Annual figures are based on last 2 years (2008-2009)

Adapted from Tapio Lappi-Seppälä 2005by Drs Irma Kotilainen and Allan Seppänen

JURIDICIAL PROCESS PSYCHIATRIC PROCESS

Ordering a Forensic psychiatric examination by

a judge

Forensic psychiatric examination

(hospital)

Forensic psychiatric statement (THL)- responsibility- need of treatment

Forced care (ca. 450)- discharged (THL): 20-35 - discharged under supervision (THL): 25 - 40- extended supervision (THL):

20-30

Judicial decision

No examination

no 30 - 35dim 15 - 20full 70 -80No

examinationno 40 - 45dim 150 - 160full 60 000

With examinationno 30 - 35dim 15 - 20full 70 - 80

Irresponsible 70 - 80

Assessment of need for treatment (THL)

Committing to treatment after

Examination (THL) (30 - 35)

Committing to treatment

with no examination (THL)

(0 - 2)

No treatment, no punishment (40 - 45)

Yearly ca. 120-130 persons

0 - 2 per year

Based on records5 - 10

no = Irresponsibledim = Diminished responsibilityfull = Responsible

THL= National Institute for Health and Welfare

Forensic PsychiatricSystem in Finland