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Ottho Gerhard Heldringstichting(Dutch: Ottho Gerhard Heldring Foundation) is a Dutch orthopaedic institution in Zetten, Netherlands. The facility is a private (non governmental) managed centre for youth with severe behaviour and often also psychiatric problems. The facility caters for youth from 12 – 18 years old (sometime max 24 at end of stay, normal intelligent and without very serious addiction problems. Youth living at the facility are sent via the (juvenile) court when the judge decides that juvenile needs treatment (for his (mis)behaviour / behaviour problems) in a closed setting.
The facility is named after Ottho Gerhard Heldring, in his time a famous Dutchman. As author and pastor he worried about and cared for the less fortunate and people with problems. In 1848 he founded the first society offering a place to young women who were pregnant against their will. The children of these women were raised by his society and received education. Also youngsters that couldn't survive in society because of their behavior could find shelter and help as well.
Education has always been important for Heldring. Each child received the education he/she needed, from primary school, grammar school to vocational education, depending one age, capabilities and need. Since the 1960s all education is done via school De Brouwerij (Dutch for "The Brewery"). The current buildings in use by the OGH were erected during the 1990s [1]
Short-term treatment in a closed and secured environment of longer treatment in a protected and less secured setting are both available. On the closed/high security treatment unit the capacity is eleven girls. On the protected semi-secured treatment there is a total capacity of 140 youth: male, female and mixed. All residents are placed via the (juvenile) court, but not all residents are sent for (specific) criminal behavior, but in all cases the judge orders stay and treatment for the children's problematic behavior
Most residents at OGH have a long history of problems, often including a problematic home environment. Youth are sent to OGH if they need a closed off protected environment for treatment. Residents refusing help might receive forced treatment.
Residents are as much as possible divided in age-groups and receive treatment based on their individual needs. A list of methods or forms available:
For some arrivals a start in the closed setting is required, others can start in the protected setting.
The same foundation also offers treatment for non-residents called Het Ambulatorium. This facility is also based in Zetten, and offers (forensic) diagnostics and treatment for children aged 2 – 24 years. Their main services are: [2]
For children and youth between 2 and 24 years of age (forensic) diagnostics are available. Examples of specialities: [3]
The outdoor-unit also offers support, advice and treatment for (problematic) youth, their parents or caretakers. Examples are: creative therapy, Cognitive therapy, Behaviour therapy, family treatment, Grief therapy [4]
Several forms of training programs are available:
Where residential clients are always sent via the court-system, the outdoor centre is open for anyone. Any (personal) doctor (GP) can refer him/her to the centre for mental health issues.
Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckless breaking of rules, in which the basic rights of others or major age-appropriate norms are violated. These behaviors are often referred to as "antisocial behaviors." It is often seen as the precursor to antisocial personality disorder, which by definition cannot be diagnosed until the individual is 18 years old. Conduct disorder may result from parental rejection and neglect and can be treated with family therapy, as well as behavioral modifications and pharmacotherapy. Conduct disorder is estimated to affect 51.1 million people globally as of 2013.
Antisocial personality disorder is a personality disorder characterized by a long-term pattern of disregard of, or violation of, the rights of others as well as a difficulty sustaining long-term relationships. Lack of empathy is often apparent, as well as a history of rule-breaking that can sometimes include law-breaking, a tendency towards substance abuse, and impulsive and aggressive behavior. Antisocial behaviors often have their onset before the age of 8, and in nearly 80% of ASPD cases, the subject will develop their first symptoms by age 11. The prevalence of ASPD peaks in people age 24 to 44 years old, and often decreases in people age 45 to 64 years. In the United States, the rate of antisocial personality disorder in the general population is estimated between 0.5 and 3.5 percent. In a study, a random sampling of 320 newly incarcerated offenders found ASPD was present in over 35 percent of those surveyed.
Abnormal psychology is the branch of psychology that studies unusual patterns of behavior, emotion, and thought, which could possibly be understood as a mental disorder. Although many behaviors could be considered as abnormal, this branch of psychology typically deals with behavior in a clinical context. There is a long history of attempts to understand and control behavior deemed to be aberrant or deviant, and there is often cultural variation in the approach taken. The field of abnormal psychology identifies multiple causes for different conditions, employing diverse theories from the general field of psychology and elsewhere, and much still hinges on what exactly is meant by "abnormal". There has traditionally been a divide between psychological and biological explanations, reflecting a philosophical dualism in regard to the mind-body problem. There have also been different approaches in trying to classify mental disorders. Abnormal includes three different categories; they are subnormal, supernormal and paranormal.
Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, to relieve some tension or for instant gratification. The term pyromania comes from the Greek word πῦρ. Pyromania is distinct from arson, the deliberate setting of fires for personal, monetary or political gain. Pyromaniacs start fires to release anxiety and tension, or for arousal. Other impulse disorders include kleptomania and intermittent explosive disorder.
Anti-social behaviours are actions that harm or lack consideration for the mental conditioning of others. It has also been defined as any type of conduct that violates the basic rights of another person and any behaviour that is considered to be disruptive to others in society. This can be carried out in various ways, which includes, but is not limited to, intentional aggression, as well as covert and overt hostility. Anti-social behaviour also develops through social interaction within the family and community. It continuously affects a child's temperament, cognitive ability and their involvement with negative peers, dramatically affecting children's cooperative problem-solving skills. Many people also label behaviour which is deemed contrary to prevailing norms for social conduct as anti-social behaviour. However, researchers have stated that it is a difficult term to define, particularly in the United Kingdom where many acts fall into its category. The term is especially used in British English.
A behavior modification facility is a residential educational and treatment institution enrolling adolescents who are perceived as displaying antisocial behavior, in an attempt to alter their conduct.
Impulse-control disorder (ICD) is a class of psychiatric disorders characterized by impulsivity – failure to resist a temptation, an urge, or an impulse; or having the inability to not speak on a thought. Many psychiatric disorders feature impulsivity, including substance-related disorders, behavioral addictions, attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, antisocial personality disorder, borderline personality disorder, conduct disorder and some mood disorders.
In criminal justice systems, a youth detention center, known as a juvenile detention center (JDC), juvenile detention, juvenile jail, juvenile hall, or more colloquially as juvie/juvy, also sometimes referred as observation home or remand home is a prison for people under the age of majority, to which they have been sentenced and committed for a period of time, or detained on a short-term basis while awaiting trial or placement in a long-term care program. Juveniles go through a separate court system, the juvenile court, which sentences or commits juveniles to a certain program or facility.
Oppositional defiant disorder (ODD) is listed in the DSM-5 under Disruptive, impulse-control, and conduct disorders and defined as "a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness". This behavior is usually targeted toward peers, parents, teachers, and other authority figures. Unlike conduct disorder (CD), those with ODD do not show patterns of aggression towards people or animals, destruction of property, theft, or deceit. It has certain links to attention deficit hyperactivity disorder (ADHD), and as many as one half of children with ODD also fulfill the diagnostic criteria for ADHD.
Gender dysphoria in children (GD), also known as gender incongruence of childhood, is a formal diagnosis for children who experience significant discontent due to a mismatch between their assigned sex and gender identity. The diagnostic label gender identity disorder in children (GIDC) was used by the Diagnostic and Statistical Manual of Mental Disorders (DSM) until it was renamed gender dysphoria in children in 2013 with the release of the DSM-5. The diagnosis was renamed to remove the stigma associated with the term disorder.
A mental health professional is a health care practitioner or social and human services provider who offers services for the purpose of improving an individual's mental health or to treat mental disorders. This broad category was developed as a name for community personnel who worked in the new community mental health agencies begun in the 1970s to assist individuals moving from state hospitals, to prevent admissions, and to provide support in homes, jobs, education, and community. These individuals were the forefront brigade to develop the community programs, which today may be referred to by names such as supported housing, psychiatric rehabilitation, supported or transitional employment, sheltered workshops, supported education, daily living skills, affirmative industries, dual diagnosis treatment, individual and family psychoeducation, adult day care, foster care, family services and mental health counseling.
A group home is a residence model of medical care for those with complex health needs. Traditionally, the model has been used for children or young people who cannot live with their families or afford their own homes, people with chronic disabilities who may be adults or seniors, or people with dementia and related aged illnesses. Typically, there are no more than six residents, and there is at least one trained caregiver there 24 hours a day. In some early "model programs", a house manager, night manager, weekend activity coordinator, and four part-time skill teachers were reported. Originally, the term group home referred to homes of 8 to 16 individuals, which was a state-mandated size during deinstitutionalization. Residential nursing facilities, also included in this article, may be as large in 2015 as 100 individuals, which is no longer the case in fields such as intellectual and developmental disabilities. Depending on the severity of the condition requiring one to need to live in a group home, some clients are able to attend day programs and most clients are able to live normal lifestyles.
Child and adolescent psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of psychiatric disorders and treatment responses to various interventions. Child and adolescent psychiatrists primarily use psychotherapy and/or medication to treat mental disorders in the pediatric population.
A residential treatment center (RTC), sometimes called a rehab, is a live-in health care facility providing therapy for substance use disorders, mental illness, or other behavioral problems. Residential treatment may be considered the "last-ditch" approach to treating abnormal psychology or psychopathology.
The Utah State Hospital (USH) is a mental hospital located in eastern Provo, Utah, United States of America. The current superintendent is Dallas Earnshaw.
The Massachusetts Department of Youth Services (DYS) is a state agency of Massachusetts. Its Administrative Office is headquartered in 600 Washington Street Boston. The agency operates the state's juvenile justice services.
The following outline is provided as an overview of and topical guide to psychiatry:
Hendrik Pierson was a Dutch Lutheran minister and member of the Réveil religious revival movement. He was president of the Ottho Gerhard Heldringstichting, an asylum for reformed prostitutes, from 1877 to 1914. He was one of the leaders of the campaign to abolish state regulation of prostitution, and in 1898 became president of the International Abolitionist Federation..
Ottho Gerhard Heldring was a Dutch preacher and philanthropist who believed in justification through faith but also in social work. He was one of the early leaders of the Dutch temperance movement. He is known for establishing homes and schools for prostitutes wishing to start a new life and for vulnerable girls and young women.
Externalizing disorders are mental disorders characterized by externalizing behaviors, maladaptive behaviors directed toward an individual's environment, which cause impairment or interference in life functioning. In contrast to individuals with internalizing disorders who internalize their maladaptive emotions and cognitions, such feelings and thoughts are externalized in behavior in individuals with externalizing disorders. Externalizing disorders are often specifically referred to as disruptive behavior disorders or conduct problems which occur in childhood. Externalizing disorders, however, are also manifested in adulthood. For example, alcohol- and substance-related disorders and antisocial personality disorder are adult externalizing disorders. Externalizing psychopathology is associated with antisocial behavior, which is different from and often confused for asociality.