عنوان انگلیسی مقاله:
Crushed by the Belgian system: Lived experiences of forensic care trajectories by persons labelled as not criminally responsible
ترجمه فارسی عنوان مقاله:
خرد شده توسط سیستم بلژیکی: تجربیات زندگی در مسیرهای مراقبت های پزشکی قانونی توسط افراد دارای برچسب جنایی که مسئولیت کیفری ندارند
Sciencedirect - Elsevier - International Journal of Law and Psychiatry, 68 (2020) 101539. doi:10.1016/j.ijlp.2019.101539
Marjolein De Paua,⁎, Anouk Mertensa,1, Delphine Bourmorckb, Wouter Vanderplasschenc, Pablo Nicaiseb, Freya Vander Laenen
Background: Care trajectories of Persons labelled Not Criminally Responsible (PNCR) are often characterized by
multiple transitions from one (forensic) mental health service to another and by long periods of admission. So
far, little research has been conducted on forensic care trajectories, in particular on how PNCR perceive the
trajectories they are subjected to.
Method: Data were obtained via semi-structured interviews (N = 23) with PNCR in various (forensic) mental
health services in Belgium. A maximum variation sampling strategy was applied to recruit a heterogeneous
group of PNCR and inductive thematic analysis adopted to analyse the data.
Results: PNCRs experiences about care trajectories in Belgium are marked by an absent voice and passive position
in the decision-making process in addition to a lack of support during transitions. Barriers for admission in
(forensic) mental health services and the indeterminate duration of care trajectories contribute to overall negative
Conclusion: Although some findings are interchangeable with general mental health care, PNCRs care trajectories
differ by their undetermined nature, barriers for accessing care and power dynamics in compulsory forensic
care. As concepts from prison sociology, such as tightness, power holders and pain of indeterminacy, seem
to be equally relevant for the situation of PNCR, the balance between a criminal justice and mental health
approach in forensic mental health care is questioned.
Keywords: Forensic mental health | Forensic psychiatry | Persons labelled not criminally responsible | Forensic care trajectories | Service user perspective | Lived experiences