Recherche-action et gouvernance clinique: l'exemple du projet "psychiatrie et migrants" du CHUV [Action research and clinical governance: the example of the project "psychiatry and migrants" at the Centre hospitalier universitaire vaudois]

Action research is a useful instrument for the organization health care and the clinical governance of psychiatric institutions. What this type of research offers can be illustrated by the cohort study of migrant patients without health insurance who consulted the Department of Psychiatry of the Vaudois university medical center (CHUV) in 2008. While giving greater visibilty to the psychological suffering and social distress of these patients, the study also enabled the authors to determine which clinical procedures were actually offered to these patients and the amount these procedures cost the department. The small number of cases that were identified as well as their uneven distribution amongst the different services of the department suggest that considerable efforts must still be made to improve access for this population to public psychiatric services.

[Illustrations de Au Temps des grands voiliers.] / Georges Le Poitevin, dess. ; Jean Furet, aut. du texte

Comprend : [Fig. après le titre :] Figure de proue de "France I". [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [Photographie 1 après le titre :] La magnifique voilure d'un Cap-Hornier. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [Photographie 2 après le titre :] A serrer le Grand Perroquet volant avant. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [Photographie 3 après le titre :] A serrer la Misaine. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [Photographie 4 après le titre :] A la cape. Un beau coup de roulis. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [pl. en reg. p.51. Chapitre III : un bateau Cap-Hornier, le Prométhée.] Dans le pot au noir. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [pl. en reg. p.75. Chapitre IV : sur le pont d'un navire au moment du passage du Cap-Horn.] La houle furieuse du Cap Horn déferle sur le pont d'un voilier. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [pl. en reg. p.103. Chapitre V :] Le timonier. [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [pl. en reg. p.195. Chapitre XI :] Serrer les voiles sur les vergues pendant la tempête est une manoeuvre périlleuse... [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [Pl. en reg. p.237 : schémas explicantifs des diverses parties d'une voile et d'une vergue. Rose des vents.] [Cote : 8 ° V 64722 (1,I)/microfilm R 122007] ; [pl. en double page après p.238 : Le cap-Hornier Le Prométhée.] Prométhée (...). [Cote : 8 ° V 64722 (1,I)/microfilm R 122007]

Psychothérapie et psychiatrie forensique [Psychotherapy and forensic psychiatry].

Psychotherapists in the forensic field are in an uncomfortable position. The reluctance of patients to be subjected to such obligatory treatments and to face their own violence contributes to this difficult position. The mission of public safety assigned to these treatments, their assessment through risk of recidivism rather than therapeutic effectiveness as well as misconception by lawyers and authorities of what psychotherapy really is reinforce the difficulty of such a practice. However, a clarification of the nature of each type of interventions allows the establishment of viable psychotherapeutic framework adapted to penal constraints. The developments of approaches specifically tailored to prison settings as well as to sexual offenders are illustrations of this point.

Une équipe mobile en psychiatrie de l'âge avancé [A crisis team in the field of old age psychiatry]

In the context of demographic evolution, psychiatric care needs increase steadily in most western countries. Given the financial limitations, it is mandatory to establish appropriate care priorities in order to avoid psychiatric hospitalisations by assisting care providers, general practionners and nurses, at home or in the nursing homes. A crisis team has been established 18 months ago within the Division of old age psychiatry in Lausanne. The care program included immediate assistance in the community, assessement, crisis counseling, medication consultation and referral for psychiatric services providing an alternative to hospitalization. The first results indicate that this intervention is well accepted by the users and correspond to a real need.

2006-2007 Academic Year Juvenile Court Schoolbased Liaison Statewide Data

Prepared by the Division of Criminal and Juvenile Justice Planning, Iowa Department of Human Rights