Pratique en milieu de psychiatrie légale : proposition d’un modèle interdisciplinaire

Abstract

Bien que la pratique en milieux psycho-légaux soit, à notre avis, extrêmement complexe, et qu’elle nécessite l’apport de différentes disciplines, les modèles conceptuels ou théoriques associés à cette pratique professionnelle demeurent rares ou mal adaptés. La proposition d’un modèle de pratique interdisciplinaire faisant l’objet de cet article constitue une tentative visant à corriger cette lacune. Les objectifs de cet article sont : de faire état des écrits scientifiques sur le sujet, de rapporter le plus fidèlement possible notre démarche de consultation générale auprès d’employés exerçant dans une institution psycho-légale et, enfin, de proposer un modèle de pratique interdisciplinaire résultant de cette consultation générale au sein de l’organisation.

Designing a forensic mental health service delivery model: a multi-professional approach

“…Other models, such as the model proposed by Glorney et al (2010) and the risk-needs-responsivity model (Bonta and Andrews, 2016), were focussed on the provision of specific services to the forensic mental health population and on the allocation of these services. Finally, other models such as the ones proposed by Glorney et al (2010) and by Holmes et al (2018), gave insight into the health human resource composition of such teams. The abstraction level sought out by the team was one that allowed for the development and streamlining of group services within the FMHP or the ROMHC.…”

“…Based on their review of philosophies of care at forensic mental health hospitals, the scientific literature and focus groups with 90 interdisciplinary health-care providers, Holmes et al (2018) developed a practice model for a forensic mental health setting which included several concepts such as forensic psychiatric context, actors (e.g. patient, nurse, specialized educator and intervention officer), care, rehabilitation and recovery (Holmes et al, 2018). This model is more explicit than others about who is involved in the care, and ensures that hierarchies are not created by displaying the actors as overlapping in their roles, all of which have a shared goal of recovery.…”