Seattle University Collaborative Projects - International Academy of ...

The Theory of New Normalising: Legal Implications and Mental HealthImplications for Migrant Health Care Professionals and their FamiliesJohn Collins, JCC Inc., Canada (jcollins@jcollinsconsulting.com)In 2011 there were 214 million migrants worldwide. In numerical terms, migration has beenincreasing steadily over recent years, even despite recent changes in world economic conditions.(IOM 2011) As a percentage of world population, migrants consistently represent around 3.1%(one in every thirty three persons). Further, there are around 16 million refugees who currentlylive outside their country of birth. (Kelley and Trebilcock 2010, IOM 2010) Part of thismigration story involves healthcare professionals, as healthcare systems around the worldrespond to shortages in their professional disciplines (OECD 2010b, Blythe et al. 2006, Bach2003, Joyce 2011, CIHI 2010b, Connell 2009). Doctors and Nurses are two professional groupswho were highly sought after in Canada and Ireland at the time of this study. In this groundedtheory study (Glaser and Strauss 1967, Glaser 1978, Glaser 1998) the transition experience ofthese migrant healthcare professionals is conceptualised as New Normalising, which occursthrough the stages of transplanting, regressing and adapting. It is through New Normalising thatparticipants resolve their main concerns of transition. This presentation will discuss the legalimplications of the theory as well as the implications for the mental health of migrant health careprofessionals and their families.115. The Need for Sustainability and Continuity in ForensicPsychiatryRecidivism Research at FPK InforsaIvo van Outheusden. FPK Inforsa, Amsterdam, Netherlands (ivo.van.outheusden@inforsa.nl)Background: Forensic treatment takes place in the context of different laws. Treatment in thecase of “TBS” has the longest duration (mean treatment duration is nine years). All otherforensic titles such as Article 37 (court order of unvoluntary admittence for one year) have amuch shorter term (the mean duration of treatment is usually less than one year). Little is knownabout recidivism after a short forensic treatment. Peek (2009) studied recidivism among patientswith psychotic vulnerability, treated in the context of Article 37 in an open forensic psychiatricclinic (FPA). The results of the study showed that vulnerable psychotic patients after treatment ina FPA quickly and often are sentenced for a new criminal act. No less than fifty percent of thedischarged patients committed a new offense within two years. In many cases, the offense ismore serious than the index offense for which the original Article 37 was imposed.274