The Van der Hoeven Kliniek treats men and women aged from 18 upwards who have a psychological disorder and have committed (or are likely to commit) an offence. The psychological problems that patients have are often complex. For example, we a large number of patients with personality disorders or psychotic disorders. Approximately 70% of patients also have an addiction problem when admitted. We are experts in the treatment of patients who have been detained under a hospital order. This is due in part to the many years on which we have focused on this specific group of people. Added to the above, we specialise in the treatment of women, have an in-depth knowledge of indecency problems and long care programmes for psychotic patients. A transmural approach forms part of our specialism too and we temporarily (11 weeks) admit patients who have been detained under a hospital order from other clinics for additional diagnostics and observation.
Risk and protective factors
We use a risk assessment to identify the risks presented by each patient in a structured and standardised manner; we do this with the object of reducing these risks. The hospital was the first Dutch institution to use international standardised tools for risk assessment in the Netherlands (HCR-20, V3 being the latest of these). We have also developed various tools ourselves, for example a tool for women (FAM) and sex offenders (Static and Stable). Besides risk factors, the healthcare professionals identity protective factors. Protective factors, which include factors like a good stable network, a job or a relationship, can contribute to safety. If a patient is able to draw on a sufficient number of protective factors, it is less likely that he will revert to violent behaviour. The tool that the hospital has developed for this purpose, the SAPROF (Structured Assessment of PROtective Factors), is now being used both nationally and internationally.
Transfer and discharge; using stepped care to achieve independence
The hospital has an annual discharge rate of 10% to 15%. Safety is always paramount when considering any discharge. Successful transfer and discharge are possible as a result of our intensive collaboration with partners in and outside the city. This collaboration takes place on the basis of the so-called stepped care principle, in which a great deal of consideration is given to protective factors. Transfers are arranged with all due care and we always offer a re-admission guarantee. The Van der Hoeven Kliniek has always led the way where the creation of new transfer and discharge provisions are concerned. To make this possible, we team up with regional chain partners, such as sheltered-accommodation and mental healthcare institutions, including SBWU, Kwintus and GGZ-Centraal.
Victim policy as a central part of treatment
Victim policy is given high priority at the Van der Hoeven Kliniek. We consider the interests of victims (and their surviving relatives) very carefully when deciding whether or not to grant leave requests and invest in meetings between offenders and victims. We regularly work with Victim Support Netherlands (Slachtofferhulp Nederland) and maintain contacts with various support groups for victims and their surviving relatives. Forensic network counsellors play an important role in this process. For example, they assess the leave requested against the interests of victims and arrange contact between victims and offenders should victims wish this to be initiated. The hospital also ensures that patients who have been detained under a hospital order pay any debts due to victims or their surviving relatives. As part of the working group on victim policy at the Ministry of Security and Justice, the hospital was involved in the drafting of the current national victim policy. Read more about our victim policy (text is in Dutch).
The hospital has two branches in Utrecht and one in Amersfoort (De Voorde) and specialises in the following three areas:
- Patients who have been detained under hospital orders
- The Intensive Treatment Clinic
- Long care for patients who have been detained under a hospital order and patients admitted to the Intensive Treatment Clinic
All of the branches have mixed departments; both men and women are treated.
The Van der Hoeven Kliniek is instructed by the Ministry of Security and Justice (for patients who have been detained under a hospital order) and insurers (for the Intensive Treatment Clinic). Added to this, patients at the Intensive Treatment Clinic are referred to it by parties like mental healthcare institutions, the Dutch Probation Service (), the police and municipalities.
Van der Hoeven Kliniek is onderdeel van De Forensische Zorgspecialisten