In this article we compare legal arrangements dealing with mentally disorde
red offenders in the criminal law systems of Belgium, Canada, Germany, the
Netherlands, Norway, Sweden, and the United Kingdom. To describe relevant d
ifferences and similarities in the arrangements, we used a checklist contai
ning central aspects of adjudication, assessment and treatment of mentally
ill offenders. These aspects concern: (1) the legal classifications of ment
al illnesses that can lead to exclusion of criminal responsibility; (2) the
acceptance of diminished capacity as a partial excuse; (3) the possibiliti
es for imposing security measures of compulsory treatment instead of or nex
t to criminal punishment; (4) the conditions for their imposition in terms
of seriousness of crimes committed and dangerousness of offenders; (5) the
available hospitals or special clinics for executing security measures; (6)
the role and task of forensic mental health professionals in assessing the
offender's state of mind and in advising compulsory treatment; (7) the rul
es for duration, prolongation and termination of the measures. The findings
of this comparative analysis are evaluated in light of legal protection fo
r mentally disordered offenders.