Background: The law regulating the forced or protective admission of the mentally ill person in Belgium is 34 years old. The parliament recently agreed on an extensive legislative amendment to better adapt the law to the changing mental health care system and society.
Aim: Outlining the epidemiological, clinical and legal developments regarding forced admissions in Belgium.
Method: Analysis of epidemiological data, evolutions in clinical practice and the previous and new legislative framework.
Results: The incidence of forced admission in Flanders rised, with large provincial differences. Care for involuntarily admitted patients has evolved significantly in recent years, including the establishment of High and Intensive Care Units. The amended law allows a more thorough clinical evaluation before forced admission. More diversification and customization of protective measures become possible.
Conclusion: The new law addresses a number of problems with the previous legislative framework. A number of points for improvement remain, which will hopefully be picked up by policy makers in further initiatives.