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Seattle University Collaborative Projects - International Academy of ...

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Tiziana Costi, Institut Philippe-Pinel, Montreal, Canada, (tiziana.costi.ippm@ssss.gouv.qc.ca)This presentation will be dedicated most specifically to the clinical aspects: assessment andtreatment as well as rehabilitation and reintegration into society. Different topics will beaddressed in a more detailed way: assessment, in particular assessment <strong>of</strong> violent risk withspecialized and efficient tools and instruments, new types <strong>of</strong> intervention and treatment(Integrated Psychological Treatment, groups for substance abuse and comorbidity,pharmacological innovations, etc.), the adjustment and evaluation required to make sure theycorrespond to our patients’ pr<strong>of</strong>iles, and the implementation <strong>of</strong> new evidence-based programs.These topics will be discussed according to the implications for patients, staff and the institution,as well as the potential for networking with research.The First Forty Years <strong>of</strong> a Forensic Hospital: The Place Taken by HumanRights and How Far Can We GoLouis Letellier de St-Just, Institut Philippe-Pinel, Montreal, Canada(louis.letellier.ippm@ssss.gouv.qc.ca)This paper will be dedicated to the human rights approach related to mental health issues withina forensic environment. The promotion and protection <strong>of</strong> the human rights <strong>of</strong> mentally ill<strong>of</strong>fenders remains a constant challenge. If over the last 40 years, legislation, policies, protocolsor guidelines have targeted concerns such as confidentiality, privacy, voluntary and involuntarytreatment, and seclusion and restraint, attitudes and knowledge still have to change and improve.Being the first forensic institution in the province <strong>of</strong> Quebec and one <strong>of</strong> the Canadian pioneers inthe treatment <strong>of</strong> mentally ill <strong>of</strong>fenders, IPPM had to create an environment that would provide aframework for treatment and support rather than follow the punishment mentality which was thedaily bread in prisons, the source <strong>of</strong> its patients. Innovation in the approach was the mainobjective at a time when the province was going through evolving social changes. Patients areindividuals. Some, like mentally ill <strong>of</strong>fenders, carry strong stigma. Comprehension as well asresistance to changes brought by a human rights approach will be part <strong>of</strong> our concerns. Underthe eye <strong>of</strong> relevant international human rights treaties, this section will notably cover theinfluence <strong>of</strong> human rights on mental health treatment, the legislation adjustments and thechanges within the judicial system.Future Transformations towards a Forensic Institute: Perspectives andChallengesLouis Letellier de St-Just, Institut Philippe-Pinel, Montreal, Canada(louis.letellier.ippm@ssss.gouv.qc.ca)Tiziana Costi, Institut Philippe-Pinel, Montreal, Canada, (tiziana.costi.ippm@ssss.gouv.qc.ca)154

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