(1407.pdf) EDUCATION AS PART OF A THERAPEUTIC TREATMENT IN FORDULAS, A FORENSIC PSYCHIATRIC UNIT FORADOLESCENTS

摘要

Getting a proper education is one of the most important goals during childhood and adolescence.In the field of forensic adolescent psychiatry a successful reintegration in school is a major aim ofthe treatment program. The major purpose of the education program at Fordulas, an intensivetreatment unit for delinquent adolescents with psychiatric problems, is to stimulate the scholasticskills and to develop a reintegration trajectory at school.The severe behavioral problems of the adolescents in our unit also reflect at school attendanceand performance. A substantial amount of the adolescents have a school lagging behind of one ormore years, are expelled from one or more schools and have no school at the time of admission.Most of them have problems with authority, attention deficits, limited social skills and areinfluenced by negative peer pressure. Scientific research has shown a significant co-morbiditybetween behavioral problems and learning disabilities (Vedi K., Bernard S., 2012). Sometimes thelearning disabilities are not recognized because of the prominent behavioral problems.Due to lack of a good medical practice model, a phase program was developed in our departmentto achieve the best possible outcome. Success experience is the major motivation of our processof change. The social competence model (Ter Metz E., 2006) and different motivational techniquesare used at the unit to learn the adolescents act and react in an adequate way in scholarsituations with peers and teachers. In a first phase, we focus on the education level scaling, thelearning disabilities, the influence of the psychiatric disorder on the learning process, motivationand psychosocial functioning . In a second phase, adolescents participate in a classroomstructured therapy where scholastic attitudes and the minimalization of the school backlog are themain focus. In a third phase school reentry is realized with permanent monitoring and evaluationby different members of the team and responsible teachers at school.In this presentation the motivational techniques that are used to get this youngsters back to schoolwill be explained. We also focus on the methods that are used for a proper level scaling andenlighten the process of school reintegration. Finally we present the outcome data of the educationprogram in our unit during a period of 3 years.