Community Based Interventions for “pre”-forensic boys with severe psychopathology – the STABIL project in Lucerne

Community Based Interventions for “pre”-forensic boys with severe psychopathology – the STABIL project in Lucerne

Community Based Interventions for "pre"-forensic boys with severe psychopathology - the STABIL project in Lucerne

Poster presentation2Oliver Bilke-Hentsch, Switzerland

Room P1Fri 14:30 - 15:15

Male adolescents with severe comorbid psychopathology such as ASS oder ADHD or PTSD and impulsity often fall between the concepts of psychiatry and institutional care. If delinquency is not severe enough for "regular" forensic services, many different helpers can be concerned und there is a mix of approaches and methodology. Therewfore interventions often are disrupted in theses adolescents.

To Change the course of these so called "heavy users " of both health and forensic services with poor prognosis due to social and labour integration , a regional psychiatry (lups, LuzernerPsychiatrie, catchment area 600.00 inhabitants in central switzertland) and a well established youth care system (Jugenddorf Knutwil) developed an interdisciplinary in-patient approach to tackle the combined problems of these youngsters. This project is supported, financed and monitored by the cantonal youth care authority.

After almost one year of work data and experiences are presented, the proof of concept is done and further developments are outlined. Ther first eight patients showed long term psychiatric and youth care interventions and several methodological approaches , one after the other. In stabil they got integrated interventions and a daily routine which served well as a basis for psychotherapy and work. due to the quite remote area of Knutwil there were less seductive situations as in city settings and the adolescents focused on the internal education and work possibilities. personalized and monitored pharmacotherapy developed as a useful tool as well.

After almost a year of work the interdiscipinary in patient stabil -project in Lucerne/CH allows male adolescents with severe psychopathology and minor delinquency the return to less intensive forms of treatment and the possibilty to get a qualified education.
Co-authors: Tobias Stegmann, Christian Thalmann, Benjamin Barmettler, Eshter Klein, Kathrin Burckhardt

Community based interventions with young offenders
comorbidity, impulsivity, in patient intervention
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