Seattle University Collaborative Projects - International Academy of ...

ights extremists. The vast majority of American society has no direct experience withideological violence and therefore the frames through which they understand and discuss theevents and the mitigating and aggravating factors specific to offender motivation, such as theirmental health, are developed primarily through the media. The analysis of these frames isimportant as they can inadvertently, or otherwise, impact policy depending on whether the publicand policymakers view extremists as rational or irrational actors.167. Title T.B.A.An Ultra Short Admission Unit to Provide Flexibility in the Admission Capacityin AmsterdamHans Nusselder, Arkin, Amsterdam, Netherlands (hans.nusselder@mentrum.nl)Astrid Vellinga, Arkin, Amsterdam, NetherlandsWorking in acute psychiatry is often put under pressure by a shortage in admission capacity,especially in large cities. This shortage has increased considerably in the last few years becauseof the greatly increased amount of involuntarily committed patients, the cutting back onadmission capacity and the altered norm for the maximum duration of a psychiatric patient’s stayin a police cell. In this context a Short Transitional Admission Unit (STAU) (“TijdelijkeOverbruggingsAfdeling – TOA”) in Amsterdam functions as a gateway to admission into allclinics. In this session we will evaluate the role of a STAU as a component of acute psychiatry.The STAU must have the capacity for at least one admission at all times. This is realized bymeans of a “worst in, best out” system. This results in shorter stays in police cells and drasticallydecreased out-of-area placements. Patient characteristics and applied forced interventions arebeing reviewed in a sample of 5000 patients admitted to the STAU in the last 10 years. Theestablishment of an ultra short transitional admission unit as a gateway for admission to a clinicis effective as a buffer during a shortage in admission capacity.Involvement of the Patient’s Family in Psychiatric Treatment: The Necessity, aModel and the Juridical ProblemsJurgen Cornelis, Arkin, Amsterdam, Netherlands (jurgen.cornelis@arkin.nl)The notion that it is important to involve patient’s families in psychiatric treatment is now widelyaccepted. Research has shown that systemic therapeutic interventions are effective in differenttypes of psychiatric illnesses. Experience shows that involving the family, for example in crisissituations, can lead to a breakthrough in treatment. Furthermore, family can give a wealth of newinformation about the problem and working with the patient and his family together helpstreatment succeed in the long run. But in which way we can work together with the patient and393