Recovery-Oriented Systems of Care: A Perspective on the Past, Present, and Future

Recent commissions in Canada and the United States have stipulated recovery to be the overarching aim of mental health care and have called for systems of care to be transformed to be made consistent with this aim. If these efforts are not simply to repeat the mistakes of the past, a new conceptual framework will be needed to provide an alternative foundation for rethinking the nature of care for people with serious mental illnesses. In this paper, the authors identify the limitations of the conceptual framework of the deinstitutionalization movement and then offer the capabilities approach developed by Sen (1992, 1999) and others as a more adequate framework for the post-institutional era.

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Self-cannibalism and cannibalism: a perverse defence against depression

The International Journal of Forensic Psychotherapy ◽

10.33212/ijfp.v2n1.2020.42 ◽

2020 ◽

Vol 2 (1) ◽

pp. 42-51

Author(s):

Ravi Lingam ◽

Simon Mason

Keyword(s):

Systems Of Care ◽

The Self ◽

Developmental History ◽

The Past ◽

Inner World ◽

Increasing Risk ◽

The Individual ◽

Personality Disordered ◽

Relationship Of ◽

Do So

This observational article describes three cases of self-cannibalism and cannibalism by patients in a secure setting. These are studies of severe personality disordered patients, each of whom have perpetrated terrible offences, usually on others. In our view, the inner world of the cannibalistic patient is committed to a narcissistic biting grip on his objects and is bent upon appropriating their good aspects. In our practice, we have observed a countertransference enactment that may be characterised as a roadblock to explore the past: to feel, to understand, and to repair. The aim of the perverse pact is to remain in a stuck state to protect the self from any awareness of feelings of depression. This is an enactment of the inherently deathly, inner relationship of the individual perpetrator. We believe it is essential to attempt to open up a space to explore the unthinkable act of cutting and eating flesh in the context of the person’s developmental history. Failure to do so within systems of care sets in motion a repeating cycle of a traumatic victim–victimiser dynamic associated with ever increasing risk.

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Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update

Stroke ◽

10.1161/str.0000000000000173 ◽

2019 ◽

Vol 50 (7) ◽

Cited By ~ 58

Author(s):

Opeolu Adeoye ◽

Karin V. Nyström ◽

Dileep R. Yavagal ◽

Jean Luciano ◽

Raul G. Nogueira ◽

...

Keyword(s):

Neurocritical Care ◽

Systems Of Care ◽

Scientific Evidence ◽

The United States ◽

Public Healthcare ◽

Policy Statement ◽

Stroke Units ◽

The Past ◽

Stroke Systems Of Care ◽

Stroke Center

In 2005, the American Stroke Association published recommendations for the establishment of stroke systems of care and in 2013 expanded on them with a statement on interactions within stroke systems of care. The aim of this policy statement is to provide a comprehensive review of the scientific evidence evaluating stroke systems of care to date and to update the American Stroke Association recommendations on the basis of improvements in stroke systems of care. Over the past decade, stroke systems of care have seen vast improvements in endovascular therapy, neurocritical care, and stroke center certification, in addition to the advent of innovations, such as telestroke and mobile stroke units, in the context of significant changes in the organization of healthcare policy in the United States. This statement provides an update to prior publications to help guide policymakers and public healthcare agencies in continually updating their stroke systems of care in light of these changes. This statement and its recommendations span primordial and primary prevention, acute stroke recognition and activation of emergency medical services, triage to appropriate facilities, designation of and treatment at stroke centers, secondary prevention at hospital discharge, and rehabilitation and recovery.

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Living Without Restraint: One Parent's Reflections and Recommendations for Supporting At-Risk Individuals With Developmental Disabilities

Intellectual and Developmental Disabilities ◽

10.1352/1934-9556-56.3.155 ◽

2018 ◽

Vol 56 (3) ◽

pp. 155-164 ◽

Cited By ~ 2

Author(s):

Wilfred Beaudoin ◽

Adam Moore

Keyword(s):

At Risk ◽

Developmental Disabilities ◽

Systems Of Care ◽

Challenging Behaviors ◽

Positive Outcomes ◽

The Past ◽

The Way

Abstract In the past several years, there has been an important movement to reduce the utilization of restraint for individuals with developmental disabilities. Legislatures, local and national, are taking on the task of shaping the way that our culture supports people who, up until now, have been often treated in a punitive manner rather than truly supportive in a therapeutic way. Schools and systems of care struggle to identify strategies that offer more positive outcomes to all individuals, even those with challenging behaviors. This article represents the thoughts and recommendations of one parent who has lived with the damage done by restraint to his son. The recommendations are intended to speak to administrators, schools, and caregivers. The intent is not to assign blame, but rather to reflect on our experiences and share some strategies that have worked for us. Although much of what is recommended may not be new, the hope is that this article might provide a fresh way to understand some of the factors that contribute to the use of restraint, in addition to providing some suggestions to proactively address those factors.

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Observations of the continuum near the galactic centre

Symposium - International Astronomical Union ◽

10.1017/s0074180900101305 ◽

1967 ◽

Vol 31 ◽

pp. 405

Author(s):

F. J. Kerr

Keyword(s):

Galactic Centre ◽

The Past ◽

Centre Region ◽

The Continuum

A continuum survey of the galactic-centre region has been carried out at Parkes at 20 cm wavelength over the areal11= 355° to 5°,b11= -3° to +3° (Kerr and Sinclair 1966, 1967). This is a larger region than has been covered in such surveys in the past. The observations were done as declination scans.

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The Origin of the Moon and its Relationship to the Origin of the Solar System

Symposium - International Astronomical Union ◽

10.1017/s0074180900178192 ◽

1962 ◽

Vol 14 ◽

pp. 133-148 ◽

Cited By ~ 2

Author(s):

Harold C. Urey

Keyword(s):

Solar System ◽

The Moon ◽

The Past ◽

The Earth ◽

Short Period ◽

Origin Of The Moon

During the last 10 years, the writer has presented evidence indicating that the Moon was captured by the Earth and that the large collisions with its surface occurred within a surprisingly short period of time. These observations have been a continuous preoccupation during the past years and some explanation that seemed physically possible and reasonably probable has been sought.

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On The Possibility of an Autonomous History of Modern Southeast Asia

Journal of Southeast Asian History ◽

10.1017/s0084255900007944 ◽

1961 ◽

Vol 2 (2) ◽

pp. 73-105 ◽

Cited By ~ 2

Author(s):

John R. W. Small

Keyword(s):

Southeast Asia ◽

Contemporary History ◽

The Past ◽

History Of

It is generally accepted that history is an element of culture and the historian a member of society, thus, in Croce's aphorism, that the only true history is contemporary history. It follows from this that when there occur great changes in the contemporary scene, there must also be great changes in historiography, that the vision not merely of the present but also of the past must change.

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Stellar Evolution

Transactions of the International Astronomical Union ◽

10.1017/s0251107x00022343 ◽

1962 ◽

Vol 11 (02) ◽

pp. 137-143

Author(s):

M. Schwarzschild

Keyword(s):

Solar System ◽

Stellar Evolution ◽

Space Craft ◽

New Techniques ◽

Substantial Body ◽

Individual Stars ◽

The Past ◽

Evolution Of Galaxies ◽

History Of ◽

Fast Flow

It is perhaps one of the most important characteristics of the past decade in astronomy that the evolution of some major classes of astronomical objects has become accessible to detailed research. The theory of the evolution of individual stars has developed into a substantial body of quantitative investigations. The evolution of galaxies, particularly of our own, has clearly become a subject for serious research. Even the history of the solar system, this close-by intriguing puzzle, may soon make the transition from being a subject of speculation to being a subject of detailed study in view of the fast flow of new data obtained with new techniques, including space-craft.

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Novae in the Magellanic Clouds

International Astronomical Union Colloquium ◽

10.1017/s0252921100073334 ◽

1979 ◽

Vol 46 ◽

pp. 96-101

Author(s):

J.A. Graham

Keyword(s):

Large Magellanic Cloud ◽

Magellanic Cloud ◽

Magellanic Clouds ◽

University Of Michigan ◽

The Past ◽

Spectroscopic Information ◽

Objective Prism ◽

The University ◽

Small Cloud ◽

Low Dispersion

During the past several years, a systematic search for novae in the Magellanic Clouds has been carried out at Cerro Tololo Inter-American Observatory. The Curtis Schmidt telescope, on loan to CTIO from the University of Michigan is used to obtain plates every two weeks during the observing season. An objective prism is used on the telescope. This provides additional low-dispersion spectroscopic information when a nova is discovered. The plates cover an area of 5°x5°. One plate is sufficient to cover the Small Magellanic Cloud and four are taken of the Large Magellanic Cloud with an overlap so that the central bar is included on each plate. The methods used in the search have been described by Graham and Araya (1971). In the CTIO survey, 8 novae have been discovered in the Large Cloud but none in the Small Cloud. The survey was not carried out in 1974 or 1976. During 1974, one nova was discovered in the Small Cloud by MacConnell and Sanduleak (1974).

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Immunoferritin localization of intracellular antigens in positively stained frozen sections

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s042482010008170x ◽

1978 ◽

Vol 36 (2) ◽

pp. 168-169

Author(s):

K. T. Tokuyasu

Keyword(s):

Surface Tension ◽

Water Surface ◽

Thin Layers ◽

The Other ◽

Positive Staining ◽

Frozen Sections ◽

The Past ◽

Ultrathin Frozen Sections ◽

Definition Of

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).

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