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 4

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