From physical mobility to psychological mobilization: The benefits of changing location and caregiver in a mobile team for adolescent psychiatry

We have developed a mobile team for adolescents with psychological difficulties that can intervene within 48 hours, if necessary. Practically, caregivers working in pairs go wherever the adolescents are (home, General Practioner’s office, etc.), travelling in a motorhome designed as a mobile office. This method allows us to approach more closely the adolescents and their families in the here and now that corresponds to our societal evolution. Most of the adolescents seen by the mobile team do not express any explicit demand but the demand is expressed by the professionals in direct contact with these adolescents in difficulty (school professionals, General Practitioners, etc.), who alert the mobile team and solicit the adolescents’ parents to call the mobile team. One characteristic of this mobile team is the mobility of setting (by changing locations, including the use of a mobile office, and caregivers, so that multiple representations are mobilized). Statistical analyses conducted on 520 adolescents followed by the mobile team showed that the first meetings tend to take place in the family’s home, subsequently transferring to the mobile office and finally in the community mental health centres. There is therefore a transition from the living space (a place that is part of the here and now) to the caregiving space (a space of thought and for thinking), with the mobile office serving as an intermediate step in this movement towards accessing care. Furthermore, there was a significant association between changes of locations and continuity of care. Thus, there were significantly more breakdowns in continuity when the consultations all take place in a single location (family home, mobile office, community centre). The results and their therapeutic implications will be discussed in this article, especially with regard to the key role played by physical movement in psychological mobilization, and by plurality of representations associated with different locations and caregivers.

Analysis of the Initial Stage Intracloud Lightning Using the Pulse Location Technique Based on the Fast Electric Field Change

Academy of Sciences,Beijing 100029 2 Lanzhou University,Lanzhou 730000 3 Cold and Arid Regions Environmental and Engineering Research Institute, Chinese Academy of Sciences,Lanzhou 730000 4 Nanjing University of Information Science＆Technology,Nanjing 210044 Using both fast and slow electric field change sensors and field mill,multi-station observations on lightning flashes over China inland plateau areas were conducted during the summer of 2004.All of the stations were synchronized by GPS with a time-resolution of±50 ns.Using the different time of arrival（DTOA）and based on the fast electric field change sensor,a lightning radiation location technique was developed.Radiation pulses in the initial stages of five intracloud（IC）lightning discharges which occurred on 20 August were analyzed.The results indicate that the technique developed could effectively locate the lightning radiation sources.Furthermore,the lightning discharges were compared with the Doppler radar data.The results show that the radiation sources were well associated with the storm development.When the storm was at the mature stage with an echo top of about 10.9 km,the radiation sources ranged from 5.2 to 8.3 km above mean sea level;when the storm gradually became weaker,with echo top of about 7.9 km,the radiation sources ranged from 3.0 to 5.9 km.In particular,one of the IC lightning discharges ranged from 3.0 to 4.9 km during the dissipation stage of the storm.The results also indicate that the radiation sources were closely associated with the high reflectivity region（25–50 dBZ）of the storm,which,to some extent,demonstrates the reliability of the location results,thereby showing that multi-station observations of fast electric field change sensors could be a useful tool for monitoring the storm development.Location errors from radiation sources were also compared with the radar data and the results of a simple simulation.It was found that the errors were getting smaller when the radiation sources approached the center of the detection network, and vice versa.Compared with the limited experimental observations,the simulation results were found capable of effectively reflecting the location errors.

Impacts of the Zonal Position of the East Asian Westerly Jet Core on Precipitation Distribution During Meiyu of China

The east-west location change of the East Asian westerly jet （EAWJ） at 200 hPa during Meiyu and the associated spatial distribution variation of precipitation in the middle-lower reaches of the Yangtze River （MLYR） are investigated by using the 40-yr NCEP/NCAR （National Centers for Environmental Prediction/National Center for Atmospheric Research） pentad mean reanalysis data and daily precipitation observation data from 1958 to 1997. The results show that there are two areas over which the 200-hPa EAWJ center appears most frequently during the Meiyu period： one is the western Pacific （WP） and the other is the East Asian continent （EAC）. During the Meiyu period, the westerly jet over the EAC is weak, and the core of the westerly jet over the WP splits up with reduced intensity and disappears by the end of Meiyu. The changes in the location and intensity of the westerly jet are associated not only with the starting and ending dates of Meiyu, but also with the spatial distribution and intensity of precipitation in the MLYR. It is found that when the westerly jet core in the upper troposphere is located over the WP and is coupled with an 850-hPa southwesterly jet, heavy precipitation accompanied by strong convergence and plenty supply of water vapor, occurs in the lower reaches of the Yangtze River. If the 200-hPa westerly jet core is located over the EAC, and without an 850-hPa southwesterly jet, only weak precipitation occurs in the MLYR. Therefore, the longitudinal location of the EAWJ core plays an important role in determining the upper- to lower-level circulation structure and the spatial distribution of heavy precipitation in the MLYR during the Meiyu period.