De Voorde is situated in the heart of the forest near Amersfoort, in the grounds of the Zon & Schild general psychiatric hospital (part of GGZ-Centraal). De Voorde was initially created as a place to which patients with psychotic problems could transfer from the hospital in Utrecht. More than 12 years ago, this resulted in collaboration with the Zon & Schild mental healthcare institution. De Voorde started off as a small department and has now become an independent clinic with 70 beds. Today, patient intake is open to patients throughout the country.
De Voorde offers long-term, intensive counselling and treatment in a secure environment. Because De Voorde is situated in the grounds of a mental healthcare institution, we are able to offer a good care chain that includes the standard mental healthcare institution, because of which patients are able to achieve the best possible transfers. If a patient experiences setbacks, he will always be able to return to De Voorde (temporarily). Extensive risk management makes it clear which patients will continue to depend on long-term forensic care for a protracted period of time. Risk management, early detection and boundaries in a living environment in which the patient feels accepted, contribute to a safer society. A successful average discharge rate of 10% to 20% per year shows that this works.
De Voorde has two floors and is divided up into three blocks, each of which has two residential groups, including an individual department in which crisis admissions are possible too. Patients live together in residential groups. They are jointly responsible for cooking and cleaning the communal areas, amongst other things. Many patients use the facilities at Zon & Schild, such as the lunch cafe, the printer, the gardens and the church.
Patients admitted to De Voorde are primarily those who have serious psychiatric (usually psychotic) problems, whether with a civil law order or a criminal law measure (detention under a hospital order). The latter group consists of patients in the transmural stage of their treatment.
The period of treatment at De Voorde will vary from short-term admission to long-term care (long care), with an emphasis on long-term care. Long care for patients being treated at the Intensive Treatment Clinic is also referred to as LIC (Long Intensive Care). Patients who are detained under court orders come to De Voorde from the hospital in Utrecht or other institutions in the country when a discharge to standard psychiatry services would seem to be a possibility for the short or longer term. Patients with a court authorisation will be admitted from Utrecht and the surrounding area. Their admission will be accompanied by requests for diagnostics, treatment recommendation, crisis admission due to incidents or with the intention of putting a resocialisation process in motion that will enable a patient to return to the standard mental healthcare institution.
De Voorde is unique because it offers the protection of a forensic psychiatric clinic while seeking to collaborate with standard mental healthcare institutions wherever possible and where required per individual patient. The object is to ensure that patients are able to gain their discharge from De Voorde on time. Patients are also discharged to different forms of sheltered accommodation. The clinic works intensively with RIBW Kwintus amongst others in this respect.
Van der Hoeven Kliniek is onderdeel van De Forensische Zorgspecialisten