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Saúde Mental e Saúde da Pessoa com Deficiência: Estudo do Processo de Incorporação de Assistência pelos Serviços Municipais de Saúde numa Região do Município de São Paulo (1989-1995); Mental health and disabled health: study of incorporation and health assistance for people with disability within the Public Health Services in São Paulo city (1989-1995)

Oliver, Fatima Correa
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 30/09/1998 PT
Relevância na Pesquisa
66.37%
A pesquisa aborda a definição de políticas e processo de implantação das ações de saúde mental e da pessoa com deficiência em serviços municipais em São Paulo, na região de São Miguel Paulista, entre 1989-1995, não havendo anteriormente proposta assistencial organizada para esses grupos. Foi realizada através da análise de textos oficiais, de entrevistas com profissionais da assistência direta, gerentes e planejadores e com representantes do movimento social e da organização de banco de dados de pacientes atendidos, segundo idade, moradia, escolaridade e hipótese diagnóstica. Buscou-se descrever o processo de criação de serviços, conforme a proposta assistencial, identificar seus atores e os principais problemas, nos três distritos de saúde da região de São Miguel. No período pesquisado, a Secretaria Municipal de Saúde de São Paulo passou por transformações institucionais, desde a criação das Administrações Regionais e Distritos de Saúde para a construção do Sistema Único de Saúde - SUS (1989-92) até a proposição do Plano de Assistência à Saúde PAS em 1995. A proposta de saúde mental tinha como diretrizes o combate à cultura manicomial através da criação de serviços e da estruturação do sistema de atendimento e da mobilização de técnicos...

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
66.33%
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...

Interface between Intellectual Disability and Mental Health: hermeneutic review

Surjus,Luciana Togni de Lima e Silva; Campos,Rosana Teresa Onocko
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 EN
Relevância na Pesquisa
66.24%
A literature review was conducted aiming to understand the interface between the Intellectual Disability and Mental Health fields and to contribute to mitigating the path of institutionalizing individuals with intellectual deficiencies. The so-called dual diagnosis phenomenon remains underestimated in Brazil but is the object of research and specific public policy internationally. This phenomenon alerts us to the prevalence of mental health problems in those with intellectual disabilities, limiting their social inclusion. The findings reinforce the importance of this theme and indicate possible diagnostic invisibility of the development of mental illness in those with intellectual disabilities in Brazil, which may contribute to sustaining psychiatric institutionalization of this population. 

Steps, challenges and lessons in developing community mental health care

THORNICROFT, GRAHAM; TANSELLA, MICHELE; LAW, ANN
Fonte: Masson Italy Publicador: Masson Italy
Tipo: Artigo de Revista Científica
Publicado em /06/2008 EN
Relevância na Pesquisa
66.07%
This paper summarises our own accumulated experience from developing community-orientated mental health services in England and Italy over the last 20-30 years. From this we have provisionally concluded that the following issues are central to the development of balanced mental health services: a) services need to reflect the priorities of service users and carers; b) evidence supports the need for both hospital and community services; c) services need to be provided close to home; d) some services need to be mobile rather than static; e) interventions need to address both symptoms and disabilities; and f) treatment has to be specific to individual needs. In this paper we consider ten key challenges that often face those trying to develop community-based mental health services: a) dealing with anxiety and uncertainty; b) compensating for a possible lack of structure in community services; c) learning how to initiate new developments; d) managing opposition to change within the mental health system; e) responding to opposition from neighbours; f) negotiating financial obstacles; g) avoiding system rigidities; h) bridging boundaries and barriers; i) maintaining staff morale; and j) creating locally relevant ser- vices rather than seeking “the right answer” from elsewhere.

National Trends in Mental Health Disability, 1997–2009

Mojtabai, Ramin
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /11/2011 EN
Relevância na Pesquisa
55.92%
Objectives. I assessed recent trends in mental health disability in the US nonelderly adult population in the context of trends in physical disabilities and psychological distress.

Capacity to Attend to the Needs of Persons with Dual Diagnoses in the Criminal Justice System: Views of Mental Health and Criminal Justice Professionals

Christina, Fergus
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
66.33%
Currently, individuals with intellectual disabilities are overrepresented within the Criminal Justice System (Griffiths, Taillon-Wasmond & Smith, 2002). A primary problem within the Criminal Justice System is the lack of distinction between mental illness and intellectual disabilities within the Criminal Code. Due to this lack of distinction and the overall lack of identification procedures in the Criminal Justice System, individuals with disabilities will often not receive proper accommodations to enable them to play an equitable role in the justice system. There is increasing evidence that persons with intellectual disabilities are more likely than others to have their rights violated, not use court supports and accommodations as much as they should, and be subject to miscarriages of justice (Marinos, 2010). In this study, interviews were conducted with mental health (n=8) and criminal justice professionals (n=8) about how individuals with dual diagnosis are received in the Criminal Justice System. It was found that criminal justice professionals lack significant knowledge about dual diagnosis, including effective identification and therefore appropriate supports and accommodations. Justice professionals in particular were relatively ill-prepared in dealing effectively with this population. One finding to highlight is that there is misunderstanding between mental health professionals and justice professionals about who ought to take responsibility and accountability for this population.

Mental Health in Afghanistan : Burden, Challenges and the Way Forward

Sayed, Ghulam Dastagir
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
66.39%
Afghanistan has been in internal and external strife for more than thirty years. Prolonged conflict and civil war have left millions dead, thousands with disabilities and massive internal and external population displacement. The situation has contributed negatively to every aspect of the country and society as the majority of the population has been traumatized by constant conflict, natural disasters, and the difficult Taliban years. There is ample evidence that these calamities have contributed to an increase in mental health problems and has been further complicated by growing level of drug abuse. As Afghanistan rebuilds itself, it is critical to understand the challenges and develop workable solutions. The paucity of high quality data on mental health problems and the lack of qualified human resources have hampered the development of cost-effective strategies and interventions to address the growing challenge of mental health in the country. There are few mental health facilities, and these facilities are scattered across the country with limited capacity and low levels of coverage. In addition, the population continues to face the main stressors with ongoing conflict in various parts of the country. To address mental health issues on a larger scale...

Mental Health and Conflict

Baingana, Florence
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
66.14%
Addressing mental health is gradually being recognized as an important development issue, especially in the case of conflict-affected countries. Although mental health issues have received increased attention in post-conflict settings, there has been a tendency to implicitly assume that the impact of trauma caused by mass violence (i) may be transitory and non-disabling, and (ii) that interventions in the emergency phase are sufficient. However, a small but growing body of research on factors affecting mental health and effective treatment in postconflict settings casts doubts on both assumptions. Current research suggests that major depression and Post-Traumatic Stress Disorder (PTSD) are prevalent and chronic among refugee and displaced populations. Research also shows that the impact of trauma is long term. Child survivors of Nazi holocaust and Japanese concentration camps were found to experience PTSD symptoms as late as 40-50 years following their traumatic experience. Some researchers postulate that these 'invisible wounds' can leave a society vulnerable to a recurrence of violence. Studies on Nazi Holocaust and Cambodian Pol Pot survivors show that their children and their children's children are also affected by the psychosocial impact of conflict.

Patterns of Workplace Support: An Exploration of the Experiences of Workers with Mental Health Disabilities

Luong, Dorothy
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
96.4%
Purpose: To evaluate differences in perceived workplace social support for different disability groups, and to better understand the support experiences of persons with mental health disabilities. Methods: A sequential mixed methods design was used. Phase I involved the analysis of an existing dataset to compare perceived social support scores between participants with different disabilities. Phase II, rooted in the phenomenology tradition, involved interviews with workers with mental health disabilities. Triangulation of methods was done in the analysis phase by comparing participant interviews with their corresponding support scores. Results: Phase I - No significant differences were found between participants with orthopaedic and emotional disabilities regarding their total perceived social support score, or support scores according to type (e.g. informational) or source (e.g. supervisor) of support; however, trends suggested that participants with emotional disabilities had higher perceived support scores for friends/family support and lower perceived support scores for appraisal support. Regression models developed from the demographic variables did not predict the perceived amount of social support. Phase II – 9 theme clusters concerning the role of supervisors...

Using Population Health Surveys to Measure the Use of Services and the Prevalence of Psychiatric and/or Behavioural Conditions in Individuals with an Intellectual Disability

Bielska, Iwona
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 1117725 bytes; application/pdf
EN; EN
Relevância na Pesquisa
56.24%
Background: Compared to the general population, individuals with intellectual disabilities have a higher prevalence of health problems, including psychiatric and/or behavioural conditions (dual diagnosis). Research suggests that the proportion of persons with intellectual disabilities who have a dual diagnosis ranges from 14% to 64% depending on the population studied and the diagnostic criteria used. However, there is little population-based information in Canada about people with such a dual diagnosis. Objectives: The aims of this study were to estimate the prevalence of psychiatric or behavioural conditions among adults with an intellectual disability in Canada, and to estimate the use of mental health services among these individuals. Methods: This study was a secondary analysis of two cross-sectional, population-based surveys (2005 Canadian Community Health Survey: CCHS and 2006 Participation and Activity Limitation Survey: PALS), and the 2008/09 Survey of Adults with Intellectual Disabilities in South Eastern Ontario: SAID-SEO. Relevant variables were identified in the surveys to answer the study objectives. Confidence intervals were provided for all estimates and the results were compared within subgroups for each survey...

"A gestão de unidades de saúde mental em hospitais gerais na grande São Paulo". ; General hospital psychiatric units management in São Paulo metropolitan area

Lucchesi, Maurício
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 24/10/2001 PT
Relevância na Pesquisa
56.13%
Apesar de terem surgido há mais de um século na Europa, o crescimento do número de unidades de saúde mental em hospitais gerais no Brasil veio de encontro às diretrizes das reformas sanitária e psiquiátrica propaladas partir da década de setenta. Desde então, essas unidades não foram submetidas a uma avaliação sistemática. O presente trabalho teve por objetivo conhecer os modos de funcionamento, a inserção na rede de assistência à saúde mental e o compromisso populacional de algumas dessas unidades na Região Metropolitana da Grande São Paulo. Para isso buscou-se obter, segundo a lógica de um processo avaliatório, as premissas que norteariam o uso de informações por gestores situados em diversos níveis em relação às unidades estudadas. Os resultados evidenciaram falta de clareza quanto ao papel desse tipo de equipamento dentro da rede assistencial, o que parece ser fruto da ausência de uma política de saúde mental na região. As dificuldades mais freqüentemente relatadas, como a impossibilidade de garantir a vinculação de pacientes em serviços extra-hospitalares especializados após a internação e a grande proporção de pacientes que chegam aos pronto-atendimentos sem necessitarem de um cuidado de urgência...

Advocacy for youth mental health in Europe: a policy analysis

Gonçalves, M.; Farcas, D.; Cook, B.
Fonte: ARC PUBLISHING Publicador: ARC PUBLISHING
Tipo: Artigo de Revista Científica
Publicado em //2014 ENG
Relevância na Pesquisa
66.14%
Background: According to both the WHO Europe and the European Commission, youth mental health is a key area of concern in Europe. Fifty-two European countries signed a declaration and action plan for mental health at the Helsinki Conference in January 2005, with youth mental health a top priority. Methods: This paper reviews the theory, research, and practice on the topic in the WHO European Region and presents important implications for policy, research, and practice. It states problems related to youth mental health and then discusses different ways of solving them with policy. Results: Mental illness, especially emotional and conduct problems, as well as learning disabilities, is growing among European children and adolescents. However, stigma continues to be a significant barrier to effective promotion of youth mental health. Stigma can be related to others' perceptions of youth with mental distress, perceptions of mental health workers, perceptions of mental health treatment, and perceptions of mental health/illness itself. Conclusion: Advocacy to reduce stigma in health service settings, schools, and policy arenas can be an effective means by which to effect cultural change regarding mental health issues.

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
76.16%
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.

Families and Communities Together: Key Finding and Recommendations from the Evaluation of Delaware's Child Mental Health Grant Initiative

Salt, James D.
Fonte: Center for Disabilities Studies Publicador: Center for Disabilities Studies
EN_US
Relevância na Pesquisa
55.89%
Delaware’s Families & Communities Together (F.A.C.T.) project is a seven-year effort to establish a system of care for children with serious emotional disturbances and their families. Project activities focus on two areas: piloting a model for coordinating and providing services for these children; and facilitating the adoption of a system of care approach in the larger child-serving system. This is the final evaluation report and focuses on the key findings of the evaluation of F.A.C.T.’s efforts through the end of state FY2005. This report also presents recommendations for the project and for the Department of Services for Children, Youth, & Their Families system of care effort based on these findings.

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
56.19%
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.

Relación entre el número de horas de cuidado informal y el estado de salud mental de las personas cuidadoras

Masanet, E.; La Parra, D.
Fonte: Ministério de Sanidad Y Consumo Publicador: Ministério de Sanidad Y Consumo
Tipo: Artigo de Revista Científica
Publicado em //2011 SPA
Relevância na Pesquisa
56.26%
WOS:000294824800004 (Nº de Acesso Web of Science); Background: Mental health of caregivers is damaged by caregiving tasks. Studies are needed to determine the influence of several variables on the association between informal care and mental health. The aim of this paper is to analyse the effects of the time devoted to informal caregiving on the mental health of women and men in relation to the type of dependents. Methods: National Health Survey 2006, sample 29,478. Variables: mental health state (GHQ-12), number of hours devoted to caregiving, age, social class, and functional support (Duke-UNC). A logistic regression analysis was performed to determine the probability of having poorer mental health according to the number of hours of caregiving, adjusted for age, social class and functional support. Results: Women show poorer mental health when they spend more than 97 hours per week taking care of children [OR=1,372], more than 25 hours caring for persons over 74 years of age [OR=1,602 between 25 and 48 hours; OR=1,467 49-96h.; OR=1,874 97-168h.], and when they devote some hours to provide care to adults with disabilities [OR=1,996 0-24h.; OR=2,507 25-48h.; OR=3,016 49-96h.; OR=1,651 97-168h.]. Men show deterioration in mental health when they devote a high number of hours to caring for persons over 74 years [OR=2...

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
56.26%
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...

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
56.11%
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.

Interface between Intellectual Disability and Mental Health: hermeneutic review

Surjus,Luciana Togni de Lima e Silva; Campos,Rosana Teresa Onocko
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 EN
Relevância na Pesquisa
66.24%
A literature review was conducted aiming to understand the interface between the Intellectual Disability and Mental Health fields and to contribute to mitigating the path of institutionalizing individuals with intellectual deficiencies. The so-called dual diagnosis phenomenon remains underestimated in Brazil but is the object of research and specific public policy internationally. This phenomenon alerts us to the prevalence of mental health problems in those with intellectual disabilities, limiting their social inclusion. The findings reinforce the importance of this theme and indicate possible diagnostic invisibility of the development of mental illness in those with intellectual disabilities in Brazil, which may contribute to sustaining psychiatric institutionalization of this population. 

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
56.11%
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.