Unwelcome Patients: Where Can They Find Asylum?

Treating Dual Diagnosis Patients: Challenges and Opportunities

“…These patients may be more difficult to work with (5,14), are more noncompliant with , a nd less responsive to trea tm en t (1 4-1 8), more fr equentl y use e me r ge ncy services (1 3,19), a nd are a t in creased risk for suicide and vio le n ce ( 14, 2 0-2 2). The clinical picture that e merges is not very appealing to clinicians, especially ps ychiatrist s-in-training, alt h o ugh it is important to realize that this picture is a composite drawn from man y diffe rent experiences with psychiatric patients who are substance abusers.…”

L’intervention en santé mentale : le mandat inattendu des maisons d’hébergement pour femmes sans abri

“…Un bon nombre d'entre elles sont bien connues des services sociaux et de santé, plus particulièrement dans les organismes offrant des services en santé mentale. La littérature psychiatrique (Bachrach, 1982;Goldfinger et al, 1984;Robbins et al, 1978;Santiago et al, 1990) -indique des recoupements entre cette clientèle et un sous-groupe dans la population des malades mentaux chroniques et qui donne du fil à retordre aux services! En fait, ce qui caractériserait cette population n'est pas tant son problème que le type de rapports qu'elle entretient avec les services sociaux et de santé.…”

Personality disorders: Treatment of the nonpsychotic chronic patient

“…Reviews of the literature on such "difficult" patients leave little doubt that the psychiatric service system often does not meet their needs (Freedman and Moran, 1984;Lamb, 1982;Meyerson, 1987;Pepper and Ryglewicz, 1982;Robbins, Stem, Robbins, and Margolin, 1978). In fact, the service system is generally ill prepared to provide the extensive range of services and the prolonged period of engagement that such difficult patients characteristically require.…”