. Milou Janssen en Dr. Jelle van Buuren
SamenvattingAuteursinformatie

    Incidents involving persons with ‘confused behavior’ are an important and topical theme in Dutch society. The police are often the first to be involved in these incidents because they are the only public organization that has a 24/7 presence on the streets. In 2019, the police registered 96,000 reports of persons who showed confused behavior. It is therefore not surprising that the police have repeatedly drawn political-administrative attention to this situation and indicated that the limits have been reached. That raises the question of how police officers deal with a situation that has actually grown above their heads in daily practice. In this research, based on the theory of street-level bureaucracy introduced by Lipsky, it was investigated how police officers in The Hague use their discretion to cope with this difficult reality.


Drs. Milou Janssen
Drs. M. Janssen werkt bij de Koninklijke Marechaussee.

Dr. Jelle van Buuren
Dr. G.M. van Buuren is universitair docent Institute of Security and Global Affairs, Universiteit van Leiden.
Artikel

Komt een 112-melding bij de politie

Triage op de politie-meldkamer bij personen met verward gedrag

Tijdschrift Tijdschrift voor Veiligheid, Aflevering 4 2018
Trefwoorden Verwarde personen, Triage, Gevaar, passend vervoer, psycholance
Auteurs André Wierdsma, Yvette van Strien, Philip den Hollander e.a.
SamenvattingAuteursinformatie

    National thematic projects and local authorities aim to improve shelter and transport facilities for mentally disordered non-offenders. A pilot project in the south-western part of the Netherlands investigated the efficiency of psychiatric expertise in the triage process of the police emergency control room.
    To evaluate incoming emergency telephone calls in terms of the type of mentally disordered behavior, the sort and degree of dangerousness, and the urgency and type of response required.
    Between November 2016 and January 2017 social psychiatric nurses did weekend shifts on the emergency control room. Incoming telephone calls concerning public nuisance or disordered behavior were administered using the triage tool developed by the Dutch Association of Mental Health and Addiction Care. Nurses had access to regional information systems and were explicitly allowed to follow up on cases where continuity of care was an issue.
    A total of 155 calls were evaluated producing a representative image of calls concerning mentally disordered behaviour. Results show that this type of emergency calls is not overly frequent, in many cases not extremely urgent (response time target >1 hour: 67%), and about 65% could be followed up by the general practice centre or specialised (psychiatric) healthcare services. More than half (55%) of the emergency calls involved people previously in contact with psychiatric services. Most common types of danger were public disorder (28%) and suicide risk (21%). However, in 29% of cases type of danger was unclear and 14-20% of the triage tool was inconclusive.
    Triage by mental health specialists at the police emergency control room is not efficient because many cases are not very urgent and information quality is often too low to preclude street-triage. Yet screening and follow up of mentally disturbed persons can be improved by close collaboration between control room and psychiatric services.


André Wierdsma
André Wierdsma is universitair docent, afdeling psychiatrie aan het Erasmus MC.

Yvette van Strien
Yvette van Strien is adviseur acute zorg bij Traumacentrum ZuidWest-Nederland.

Philip den Hollander
Philip den Hollander is chef Meldkamer bij de Politie Rotterdam.

Aram van Reijsen
Aram van Reijsen is psychiater acute dienst bij Bavo-Europoort.
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