Cont
ents
people who work in them are equipped in the best possible way to carry out their
work effectively and safely. The Inspectorate has advised the Minister of the
situation and recommended that suitable measures should be taken. As part of the
NPM, the Inspectorate of Justice and Security has launched an investigation into
decision-making around the granting of freedoms to patients. It started with the
Forensic Psychiatric Centres, while the Penitentiary Psychiatric Centres will follow
later this year.
An important policy change in Forensic Care is the entry into force on 1 January
2019 of the Forensic Care Act (Wet forensische zorg). This Act provides the
framework for the new forensic care system. Its main objectives are the right
patient in the right place, the creation of sufficient forensic care capacity, highquality care based on the principle of public safety, and a strong link between
forensic and curative care. The law covers all types of forensic care: outpatient and
inpatient, support and treatment.
Monitoring the use of force
Forensic care
The Health and Youth Care Inspectorate, which is part of the NPM, conducted an
investigation in 2017 into admission to Forensic Psychiatric Centres of patients
covered by the Psychiatric Hospitals (Compulsory Admission) Act (Wet Bijzondere
Opnemingen in Psychiatrische Ziekenhuizen, Wet bopz). According to this
investigation, these patients were cared for effectively and with a high degree of
professionalism in Forensic Psychiatric Centres.
Mental health care, nursing home care and care for the disabled
The Health and Youth Care Inspectorate, which is part of the NPM, also monitors
clients/patients in mental health care, nursing home care and care for the disabled
where force is applied. It is important that force is avoided wherever possible and
that an effective prevention policy is in place. This aim can be achieved through
person-specific care, good and properly trained carers. and a focus on quality. The
Inspectorate has assessed these aspects for a large number of care providers,
working on the principle that good, person-specific care reduces the need for
restraint and force.
Within disability care and nursing home care, the Health and Youth Care
Inspectorate assessed some thirty involuntary treatments at the client level under
the Psychiatric Hospitals (Compulsory Admission) Act in 2017 and 2018. Care
providers received a report and were sometimes required to take measures in order
to improve the situation. The individual institutional reports can be found on the
Health and Youth Care Inspectorate website.
An aggregated report on the investigation Use of force and separation practice in
mental health care (2015–2016) was published in 2018. The Health and Youth Care
Inspectorate concludes that the results of the investigation present a mixed picture
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