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We found that the three countries differ in several areas, including criteria for admission, review of detention, discharge process, the concept of criminal responsibility, service provision and treatment philosophy. Our findings suggest a profound difference in how each country relates to MDOs, with each approach contributing to different pathways and potentially different outcomes for the individual. Hopefully making these comparisons will stimulate debate and knowledge exchange on an international level to aid future research and the development of best practice in managing this population.. Hermann then enrolled simultaneously at the University of Leipzig and the Leipzig Conservatory and wrote a musicological dissertation in Latin on music notation and Guido of Arezzo. He was hired at the conservatory upon graduation to teach theory and organ; but after five years of overwork he had a nervous breakdown and gave up all his duties. The subsequent positions he took were as a music…