[startgroup] SV: Re: E-mail list
- From: <Kare.Nonstad@xxxxxxxxx>
- To: <startgroup@xxxxxxxxxxxxx>
- Date: Tue, 7 Jul 2009 11:44:53 +0200
Hello. Just a short note from Norway congratulating You on Your success in
implementing the START. It is obvious from Your mail that You have done the
right things in employing allready existing knowledge and knowhow to set up
START as an organizing principle for Your risk and rehabilitation assessment
planning, if I understand You correctly. The smoothness problems in the civil
side is a well known difficulty, as we too have seen, in that civil psychiatry
usually is not that used to do structured crossdisciplinary assessments, so it
represents the challenge of providing some elementary groundwork that we some
times does not have to do in the security/forensic branch. The importance of
advocacy and outreach in laying the groundwork for structured implementation
cannot be overstated, as the peer to peer discussions this approach engenders
is, in my experience, of decissive importance in removing some of the major
stumbling blocks in any implementation process (for instance the "oh no, not
another scheme"-obstacle, or the "so this is the newfangled idea of the high
and mighty"-obstacle). This is what I have talked about earlier as the "sidling
up to people and wanting to show them something very interesting"-approach, or
the "insidious" way of doing implementation. We use START monthly (approx) in
our (very small, but hey, Norway is a small country) security hospital, and it
lays the groundwork for any important change in security level and leads the
therapeutic work on the wards an OC therapy. We have implemented the START in a
section of our local prisons, which have posed some challenges in that this
represents a meeting between two cultures (prison and hospital) with different
training and professional definitions/identity. Using the START as an aide in
developing better interinstitutional understanding seems promising, but we have
to og further along in the process to see if there are real benefits to this
work. It makes supervision to the prison a lot easier in the least. We are also
working with on of our civil long term closed wards and another security
hospital. Implementation is a never ending process, and one of the reasons the
START is still in use at our place 5-6 years after I first got introduced to
it, is that a core group of people never have stopped taking an interest ans
have kept on talking about, asking for and doing the START.
Good luck on Your work, and keep us posted.
Best Regards
Kåre Nonstad
Senior Psychologist
Broset Regional Security Hospital and Research Facility
Trondheim, Norway.
-----Opprinnelig melding-----
Fra: startgroup-bounce@xxxxxxxxxxxxx [mailto:startgroup-bounce@xxxxxxxxxxxxx]
På vegne av Alexander M MILLKEY
Sendt: 6. juli 2009 16:38
Til: startgroup@xxxxxxxxxxxxx
Kopi: Brooke HOWARD; Darci WALKER; Elena BALDUZZI; Nat B THOMAS; Steven J WILSON
Emne: [startgroup] Re: E-mail list
Hello All,
I'm very glad that you have set up this listserv - thank you very much! It will
be helpful to be able to confer with colleagues.
I am curious to hear how the START is being used at other insitutions, and
generally the implementation went. We have received advice from Tonia, Johann,
Marcel, and Sarah about implementation, and have read the articles that have
been published, but I think that we at my hospital could benefit from the
experience of others.
At Oregon State Hospital (OSH) - a state-run forensic and long-term civil
hospital with a census of about 650 - we began using the START eight or nine
months ago as a central feature for our hospital board that makes decisions
about granting privileges and recommending conditional release (the Risk Review
Panel). I think that within a month we will begin having our treatment teams
administer the START every three months (or more frequently), and I think it
will be integrated into treatment planning.
Implementation has gone relatively well. Forensic units adopted it fairly
readily. I think that this is because the Risk Review Panel meets with foensic
treatment teams regularly and can provide feedback, and also because risk
assessment is a familiar and accepted part of the forensic culture at OSH.
Implementation has been less smooth with the civil side of the hospital, but is
moving along (I think primarily due to the advocacy and outreach of a couple of
members of our START Implementation Team). There seems to be some internal
debate as to whether the START should implemented on our Civil Geriatric wards.
How is the START being used elsewhere, and how has implementation been?
Best Regards,
Alex
Alexander M. Millkey, Psy.D.
Evaluation Psychologist
Forensic Evaluation Service
Oregon State Hospital
Office: (503) 945-9262
Fax: (503) 945-9747
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>>> "Roger Almvik" <roger.almvik@xxxxxxx> 07/06/09 1:39 AM >>>
Hi all ! This is the email list for clinicians and researchers related to the
use of and research related to the START . All emails sent to this email
address will be distributed to the rest of the group. Save this email address
(startgroup@xxxxxxxxxxxxx) in your contacts and every time you want to send an
email to all group members just use this address. Please note that you can only
use this list from the address you are registered with. If you like to add more
email addresses, please let me know and we will add it to the list.
If any problems or questions, please contact me at roger.almvik@xxxxxxx
Cheers
--
Research Director
Roger Almvik, DPhil, RN, RMN
St. Olav's Hospital, Forensic Dept. Bröset
Centre for Research and Education in Forensic Psychiatry
Norwegian University of Science & Technology,INM, NTNU
PO 1803 Lade, N-7440 Trondheim, Norway. Tel +47 45468880
PS Sarah, the list is more or less complete now
From: startgroup-bounce@xxxxxxxxxxxxx
[mailto:startgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Desmarais, Sarah
Sent: Sunday, July 05, 2009 10:09 PM
To: startgroup@xxxxxxxxxxxxx
Subject: [startgroup] Re: E-mail list
Hi all,
Roger - thanks for setting this up! You probably have most of these already,
but here is a list of START contacts that I've built up over the years. I'm
missing some of the contacts from your group as well as Anne's (and probably
some others), but I'm sure someone can forward you those addresses.
It was so nice to those of you who were at the Edinburgh meeting. As promised I
will send around version 1.1 shortly. It will probably be easiest to send to
everyone using this new account. Roger, can you please let me know when the
list is more or less finalized? Looking forward to working with everyone.
Best wishes,
Sarah
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