À la fois malade et criminalisé : témoignage d’une double marginalisation

Basé sur deux entrevues semi-dirigées effectuées auprès de personnes qui vivent des problèmes de santé mentale et qui ont vécu des périodes d’incarcération, cet article explore leurs points de vue sur les systèmes de la santé et de la justice. Leurs témoignages illustrent le clivage qui semble exister entre les besoins des personnes atteintes de trouble mental et les soins qui leur sont prodigués. Les auteurs concluent qu’il existe une difficile jonction entre besoins et services qui semble provenir de sources diverses (préjugés, manque de formation du personnel, processus administratif complexe) et les éléments qui la facilitent apparaissent peu nombreux (entraide entre les détenus, organismes d’aide aux personnes ayant un trouble mental).Based on two open-ended interviews with people suffering from a mental illness and who have been incarcerated, this article explores their perspectives on both health and justice systems. In their view, there is a divide between the needs of people with mental health problems and the care that is offered. The difficult juncture between needs and services seems to have numerous explanations (prejudice, lack of training of personnel, difficult administrative process, lack of communication between “inside” and “outside”); and the elements that could facilitate this juncture appear to be scarce (mutual help among inmates, community based mental help organizations).Basándose en dos entrevistas semidirigidas efectuadas con personas que viven con problemas de salud mental y que han vivido períodos de encarcelamiento, este artículo explora sus puntos de vista acerca de los sistemas de salud y justicia. Sus testimonios ilustran la diferencia que existe entre las necesidades de las personas que sufren de trastornos mentales y los cuidados que les son prodigados. Los autores concluyen que existe una conexión difícil entre las necesidades y los servicios, que parece provenir de diversas fuentes (prejuicios, falta de formación del personal, procesos administrativos complejos) y los elementos que la facilitan parecen poco numerosos (ayuda mutua entre los detenidos, organismos de ayuda a personas con trastornos mentales).Este artigo, baseado em duas entrevistas semi-estruturadas realizadas com pessoas que sofrem problemas de saúde mental e que vivenciaram períodos de encarceramento, explora os pontos de vista destas pessoas sobre os sistemas de saúde e de justiça. Seus testemunhos ilustram a brecha que existe entre as necessidades das pessoas que apresentam transtornos mentais e os cuidados que lhes são prestados. Os autores concluem que existe uma difícil relação entre necessidades e serviços por diversos motivos (preconceitos, falta de formação dos funcionários, processo administrativo complexo) e os elementos que a facilitam parecem pouco numerosos (entreajuda entre os detentos, organismos de ajuda às pessoas que apresentam transtornos mentais)

À la fois malade et criminalisé : témoignage d’une double marginalisation

Basé sur deux entrevues semi-dirigées effectuées auprès de personnes qui vivent des problèmes de santé mentale et qui ont vécu des périodes d’incarcération, cet article explore leurs points de vue sur les systèmes de la santé et de la justice. Leurs témoignages illustrent le clivage qui semble exister entre les besoins des personnes atteintes de trouble mental et les soins qui leur sont prodigués. Les auteurs concluent qu’il existe une difficile jonction entre besoins et services qui semble provenir de sources diverses (préjugés, manque de formation du personnel, processus administratif complexe) et les éléments qui la facilitent apparaissent peu nombreux (entraide entre les détenus, organismes d’aide aux personnes ayant un trouble mental).Based on two open-ended interviews with people suffering from a mental illness and who have been incarcerated, this article explores their perspectives on both health and justice systems. In their view, there is a divide between the needs of people with mental health problems and the care that is offered. The difficult juncture between needs and services seems to have numerous explanations (prejudice, lack of training of personnel, difficult administrative process, lack of communication between “inside” and “outside”); and the elements that could facilitate this juncture appear to be scarce (mutual help among inmates, community based mental help organizations).Basándose en dos entrevistas semidirigidas efectuadas con personas que viven con problemas de salud mental y que han vivido períodos de encarcelamiento, este artículo explora sus puntos de vista acerca de los sistemas de salud y justicia. Sus testimonios ilustran la diferencia que existe entre las necesidades de las personas que sufren de trastornos mentales y los cuidados que les son prodigados. Los autores concluyen que existe una conexión difícil entre las necesidades y los servicios, que parece provenir de diversas fuentes (prejuicios, falta de formación del personal, procesos administrativos complejos) y los elementos que la facilitan parecen poco numerosos (ayuda mutua entre los detenidos, organismos de ayuda a personas con trastornos mentales).Este artigo, baseado em duas entrevistas semi-estruturadas realizadas com pessoas que sofrem problemas de saúde mental e que vivenciaram períodos de encarceramento, explora os pontos de vista destas pessoas sobre os sistemas de saúde e de justiça. Seus testemunhos ilustram a brecha que existe entre as necessidades das pessoas que apresentam transtornos mentais e os cuidados que lhes são prestados. Os autores concluem que existe uma difícil relação entre necessidades e serviços por diversos motivos (preconceitos, falta de formação dos funcionários, processo administrativo complexo) e os elementos que a facilitam parecem pouco numerosos (entreajuda entre os detentos, organismos de ajuda às pessoas que apresentam transtornos mentais)

Exploring the prospective role of relationships and psychological distress in postpartum risk of intergenerational continuity of child maltreatment

Objectives: This prospective longitudinal study aimed to explore the role of family relationships (romantic satisfaction and mother-infant bonding) and psychological distress in the associations between four child maltreatment (CM) subtypes (sexual, physical, and emotional abuse, neglect) and early child abuse potential in young mothers.Methods: A sample of 85 pregnant mothers (18-29 years old) was recruited to complete an online survey at Time 1 (T1); 57 mothers participated at T2 (3 months postpartum). The survey documented experiences of CM, prenatal romantic satisfaction, postnatal psychological distress, mother-infant bonding, and child abuse potential using validated questionnaires.Results: Four sequential mediation models were tested, one for each CM subtype. Results show that a maternal history of CM (all subtypes) was indirectly associated with heightened child abuse potential three months postpartum. All CM subtypes were negatively related to prenatal romantic satisfaction, which was in turn negatively associated with postnatal psychological distress. Postnatal psychological distress was related to lower mother-infant bonding which, in turn, was related to increased child abuse potential. The complete sequential model was significant for physical, sexual, and emotional abuse, while a partial sequence was identified with neglect.Implications: Our results are consistent with theoretical models and empirical findings demonstrating the importance of relational factors and mental health in the intergenerational continuity of CM. While our findings await replication, they emphasize the need to intervene early - during the perinatal period - on mental health and family relationships to interrupt intergenerational cycles of CM in at-risk families