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A construção de projetos terapêuticos no campo da saúde mental: apontamentos acerca das novas tecnologias de cuidados; The construction of therapeutic projects in mental health field: notes about new care technologies

Barros, Juliana de Oliveira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 18/08/2010 PT
Relevância na Pesquisa
76.01%
A atual Política de Saúde Mental tem como eixo estruturador a construção de redes municipais de serviços. Esta construção requer, além do estabelecimento de normas e da definição de recursos a serem empregados em sua implantação e manutenção, a definição de novas estratégias de cuidado adequadas aos princípios e diretrizes propostas pela política. Neste contexto ganha destaque a forma como os serviços se organizam para desenvolver novas tecnologias de cuidado que consigam materializar as transformações propostas pelo novo modelo. Esta construção requer um olhar atento para a singularidade dos sujeitos e deve considerar que a construção de projetos terapêuticos respeite esta diretriz fundamental, já que trata-se de uma ferramenta central para o desenvolvimento da atenção que busca superar o modelo asilar. A pesquisa buscou conhecer e comparar as proposições teóricas sobre a construção de projetos terapêuticos apresentados pela bibliografia com as concepções utilizadas pelos profissionais que atuam no contexto dos serviços de saúde mental. Configura-se como uma investigação qualitativa nos métodos e formas de encaminhamento e de inspiração etnometodológica na medida em que foi dada ênfase para a experiência vivida como campo para o processo de reflexão. Utilizou-se os procedimentos metodológicos de revisão bibliográfica e entrevistas semi-estruturadas...

Mental health problems of aging and the aged*

Roth, Martin
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1959 EN
Relevância na Pesquisa
25.87%
The rapid increase in admission rates to mental hospitals in many countries in recent decades threatens to create serious problems. These may be to some extent remediable in that social factors are important in deciding the chances of admission to hospital, as well as the frequency of suicide, which reaches a peak among the aged in most countries. All communities possess valuable assets in the form of existing links between the aged and their families which may be lost by indiscriminate community planning. Although some psychological decline is inevitable during senescence, it is becoming clear that much that once passed for the ineluctable effects of mental and physical aging is due to disease that may be ameliorated or cured. The relationship between mental and physical health is particularly close in old age, and the effective treatment of the aged person with a psychiatric disorder demands the full resources of general medicine as well as psychiatry. For successful rehabilitation a full community service for the aged and proper integration of the work of the family doctor with that of preventive and hospital services are essential. The possibilities of prevention can be enhanced by fostering physical well-being and healthy adjustment during earlier stages of life...

The urban safety net: Can it keep people healthy and out of the hospital?

O’Toole, Thomas P.; Arbelaez, Jose; Haggerty, Christine;
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
Publicado em /06/2004 EN
Relevância na Pesquisa
25.89%
There is much discussion and debate over the relative vulnerability and capacity of the health care safety net to care for the growing numbers of uninsured and disenfranchised persons in urban poor communities. In this study, we present findings from a community-based survey of 248 adults identified at eight safety net provider sites in Baltimore, Maryland, to contextualize recent findings that described Baltimore’s safety net capacity as having more hospital-and intensive service-based interventions, with higher proportions of the population reportedly unable to get care when needed compared with other cities. The average age of respondents was 41.2 years, most (87.3%) were African American, unemployed (75.8%), homeless (57.0%), and with at least one chronic medical problem (77.8%). Almost one half (47.6%) also reported a chronic mental health condition, and 51.2% reported having difficulty accessing health care services in the past. Overall, 76.9% reported accessing additional community sites for daily sustenance needs, with most of these sites community nonprofit or faith-based organizations. In the multiple logistic regression model, only individuals with chronic mental health conditions were significantly more likely to report difficulties accessing health care. The lack of a Community Access Program or other structured efforts to facilitate integration of services among providers in Baltimore and an “all-payer” system that reimburses uncompensated care only for hospital admissions are postulated as two structural elements that may contribute to these findings.

Enhancing Schools’ Capacity to Support Children in Poverty: An Ecological Model of School-Based Mental Health Services

Cappella, Elise; Frazier, Stacy L.; Atkins, Marc S.; Schoenwald, Sonja K.; Glisson, Charles
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.85%
School based mental health services for children in poverty can capitalize on schools’ inherent capacity to support development and bridge home and neighborhood ecologies. We propose an ecological model informed by public health and organizational theories to refocus school based services in poor communities on the core function of schools to promote learning. We describe how coalescing mental health resources around school goals includes a focus on universal programming, mobilizing indigenous school and community resources, and supporting core teaching technologies. We suggest an iterative research–practice approach to program adaptation and implementation as a means toward advancing science and developing healthy children.

Adolescent Health: Present Status and Its Related Programmes in India. Are We in the Right Direction?

Sivagurunathan, C; Umadevi, R.; Rama, R.; Gopalakrishnan, S.
Fonte: JCDR Research and Publications (P) Limited Publicador: JCDR Research and Publications (P) Limited
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
35.79%
Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Young and growing children have poor knowledge and lack of awareness about physical and psychological changes that occurs during adolescence and the ill health affecting them. Existing Adolescent health programmes focus on rendering services like immunization, health education for sexual and reproductive health, nutritional education and supplementation, anemia control measures and counseling. Adolescent health programmes are fragmentary at present and there is no comprehensive programme addressing all the needs of adolescents. Access and availability of health care services are severely limited. Lack of accurate information, absence of proper guidance, parent’s ignorance, lack of skills and insufficient services from health care delivery system are the major barriers. Interventions should focus on providing psychological and mental health services and behaviour change communication towards leading a healthy lifestyle, restricting advertisement related to junk food products...

Tackling HIV-related Stigma and Discrimination in South Asia

Stangl, Anne; Carr, Dara; Brady, Laura; Eckhaus, Traci; Claeson, Mariam; Nyblade, Laura
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
25.94%
Although HIV prevalence in South Asia is relatively low, the epidemic is growing among marginalized groups, including sex workers, injection drug users, men who have sex with men, and transgender communities. Despite prevention and other efforts to reduce high-risk behaviors such as unprotected sex, buying and selling of sex, and injecting drug use, HIV vulnerability and risk remain high. This problem is partly due to a widespread failure to respond adequately to key social drivers of HIV: stigma and discrimination. Stigmatizing attitudes in the general population and discriminatory treatment by actors ranging from health providers to local policy makers intensify the marginalization of vulnerable groups at highest risk, driving them further from the reach of health services and much-needed prevention, treatment, care, and support. Daily harassment and abuse also cause health problems and adversely affect mental health, thereby leading to depression, social isolation, and an array of adverse socioeconomic outcomes related to HIV and AIDS. The South Asia Region Development Marketplace1 (SARDM) took an innovative and unique approach to addressing these gaps and needs through its 2008 development marketplace...

Investing in Young Children : An Early Childhood Development Guide for Policy Dialogue and Project Preparation

Naudeau, Sophie; Kataoka, Naoko; Valerio, Alexandria; Neuman, Michelle J.; Elder, Leslie Kennedy
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
25.95%
Investing in young children is the responsible thing to do. All children deserve a chance to grow into healthy, educated, and competent people, no matter where and when they were born. While parents bear most of the responsibility for raising their children, especially in the early years of life, governments also have an important role during this critical time of human capital accumulation. For example, governments can ensure that all expectant mothers and young children have access to quality health services and nutrition. They can support parents and other caregivers in providing a positive and stimulating environment for children from birth on by promoting parenting information programs, investing in direct services such as home-based visits, funding daycare centers and preschools, or providing financial incentives to access good quality programs for infants and children. This Early Childhood Development (ECD) guide presents lessons and experiences that have been useful in informing the policy debate about ECD interventions and the design of such programs across the world. Whether the user of this guide is at the initial stage of deciding whether to expand an ECD portfolio or already in the program design stage...

Realizing Rights Through Social Guarantees : An Analysis of New Approaches to Social Policy in Latin America and South Africa

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Relevância na Pesquisa
25.87%
This paper examines the experiences in four Latin American countries and South Africa in the application of a human rights approach to social policy. The paper applies an analysis based on a social guarantees framework -- an innovative approach to integrate a rights-based perspective into social policy. The social guarantees approach moves beyond a purely normative framework to give concrete meaning to economic, social, and cultural rights and hence to allow for their operationalization into policies and programs. This document suggests that a social guarantee approach can be used to strengthen the delivery and monitoring of social programs. Firstly, it implies an institutional design that emphasizes synergy and coordination among agencies and providers to help social programs achieve their full potential. Secondly, this approach contributes to reducing gaps in opportunity among citizens by promoting universal access to, and a basic quality standard for, essential services. Thirdly, the social guarantee approach contributes to strengthening democratic governance...

Effective Responses to Non-communicable Diseases : Embracing Action Beyond the Health Sector

Meiro-Lorenzo, Montserrat; Villafana, Tonya L.; Harrit, Margaret N.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
25.91%
Effective responses to non-communicable disease: Embracing action beyond the health sector focuses on solutions, indicating opportunities for the prevention and control of non-communicable diseases (NCDs) and the kinds of actions that will achieve it. NCDs exact a heavy toll on individuals and society. They cause disease, disability, and death, and reduce productivity which is vital for development. They also impose hefty costs on health services, particularly since NCDs frequently lead to ongoing disability and need for long-term care. Prevention that results in healthy aging and the reduction of morbidity is far more cost-effective and financially sustainable than treatment alone. A small number of proven prevention measures could stem the rise of the NCD epidemic. Data indicate the potential of affordable, potent, prevention tools focused on five key areas: tobacco, alcohol, diet, exercise and nutrition. Together, programs targeting these areas could reduce the burden of NCDs by more than half, while costing only a tiny fraction of current health spending. Since successful prevention involves multiple sectors and actors...

Stepping Up Early Childhood Development : Investing in Young Children for High Returns

Denboba, Amina D.; Sayre, Rebecca K.; Wodon, Quentin T.; Elder, Leslie K.; Rawlings, Laura B.; Lombardi, Joan
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
25.91%
Investing in young children is one of the best investments that countries can make. A child s earliest years present a unique window of opportunity to address inequality, break the cycle of poverty, and improve a wide range of outcomes later in life. Recent brain research suggests the need for holistic approaches to learning, growth, and development, recognizing that young children s physical and intellectual well-being, as well as their socio-emotional and cognitive development, are interrelated. To fully benefit from future opportunities in life and become productive members of society, by the end of early childhood, young children must be: healthy and well-nourished; securely attached to caregivers; able to interact positively with families, teachers, and peers; able to communicate in their native language; and ready to learn throughout primary school. This document draws on these existing frameworks and broad evidence on the impacts of ECD interventions. It summarizes some of the existing literature on this topic with the aim to identify key interventions needed for children. The document is intended to provide an easily accessible introduction to interventions and integrated services that could help policymakers and practitioners think about how to effectively invest in ECD. In addition to identifying key interventions...

SABER - School Health : Preliminary Assessment of School Health Policies in the Caribbean Community

Ebenezer, Roshini; Nannynonjo, Harriet
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
35.83%
This report presents the findings of the 2012 pilot assessment of the school health policies for the following Caribbean community (CARICOM) countries: Dominica, Grenada, Guyana, St. Lucia, Barbados, and St. Vincent and the Grenadines. The objective of this exercise is to help countries to identify the strengths and weaknesses in their school health policy frameworks, with the understanding that sound a policy framework is a critical component of effective school health programming. The result is a preliminary report on the status of development of the school health policy framework in the six countries. Section one gives introduction. Section two briefly discusses the importance of school health programs in contributing to education sector goals and the development of international consensus on the basic building blocks of effective school health programs. Section three discusses the conceptual framework of system assessment and benchmarking for education results (SABER) - school health, and introduces the components of the SABER - school health framework and scoring system. Section four provides the context for and objectives of this assessment as well the methodology used for data collection. Section five presents the results for the six countries: first by individual country and then as a comparative analysis across each of four policy domains.

Action research in preventing workplace burnout in rural remote community mental health nursing.

Petrie, Eileen Margaret
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2008
Relevância na Pesquisa
65.94%
The social phenomenon of stress and workplace burnout has spanned over five decades. Despite a plethora of literature that exists, there still remain problematic issues that neither scientific investigation or government legislation have been able to resolve. The literature examined throughout this research is extensive and does reflect this 50-year period. It demonstrates that studies into this phenomenon have attempted to define stress, identify causal factors of workplace stress, workplace burnout and environmental congruence; and discusses strategies (focused on both the individual and organizational levels) that have been implemented to effect beneficial outcomes for individuals affected by any one of these. As this thesis continues, the more recent literature gives a greater recognition to violence in the workplace and legislative enactments as preventative measures to reduce the heavy burden of costs, both physical and financial, to organizations. This extensive literature review indicates no answer to the problem has been identified to date and that this phenomenon remains, giving a clear indication that further scientific investigation is required to find a solution to what was described as the most serious health issue of the 20th century. Based on the literature examined this health issue has now gone well beyond the 20th century...

Satisfação com a vida, condições e autoavaliação da saúde entre idosos residentes na comunidade; Life satisfaction, self-evaluation conditions and health among olders adults in the community

Efigênia Passarelli Mantovani
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 02/07/2015 PT
Relevância na Pesquisa
26.06%
Objetivos: Três estudos independentes envolvendo duas amostras probabilísticas de idosos brasileiros residentes na comunidade (65 anos e mais) investigaram relações entre condições de gênero, idade e renda familiar. Adicionalmente, o Estudo 1 (N=1207) trabalhou os efeitos das doenças crônicas, número de medicamentos, capacidade funcional , satisfação global com a vida e de satisfação referenciada a domínios (memória, capacidade, relações familiares, ambiente, acesso aos serviços de saúde e serviços de transporte); o Estudo 2 (N=1242) investigou os significados de felicidade e velhice saudável e a associação com a satisfação global com a vida e de satisfação referenciada a domínios (memória, capacidade, relações familiares, ambiente, acesso aos serviços de saúde e serviços de transporte), e o Estudo 3 (N=1247) investigou relações entre autoavaliação negativa da saúde, variáveis sociodemográficas e indicadores de saúde (saúde física, acesso e uso de serviços de saúde, fragilidade, independência para o desempenho de atividades instrumentais de vida diária - AIVD e sintomas depressivos). Os estudos foram realizados em Campinas, Região Sudeste, e em Belém, Região Norte. A primeira tinha um Produto Interno Bruto (PIB) per capita de R$ 29.731...

"United We Stand Divided We Fall" : Maternal Social Participation and Children's Nutritional Status in Peru

Favara, Marta
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
25.96%
In previous literature, social capital has been hypothesized as a substitute for other forms of capital, such as physical and human capital. This paper contributes to this literature, studying the association between mothers' access to social capital via participation in community organizations and their children's nutritional status at 1 and 5 years. Using the Peruvian sample of the Young Lives project, this study suggests that, where human capital is scarce, social capital might have important implications for child development. Maternal social capital is positively associated with height at 1 year old for those children whose mothers have no formal education. No significant association is found at 5 years of age.

Health in All Policies as a Strategic Policy Response to NCDs

Lin, Vivian; Jones, Catherine; Wang, Shiyong; Baris, Enis
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
25.99%
The aim of Health in All Policies (HiAP) is to bring diverse sectors together to find shared solutions; it focuses on identifying 'win-win' or 'cobenefits' such that policy measures contribute not only to improved health outcomes but also to outcomes desired by other sectors, such as education, environment, welfare, agriculture, and transportation. HiAP can be applied to NCD prevention and control from three different entry points: risk factors or conditions, population groups (including life course), and sectors. (HiAP) is a relatively new concept and policy practice that attempts to incorporate consideration into the policy decision-making process of how public policies and programs affect community health and well-being. It represents a way of working across sectors that aim to find solutions for complex, interrelated, and persistent problems. With the global epidemic in non-communicable diseases (NCDs), HiAP offers a potential approach and a pathway to secure coordinated action on social determinants of health that relate to NCDs and result in health inequalities. Promising examples can be seen globally for action on both specific NCD risk factors as well as in a more systemic approach to policy decision making.

Instrumental activities of daily living performance in healthy and cognitively intact seniors from a Brazilian sample and its relation to age and other socio-demographic variables

Zuccolo, Pedro Fonseca; Avila, Renata; Nakano, Eduardo Y.; Litvoc, Julio; Lopes, Marcos A.; Bottino, Cassio M. C.
Fonte: CAMBRIDGE UNIV PRESS; NEW YORK Publicador: CAMBRIDGE UNIV PRESS; NEW YORK
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
35.81%
Background: Studies on functional capacity in community-dwelling older people have shown associations between declines in instrumental activities of daily living (IADL) and several factors. Among these, age has been the most consistently related to functional capacity independent of other variables. We aimed at evaluating the performance of a sample of healthy and cognitively intact Brazilian older people on activities of daily living and to analyze its relation to social-demographic variables. Methods: We conducted a secondary analysis of data collected for previous epidemiological studies with community-dwelling subjects aged 60 years or more. We selected subjects who did not have dementia or depression, and with no history of neurological diseases, heart attack, HIV, hepatitis or arthritis (n = 1,111). Functional capacity was assessed using the Brazilian version of the Older American Resources and Services Questionnaire (BOMFAQ). ADL performance was analyzed according to age, gender, education, and marital status (Pearson's chi(2), logistic regression). Results: IADL difficulties were present in our sample, especially in subjects aged 80 years or more, with lower levels of education, or widowed. The logistic regression analysis results indicated that "higher age" and "lower education" (p <= 0.001) remained significantly associated with IADL difficulty. Conclusions: Functional decline was present in older subjects even in the absence of medical conditions and cognitive impairment. Clinicians and researchers could benefit from knowing what to expect from older people regarding IADL performance in the absence of medical conditions.; Fundacao de Apoio a Pesquisa do Estado de Sao Paulo (FAPESP) [01/05959-7]; Fundacao de Apoio a Pesquisa do Estado de Sao Paulo (FAPESP)

Healthy children ready to learn: an essential collaboration between health and education.

Novello, A C; Degraw, C; Kleinman, D V
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1992 EN
Relevância na Pesquisa
25.97%
The "Healthy Children Ready to Learn" initiative starts with the underlying concept that health is a critical partner to optimum education. All children have a right to be healthy. At a minimum, this right assumes promoting optimum use of available and effective preventive measures, such as ensuring compliance with immunization recommendations; promoting measures to prevent injuries; ensuring opportunities to identify disease and disabilities early; and providing prompt treatment when needed. Families must receive the support and assistance they need to raise healthy and educated children. Activities directed toward National Education Goals and the related National Health Promotion and Disease Prevention Objectives can advance progress toward school readiness, focus attention and available resources on needed programs and services, and thus help the nation in achieving its goal of having all children arriving at school each day healthy, well nourished, and ready to learn. To realize these goals and objectives, the two critical systems of greatest importance to children, those providing health services and education, need to collaborate, not only among themselves, but also with social services. A range of critical health problems will require our attention if the goals are to be met...

Behavioral Health Service Utilization and Cost for North Carolina’s Foster Children: A Report for Partnering For Excellence

Foosness, Susan
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Masters' project
Publicado em 18/04/2014
Relevância na Pesquisa
26.04%
Executive Summary Introduction The foster care population in North Carolina, which hovered around 8,882 children as of August 2013, is of special interest to policymakers, politicians, Medicaid officials, child welfare professionals, and healthcare providers. This group of infants through young adults faces unique challenges in their educational, social, emotional, developmental, and physical growth. Their elevated needs put extra pressure on already stressed systems with limited financial resources. High levels of behavioral health and emotional problems lead to placement disruptions, costly interventions, and require extra diligence on the part of caseworkers, foster parents, and professionals to manage crises and keep foster children safe. It is essential to identify strategies to address the behavioral health needs of foster children within the constraints of limited resources, and in ways that take advantage of the most recent research on evidence-based treatments. These strategies should aim to reduce placement disruptions and promote healthy outcomes for foster children. By using existing data collection systems within the Department of Social Services and Local Management Entity-Managed Care Organizations (LME-MCOs), we can gain important insight into this population’s health and mental health needs...

Healthy Delawareans with Disabilities: Health Status Report for Adults with Disabilities

Riddle, Ilka K.
Fonte: Center for Disabilities Studies and Division of Developmental Disabilities Services Publicador: Center for Disabilities Studies and Division of Developmental Disabilities Services
EN_US
Relevância na Pesquisa
35.74%
Prepared for the Division of Developmental Disabilities Services, Delaware Health and Social Services.; This report presents information about the health, wellness, disabilities, secondary health conditions, and lifestyles of adults with disabilities in Delaware. Information from 339 adults with physical, sensory, cognitive and learning disabilities, and mental health conditions was collected from May to December 2006. The sample of participants was collected through service enrollment lists, referrals, and outreach to community organizations and provides insight into the well-being of adults with disabilities in Delaware.

Supporting 'community' in an era of global mental health: a case study of an HIV-affected South African community

Burgess, Rochelle Ann
Fonte: London School of Economics and Political Science Thesis Publicador: London School of Economics and Political Science Thesis
Tipo: Thesis; NonPeerReviewed Formato: application/pdf
Publicado em /07/2013 EN
Relevância na Pesquisa
46.04%
How may the mental health of socially deprived HIV/AIDS affected communities be supported in an era of ‘global mental health’? To date, ‘community’ efforts have been informed by a largely biomedical and epidemiological body of evidence, distracting attention from lived realities, local contexts and their abilities to frame understandings of mental distress and treatment. This thesis seeks to contribute a productive critique of the Global Mental Health field, by expanding on some of the missing dimensions in their conceptualisations of health and healing. Through a focus on social psychological processes of community, knowledge and social change, it formulates a series of suggestions for how the Movement for Global Mental Health (MGMH) and other policy actors can build on their existing efforts, through establish health enabling contexts where communities actively participate in addressing mental distress, and tackling the contexts that constitute distress in locally relevant ways. The thesis reports on a case study of KwaNagase (Manguzi), an HIV-affected rural community in KwaZulu-Natal, South Africa. It takes interest in the intersection of three respective groups, exploring how they understand, cope with, and work together in efforts to support mental well-being: 1) poor HIV/AIDS affected women experiencing mental distress; 2) community level supports (local NGOs and traditional healers); and 3) public health services (primary health sector). Data was collected over a three month period using multiple methods. In-depth individual interviews (n = 43) were triangulated by a motivated ethnography (Duveen and Lloyd...