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O adulto com deficiência mental e a sua família

Ferreira, Cláudia Gonçalves
Fonte: [s.n.] Publicador: [s.n.]
Tipo: Trabalho de Conclusão de Curso
Publicado em //2009 POR
Relevância na Pesquisa
55.93%
Projecto de graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para a obtenção do grau de Licenciada em Serviço Social; A deficiência mental reflecte-se numa incapacidade que implica limitações no funcionamento intelectual, assim como, no comportamento adaptativo do indivíduo a vários níveis do quotidiano. As dificuldades acrescem-se quando a pessoa atinge a idade adulta ou encontra-se numa idade adulta avançada. De facto, atingindo a idade adulta, as pessoas com deficiência mental vão perdendo as suas capacidades, até agora, apreendidas, desencadeando uma perda contínua da autonomia. Neste sentido, os cuidados básicos para com as pessoas com deficiência mental revelam-se cada vez mais importantes para os cuidadores. A tarefa de cuidar complica-se ao longo dos anos na medida em que os cuidadores também se encontram num processo de envelhecimento. Os cuidadores apresentam inúmeras dificuldades a vários níveis nomeadamente psicológicas, sociais, financeiras, entre outras. Pretende-se então apoiar as pessoas com deficiência mental, assim como, as pessoas que cuidam destas últimas. Para tal, foi pensada numa resposta social que satisfaça ambas as partes, designadamente um serviço de apoio domiciliário. O importante é manter o mais tempo possível a pessoa com deficiência no meio familiar para o bem-estar de ambas...

Deficiência intelectual e saúde mental : quando a fronteira vira território = Intelectual disability and mental health when the border land becomes; Intelectual disability and mental health : when the border land becomes

Luciana Togni de Lima e Silva Surjus
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 03/10/2014 PT
Relevância na Pesquisa
56.03%
A presente pesquisa propôs o destaque da interface entre os campos deficiência intelectual (DI) e saúde mental, historicamente entre aproximações e diferenciações, que vem se constituindo internacionalmente como objeto de investigações e de políticas públicas específicas, sob justificativa da prevalência do chamado diagnóstico dual - a importante ocorrência de transtornos mentais em pessoas com deficiência intelectual. Situando-se na perspectiva da Pesquisa Qualitativa Hermenêutica, resgataram-se as tradições teóricas constitutivas dos campos "saúde mental" (SM) e "deficiência intelectual" (DI), em especial a produção sobre seus pontos de aproximação e, a partir do diálogo entre achados da literatura e experiência de profissionais e gestores dos Centros de Atenção Psicossocial (CAPS tipo III) do Estado de SP, com vistas a identificar as concepções acerca da interface entre DI e SM; verificar as ações desenvolvidas nestes serviços para esta população; mapear a rede de cuidados para as pessoas com deficiência intelectual (PCDI) nestes municípios e construir indicadores sobre a inserção das mesmas na Rede de atenção Psicossocial. Os resultados apontam evidentes fragilidades ao efetivo cuidado em saúde mental às pessoas com deficiência intelectual mesmo nas cidades onde a expansão dos CAPSIII se fez efetiva...

Participação da família na assistência ao portador de transtorno mental no CAPS

Silva, Sonia Maria Costa da
Fonte: Florianópolis, SC Publicador: Florianópolis, SC
Tipo: Dissertação de Mestrado Formato: 1 v.| tabs.
POR
Relevância na Pesquisa
65.76%
Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde. Programa de Pós-Graduação em Enfermagem.; Trata-se de um estudo qualitativo cujo objetivo foi compreender como as famílias dos portadores de transtornos mentais (PTM), vêm participando ou não, dos projetos terapêuticos implementados em um CAPS I, de uma cidade do interior do estado do Rio Grande do Sul. Para a coleta de dados realizamos em uma primeira etapa, quatro grupos de convivência, com o intuito de conhecer as razões pelas quais as famílias não participavam dos projetos terapêuticos, na segunda etapa retomamos o estudo com o propósito de conhecer as razões pelas quais estas famílias participam ou não dos projetos, e então realizamos entrevistas semi-estruturadas, com doze familiares de usuários do serviço. Após a coleta dos dados, os mesmos foram analisados através dos seus conteúdos (Bardin, 2000). Os resultados apontaram que a não participação das famílias nos projetos terapêuticos, se deve, principalmente, pelo baixo poder aquisitivo e trabalho do cuidador, à doença e à desmotivação. Para as famílias participantes os motivos apontados que fazem com que eles se incluam é a segurança, o apoio que os profissionais repassam através de orientações e informações para que consigam cuidar do seu portador doente. Estes se reportam às mudanças ocorridas nos PTM...

A atenção odontológica aos pacientes com deficiência intelectual à luz da bioética; The dental care to patients with intellectual disabilities under the light of bioethics

Costa, Anelise Krause Guimarães
Fonte: Universidade de Brasília Publicador: Universidade de Brasília
Tipo: Dissertação
POR
Relevância na Pesquisa
66.05%
Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Bioética, 2015.; A assistência odontológica às pessoas com deficiência intelectual é permeada por dificuldades relacionadas ao paciente, aos profissionais e ao Sistema Público de Saúde, que se traduzem em conflitos bioéticos. O objetivo desta dissertação buscou analisar os avanços e desafios na qualidade da assistência odontológica às pessoas com deficiência intelectual no que tange à assistência e preparo dos profissionais dentistas do Distrito Federal, à luz da bioética. Trata-se de um estudo qualitativo, apoiado em narrativas e no descritivo exploratório. Os procedimentos utilizados foram as entrevistas em profundidade realizadas com uma pessoa com deficiência intelectual e seus pais que passaram pela experiência de exodontia total do primeiro e, um questionário eletrônico aplicado aos 45 dentistas que atendem ou atenderam pessoas com deficiência intelectual no Distrito Federal. Os dados qualitativos foram submetidos à técnica da análise do conteúdo e os dados quantitativos à análise descritiva percentual. Os resultados evidenciaram que a assistência odontológica às pessoas com deficiência intelectual se mostra uma prática social carregada de preconceito e de negação da subjetividade das pessoas com deficiência intelectual. Na percepção dos dentistas...

Ocular diseases at geriatric clinics in Rio de Janeiro: social and epidemiological considerations among patients with motor locomotion deficit

Damasceno,Nadyr A.; Ventura,Marcelo Palis; Damasceno,Eduardo F.
Fonte: Conselho Brasileiro de Oftalmologia Publicador: Conselho Brasileiro de Oftalmologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 EN
Relevância na Pesquisa
55.83%
Objective: To identify the causes of low visual acuity and systemic morbidities that limit ambulation and access to eye care in geriatric clinics in Rio de Janeiro. Methods: This cross-sectional study evaluated 187 patients from three geriatric clinics in Rio de Janeiro between January 2010 and January 2011. The inclusion criteria were individuals with a visual acuity of less than of equal to 20/200 in either eye (118 individuals), without optical correction. The exclusion criteria were individuals who refused to participate and those unable to undergo screening because of mental disabilities (6 individuals). Of the 187 individuals evaluated, 63 had visual acuity above 20/200. Results: A total of 118 individuals with a visual acuity of ≤20/200 effectively participated in the study after meeting the inclusion and exclusion criteria. In addition, 57 participants (48.3%) presented systemic disabling morbidities. Of the 118 individuals with low visual acuity, 27.96% had cataract and 26.27% had refractive errors. Conclusion: Most of the patients from geriatric clinics experienced ocular morbidities, but their proper treatment resulted in improved visual acuity. A more socially oriented problem associated with eye care involved the difficulty of access to ophthalmologic consultations.

Substitute Decision-Making for Adults with Intellectual Disabilities Living in Residential Care: Learning Through Experience

Dunn, Michael C.; Clare, Isabel C. H.; Holland, Anthony J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.81%
In the UK, current policies and services for people with mental disorders, including those with intellectual disabilities (ID), presume that these men and women can, do, and should, make decisions for themselves. The new Mental Capacity Act (England and Wales) 2005 (MCA) sets this presumption into statute, and codifies how decisions relating to health and welfare should be made for those adults judged unable to make one or more such decisions autonomously. The MCA uses a procedural checklist to guide this process of substitute decision-making. The personal experiences of providing direct support to seven men and women with ID living in residential care, however, showed that substitute decision-making took two forms, depending on the type of decision to be made. The first process, ‘strategic substitute decision-making’, paralleled the MCA’s legal and ethical framework, whilst the second process, ‘relational substitute decision-making’, was markedly different from these statutory procedures. In this setting, ‘relational substitute decision-making’ underpinned everyday personal and social interventions connected with residents’ daily living, and was situated within a framework of interpersonal and interdependent care relationships. The implications of these findings for residential services and the implementation of the MCA are discussed.

Supporting and maximizing communication between individuals with intellectual disabilities and health care providers

Klassen, K.T. Kajsa.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
85.98%
The goal of the present study was to examine the barriers to access in health services faced by individuals with intellectual disabilities (ID), as well as the nature of communication between people with ID and those who are directly involved in supporting their health and well being. The study included in-depth interviews with five adults who have been identified as having ID and are supported by a community agency, five community agency support staff and four physicians who are specialists in supporting people who have ID. A qualitative content analysis approach facilitated the comparative exploration of key themes that each participant group saw as positive or negative influences on health care access and on effective health care communication. Themes drawn from the findings emphasize the unique roles each of these groups plays within the dialogical framework of the health care encounter. Of particular importance to informants was the issue of people with ID being seen as full participants in their own health care who, like all people, are unique individuals and not simply members of an identified or marginalized group. Participants across groups emphasized the need for the health care recipient to be known as an individual who is an expert in her/his own health and well being and...

The practical application of a meta-analysis of deinstitutionalization : adaptive behaviour outcomes and the piloting of a transitional questionnaire for adults with intellectual disabilities

Hamelin, Jeffery P.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
95.89%
This investigation examined the effects of de institutionalization on the adaptive behaviour and adjustment of adults with intellectual disabilities (ID). In study 1, a meta-analysis was conducted with 23 studies on deinstitutionalization adaptive behaviour outcomes. Deinstitutionalization was associated with modest improvements in adaptive behaviour however outcomes varied across adaptive behaviour domains and other substantive variables. Clinical and service implications of these results were explicated. Noting the trends from the meta-analysis, study 2 used this information in refining and piloting an Agency Transition Survey used to evaluate community transitions for persons with ID. Information derived from the survey was found to be valuable and adequate for the effective evaluation of transitional success. Potential applications of the survey and meta-analysis results were illustrated.

Predictors of primary health care utilization by former residents of institutions in Ontario

Cox, Alison
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
75.98%
For years institutionalization has been the primary method of service delivery for persons with developmental disabilities (DD). However, in Ontario the last institution was closed on March 31, 2009 with former residents now residing in small, communitybased homes. This study investigated potential predictors of primary health care utilization by former residents. Several indirect measures were employed to gather information from 60 participants on their age, health status, adaptive functioning level, problem behaviour, mental health status and, total psychotropic medication use. A direct measure was used to gather primary health care utilization information, which served as the dependent variable. A stepwise linear regression failed to reveal significant predictors of health care utilization. The data were subsequently dichotomized and the outcomes of a logistic regression analysis indicated that mental health status, psychotropic medication use and, an interaction between mental health status and health status significantly predicted higher primary health care usage.

Escaping Stigma and Neglect : People with Disabilities in Sierra Leone

Ovadiya, Mirey; Zampaglione, Giuseppe
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
66.05%
The objective of this policy note on people with disabilities in Sierra Leone is to: (i) provide a diagnosis on the scale and nature of the problem; (ii) analyze current public policies in support of people with disabilities; (iii) review public and private programs; and (iv) propose some policy options to policy makers and development partners. This note contains five chapters, the first of which is this introduction. Chapter two summarizes the diagnosis of the scale and nature of the people with disabilities issue by examining the prevalence, types, and causes of disability and by discussing the socioeconomic profiles of people with disabilities, particularly their access to health, education, and social protection services. Chapter three includes an analysis of current public policies and of the legal and institutional framework for the protection and promotion of the rights of people with disabilities in Sierra Leone. Chapter four provides an overview of the current public and private programs to support people with disabilities...

Support needs assessment for individuals with intellectual disabilities : an investigation of the nature of the support needs construct and disability factors that impact on support needs.

Harries, Julia Anne
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2009
Relevância na Pesquisa
85.81%
Individualised needs based approaches are increasingly being utilised to fund disability support services. Frequently, standardised assessments such as adaptive behaviour scales and, more recently, measures of support needs are used for determining level of need. The aim of this thesis is to understand the relationship between adaptive behaviours and support needs and to investigate factors that impact functional capacity and need for supports for individuals with an intellectual disability. Although a conceptually attractive approach to assessment, concern exists regarding the adequacy of the theoretical framework for guiding the development of support needs instruments. Though possessing theoretical similarities, adaptive behaviour and support needs scales are considered to measure different, albeit related constructs, prompting investigation into the nature of the relationship and the structure of the support needs construct. Accordingly, in Study 1 the Supports Intensity Scale (SIS), the Adaptive Behaviour Scale–Residential and Community (ABS-RC:2), and the Inventory for Client and Agency Planning (ICAP) were used to examine this relationship (N = 80). Dimensionality of the SIS (Section 1) was examined in reference to the three areas of conceptual...

Young people with complex needs leaving out-of-home care: service issues and the need to enhance practice and policy

Malvaso, C.G.; Delfabbro, P.H.
Fonte: Cambridge University Press (CUP) Publicador: Cambridge University Press (CUP)
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
65.82%
Leaving statutory out-of-home care (OOHC) is a challenging time for many young people; however, certain groups have greater difficulty transitioning to independence. This includes young people with multiple and complex needs, such as those suffering from mental health problems and disabilities, as well as young people with borderline conditions or who disengage from services. The aim of this study was to gain a deeper understanding of the service issues pertaining to these vulnerable groups in South Australia, as well as to identify ways that policy and practice can be enhanced to better facilitate service engagement. Twenty-nine individual interviews and focus groups were conducted with people working in organisations who have knowledge of, or contact with, young people leaving care (N = 66). Thematic analysis was used to organise responses according to two overarching themes: (1) Issues with current leaving care services and preparation, and (2) Enhancing policy and practice. The principal challenges related to difficulties in matching the structure of formal services to a population with highly unstructured living arrangements, a history of problematic engagement with the care system, and difficulties arising due to service ineligibility issues. Potential improvements to the current system and program delivery are discussed.; Catia Malvaso and Paul Delfabbro

Psychotropic medication use by adults with intellectual disabilities living in community settings

Sokolowski, Tanya Christa
Fonte: Brock University Publicador: Brock University
Relevância na Pesquisa
85.81%
This study examined the variables related to psychotropic medication use among 73 adults with intellectual disabilities living in community residential settings in Ontario, Canada over a one-year period based on staff reports. Despite only 16% percent having a documented psychiatric diagnosis, 84% of these individuals were receiving psychotropic medications, and 74% were receiving two or more psychotropic medications (polypharmacy). Anti-psychotics, anti-anxiety medications, and anti-convulsant medications were the most frequently reported drug classes. While problem behaviour was reported for 60% of the participants, only 33% had a formal behaviour plan. There was a significant relationship between the reported number of problem behaviours and the reported number of prescribed psychotropic medications. Reported medication reviews did not adhere to the Canadian 'Consensus Guidelines for the Primary Care of Adults with Developmental Disabilities' (Sullivan et aI., 2006). Results, based on staff reports, suggested incongruence with recommended best practices, and raised concern about over-reliance on psychotropic medication with these individuals. Keywords: intellectual disabilities, psychotropic medication, problem behaviour

Winter 2004 delAware - Mental Health Issue

Fonte: Center for Disabilities Studies and Delaware Developmental Disabilities Council Publicador: Center for Disabilities Studies and Delaware Developmental Disabilities Council
EN_US
Relevância na Pesquisa
65.79%
This issue of delAware acknowledges positive behavior supports in schools and the community, a system of care approach to child mental health services, the emotional wellness of young children, issues around community-based housing for people with mental illness, and a variety of mental health prevention, intervention, and treatment programs in Delaware.

Estudo sobre a incorporação da terapia ocupacional no contexto das ações de saúde mental e saúde da pessoa com deficiência no Município de São Paulo entre 1989 e 1993; A study on the incorporation of occupational therapy to the context of actions in mental health and health of people with disabilities in the city of São Paulo from 1989 to 1993

Oliver, Fátima Corrêa; Barros, Denise Dias; Lopes, Roseli Esquerdo
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/04/2005 POR
Relevância na Pesquisa
55.97%
Trata-se de estudo que discute a incorporação de terapeutas ocupacionais na assistência em saúde mental e saúde da pessoa com deficiência nos serviços públicos municipais de saúde em São Paulo (1989-1993). Trabalhou-se a partir de entrevistas com profissionais que desenvolviam assistência e/ou planejamento e gestão de serviços, bem como com pesquisa documental e aplicação de questionários para caracterização dos terapeutas ocupacionais (formação e experiência profissional) e das atividades assistenciais. Percebeu-se que a terapia ocupacional significou um elemento importante na consolidação da assistência a essas populações. Sua ótica deslocou a ênfase na deficiência/sofrimento mental para a pessoa e suas necessidades concretas, buscando respostas que facilitassem a melhoria da condição mediata e imediata de vida. Criou-se, assim, uma nova cultura de assistência em terapia ocupacional que, ao contrário do postulado de sua necessária inserção hospitalar, anteriormente mais prevalente, contribuiu para a consolidação da assistência em hospitais-dia, centros de convivência e cooperativas, enfermaria e emergência psiquiátricas, hospitais gerais e unidades básicas de saúde. Evidenciou-se a influência da prática em saúde mental (como a atenção grupal...

Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial

Whitaker, Rhiannon; Ballard, Clive; Stafford, Jane; Orrell, Martin; Moniz-Cook, Esme; Woods, Robert T; Murray, Joanna; Knapp, Martin; Carlton, Barbara Woodward; Fossey, Jane
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em 10/01/2013 EN; EN
Relevância na Pesquisa
65.91%
Background: People living in care homes often have complex mental and physical health problems, disabilities and social needs which are compounded by the use of psychiatric and other drugs. In the UK dementia care is a national priority with a vast impact on services. WHELD combines the most effective elements of existing approaches to develop a comprehensive but practical intervention. This will be achieved by training care staff to provide care that is focused on an understanding of the individual and their needs; and by using additional components such as exercise, activities and social interaction to improve mental health and quality of life (QoL) and reduce the use of sedative drugs. Design: Work Package 3 (WP3) is the pilot randomised trial and qualitative evaluation to help develop a future definitive randomised controlled clinical trial. The study design is a cluster randomised 2x2x2 factorial design with two replications in 16 care homes. Each care home is randomized to receive one of the eight possible permutations of the four key interventions, with each possible combination delivered in two of the 16 homes. Each cluster includes a minimum of 12 participants (depending upon size of the care home, the number of people with dementia and the number consenting). Discussion: The overarching goal of the programme is to provide an effective...

Health promotion for Latin Americans with intellectual disabilities

Frey,Georgia C; Temple,Viviene A
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.78%
In response to the emerging global concern regarding health and people with intellectual disabilities (ID), several developed countries have established national initiatives to address the unique health needs of this population segment. However, most people with ID reside in countries with developing economies, such as many Latin American countries, yet there is virtually no information on the health of people with ID in these regions. Countries with developing economies face distinct challenges in promoting health among this population segment that may preclude adoption or adaptation of policies and practices developed in regions with established economies. This paper will address the issue of health promotion among people with ID in Latin America, an area that is undergoing significant reforms in both health care and disability rights. Information on the social and health status of Latin Americans with ID, as well as research on health promotion best practices, will be used to develop recommendations for promoting health for these individuals.

Attending to the health needs of people with intellectual disability: quality standards

O'Hara,Jean
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.81%
People with intellectual disabilities remain among the most vulnerable members of society and often face many barriers to healthcare. They experience major health problems and risks yet pay a ‘disability penalty’, the result of social exclusion, discrimination and isolation. If public health strategies are to address the physical and mental health needs of people with intellectual disabilities, attention needs to be given to their particular health profile. Health targets, quality standards and outcome measures must attend to their needs, for the measure of civilisation is how well we treat those who are deemed more vulnerable and less able in society. This article highlights how these issues are being addressed in ‘westernised’ countries and some of the dilemmas and challenges faced by health care organisations.

Attending to the health needs of people with intellectual disability: quality standards

O'Hara,Jean
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.81%
People with intellectual disabilities remain among the most vulnerable members of society and often face many barriers to healthcare. They experience major health problems and risks yet pay a ‘disability penalty’, the result of social exclusion, discrimination and isolation. If public health strategies are to address the physical and mental health needs of people with intellectual disabilities, attention needs to be given to their particular health profile. Health targets, quality standards and outcome measures must attend to their needs, for the measure of civilisation is how well we treat those who are deemed more vulnerable and less able in society. This article highlights how these issues are being addressed in ‘westernised’ countries and some of the dilemmas and challenges faced by health care organisations.

Health promotion for Latin Americans with intellectual disabilities

Frey,Georgia C; Temple,Viviene A
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
65.78%
In response to the emerging global concern regarding health and people with intellectual disabilities (ID), several developed countries have established national initiatives to address the unique health needs of this population segment. However, most people with ID reside in countries with developing economies, such as many Latin American countries, yet there is virtually no information on the health of people with ID in these regions. Countries with developing economies face distinct challenges in promoting health among this population segment that may preclude adoption or adaptation of policies and practices developed in regions with established economies. This paper will address the issue of health promotion among people with ID in Latin America, an area that is undergoing significant reforms in both health care and disability rights. Information on the social and health status of Latin Americans with ID, as well as research on health promotion best practices, will be used to develop recommendations for promoting health for these individuals.