Victim-offender contact has been studied extensively in prisons, but research on contact between victims and mentally disordered offenders in forensic mental health settings is lacking. Therefore, an exploratory study was conducted on contact between victims and offenders in four Dutch forensic psychiatric hospitals. These offenders have committed serious (sexually) violent offenses, for which they could not be held fully responsible due to severe psychopathology. During the mandatory treatment, it is possible for offenders and their victims to engage in contact with each other if both parties agree to this. To explore the conditions under which this contact is suitable, we interviewed 35 social workers about their experiences in 57 cases from four Dutch forensic psychiatric hospitals. Findings demonstrated that, according to the social workers, no type of offense or psychopathology were obvious exclusion criteria for victim-offender contact. Social workers described offenders' problem awareness, stable psychiatric condition, and ability to keep to agreements as important factors that enable victim-offender contact. Implications and suggestions for future research are provided.
Purpose Self-injury is common in forensic psychiatric settings. Recent research offers some insights into the functions and management of self-injurious behaviour but generally focusses on either the experiences of staff or patients. This study aims to explore the experiences of both staff and patients with non-suicidal self-injury in a Dutch forensic psychiatric hospital. Design/methodology/approach In total, 6 patients and 11 staff members were interviewed about the functions they ascribe to self-injurious behaviour, the emotional experience provoked by this behaviour and the management of self-injurious behaviour. The interviews were transcribed and analysed using a thematic analysis. Findings Four main themes resulted from the analysis: functions; emotional distancing; patient needs; and management. Overall, findings illustrate that staff reports limited knowledge of the different functions of self-injury. To circumvent potential automatic stereotypical judgement, staff should proactively engage in conversation about this topic with their patients. In managing self-injurious behaviour, clarity and uniformity among staff members should be promoted, and collaboration between the staff and patients is desirable. Staff recognised the potential benefit of a management guideline. Staff may find detached coping strategies to be effective but should be vigilant to not let this evolve into excessive detachment. Practical implications Increased knowledge and awareness of self-injury functions among staff can allow for better understanding and evaluation of self-injury incidents. Circumvention of automatic, stereotypical judgement of self-injurious behaviour is warranted, and more accessible explanations of the variety of functions of self-injury should be used. More proactive engagement in conversations about functions of self-injury by staff, can facilitate this. Detached coping can help staff to remain resilient in their job, but requires vigilance to prevent this from turning into excessive detachment. Clarity and uniformity among staff when managing self-injury incidents is considered beneficial by both patients and staff. A guideline may facilitate this. When imposing restrictions on patients, staff should strive to establish collaboration with the patient in determining the course of action and ensure the restriction is temporary. Originality/value The impact of self-injurious behaviour on all those involved can be enormous. More research is needed into experiences of both patients and staff members regarding the impact, motivations, precipitants and functions of self-injurious behaviour, and effective treatment of it.
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The past two decades, a disproportionate growth of females entering the criminal justice system and forensic mental health services has been observed worldwide. However, there is a lack of knowledge on the background of women who are convicted for violent offenses. What is their criminal history, what are their motives for offending and in which way do they differ from men convicted for violent offenses? In this study, criminal histories and the offenses for which they were admitted to forensic care were analyzed of 218 women and 218 men who have been treated between 1984 and 2014 with a mandatory treatment order in one of four Dutch forensic psychiatric settings admitting both men and women. It is concluded that there are important differences in violent offending between male and female patients. Most importantly, female violence was more often directed towards their close environment, like their children, and driven by relational frustration. Furthermore, female patients received lower punishments compared to male patients and were more often considered to be diminished accountable for their offenses due to a mental illness.
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In het forensisch werkveld staan drie vragen centraal. Het gaat dan om “wie is het”, “wat is er gebeurd” en “wanneer is het gebeurd”. Alle informatie die bijdraagt aan het beantwoorden van deze vragen is waardevol in zaakonderzoeken. Vaak wordt er wel een biologisch spoor gevonden, maar is er geen “match” met de databank. In dit geval kan profileringsinformatie helpen bij het zoeken naar de juiste persoon. Met profilering wordt hier bedoeld een serie stoffen, ook markers genoemd, die informatie geven over de levensstijl van mensen. De levensstijl kan bestaan uit kenmerken, voeding, gewoonten en activiteiten. Een recent voorbeeld van een profileringsmethode is het analyseren van de buitenzijde van mobiele telefoons. Door het hanteren van de telefoon laten mensen zweet en stoffen achter die gekarakteriseerd kunnen worden. Het profiel van deze stoffen geeft een beschrijving van de levensstijl van de eigenaar. In veel zaken zijn er echter geen mobiele telefoon aanwezig, maar wel andere sporen zoals haar. Daarom is er behoefte aan een methode om haar te gebruiken voor profilering. Bovendien geeft haar een indicatie van tijd en gebeurtenissen uit het verleden omdat het langzaam groeit. In principe kan er dan informatie over de drie vragen (wie, wat, wanneer) verzameld worden. Haren worden op dit moment vooral gebruikt voor het meten van drugs, alcohol gebruik, cortisol en nicotine. Er is echter behoefte aan een breder palet van stoffen dat in één keer in haar kan worden gemeten. Het doel van dit onderzoek is daarom het ontwikkelen van een methode waarmee in één analysegang een profiel van circa 15 uiteenlopende markers kan worden gemeten.
