Abstract: Once in touch with the Criminal Justice System, offenders with mental disorder tend to return to custody more often than nondisordered individuals, which suggests they have not been receiving appropriate treatment in prison. In this scenario, diverting individuals into care as early as possible in their trajectory seems to be the appropriate approach to rehabilitate mentally unwell offenders and alleviate overcrowded prisons. This paper builds on an ethnographic research investigating the challenges encountered by practitioners working to divert offenders into care while attempting to establish cross-boundary interactions with professionals in the Criminal Justice System and Mental Health Services in the UK. Drawing upon the findings of the study, this paper suggests the development of adequate tools to enable liaison between agencies which ultimately results in successful interventions.
Abstract: The Regional Conference to Restructure Psychiatric Care in Latin America, convened by the Pan American Health Organization (PAHO) in 1990, oriented the Brazilian Federal Act in 2001 that stipulated the psychiatric reform which requires deinstitutionalization and community-based treatment. Since then, the 15 years’ experience of different working teams in mental health led an academic working group – supervisors from personal practices, professors and researchers – to discuss certain clinical issues, as well as supervisions, and to organize colloquia in different cities as a methodology. These colloquia count on the participation of different working teams from the cities in which they are held, with team members with different levels of educational degrees and prior experiences, in order to increase dialogue right where it does not always appear to be possible. The principal aim of these colloquia is to gain interlocution between practitioners and academics. Working with the theory of case constructions, this methodology revealed itself helpful in unfolding new solutions. The paper also observes that there is not always harmony between what the psychiatric reform demands and clinical ethics.
Abstract: Client expectations and preferences about therapy
represent an important area of investigation as research shows they
are linked to engagement in therapy and therapy outcomes. Studies
examining young people-s expectations and preferences of therapy
remain a neglected area of research. The present study explored what
expectations and preferences young people seeking professional help
held regarding: their role as a client, their therapist-s role, their
therapeutic outcomes, and the processes of therapy. Gender and age
differences were also examined. Participants included 188 young
people aged 12-25 who completed a survey while attending their
initial session at a youth mental health service. Data were analysed
using quantitative methods. Results found the young people held
significantly more pessimistic expectations around therapy when
compared to what they had wanted therapy to be like. Few age and
gender differences were found. Results highlight the importance of a
collaborative therapy approach when working with young people.