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Seattle University Collaborative Projects - International Academy of ...

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In this presentation, possibilities for the incorporation <strong>of</strong> neur<strong>of</strong>eedback into the repertoire <strong>of</strong>forensic psychotherapy are explored. After a brief description <strong>of</strong> the method, an overview <strong>of</strong> theempirical evidence <strong>of</strong> its efficacy in specific areas <strong>of</strong> treatment is presented. This evidence isthen translated into possible applications <strong>of</strong> neur<strong>of</strong>eedback in various areas <strong>of</strong> <strong>of</strong>fender treatmentincluding domestic violence, various other forms <strong>of</strong> violent and anti-social behavior, certainforms <strong>of</strong> sexually abusive behavior, and criminal behavior <strong>of</strong> an obsessive compulsive nature. Itis stressed in this presentation that neur<strong>of</strong>eedback is still a relatively new subject <strong>of</strong> empiricalresearch in most areas <strong>of</strong> treatment. To date, robust evidence <strong>of</strong> its efficacy exists only for thetreatment <strong>of</strong> Attention-Deficit/Hyperactivity Disorder (ADHD) and Substance Use Disorder(SUD).The Optimation in the Process <strong>of</strong> Getting Privileges During Therapy in ForensicPsychiatryChristina Maass, <strong>University</strong> <strong>of</strong> Rostock (christina.maass@uni-ulm.de)Kristina Wedler, <strong>University</strong> <strong>of</strong> Rostock (wedlerkr@med.uni-rostock.de)Relapse prevention through rehabilitation is one <strong>of</strong> the central tasks <strong>of</strong> treatment in forensicpsychiatric hospitals. To practically prepare for the release <strong>of</strong> patients and their reintegration intosociety, graduated stages <strong>of</strong> liberalisation are allowed during the process <strong>of</strong> therapy. A positiveprognosis therefore presents the essential condition <strong>of</strong> receiving such parole. The aim <strong>of</strong> thisstudy (granted by the Ministry <strong>of</strong> Social Affairs Mecklenburg-Western Pomeranian) at theHospital for Forensic Psychiatry in Rostock was to optimise the existing decision base for thegranting <strong>of</strong> liberalisations during treatment in a forensic psychiatric hospital. Moreover, theplacing <strong>of</strong> liberalisations should be arranged in a more effective and time saving way. Based on adetailed literature analysis, suitable prognostic tools were highlighted. In addition, on the basis <strong>of</strong>an employee survey, strengths, weaknesses and chances <strong>of</strong> the currently used checklist wererevealed. Every employee who was involved in the therapeutic process <strong>of</strong> a patient had to fill outthis checklist. The optimised and renewed checklist is compared to the “old” one with regard toeffectiveness, time saving and the appearance <strong>of</strong> incidents during times <strong>of</strong> paroles, and thesecomparisons are discussed. The findings <strong>of</strong> a final employee survey regarding the practicability<strong>of</strong> the new checklist will also be presented.Murders as the First Criminal Episode for Schizophrenic Patients in Japan'sNew Forensic Psychiatric Service under the Medical Treatment and SupervisionActShingo Yoshioka, Higashi Owari National Hospital, Nagoya, Japan(yoshisn@eowari.hosp.go.jp)170

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