Nr 7.  2002 sid. 115–126

Working With Parents And Babies
In A Therapeutic Community:
The Cassel Hospital - London

Marigemma Rocco

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Marigemma Rocco är psykolog och barnterapeut vid Cassel Hospital i London. Hon är utbildad barnanalytiker vid Anna Freud Centre och har under många år arbetat inom NHS. Under de senaste sju åren har hon arbetat vid Cassel med föräldrar och barn med destruktiva anknytningsmönster.

Sir Ernest Cassel founded the Cassel in 1919. He had been impressed by the treatment of shell-shocked soldiers at the end of the First World War and wished to develop a hospital for the treatment of civilians suffering from similar functional nervous disorders.

Following the second world war, Dr Tom Main was appointed Medical director and was determined to develop the use of the hospital as therapeutic institution, following experiments at Northfields Military Hospital during the war. The Hospital's residential living and working environment forms the basis of a therapeutic milieu, and the framework within which nurses work with patients.

In the 1950's, a patient in the process of being admitted to the Hospital, asked no to be separated from her baby. This becomes the historic beginning of the Families Unit. In the following months, other mothers were admitted to the Hospital with their children. After some time it was noted that the fathers who visited their wives and children played an important part in the family dynamics. As a consequence, the therapeutic programme was slightly changed to allow the treatment of the whole family.

At the Cassel there are three Units; the adult, the adolescent and families unit. Together they make up the therapeutic community. Facilities for families at the Cassel include a new building for twentyfive inpatient beds (which usually hosts 10—13 families), and a Children's Centre (which provides specialised education and nursery facilities for children of inpatient families).

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2011-10-29

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