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Caring or preventing recidivism? The case of medium security forensic psychiatric wards in French-Speaking Belgium

De Spiegeleir, Sophie
(2024) Dealing with Dangerousness : A Multidisciplinary Perspective on Risk and Prevention in Criminal Law — Location: Lorentz Center, Leiden (The Netherlands) (2024.April.2AD)

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In Belgium, the criminal internment regime is set out in the 2014 Internment Act. It is a security measure that deprives or restricts the freedom of persons who have committed a serious offense and who are found unaccountable for their actions due to a mental disorder. The measure has a dual purpose: to protect society from potentially dangerous individuals AND to provide the necessary care for these individuals in preparation for their social rehabilitation. The 2014 Act requires that the internment measure be based on a “care trajectory”, during which forensic patients will be admitted to different types of institutions, generally from high security services to low security services. In the middle, they can be admitted to a medium security forensic psychiatric ward as part of a probation release (a sort of “parole”, but specific for the internment measure). My PhD focusses on this particular moment, these wards are a sort of liminary position: after high security (prison) and before rehabilitation.In these wards, caregivers’ job is to assess whether a forensic patient is “ready” to go home and to reintegrate society. The assessment and intervention actually revolve around the broad notion of “autonomy”, which is enormously used on the field. According to caregivers’ assessment, sufficiently autonomous patients will be able to live outside institutions and are considered to be less at risk of recidivism. But what does autonomy really mean in such context and how is it actually assessed?
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De Spiegeleir, S. (2024). Caring or preventing recidivism? The case of medium security forensic psychiatric wards in French-Speaking Belgium. Dealing with Dangerousness : A Multidisciplinary Perspective on Risk and Prevention in Criminal Law, Lorentz Center, Leiden (The Netherlands). https://hdl.handle.net/2078.5/274232