Zoekresultaat: 3 artikelen

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Jaar 2018 x
Artikel

Komt een 112-melding bij de politie

Triage op de politie-meldkamer bij personen met verward gedrag

Tijdschrift Tijdschrift voor Veiligheid, Aflevering 4 2018
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

Een inkijk in het leiderschap van Cannabis Social Clubs in België: criminelen, activisten, modelburgers?

Tijdschrift Tijdschrift over Cultuur & Criminaliteit, Aflevering 3 2018
Trefwoorden Cannabis, Cannabis Social Club, Leadership, Cannabis movement, Stigma
Auteurs Dr. Mafalda Pardal
SamenvattingAuteursinformatie

    In this article, Cannabis Social Clubs (CSCs) are understood as being social movement organizations advocating for the legalization of a closed, cooperative and non-profit model for cannabis supply among adult users. Drawing on qualitative data collected in Belgium, this paper analyses how one becomes a leader of a CSC as well as the functional role assumed by those individuals. It further unveils how Belgian CSC leaders’ engagement in those organizations and in the wider cannabis movement is perceived. We identify and discuss the techniques employed by those key activists to manage cannabis-related stigma drawing on a framework developed by Lindblom and Jacobsson’s (2014). While CSCs might contribute to normalizing cannabis use and supply, our analysis suggests that CSC leaders face some degree of stigmatization, shifting between conformist and confrontational techniques to manage the perceived cannabis-related stigma. Building on the case of Belgian CSC leaders, this paper makes a contribution to the understanding of an under-researched movement, and the role of the leaders within it, expanding also the application of Lindblom and Jacobsson’s (2014) framework to a novel area of activism.


Dr. Mafalda Pardal
Mafalda Pardal Postdoctorale onderzoeker BOF, Universiteit Gent mafalda.pardal@ugent.be
Artikel

Artsen en moreel ondernemerschap. De casus van de normalisering van verslavende opioïde pijnstillers in de Verenigde Staten

Tijdschrift Tijdschrift over Cultuur & Criminaliteit, Aflevering 3 2018
Trefwoorden Opioid crisis, Addictive painkillers, Medical doctors, Moral entrepreneurs, Big Pharma
Auteurs Dr. Thaddeus Müller
SamenvattingAuteursinformatie

    In this article, I am using Becker’s concept of moral entrepreneur to analyse the role of pain specialists in the labelling process, which has led to the normalisation of the use of opioid painkillers in the United States and ultimately to the death over 200.000 Americans. In general, the literature on labelling centres on crusading reformers, and the criminalisation and stigmatisation of transgressive behaviour. Here I will focus on the moral entrepreneurship of medical experts. What was their role in the normalisation process of opioid painkiller use and are there any similarities with the strategies of crusading reformers? My findings, based on qualitative analysis of documents such as newspaper articles and academic publications, show that, with two exceptions, pain specialists use the strategies of moral crusaders. First, in their narratives, pain specialists represented themselves as neutral objective experts without the emotional stance of moral crusaders. The second exception, which is related to the first, is that there was less emphasis in their narrative on creating villains, as they could not blame openly standard medical practice because they needed the support of the established medical world in order to normalise and legalise opioid painkillers.


Dr. Thaddeus Müller
Thaddeus Müller Docent criminologie, Lancaster University t.muller@lancaster.ac.uk
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