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.

摘要

治疗安全的三位一体模式用于在爱尔兰、英格兰和苏格兰组织法医精神卫生保健。然而，目前尚不清楚该模型是否涵盖了组织法医精神卫生保健服务的所有重要因素。在本案例研究中，三位一体模型应用于比利时法医精神卫生服务并对其进行测试。将关系安全作为一个歧视性因素进行了辩论，并建议将这种面向机构的模型扩展到政策和服务用户级别。最后，我们建议解开法医心理健康中治疗安全、风险和护理的概念。