Exploring the relationship between justice and compassion
Explore our work with young people in our FCAMHS service and our trauma-informed work with families in the Family Drug and Alcohol Court.
The Portman Clinic has been an integral part of The Tavistock and Portman’s psychoanalytical history for almost 80 years, and throughout this time has been incredibly important in offering specialist long-term therapy for people presenting with perversion, delinquency and deviant behaviours. The Portman Clinic, has been successful in securing several new specialist contracts, one of them being Forensic CAMHS (FCAMHS). Forensic CAMHS is a specialists NHS-England service designed to support young people who are on a complex trajectory into criminality.
FCAMHS primarily works to support the work of the professionals within the young person’s network with the goal of keeping them in the community safety, which is achieved largely through consultation and assessment.
Portman Clinic Director, Jessica Yakeley will introduce you to the Portman Clinic and provide a brief history; Sophie Marshall will introduce you to FCAMHS; and Ariel Nathanson will share a case study that illustrates the bridge between the old and the new and how FCAMHS has found a home and future in the Tavistock and Portman Clinic.
The principles underpinning problem solving justice will be explored in the second half of the talk by Steve Bambrough and also how ‘therapeutic jurisprudence’ can be thought about as a concept. The larger context of how a society makes sense of what is meant by law, justice and ‘fairness’ within the structural forms of oppression which predominate in this current political order will also be raised, using thinking from across different disciplines including philosophy, politics and psychoanalytic thinking to illustrate these points.
The Family Drug & Alcohol Court (FDAC) is “arguably the most radical development in family justice since the Children Act 1989”. It is a problem-solving trauma-informed approach to care proceedings, where families work intensively with a specially trained judge and therapeutic team. The model gives parents the best possible chance to overcome their problems while testing whether they can meet their children’s needs in a timescale compatible with those needs. This trauma-informed approach delivers a better experience of justice for families and professionals and significantly better outcomes for children and families. London FDAC was the first to open in 2008 and there are now 20 local authority areas have an FDAC but progress has been very slow in establishing problem solving justice within the UK.
Jessica Yakeley is a Consultant Psychiatrist in Forensic Psychotherapy and Director of the Portman Clinic, and Director of Medical Education, Tavistock and Portman NHS Foundation Trust. She is also a Fellow of the British Psychoanalytic Society and Editor of the journal Psychoanalytic Psychotherapy.
Steve Bambrough is the Associate Clinical Director in the Children, Young People and Families Department at the Tavistock & Portman NHS Foundation Trust. He has been a social worker since 1995 and worked in a variety of child protection and mental health settings since then.
Sophie Marshall is a Consultant Forensic Clinical Psychologist and the Service manager for Forensic CAMHS at the Tavistock and Portman. Sophie is an Associate Lecturer at Birkbeck University and teaches the Child and Adolescent Development and Psychological Disorders courses. She is a trainer and consultant at the Association of Psychological Therapies (APT). Sophie is a current committee member on the BPS Clinical Psychology London division board and a member of the BPS Directory of Charted Psychologist, Expert Witnesses for criminal child and youth proceedings and is a BPS board approved supervisor for psychologists in the UK and Australia.
Ariel Nathanson is a Consultant Child and Adolescent Psychotherapist. He is the lead child & Adolescent psychotherapist at the Portman Clinic, where he specialises in the assessment and treatment of children, adolescents and young adults who display perverse, delinquent and violent behaviours. He has a private practice where he clinically works with adolescents and adults, and as an organisational consultant to therapeutic communities for highly disturbed children adolescents. Ariel is a clinical supervisor and consultant to other clinicians and front-line workers who engage violent young people in gangs and in prisons.
For 100 years, the Tavistock and Portman has proudly been at the forefront of exploring mental health and wellbeing. From attachment theory and infant observation, to applying psychoanalytic and systemic approaches in varied settings, our ideas have led to changes in care, education, how organisations work and beyond.
Our Centenary Festival is celebrating our history and exploring contemporary issues in relation to identity, relationships and society. It is considering how we continue to draw on our heritage to provide valuable responses to contemporary and future problems from the perspective of equality and inclusion.