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Artikel

Verkorten van de tbs-verblijfsduur: een weg uit de crisis?

Tijdschrift Justitiële verkenningen, Aflevering 4 2013
Trefwoorden forensic care budget cuts, TBS order, treatment time, risk society, risk analysis
Auteurs M.H. Nagtegaal
SamenvattingAuteursinformatie

    The economic crisis in the Netherlands forces the Ministry of Security and Justice to cut expenses. In the forensic psychiatric sector, the main savings are expected from reducing the length of stay of forensic psychiatric patients (TBS-patients) in high security hospitals. Currently, over 70% of all TBS-patients do not reach the now set goal of successfully terminating their treatment program within eight years. The present article questions whether it is plausible that this goal will be reached. Research has shown that there are several possible measures that can be undertaken to reduce the length of stay. Examples of these are identifying subgroups of patients who take particularly long to complete their treatment and setting up interventions for those patients, reducing the focus on risks in society and in forensic practice, and the inclusion of protective factors in risk assessment. These factors may help in finding a way out of the crisis.


M.H. Nagtegaal
Dr. Marleen Nagtegaal is als onderzoeker verbonden aan het WODC.

    Policies within forensic psychiatry can be characterized by the on-going search for balance between the interests of stakeholders. These interests vary in a lot of cases. The interest of society, the patient and the professional differs within a complex framework of political, ethical and juridical guidelines and scientific evidence. These differences are illustrated from a management’s point of view by describing the treatment issues in regard to forensic psychiatric inpatients with substance abuse disorders. Treatment policies on drug use during treatment balance between treatment guidelines and restrictive measures. These restrictions have to be adjusted to the necessary treatment programmes for developing new pro social lifestyles. The treatment policy on relapse and leave should balance between patient needs and the needs of society. The result of this interesting but also challenging and complex quest depends on the sensitivity of stakeholders for the interests of the others.


E. Bulten
Dr. Erik Bulten is als hoofd Diagnostiek, onderzoek en opleiding verbonden aan de FPC Pompestichting te Nijmegen.

J. Groeneweg
Ir. Joke Groeneweg is algemeen directeur van de FPC Pompestichting te Nijmegen.
Artikel

Forensische zorg anno 2013 en de plek van de tbs daarbinnen

Tijdschrift Justitiële verkenningen, Aflevering 4 2013
Trefwoorden forensic care system, TBS order, forensic care budget, treatment capacity, extramural forensic care
Auteurs A.A. van Gemmert en N.H. Tenneij
SamenvattingAuteursinformatie

    The organization and execution of forensic care in the Netherlands has changed considerably over the last six years. In this paper the authors define forensic care as all mental health care for adults under the criminal law, including care for the intellectual disabled, and addiction care. Before 2007 the Ministry of Security and Justice sole responsibility was the financing and execution of the measure detention under a hospital order (the so-called TBS-measure). All other forms of forensic care were then provided under the responsibility of the Ministry of Health, Welfare and Sports. Nowadays, the Ministry of Security and Justice is responsible for all forensic care. The main reasons for this change were the increase observed in the number of patients detained under a hospital order and an increase in the length of stay necessary for the successful completion of the treatment, which resulted in an overload of the TBS-system, an observed lack of care possibilities for the detained, and a lack of transition between forensic and regular care.


A.A. van Gemmert
Nol van Gemmert is verbonden aan de afdeling Informatieanalyse en Documentatie van de Dienst Justitiële Inrichtingen (DJI) van het ministerie van Veiligheid en Justitie.

N.H. Tenneij
Dr. Nienke Tenneij is als beleidsadviseur werkzaam bij de Dienst Justitiële Inrichtingen (DJI) van het ministerie van Veiligheid en Justitie.

    The introduction in the Netherlands of the SOV measure in 2001, followed by the ISD Order in 2004, opened the opportunity for the courts to incarcerate systematic offenders, mostly addicts, for a period of two years. During the period of imprisonment convicted are offered various programs to kick their habits and tackle their other problems. The article assesses the social costs and benefits of the SOV/ISD measure. The analysis takes account of the improvement in general health and productivity of the participants, and models the crime reduction effects through special prevention, incapacitation and general deterrence. Substituting results from the first effectiveness study of the SOV program, which by the way only covers one follow-up year, it is calculated that the SOV/ISD measure may yield a positive net result of as much as € 4 million per participant.


B.C.J. van Velthoven
Dr. Ben van Velthoven is universitair hoofddocent rechtseconomie aan de Faculteit der Rechtsgeleerdheid te Leiden.

D.E.G. Moolenaar
Dr. Debora Moolenaar is senior onderzoeker bij het WODC.
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