Long-Term Forensic Psychiatric Care

Clinical, Ethical and Legal Challenges

  • Birgit Völlm
  • Peter Braun

Table of contents

  1. Front Matter
    Pages i-vi
  2. Birgit Völlm
    Pages 1-4
  3. The Context

  4. Clinical Aspects of Long-Stay

    1. Front Matter
      Pages 79-79
    2. Toon Walravens, Joyce Bierbooms, Paul Ter Horst
      Pages 81-102
    3. Harry G. Kennedy, Ken O’Reilly, Mary Davoren, Padraic O’Flynn, Owen P. O’Sullivan
      Pages 103-121
    4. Ana Cristina Neves, Michiel de Vries Robbé, Arjan van den Nagel, Anouk Bohle, Agnes Veldhuizen
      Pages 123-137
    5. Ellen C. W. Vorstenbosch, Gemma Escuder-Romeva
      Pages 139-159
    6. Judith Pettigrew, Roisin O’Regan, Alyssa Kidd, Padraic O’Flynn
      Pages 161-168
    7. Ricardo Barroso, Thierry Pham, Ana M. Greco, Florence Thibaut
      Pages 169-180
    8. Claudio Di Lorito
      Pages 181-198
    9. Sheena Foster, Peter Bates
      Pages 219-231
  5. Service Models and Alternative Provision

    1. Front Matter
      Pages 233-233
    2. Marjam Veerle Smeekens, Peter Braun
      Pages 235-250
    3. Boris Schiffer, Norbert Schalast
      Pages 251-260
    4. Kevin Pesout, Thierry Pham
      Pages 261-272
    5. Arūnas Germanavičius, Māris Taube, Ilona Laurinaitytė, Ingrīda Cera
      Pages 273-285
    6. Dragica Kozarić-Kovačić, Nadica Buzina, Tija Žarković Palijan, Zrnka Kovačić Petrović
      Pages 301-316
    7. F. Scarpa, L. Castelletti, I. Lega
      Pages 317-330

About this book


This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.


Mentally Disorders In-Patient Facilities Length of Stay (LoS) Quality-Of-Life Human Rights Penrose Hypothesis

Editors and affiliations

  • Birgit Völlm
    • 1
  • Peter Braun
    • 2
  1. 1.Forensic Psychiatric HospitalUniversity RostockRostockGermany
  2. 2.Pompe Foundation Department LFPCForensic Psychiatric HospitalZeelandThe Netherlands

Bibliographic information