Purpose The purpose of this paper is to describe service users’ perspectives on the difference between high secure long-stay forensic psychiatric services in the Netherlands and high secure forensic psychiatric care in England. These perspectives are relevant in considering the benefits of a similar long-stay service in England. Design/methodology/approach A current in-patient detained in a high secure hospital in England and other mental health service users and carers with experience in forensic-psychiatric settings were asked to watch a documentary on a Dutch high secure long-stay service. Then they were invited to make comparisons between this service and high secure care in England. These perspectives were gained in the context of their membership of the Service User Reference Group of an externally funded study on long-stay in forensic-psychiatric settings in England. Findings The small group of participants highlighted the importance of relational security, meaningful occupation, autonomy, positive therapeutic relationships with staff and a homely environment for those with lengthy admissions and perceived these to be better met in the Dutch service. These factors might contribute to improved quality of life that services should strive to achieve, especially for those with prolonged admissions. Practical implications Perspectives of service users with lived experience of long-stay in forensic settings are important in informing service developments. Lessons can be learnt from initiatives to improve the quality of life in long-stay services in other countries and consideration be given on how to best manage this unique group. Originality/value To the authors’ knowledge this is the first study asking service users about their view on forensic services in other countries. The findings suggest that service users have valuable contributions to make to aid service developments and should be involved in similar such exercises in the future.

中文翻译：

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英国vs荷兰高安全性医院：服务用户的观点

目的本文的目的是描述服务使用者对荷兰的高安全性长期法医精神病学服务与英国的高安全性法医精神病学服务之间的差异的看法。这些观点与考虑英格兰类似的长期服务的好处有关。设计/方法论/方法要求当前在英国一家高安全性医院被拘留的住院患者以及其他在法医和精神病学方面具有经验的精神卫生服务使用者和护理人员观看荷兰的高安全性长期住院服务的纪录片。然后，他们被邀请对这项服务与英格兰的高度安全护理进行比较。这些观点是在其服务用户参考小组成员的背景下获得的，该用户参考小组是外部资助的英格兰法医精神病患者长期住宿研究的一部分。调查结果一小部分参与者强调了关系安全，有意义的职业，自主权，与员工的积极治疗关系以及长期入职者的家庭环境的重要性，并认为在荷兰服务中可以更好地满足这些要求。这些因素可能有助于改善服务应努力实现的生活质量，特别是对于那些长期住院的患者。实际含义具有长期在法医环境中的长期服务经验的服务用户的观点对于告知服务发展至关重要。可以从旨在提高其他国家长期住宿服务质量的计划中吸取经验教训，并考虑如何最好地管理这个独特的群体。原创性/价值据作者所知，这是第一项向服务使用者询问他们对其他国家司法服务的看法的研究。调查结果表明，服务用户可以为帮助服务的发展做出宝贵的贡献，将来应该参与类似的活动。