Dutch report finds one in four adults with severe mental illness fall through care gaps
An estimated 62,500 adults in the Netherlands with serious mental illnesses are not receiving care and remain off the radar of mental healthcare services, according to a report published Wednesday by the Dutch Mental Health Association (GGZ). The report, titled *Blijvend dichtbij* (“Staying close”), found that one in four people with severe mental health conditions fall through the cracks, particularly during transitions such as discharge from clinics, relocation, or the end of a prison sentence.
Ruth Peetboom, chair of the GGZ, said these gaps often occur because responsibility for the individual is unclear. “A discharge from a clinic, a move, or the end of detention should not become the moment when someone loses their support. A psychological vulnerability does not disappear when a treatment plan or sentence ends,” Peetboom said. The report recommends expanding assertive outreach care in all municipalities to identify those avoiding treatment, increasing housing for people with mental health issues, and clarifying accountability during transitions.
The findings align with an earlier report this year by the Dutch Safety Board (OVV), which also noted that a significant proportion of adults with serious mental health problems receive no or insufficient care. The GGZ report cited housing shortages and fragmented support systems as key contributors to the problem, increasing the risk of relapse or homelessness.
In a separate incident in Rotterdam on Saturday morning, a man with what police described as “incomprehensible behavior” stabbed two bystanders in separate locations, leaving one hospitalized. Authorities arrested a 26-year-old suspect who had no prior connection to the victims. Police stated that, in addition to the criminal investigation, there would be a focus on ensuring appropriate care for the individual.
The GGZ report highlighted similar cases, including individuals with severe mental illnesses who fell through systemic gaps, sometimes with tragic consequences. Examples cited include a man who attacked healthcare workers with a knife during a crisis intervention and another who committed a fatal shooting at Erasmus MC in Rotterdam. A 2015 investigation into the murder of former Dutch minister Els Borst by a man with a severe mental illness found that mental healthcare institutions had been constrained by conflicting demands: providing more security with fewer resources.
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