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Prevalence and Treatment of Personality Disorders in Dutch Forensic Mental Health Services

Dr. de Ruiter is Professor of Forensic Psychology, Department of Psychology, Maastricht University, Maastricht, The Netherlands. Dr. Trestman is Professor and Clinical Vice Chairman of the Department of Psychiatry, Center for Correctional Mental Health Services Research, University of Connecticut Health Center, Farmington, CT. Address correspondence to: Corine de Ruiter, PhD, Department of Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. E-mail: corine.deruiter{at}psychology.unimaas.nl

Offenders with serious personality disorders challenge forensic systems throughout the world. In this article, the authors describe the legal system that shapes the forensic treatment of personality-disordered offenders in the Dutch psychiatric and correctional systems. The evolution of laws and regulations are addressed, as is the bifurcation of treatment between forensic hospitals and correctional settings. Prevalence data of personality disorders in the Dutch systems are presented, and comparisons between the Dutch and American systems are delineated. Current treatment modalities are described. Research initiatives and future directions for the system are presented.