Organizing Forensic Mental Health Care Delivery: Putting the Trinitarian Model of Therapeutic Security to the Test

Abstract

The Trinitarian model of therapeutic security is used to organize forensic mental health care in Ireland, England and Scotland. However, it remains unclear whether this model captures all significant factors for the organization of forensic mental health care delivery. In this case study, the Trinitarian model is applied to and tested on Belgian forensic mental health services. Relational security as a discriminative factor is debated and an extension of this institution-oriented model to the policy- and service users’ level is recommended. Finally, we propose to disentangle the concepts of therapeutic security, risk and care in forensic mental health.

Keywords:

• Forensic mental health organization
• therapeutic security
• risk management
• Persons labeled Not Criminally Responsible

Additional information

Funding

This work was funded by FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu