At the hospital, we emulate society as much as possible, because the ultimate objective is for patients to re-enter society. In the community present within the walls of the hospital, patients learn to take responsibility for the safety of themselves, each other and staff. Patients are given more freedom if they show that they are able to take on this responsibility. In the hospital council, patients and staff discuss safety issues and matters relating to the living environment. At the hospital, we treat patents on the basis of the What Works-principles.
In the residential groups, patients are responsible for domestic chores, like cooking and cleaning. Patients take part in their treatment programmes during the day and in the evening hours. These programmes will vary from one person to another, as the activities focus on the individual treatment objectives. In addition to therapeutic treatment and pharmacotherapy, treatment consists of activities relating to employment training, education, sport, leisure activities and network activities. Patients live in a residential group and their day-to-day lives as part of this group are kept as normal as possible. The hospital has four residential groups, three for patients with personality disorders and one for people with psychotic problems. There are also two highly structured individual departments. We admit patients to these departments if they are not sufficiently stable or unsuitable to form part of a residential group. We also have three transmural departments, where patients live outside the walls of the hospital under supervision: De Brug, De Weerd and SBWU-Schutse.
The treatment plan
In the treatment plan, we record the factors that are important to treat and that have a direct connection with the risk of recidivism. This treatment plan will be a multidisciplinary plan that is subject to the responsibility of the Head of Treatment. We also look at the various risk factors and protective factors. However, treatment will not be possible for some risks, such as autism. Where autism is the case, it will be important to achieve the best possible protective factors. We involve patients in their treatment plans and listen very carefully to what they feel ought to be worked on as part of the treatment plan. Patients must commit themselves to these plans too. Where necessary, we will also use motivation discussion techniques to help a patient understand why it is good to take part in the treatment.
Stages in the treatment of patients detained under a hospital order
In 2012, the average treatment period applicable at the Van der Hoeven Kliniek for a patient who has been detained under a hospital order is 7.3 years. An order consists of various stages. We arrive at a diagnosis in the admission stage. Where necessary, we also start to prescribe medication or adjust medication, which we do with the object of stabilising and supporting a patient. At this stage, we also prepare a treatment plan. Once the treatment plan has been discussed in a broad circle with fellow patients, family, treatment staff and the patient himself, the treatment and change stage will follow. All being well, this stage without leave will be followed by a stage in which a patient is granted leave. This will start with supervised leave, will be followed by unsupervised leave and will end, ultimately, with transmural leave, when the patient will start to live outside the walls of the hospital. Following the conditional termination of compulsory psychiatric treatment, detention under a hospital order will continue. All being well, this will be followed, ultimately, by an unconditional discharge. Read more about leave here.
When two or more treatment attempts at different forensic hospitals have failed and there has been no reduction in the risk of recidivism, a patient may be registered for admission to a long stay department. The Van der Hoeven Kliniek does not have a long stay department.
Medication forms part of the treatment provided to some patients. This is often the case, for example, where patients have psychotic disorders. However, medication may also play a supporting role where patients have personality problems and when treating individuals who have committed sex crimes.
Van der Hoeven Kliniek is onderdeel van De Forensische Zorgspecialisten