The problem of gang violence poses a significant threat to the mental health of Chicano children. Although there has been considerable media attention given to the increase in gang violence, the mental health literature is sparse with clinical information on the assessment and treatment of Chicano gang-involved youth. The sparsity of information has been related to public apathy toward these youth, and negative and stereotypic views of these youth as antisocial. This article examines family systems dynamics and adolescent developmental variables that contribute to gang participation. Specific treatment modalities are discussed and the importance of a multimodal approach is emphasized. Two cases are presented: one that addresses family systems and cultural identityfactors ofgang participation; the other case highlights the importance of a multimodal treatment approach as well as extendedfamily involvement in treatment. Finally, recommendations are made for mental health professionals to advocate the needs of Chicano ganginvolved youth in both mental health and correctional settings.
Supervision of psychiatric residents provides a natural context for clinical ethics teaching. In this article, the authors discuss the need for ethics education in psychiatry residencies and describe how the special attributes of supervision allow for optimal ethics training for psychiatry residents in their everyday encounters with ethical problems. Ethical decision making in clinical settings is briefly reviewed, and a 6-step strategy for clinical ethics training in psychiatric supervision is outlined. The value of the clinical ethics supervisory strategy for teaching and patient care is illustrated through four case examples.
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