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Seattle University Collaborative Projects - International Academy of ...

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The Right to Health: A Brazilian Perspective on the Female Prison PopulationRenata Maria Dotta Panichi , Federal <strong>University</strong> <strong>of</strong> Health Sciences <strong>of</strong> Porto Algre(renata.dotta@uol.com.br)Helena Bins, Federal <strong>University</strong> <strong>of</strong> Health Sciences <strong>of</strong> Porto Algre (helenabins@gmail.com)José Geraldo Taborda, Federal <strong>University</strong> <strong>of</strong> Health Sciences <strong>of</strong> Porto Algre(jose@taborda.med.br)Debate on the right to health in prison populations is relatively recent in Brazil. Prisoners havehistorically been considered vulnerable populations, especially those with mental disorders andsubjected to Safety Measure, a kind <strong>of</strong> criminal commitment (CC) for people found not guilty byreason <strong>of</strong> insanity, however presumed to pose risks to society. Mentally disordered people underCC have difficulties maintaining family relationships and tend to suffer the effects <strong>of</strong> this doublestigma as well as <strong>of</strong> social exclusion, which certainly impair the health and recovery <strong>of</strong> theseindividuals. In addition, the scarcity <strong>of</strong> appropriate support to families and the negativestereotypes <strong>of</strong> mental illness, including a conviction that mental disorders are untreatable, addfurther difficulties to making these individuals rejoin society. Conversely – and paradoxically –the mere confinement <strong>of</strong> a mentally disordered person to a forensic hospital, with no access toeffective treatment, turns hospitalization essentially into a social control tool. The objective <strong>of</strong>the present work is to describe the results <strong>of</strong> a survey conducted with 147 women as part <strong>of</strong> across-sectional, case-control study. The study group comprised 38 patients with mental illnessadmitted to a forensic hospital in the municipality <strong>of</strong> Porto Alegre, southern Brazil (ForensicPsychiatric Institute Forense Maurício Cardoso). Finally, the work also aims to describe currentlegislation on the right to health in prison populations from the perspective <strong>of</strong> the BrazilianUnified Health System (SUS).61. The Evolution <strong>of</strong> a High-Security Forensic Hospital towardsBetter Evidence-Based Practices: Past, Present, and FutureTrends; The Experience <strong>of</strong> Institut Philippe-Pinel de Montréal40 Years <strong>of</strong> Evolution at Institut Philippe-Pinel de Montreal: Was There a Placefor Evidence-Based Practices over the Years?Renée Roy, Institut Philippe-Pinel, Montreal, Canada (renee.roy.ippm@ssss.gouv.qc.ca)Forensic institutions follow an ongoing transformation process by which they are constantlylooking to improve evidence-based clinical practices. This enhances assessment, treatment,system management and patients’ care. We will examine the clinical, legal, and organizationalaspects <strong>of</strong> this transformation process and its impact on patients and staff. Since its creation in1970, Institut Philippe-Pinel de Montréal (IPPM) has been a forensic high-security institution152

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