Dorte Sestoft MD Ph.d. and case-presentation with social worker Laura Arendt

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How to use the existing cooperation between police, the social services and the psychiatric system to handle concerns of radicalisation and extremism: an upgrade of the Danish PSP-cooperation Dorte Sestoft MD Ph.d. and case-presentation with social worker Laura Arendt Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Introduction to the PSP- cooperation Next step; PSP as a platform for concerns of radicalisation Is it useful? Experiences from frontline employes Perspectives Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

FRAME Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Denmark Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

DK MAIN FEATURES 5.6 million habitants A public health care, social care and education system Equal and free access for all citizens Mainly financed through general taxes Decentralized organization Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP - A Danish fairy-tale beginning in 2004 Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Psychiatry Police Social Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP - history PSP started in the Municipal of Frederiksberg in the Copenhagen area 2004 2009 New legislation addressing PSP 2008-2011 implementation and evaluation 2013 PSP as a platform for awareness of radicalization Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Police / Psychiatry co-operation areas Involuntary commitment Forensic Patients Wanted Red alert Does anybody need help? Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Psychiatry / Social services co-operation Social psychiatry Children Rehabilitation Pension areas Does anybody need help? Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Could the co-operation be intensified? Could we improve our communication when somebody needed help? Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Aim of PSP 1 To ensure that relevant information was shared especially from the Police to the 2 other sectors Faster/earlier and more coordinated Knowledge, understanding and respect between sectors The direct number Diminishing taboos Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Aim of PSP 2 Identifying Citizens at Risk Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Risk Mental disorder known and unknown Substance abuse Self harm and suicide Somatic illness and early death Victimization and Criminal behaviour Personal and social downfall Violence / radicalisation Family members at risk Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Aim of PSP 3 And initiating coordinated intervention Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

How? One person from each sector in a leaders board (3 persons) 3 groups a 3 persons for a specific area in front (9 persons) Meetings once a month Cases and plans Education / seminars Kept as simple as possible Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

The PSP basic model Managerial level Chief of psychiatry centre Vice police inspector Social psychiatry consultant Coordinator Operational level 3 members from police 3 members from psychiatry 3 members from social service Frontline worker Police Frontline worker Social Service Frontline worker Psychiatry Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Evaluation and implementation New legislation 2009 National Research Center for Social Welfare 2011 Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Personal contact Advantages Sharing information and know-how Coordination More qualified prevention, intervention and treatment Cheap Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Organisation Relay on back-up Limitations Handling information without violating the rights of the individual Difficult to evaluate on specific parameters Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Status and future perspectives Now established nationwide An obvious platform for Radicalisation Awareness - Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

NEXT STEP. Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Radicalisation awareness Radicalisation awareness must be local but facilitated centrally The Ministry of Social Affairs and Integration Mainly focus on children and young people (School, Social, Police) Need for engaging health care sector PSP GP s, emergency rooms etc.?? Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP as a radicalisation awareness platform Working group across ministries Ministry of Health Ministry of Social Affairs and Integration Ministry of Justice Danish Security and Intelligence service Prevention Center (PET-FC) Police and clinicians representing PSP Education of local PSP 2 days seminar entire country in 2015 and 2016 Danish Security and Intelligence service Prevention Centre (PET-FC) initiated a new working group model with a skilled psychiatrist as a member of the group Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP and radicalisation awareness Secutity and intelligence service - Prevention unit Police Info- House Steering group Operational level Police Psychiatry Social Concern

Evaluation of the 2-days seminar (EPINION-consulting agency)) The course was rated positive overall and one third of the participants have delt with a concern or a case of extremism or radicalisation 6 month after the courses completion Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Cases Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Case-presentation Assertive interdisciplinary psychiatric team in Copenhagen Intensive out patient care mainly for patients suffering from psychosis Participating in the PSP network Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

Σ Summing up The PSP cooperation in Denmark during 12 years A platform for radicalization awareness Is it useful? It is promising! Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP 1 Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk

PSP 2 Ministry of Justice,, Blegdamsvej 6b, 2., 2200 Cph. N, Phone: +45 35360366, mail@retspsykiatriskklinik.dk