Annual Report 2015 high level of security in a national institution is required. In such cases, too, a great deal needs to be done to bring about a rapid transition to an urban or regional facility. In following up this advice, the DJI has started up a small-scale youth detention facility pilot. "Difficult-to-place youths" in institutions for enhanced youth care and youth mental healthcare Youths who suffer from a mental disorder and also display seriously disruptive behaviour are not, at present, always given the care they need. It concerns about fifty youths. These youths, who reside in a youth care plus or youth mental healthcare institution, are regularly transferred because the institution cannot cope sufficiently with their complex issues. This transfer often aggravates the problems. The RSJ therefore argues for the provision of appropriate care at the location where the youth is placed, so that a transfer is not necessary. So, the starting point should be to ensure, in the first place, the best possible placement and the provision of care on location. A necessary condition to effect this is for local authorities and the government agency responsible for youth care to be in charge of the placement. Institutions can gain more expertise and find more solutions if there is more intensive collaboration and, if necessary, use is made of (national) expertise such as that of the Consultation and Expertise Centre. Recommendations in this advisory report are designed to accelerate the previously initiated collaboration between institutions and to allow separate (cooperative) initiatives to develop into general practice. The recommendation is, therefore, not only addressed to the State Secretary of Health, Welfare and Sport, as the party responsible for the system, but also to municipal authorities, as the entities responsible for the youth care, and to those involved in the implementation of the youth care, such as youth care plus facilities and the youth mental healthcare organisation. At the time this annual report was drawn up, the relevant government members had not yet provided their response to the advice. Second Memorandum of Amendment of the Compulsory Mental Healthcare Act The Compulsory Mental Healthcare Bill concerns the compulsory treatment - both ambulatory and clinical - of persons suffering from mental health problems. The Second Memorandum of Amendment of the Compulsory Mental Healthcare Act not only intends to amend the Compulsory Mental Healthcare Act, but also to substantially amend the Forensic Care Bill and the Care and Compulsion (Psychogeriatric and Intellectually Disabled Persons) Bill, such with a view of better aligning the three proposed Acts. The RSJ is of the opinion that the better alignment of these proposed Acts by the Memorandum is a positive development and it heartily endorses its purpose of promoting the progression of patients within the mental healthcare system. In its advice, the RSJ mainly considered the alignment of the Compulsory Mental Healthcare Act and the Forensic Care Act. Its conclusions are as follows: • the continuity of care between forensic care and regular mental healthcare is as yet insufficiently safeguarded and promoted; • the legal position of forensic patients treated under the Compulsory Mental Healthcare Act (and the Care and Compulsion (Psychogeriatric and Intellectually Disabled Persons) Act) is as yet insufficiently clear; 26 Table of Cont