Epstein H J
Capital District Psychiatric Center, Albany, New York 12208.
Psychiatr Q. 1993 Fall;64(3):295-302. doi: 10.1007/BF01064604.
This presentation identifies a number of the elements involved in implementing an effective program for the care and treatment of the Conditionally Released CPL Patient. The component parts to be explored include: societal and agency issues, the identified patient and, issues relating to the clinician and the clinical treatment team. The outpatient clinician fulfills numerous role/task functions. The roles of therapist, educator, teacher, advocate, casemanager, and "parole officer" will be discussed. Techniques for identifying and working through the worker's own "blocks" will be discussed as a prelude to establishing a therapeutic alliance. Principles of utilizing authority and contracts as basic therapeutic techniques will also be noted. Recognizing that the patients who comprise the conditionally released CPL 330 category are heterogeneous and multiply disabled, techniques for active focused rehabilitation treatment will be explored.
本报告指出了为有条件释放的刑事精神病患者实施有效护理和治疗计划所涉及的一些要素。将探讨的组成部分包括:社会和机构问题、已确定的患者以及与临床医生和临床治疗团队相关的问题。门诊临床医生履行多种角色/任务职能。将讨论治疗师、教育者、教师、倡导者、个案管理员和“假释官”等角色。作为建立治疗联盟的前奏,将讨论识别并克服工作人员自身“障碍”的技巧。还将提及将权威和合同作为基本治疗技巧加以运用的原则。鉴于构成有条件释放的330类刑事精神病患者群体具有异质性且存在多重残疾,将探索积极的针对性康复治疗技巧。