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Aflevering 4, 2018 Alle samenvattingen uitklappen
Artikel

Access_open De historie van de operationeel leider

Trefwoorden Historie, Operationeel leider, Bureaupolitiek, Beethovenfout voor samenwerking
Auteurs Bernard Groot en Ira Helsloot
SamenvattingAuteursinformatie

    The operational leader, the ‘gold commander’, fulfils a crucial function in crisis- and disaster management in the Netherlands. He is held responsible for the total coordination of all collaborating emergency services and supports/advises the Mayor, the Commander in Chief. Unfortunately, this function has never been very effective in practise, as shown by many evaluations. From a scientific point of view, it is easy to understand why the operational leader cannot be effective in the Dutch crisis management organisation. The operational leader has no authorities and has been seated in an emergency operation centre far from the Mayor. This article examines why this issue has not been solved, despite 30 years of studying and adjusting the Dutch crisis management organisation.


Bernard Groot
Bernard Groot is directeur van Crisiscontrol BV te Hardinxveld-Giessendam. Het bedrijf legt zich toe op crisisbeheersing, rampenbestrijding, advies/opleiding/training en interim-management.

Ira Helsloot
Ira Helsloot is hoogleraar Besturen van Veiligheid aan de Radboud Universiteit.
Artikel

Komt een 112-melding bij de politie

Triage op de politie-meldkamer bij personen met verward gedrag

Trefwoorden Verwarde personen, Triage, Gevaar, passend vervoer, psycholance
Auteurs André Wierdsma, Yvette van Strien, Philip den Hollander e.a.
SamenvattingAuteursinformatie

    National thematic projects and local authorities aim to improve shelter and transport facilities for mentally disordered non-offenders. A pilot project in the south-western part of the Netherlands investigated the efficiency of psychiatric expertise in the triage process of the police emergency control room.
    To evaluate incoming emergency telephone calls in terms of the type of mentally disordered behavior, the sort and degree of dangerousness, and the urgency and type of response required.
    Between November 2016 and January 2017 social psychiatric nurses did weekend shifts on the emergency control room. Incoming telephone calls concerning public nuisance or disordered behavior were administered using the triage tool developed by the Dutch Association of Mental Health and Addiction Care. Nurses had access to regional information systems and were explicitly allowed to follow up on cases where continuity of care was an issue.
    A total of 155 calls were evaluated producing a representative image of calls concerning mentally disordered behaviour. Results show that this type of emergency calls is not overly frequent, in many cases not extremely urgent (response time target >1 hour: 67%), and about 65% could be followed up by the general practice centre or specialised (psychiatric) healthcare services. More than half (55%) of the emergency calls involved people previously in contact with psychiatric services. Most common types of danger were public disorder (28%) and suicide risk (21%). However, in 29% of cases type of danger was unclear and 14-20% of the triage tool was inconclusive.
    Triage by mental health specialists at the police emergency control room is not efficient because many cases are not very urgent and information quality is often too low to preclude street-triage. Yet screening and follow up of mentally disturbed persons can be improved by close collaboration between control room and psychiatric services.


André Wierdsma
André Wierdsma is universitair docent, afdeling psychiatrie aan het Erasmus MC.

Yvette van Strien
Yvette van Strien is adviseur acute zorg bij Traumacentrum ZuidWest-Nederland.

Philip den Hollander
Philip den Hollander is chef Meldkamer bij de Politie Rotterdam.

Aram van Reijsen
Aram van Reijsen is psychiater acute dienst bij Bavo-Europoort.
Artikel

Partnerdoding in Nederland

Trefwoorden Partnerdoding, Epidemiologie, Moord, Nederland
Auteurs Marieke Liem, Inge de Jong en Jade van Maanen
SamenvattingAuteursinformatie

    Intimate partner homicide (IPH) constitutes one of the most prevalent types of homicide. This study aims to assess the nature and prevalence of intimate partner homicide in the Netherlands in the period 2009-2014. In doing so, we make use of police data, court data, and media articles. Findings show that IPH occurs 29 times per year, resulting in a victimization rate of 0.20 per 100,000, similar to other Western-European countries. Our results further show a decline in IPH in the last years. IPH in the Netherlands mostly occurs in heterosexual relationships, and involves male perpetrators and female victims. Finally, we reflect on possible causes for the decline of this type of homicide.


Marieke Liem
Marieke Liem is Universitair Hoofddocent, verbonden aan het Institute of Security and Global Affairs, Faculteit Governance & Global Affairs van de Universiteit Leiden.

Inge de Jong
Inge de Jong is thans werkzaam bij de Nationale Politie als adviseur bij de dienst Informatie Management en tijdens het uitvoeren van deze studie student Crisis & Security Management aan de Universiteit Leiden.

Jade van Maanen
Jade van Maanen isthans werkzaam bij Rijkswaterstaat als technisch projectleider bij de dienst Centrale Informatievoorziening en tijdens het uitvoeren van deze studie student Crisis & Security Management aan de Universiteit Leiden.