RECOMMENDATIONS
4. RECOMMENDATIONS FOR ADMINISTRATIONS OF
FACILITIES AND POLICYMAKERS
As highlighted, some of the existing challenges were magnified and highlighted by the COVID-19 pandemic. Therefore, to adequately address
future pandemics some general challenges need to be tackled as well.
In the following general recommendations will be displayed, followed by
concrete recommendations concerning the COVID-19 regulations.
General
1. To make informed decisions on the deprivation of liberty of persons
with psychosocial and intellectual disabilities and improve their situation, we need to understand the status quo. Therefore, governments
should transparently provide data on preventive measures, preferably disaggregated by personal characteristics as well as the place
and duration of deprivation of liberty.
2. Reducing the number of persons in preventive measures is a prerequisite to ensure that adequate treatment can be provided. First, authorities
should reassess laws and policies to ensure that the deprivation of liberty
is used as a last resort and that alternatives are prioritised and applied
more frequently. Besides, conditional releases should be reinforced by
establishing boards of expert witnesses of psychiatry and other relevant
areas of expertise (with extensive knowledge of the psychiatric support
system) to share responsibility concerning the risk of recidivism.
3. Ensuring the right to health should be a top priority. By considering the broader context of the deprivation of liberty of persons with
psychosocial and intellectual disabilities, there is a pressing need to
expand and improve the overall psychosocial support structure.
4. The aim of preventive measures is not punishment but treatment. The
involvement of health care personnel can best realise this aim. Consequently, the systems should be adequately equipped with trained
and qualified staff.
5. The pandemic has once again proven the importance of exchange
and coordination among the relevant stakeholders. The collaboration
between the different professions, and preferably with relatives and
persons concerned should be strengthened and institutionalised by
establishing regular round tables and networks.
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