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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", and is often seen as the precursor to antisocial personality disorder; however, the latter, 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.
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.
Antisocial behaviours, sometimes called dissocial behaviours, are actions which are considered to violate the rights of or otherwise harm others by committing crime or nuisance, such as stealing and physical attack or noncriminal behaviours such as lying and manipulation. It 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 Irish English and 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, autism spectrum disorder, fetal alcohol spectrum disorders, antisocial personality disorder, borderline personality disorder, conduct disorder and some mood disorders.
High-functioning autism (HFA) was historically an autism classification to describe a person who exhibited no intellectual disability but otherwise showed autistic traits, such as difficulty in social interaction and communication, as well as repetitive, restricted patterns of behavior. The term is often applied to autistic people who are fluently verbal and of at least average intelligence. However, many in medical and autistic communities have called to stop using the term, finding it simplistic and unindicative of the difficulties some autistic people face.
Disinhibition, also referred to as behavioral disinhibition, is medically recognized as an orientation towards immediate gratification, leading to impulsive behaviour driven by current thoughts, feelings, and external stimuli, without regard for past learning or consideration for future consequences. It is one of five pathological personality trait domains in certain psychiatric disorders. In psychology, it is defined as a lack of restraint manifested in disregard of social conventions, impulsivity, and poor risk assessment. Hypersexuality, hyperphagia, substance abuse, money mismanagement, frequent faux pas, and aggressive outbursts are indicative of disinhibited instinctual drives.
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 or the Juvey Joint, also sometimes referred to 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, including law enforcement officials. Unlike conduct disorder (CD), those with ODD do not generally show patterns of aggression towards random people, violence against animals, destruction of property, theft, or deceit. One-half of children with ODD also fulfill the diagnostic criteria for ADHD.
Adventure therapy is a form of psychotherapy created as early as the 1960s. It is influenced by a variety of learning and psychological theories. Experiential education is the underlying philosophy.
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.
Pine Rest Christian Mental Health Services is a psychiatric hospital and behavioral health provider, with the main treatment campus located in Grand Rapids, Michigan. The Chief Executive Officer and President is Dr. Mark Eastburg, appointed December, 2006.
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.
Mental disorders diagnosed in childhood can be neurodevelopmental, emotional, or behavioral disorders. These disorders negatively impact the mental and social wellbeing of a child, and children with these disorders require support from their families and schools. Childhood mental disorders often persist into adulthood. These disorders are usually first diagnosed in infancy, childhood, or adolescence, as laid out in the DSM-5 and in the ICD-11.
The Utah State Hospital (USH) is a mental hospital located in eastern Provo, Utah. 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 and facilities for incarcerated children.
Disruptive mood dysregulation disorder (DMDD) is a mental disorder in children and adolescents characterized by a persistently irritable or angry mood and frequent temper outbursts that are disproportionate to the situation and significantly more severe than the typical reaction of same-aged peers. DMDD was added to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a type of depressive disorder diagnosis for youths. The symptoms of DMDD resemble many other disorders, thus a differential includes attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), anxiety disorders, and childhood bipolar disorder, intermittent explosive disorder (IED), major depressive disorder (MDD), and conduct disorder.
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.
Clinical social work is a specialty within the broader profession of social work. The American Board of Clinical Social Work (ABCSW) defines clinical social work as "a healthcare profession based on theories and methods of prevention and treatment in providing mental-health/healthcare services, with special focus on behavioral and bio-psychosocial problems and disorders". The National Association of Social Workers defines clinical social work as "a specialty practice area of social work which focuses on the assessment, diagnosis, treatment, and prevention of mental illness, emotional, and other behavioral disturbances. Individual, group and family therapy are common treatment modalities". Clinical social work applies social work theory and knowledge drawn from human biology, the social sciences, and the behavioral sciences.