Seattle University Collaborative Projects - International Academy of ...

Marion Lepage, Institut Philippe-Pinel, Montreal, Canada(marion.lepage.ippm@ssss.gouv.qc.ca)Renée Roy, Institut Philippe-Pinel, Montreal, Canada (renee.roy.ippm@ssss.gouv.qc.ca)Forty years ago, forensic mental health policy plans and programmes practically did not exist.Moreover, forensic psychiatry was just beginning to be organized in prisons. Different reformshave contributed to the organization of services for mental health. In the forensic psychiatryfield, we cannot deny that we have improved the access to services, to psychotropic medicationand to better treatment programmes. However, over the past few years, we must admit that wehave faced a certain slowdown in the funding of forensic psychiatry services. Challenges arewaiting for creative projects to ease the rehabilitation for our patients, notwithstanding reducedbudgets. The risk of violence that characterizes our patients’ environment also dictatesorganizational trends and professional behaviours. Still evolving in a high security environment,being recognized as a hospital and therefore promoting ethical values, we have to wonder aboutthe place we give to patient’s control, which is closely linked with the notion of security. Withthese thoughts for background, this paper will bring out the general trends of IPPM’stransformation over time and see how they are related to evidence-based best practices inforensic psychiatry, in particular the latest developments. With their respective experience andknowledge, each speaker will share his or her views on the following questions: Do we reallynowadays offer better care? Has the patients’ situation really improved? What should be ourgoals? What are the benefits of this evolution for patients and clinicians? In conclusion, futureperspectives and challenges will be discussed.62. Examining the Incidence and Consequence of the Involvement ofFemale Staff and Female Inmates in Abuse in Prison: AComparative PerspectiveUncomfortable Places, Close Spaces: Female Correctional Workers’ SexualInteractions with Men and Boys in CustodyBrenda V. Smith, American University (bvsmith@wcl.american.edu)That sexual abuse occurs within the United States correctional system is well known. With thepassage of the Prison Rape Elimination Act (PREA) and the robust data collection efforts thatU.S. Congress required as part of the Act, the contours of sexual abuse and behaviors in custodyare becoming clearer. One of the research findings was that a significant proportion of sexualabuse in custodial settings involves female correctional staff. These findings have been met withdiscomfort bordering on disbelief. Scant scholarship exists which addresses the appropriateresponse to sexual abuse by women; even less addresses sexual abuse by female correctionalworkers. Likewise, feminist jurisprudence on sexuality and desire does little to shed light on themotivations of women who engage in sexual misconduct or abuse, much less women who abuse155