In the Czech Republic, Forensic Treatment (FT) services consist of inpatient protective treatment (PT), outpatients treatment and secure detention (SD). Currently, there are 13 facilities providing inpatient PT; 386 clinics providing outpatient treatment and 2 SD. 950 patients receive inpatient and 2,300 outpatient treatment. 85 patients are currently in SD. Czech psychiatric care reform aims to separate the inpatient care from the rest of psychiatric care as well as create Protective Multidisciplinary Teams and services for minority populations. The whole system of care needs to implement risk assessment and adjust recovery management plans to indicated risks.
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References
1.
AndrewsD. A.ZingerI.HogeR. D.BontaJ.GendreauP.CullenF. T. (1990). Does correctional treatment work? A clinically relevant and psychologically informed meta‐analysis. Criminology, 28(3), 369–404. doi:10.1111/j.1745-9125.1990.tb01330.x
2.
Blatníková, Š., & Zeman, P. (2013). Sicherungsverwahrung: Eine neue Sanktion für gefährliche Straftäter in der Tschechischen Republik. Bewährungshilfe: Soziales, Strafrecht, Kriminalpolitik, 363–376
3.
BlatníkováŠ.ZemanP. (2019). Ochranné léčení během výkonu trestu odnětí svobody: Možnosti a úskalí. Trestněprávní revue, 6, 127–134.
4.
BlümlV.WaldhörT.KapustaN. D.VyssokiB. (2015). Psychiatric hospital bed numbers and prison population sizes in 26 European countries: A critical reconsideration of the Penrose hypothesis. PLoS One, 10(11), e0142163. doi:10.1371/journal.pone.0142163
5.
BroulíkováH. M.WinklerP.PávM.KondrátováL. (2019). Costs of mental health services in Czechia: Facilitating an evidence-based reform of psychiatric care. Applied Health Economics and Health Policy, 1–12. doi: 10.1007/s40258-019-00501-7.
6.
ChowW. S.PriebeS. (2016). How has the extent of institutional mental healthcare changed in Western Europe? Analysis of data since 1990. BMJ Open, 6(4), e010188. doi:10.1136/bmjopen-2015-010188
de Vries RobbéM.de VogelV. (2018). A European perspective on risk assessment tools. In Forensic psychiatry and psychology in Europe. (pp. 249–266). Cham: Springer.
9.
de Vries RobbéM.de VogelV.de SpaE. (2011). Protective factors for violence risk in forensic psychiatric patients: A retrospective validation study of the SAPROF. International Journal of Forensic Mental Health, 10(3), 178–186. doi:10.1080/14999013.2011.600232
10.
DiblíkováS. (2018). Analýza trendů kriminality v České republice v roce 2017 (Ediční řad). Prague: Institut pro kriminologii a sociální prevenci. Retrieved from www.kriminologie.cz
11.
DrennanG.AlredD. (2012). Secure recovery. Approaches to recovery in forensic mental health settings. Oxon: Willan.
12.
EdworthyR.SampsonS.VöllmB. (2016). Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries. International Journal of Law and Psychiatry, 47, 18–27. doi: 10.1016/j.ijlp.2016.02.027.
13.
HeitzmanJ.MarkiewiczI. (2017). Financing of forensic psychiatry in view of treatment quality and threat to public safety [Finansowanie Psychiatrii Sadowej a Jakosc Leczenia i Zagrozenie Bezpieczenstwa Publicznego]. Psychiatria Polska, 51, 599–608. doi: 10.12740/PP/76000.
14.
Hoschl, C., Winkler, P., & Pěč, O. (2012). The state of psychiatry in the Czech Republic. International Review of Psychiatry, 24, 278–285. doi:10.3109/09540261.2012.688730.
15.
JürilooA.PesonenL.LauermaH. (2017). Knocking on prison’s door: A 10-fold rise in the number of psychotic prisoners in Finland during the years 2005–2016. Nordic Journal of Psychiatry, 71(7), 543–548. doi:10.1080/08039488.2017.1351579
16.
KalisovaL.PavM.WinklerP.MichalecJ.KillaspyH. (2018). Quality of care in long-term care departments in mental health facilities across the Czech Republic. European Journal of Public Health, 28(5), 885–890. doi:10.1093/eurpub/cky151
17.
KarabecZ.VlachJ.HulmákováJ.ZemanP. (2017). Criminal Justice System in the Czech Republic 3rd amended and revised edition (Studie). Prague: Institute for Criminology and Social Prevention. Retrieved from www.kriminologie.cz
18.
MarquantT.SabbeB.Van NuffelM.GoethalsK. (2016). Forensic assertive community treatment: A review of the literature. Community Mental Health Journal, 52(8), 873–881. doi:10.1007/s10597-016-0044-0
19.
MarquantT.Torres-GonzalezF. (2018). Deinstitutionalization versus transinstitutionalization. In Forensic psychiatry and psychology in Europe (pp. 293–304). Cham: Springer International Publishing. doi:10.1007/978-3-319-74664-7_19.
20.
MundtA. P.FrančiškovićT.GurovichI.HeinzA.IgnatyevY.IsmayilovF.PriebeS. (2012). Changes in the provision of institutionalized mental health care in post-communist countries. PLoS One, 7(6), e38490. doi:10.1371/journal.pone.0038490
21.
NechanskáB.JahnJ.NovákováZ.KudrnaK.SlábováV.PašingerováR. (2018). Psychiatrická péče 2017. Prague: Ústav zdravotnických informací a statistiky ČR. Retrieved from https://www.uzis.cz/publikace/psychiatricka-pece-2017
22.
OECD. (2017). Health at a Glance 2017: OECD Indicators. ISO 690. Paris: OECD Publishing. 10.1787/health_glance-2017-en.
23.
OECD. (2018). Health at a Glance: Europe 2018: State of health in the EU cycle. OECD. 10.1787/health_glance_eur-2018-en.
24.
Ombudsman. (2018). Protection against ill-treatment. Report of the public defender of rights as the national preventive mechanism. Brno: Ombudsman, Public Defender of Rights.
25.
Ombudsman. (2019). Zabezpečovací detence. Brno: Ombudsman, Public Defender of Rights.
26.
PávM.KališováL.HollýM. (2017). Poskytování následné psychiatrické péče v lůžkových zařízeních v ČR a možnosti zlepšení realizované v rámci projektu SUPR. Contemporary state of provision of psychosocial rehabilitation in the Czech Republic and possible improvements resulting from the SU. Česká a Slovenská Psychiatrie, 113(2), 51–58. Retrieved from http://www.cspsychiatr.cz/detail.php?stat=1144
27.
SalizeH. J.DressingH. (2004). Epidemiology of involuntary placement of mentally ill people across the European Union. British Journal of Psychiatry, 184(2), 163–168. doi:10.1192/bjp.184.2.163
28.
Salize, H. J., Dreßing, H., & Kief, C. (2005). Placement and treatment of mentally ill offenders–legislation and practice in EU Member States. Mannheim: Central Institute of Mental Health.
29.
SalizeH. J.LeppingP.DressingH. (2005). How harmonized are we? Forensic mental health legislation and service provision in the European Union. Criminal Behaviour and Mental Health, 15(3), 143–147. doi:10.1002/cbm.6
30.
SampsonS.EdworthyR.VöllmB.BultenE. (2016). Long-term forensic mental health services: An exploratory comparison of 18 European countries. International Journal of Forensic Mental Health, 15(4), 333–351. doi:10.1080/14999013.2016.1221484
31.
SchaufenbilR. J.KornbluhR.StahlS. M.WarburtonK. D. (2015). Forensic focused treatment planning: A new standard for forensic mental health systems. CNS Spectrums, 20(3), 250–253. doi:10.1017/S1092852915000152
32.
SeppänenA.TörmänenI.ShawC.KennedyH. (2018). Modern forensic psychiatric hospital design: Clinical, legal and structural aspects. International Journal of Mental Health Systems, 12(1), 58. doi:10.1186/s13033-018-0238-7
33.
SinghJ. P.DesmaraisS. L.HurducasC.Arbach-LucioniK.CondemarinC.DeanK.OttoR. K. (2014). International perspectives on the practical application of violence risk assessment: A global survey of 44 countries. International Journal of Forensic Mental Health, 13(3), 193–206. doi:10.1080/14999013.2014.922141
34.
Škvain, P. (2015). Zabezpečovací detence z pohledu vybraných zahraničních právních úprav. Institut pro kriminologii a sociální prevenci.
35.
ŠvarcJ.PávM.PapežováS.HollýM. (2018). Ochranné léčení-postupy pro poskytovatele zdravotní péče. Psychiatrie po Praxi, 12(2), 80–85. Retrieved from www.psychiatriepropraxi.cz
36.
ThomsonL. D. G.GoethalsK.NedopilN. (2016). Multi agency working in forensic psychiatry: Theory and practice in Europe. Criminal Behaviour and Mental Health, 26(3), 153–160. doi:10.1002/cbm.1998
37.
van LierE.Tort-HerrandoV. (2018). Organization and funding of forensic psychiatric facilities across Europe. In Forensic psychiatry and psychology in Europe (pp. 113–128). Cham: Springer International Publishing.
38.
VeveraJ.SvarcJ.GrohmannovaK.SpilkovaJ.RabochJ.CernyM.SustaM. (2009). An increase in substance misuse rather than other mental disorders has led to increased forensic treatment rates in the Czech Republic. European Psychiatry, 24(6), 380–387. doi:10.1016/j.eurpsy.2009.07.005
39.
VicenzuttoA.SaloppéX.DucroC.MilazzoV.LindekensM.PhamT. H. (2018). Forensic inpatients with low IQ and psychiatric comorbidities: Specificity and heterogeneity of psychiatric and social profiles. International Journal of Forensic Mental Health, 17(3), 272–284. doi:10.1080/14999013.2018.1504352
40.
van der Wolf, M., & van Marle, H. (2018). Legal approaches to criminal responsibility of mentally disordered offenders in Europe. In Forensic Psychiatry and Psychology in Europe (pp. 31–44). Cham: Springer.
41.
VöllmB. A.ClarkeM.HerrandoV. T.SeppänenA. O.GosekP.HeitzmanJ.BultenE. (2018). European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders. European Psychiatry, 51, 58–73. doi:10.1016/j.eurpsy.2017.12.007
42.
WeissP. (1997). Psychotherapy of paraphilic sex offenders. Medicine and Law, 16(4), 753–764.
43.
WinklerP.KoeserL.KondrátováL.BroulíkováH. M.PávM.KališováL.McCroneP. (2018). Cost-effectiveness of care for people with psychosis in the community and psychiatric hospitals in the Czech Republic: An economic analysis. The Lancet Psychiatry, 5(12), 1023–1031. doi:10.1016/S2215-0366(18)30388-2
44.
ZimanováJ.WeissP.BílkováL. (1987). [Predictive criteria of the success of institutional therapy in sexology]. Ceskoslovenska Psychiatrie, 83(3), 177–182.
45.
ŽukovI.PtáčekR.FischerS. (2013). Selhání psychiatrické ochranné léčby—Vraždící pacient s diagnózou paranoidní schizofrenie. Ceska a Slovenska Psychiatrie, 109(5), 239–245. Retrieved from http://www.cspsychiatr.cz/detail.php?stat=907
