Background: Coercion in Dutch mental health care has continuously increased since the Special Admissions to Psychiatric Hospitals Act (Bopz) came into force in 1994. With the introduction of the Conditional Authorization in 2004, the increase in involuntary admissions was slowed down and outpatient compulsory treatment increased. The new Compulsory Mental Healthcare Act in the Netherlands (Wvggz) has been in force since 2020 and aims to reduce involuntary admissions.
Aim: Description of trends in compulsory mental healthcare based on decisions under the BOPZ and its successors, the Wvggz and the Care and Compulsion Act (Wzd).
Method: Annual data 2003-2023 from the national Council for the Judiciary (Rvdr) on authorizations (legal detentions) were analysed with linear regression.
Results: The Rvdr-data show a steady increase of compulsory admissions until 2020. From 2020 onwards, the trend appears to have been halted.
Conclusion: The Rvdr data show an interruption of the previously observed increasing trend. The actual number of involuntary admissions unknown due to al lack of a national register.
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