Domains of Need in a High Secure Hospital Setting:A Model for Streamlining Care and Reducing Length of Stay

There are financial and humanitarian consequences to unmet need amongst service users of high secure hospital care, not least in terms of length of stay. This article presents two reviews of high secure service user needs. They provide support for the sequencing of interventions to meet service user needs and the utility of a structured framework for their review. Through analyses of these reviews, eight domains of need were identified: Therapeutic Engagement, Risk Reduction, Education, Occupational, Mental Health Recovery, Physical Health Restoration, Cultural and Spiritual Needs, Care Pathway Management. A model is presented, within which logically sequenced, timely and relevant interventions could be framed in order to provide a comprehensive and streamlined pathway through a high secure hospital

The Crabby Creek Initiative: Building and Sustaining An Interdisciplinary Community Partnership

In this article, we identify the steps and strategies that emerged through an interdisciplinary, community-based participatory research (CBPR) project—the Crabby Creek Initiative. The Initiative was undertaken jointly by Cabrini College faculty in biology and psychology, the Valley Creek Restoration Partnership (VCRP), the Stroud Water Research Center, (SWRC) and local residents of this eastern Pennsylvania region. The paper examines the phases the partners have gone through and the strategies used as the building blocks of partnerships in the process of collaboration: trust, mutual design, shared implementation, joint ownership, and dissemination of knowledge, the building blocks of sustainable partnerships. Ultimately, the lessons learned have the potential to galvanize practitioners to engage not only in citizen science, but also more broadly in the practice of applied and engaged democracy

Attachment, mentalization and antisocial personality disorder: The possible contribution of mentalization-based treatment

This article outlines the evidence base and current psychotherapeutic treatment approaches for individuals with a diagnosis of antisocial personality disorder (ASPD). It examines the application of a particular theoretical approach, derived from attachment theory and its linked concept of mentalization, to these individuals. In particular, the authors discuss the application of mentalization-based treatment (MBT) (Bateman, A.W., & Fonagy, P. (Eds.). (2004). Mentalization-based understanding of borderline personality disorder. In Psychotherapy for borderline personality disorder: Mentalization-based treatment (Chap. 2, pp. 11–28). Oxford: Oxford University Press) to this group. The treatment approach, methodology and preliminary results of an outpatient pilot study of MBT in a group of men with a diagnosis of ASPD are presented. Der vorliegende Artikel umreißt die Beweisgrundlage und die aktuellen Ansätze der psychotherapeutischen Behandlungen für Individuen mit der Diagnose Antisoziale Persönlichkeitsstörung. Die Anwendung einer theoretischen Methode, die sich aus der Bindungstheorie und ihrem angrenzenden Mentalisierungskonzept herleitet, wird in diesen Individuen untersucht. Insbesondere debattieren die Autoren in dieser Patientengruppe über die Anwendung der mentalisierungsgestützten Psychotherapie (Mentalization Based Treatment; Bateman & Fonagy, 2004). Der Behandlungsansatz, die Methodik und die vorläufigen Ergebnisse einer ambulanten Leitstudie der MBT in einer Gruppe von Männer, mit der Diagnose antisoziale Persönlichkeitsstörung, ist aufgeführt. Este artículo presenta la evidencia básica y los métodos de tratamiento psicoterapéuticos actualmente utilizados en individuos con un diagnóstico de Trastorno Antisocial de la Personalidad (TAP). Examina la aplicación de un método derivado de la Teoría del Apego y su concepto de mentalización. Los autores discuten la aplicación del tratamiento basado en mentalización (Bateman & Fonagy, 2004) y presentan los resultados de su aplicación en un estudio piloto a un grupo de pacientes diagnosticados con TAP. Questo studio abbozza un approccio di trattamento psicoterapeutico attuale e basato sull’evidenza per individui con un disturbo antisociale della personalità. Si esamina l’applicazione di un particolare approccio teorico a detti individui, derivato dalla teoria dell’attaccamento e i concetti di mentalizzazione ad esso connessi. In particolare gli autori discutono l’applicazione del trattamento basato sulla mentalizzazione al suddetto gruppo (Bateman & Fonagy, 2004). Vengono presentati l’approccio al trattamento, la metodologia e i risultati preliminari di uno studio pilota su un gruppo di pazienti di sesso maschile con una diagnosi di disturbo antisociale della personalità che si sono sottoposti a cure ambulatoriali. Cet article présente des approches récentes de traitements psychothérapeutiques basés sur la preuve auprès d’individus avec un diagnostic de trouble de la personnalité antisociale. Il examine l’application à ces individus d’une théorie particulière, dérivée de la théorie de l’attachement et son concept de mentalisation. Les auteurs discutent plus particulièrement l’application à ce groupe du Traitement Basé sur la Mentalisation (Bateman & Fonagy, 2004). Cette approche du traitement, méthodologie et résultats préliminaires d’une étude pilote de Traitement Basé sur la Mentalisation sur un groupe d’hommes avec un diagnostic de trouble de la personnalité antisociale, est présentée

Review of treatments for severe personality disorder

This review was commissioned by the Home Office, Department of Health and Prison Service DSPD Programme. The aim of the review was to update the evidence base on treatments for severe personality disorder, as part of policy development on DSPD. The review was also intended to make recommendations about promising treatments for severe personality disorder, to inform the development of services for this group in high secure facilities

Do SST gradients drive the monthly climatological surface wind convergence over the tropical Atlantic?

This article presents a climatological study of the tropical Atlantic surface wind convergence, one of the main drivers of the marine intertropical convergence zone (ITCZ) precipitations, including coastal northeastern Brazilian and West African rainfalls. Climatological monthly mean surface wind convergence budget, as well as that of their month-to-month variations, is analysed over the 2000–2009 decade, using ocean–atmosphere reanalyses and satellite-derived data sets. Sea surface temperature (SST) influence is particularly investigated via comparison of its Laplacian with that of sea level pressure. Results for monthly means reveal that the Lindzen-Nigam paradigm does hold in regions of deep convection but only on their flanks. In deep convection regions, the budget analysis suggests the entrainment due to elevated heating by cumulus convection as the leading term. Elsewhere, over the ‘open ocean ITCZ’ meridional flanks, as well as over the ‘coastal one’ (Gulf of Guinea and northeastern Brazilian coasts), the pressure contribution is positive and largely dominated by its component below the boundary layer closely related to the SST. Horizontal advection is also found important over these areas, but with the pressure as the first-order driver. Otherwise, month-to-month variations of ITCZ are controlled by the geostrophy within the pressure contribution tightly dominated by the free tropospheric component