The impact in Latin America of Basaglia and Italian psychiatric reform

2020 ◽  
pp. 95-112
Author(s):  
José Miguel Caldas de Almeida
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Social Context ◽  
Global Mental Health ◽  
Mental Healthcare ◽  
Healthcare Reforms ◽  
The World ◽  
Main Factors ◽  
The Impact ◽  
Lasting Influence

Latin America is one of the regions of the world where Franco Basaglia’s vision found a more fertile ground and exerted a more fruitful and lasting influence. This chapter describes the process of transformation of mental healthcare that has taken place in Latin America in the last four decades. It analyses the main factors that made it possible, and discusses how it was influenced by Basaglia’s conceptualization of the reform. It critically reviews the advances and shortcomings of mental healthcare reforms carried out in the region, taking into consideration the specific political and social context of the countries in which they have taken place, as well as the direct and indirect influences of Basaglia’s concepts and the Italian reform. Finally, it describes how the implementation of the reforms in Latin America have contributed to the development of a comprehensive approach to mental healthcare that continues to be one of the most stimulating and comprehensive approaches in global mental health at the present time.

Impact of COVID-19 on Mental Dimension of Health: A Sensitive Issue to be Addressed at the Earliest

2021 ◽  
Vol 16 (3) ◽  
pp. 158-166
Author(s):  
Sunil Nepal ◽  
Sudip Nepal ◽  
Chakrakodi S. Shastry ◽  
Sharad Chand ◽  
U.P. Nandakumar ◽  
...  
Keyword(s):  
Mental Health ◽  
Negative Impact ◽  
Virus Disease ◽  
Global Mental Health ◽  
High Stress ◽  
World Health ◽  
Frontline Workers ◽  
Increased Risk ◽  
The World ◽  
The Impact

Background: The novel coronavirus disease outbreak of 2019 was declared as a public health emergency by the World Health Organization. At present, the virus has spread throughout the world, leading to millions of cases and is further increasing. Objective: The main objective of this study is to review the impact of Corona Virus Disease 2019 (COVID-19) on the mental health of frontline workers, isolated and quarantined people and the general population. Methods: The relevant articles were extracted from PubMed, Web of Science and ScienceDirect database by using the keywords “Mental health”, “COVID-19”, “Impact of COVID-19”, “Frontline workers”, “Quarantine”, “Isolation”, “Immunity” and “Economy”. The retrieved articles were included in the study based on inclusion criteria to perform the review. All the selected scientific articles were critically reviewed and the information is summarized in this narrative review. Results: The majority of the studies stated that frontline health workers were at an increased risk of depression. The infected, suspects and quarantined people were reported with high stress, posttraumatic stress disorder, and suicidal thoughts. The pandemic has devastated the world’s economy, which has severely impacted global mental health. Conclusion: Mental health should be taken into account, and necessary interventional initiatives need to be considered both by the health authorities and the government to minimize the adversity of the consequences. The pandemic may disappear with the discovery of new vaccines or medications, but its negative impact on mental health may persist, particularly among vulnerable populations. Thus, mental health must be a matter of concern in the present scenario.

scholarly journals Global mental health should engage with the ethics of involuntary admission

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Marisha N. Wickremsinhe
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Health Services ◽  
Clinical Ethics ◽  
Psychiatric Care ◽  
Global Mental Health ◽  
Mental Healthcare ◽  
Involuntary Admission ◽  
Persons With Disabilities ◽  
Psychosocial Disability

AbstractGlobal mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.

Mental Health Consequences of Intimate Partner Violence Against Women in El Salvador

2021 ◽  
pp. 107780122097880
Author(s):  
Laura Navarro-Mantas ◽  
Soledad de Lemus ◽  
Jesús L. Megías
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
El Salvador ◽  
Violence Against Women ◽  
Partner Violence ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
World Health ◽  
The World ◽  
The Impact

Violence against women (VAW) is currently one of the main problems in El Salvador, which leads the ranking of femicides in the world. We conducted the first national survey on VAW in El Salvador following the World Health Organization (WHO) methodology, to determine the impact of violence on women’s mental health ( N = 1,274). Women who had experienced intimate partner violence showed significantly poorer mental health and more suicidal ideations. Common mental disorders were significantly associated with the experience of all forms of violence, after adjusting for sociodemographic variables and stressful life experiences. The results are discussed in connection with the primary care protocols and the design of public policies.

scholarly journals COVID-19 pandemic: A review of the global lockdown and its far-reaching effects

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110198
Author(s):  
Helen Onyeaka ◽  
Christian K Anumudu ◽  
Zainab T Al-Sharify ◽  
Esther Egele-Godswill ◽  
Paul Mbaegbu
Keyword(s):  
Mental Health ◽  
Global Economy ◽  
World Health ◽  
Global Pandemic ◽  
The World ◽  
Education Delivery ◽  
Environmental Air ◽  
Health Organization ◽  
Almost All ◽  
The Impact

COVID-19, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), was declared a pandemic by the World Health Organization (WHO) on the 11th of March 2020, leading to some form of lockdown across almost all countries of the world. The extent of the global pandemic due to COVID-19 has a significant impact on our lives that must be studied carefully to combat it. This study highlights the impacts of the COVID-19 pandemic lockdown on crucial aspects of daily life globally, including; Food security, Global economy, Education, Tourism, hospitality, sports and leisure, Gender Relation, Domestic Violence/Abuse, Mental Health and Environmental air pollution through a systematic search of the literature. The COVID-19 global lockdown was initiated to stem the spread of the virus and ‘flatten the curve’ of the pandemic. However, the impact of the lockdown has had far-reaching effects in different strata of life, including; changes in the accessibility and structure of education delivery to students, food insecurity as a result of unavailability and fluctuation in prices, the depression of the global economy, increase in mental health challenges, wellbeing and quality of life amongst others. This review article highlights the impacts of the COVID-19 pandemic lockdown across the globe. As the global lockdown is being lifted in a phased manner in various countries of the world, it is necessary to explore its impacts to understand its consequences comprehensively. This will guide future decisions that will be made in a possible future wave of the COVID-19 pandemic or other global disease outbreak.

scholarly journals Social isolation and quarantine in the COVID-19 pandemic: impacts on mental health and quality of population life

2021 ◽  
Vol 10 (2) ◽  
pp. e30510212535
Author(s):  
Gabriel Kiaro Leite Nunes ◽  
Karinne Alice Santos de Araújo ◽  
Thais Ranielle Souza de Oliveira ◽  
Marcelina da Conceição Botelho Teixeira ◽  
Ieler Ferreira Ribeiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Isolation ◽  
Negative Impact ◽  
Definitive Treatment ◽  
World Population ◽  
The World ◽  
The Face ◽  
The Impact

The COVID-19 pandemic brought about major changes in the lifestyle of the world population. Due to the lack of vaccines or a definitive treatment for disease, governments around the world have adopted social isolation and quarantine as methods to control the spread of the virus. Objective: Thus, the objective of this study was to discuss how social isolation and quarantine periods affected people's mental health and quality of life during the COVID-19 pandemic. Methods: An integrative literature review was carried out during the COVID-19 pandemic between March and September 2020, establishing the following guiding question: How did social isolation and quarantine affect the mental health and quality of life of the population in the COVID-19 pandemic? Results: The final sample consisted of nineteen (19) articles, two (2) addressed depression during the pandemic period, three (3) presented the pandemic and the relationship with sociodemographic aspects, five (5) analyzed mental health in the pandemic, four (4) reported the impact of COVID-19 on the population's style and quality of life and the last five (5) demonstrated the quality of human relationships and emotional aspects in the face of the pandemic. Conclusion: It was demonstrated that isolation and the quarantine period had a negative impact on the population's quality of life and long-term mental health.

scholarly journals Understanding Burnout in Indian Housewives Amidst COVID-19 Pandemic

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Charvi Pareek ◽  
Nandani Agarwal ◽  
Yash Jain
Keyword(s):  
Mental Health ◽  
Emotional Health ◽  
Family Relations ◽  
Family Members ◽  
Personal Space ◽  
Well Being ◽  
Frontline Workers ◽  
Work From Home ◽  
The World ◽  
The Impact

COVID-19 Pandemic has brought the world underwaters. All over the world, people were affected. The focus during this period was mostly on patients and frontline workers, with some attention also towards working adults. One cohort that has not gained much light during this pandemic is of housewives. Housewives had to manage household chores along with managing family relations – especially in India, where societal expectations lie on the female to provide family members with care and manage the household. Dealing with uncertainty, decreased availability of personal space, increased presence of and interaction with people in the household due to work from home scenarios, shifting to the online world and adapting to the change, economic disturbances, absence of domestic help, managing parental responsibility, increased stress about one’s own and family members’ health and lack of social interaction have contributed to their inconvenience. Existing evidence supports that housewives have been experiencing burnout in their homes. This qualitative study was conducted to see how the added pressure of COVID – 19 and social isolation has affected housewives mentally, leading to burnout. This narrative study includes participants of Indian origin, between the ages of 34 to 50 years. Participants were shortlisted on the basis of their scores obtained on the COVID-19 Burnout Scale, designed by Murat Yıldırım and Fatma Solmaz. The themes generated through this research study are related to understanding the impact of burnout on the mental health of housewives along the areas of physical health, financial well-being, digitization, uncertainty regarding COVID-19, parental responsibilities, social & emotional health, relationship management, and coping mechanisms. The findings of this study suggest that the mental health of housewives has significantly worsened during the COVID-19 pandemic due to constant exposure to certain stressors.

scholarly journals A call for comparative thinking: Crime, citizenship and security in the global South

2016 ◽  
Author(s):  
Vanessa Barolsky ◽  
Suren Pillay
Keyword(s):  
Latin America ◽  
Violent Crime ◽  
Crime Rates ◽  
Democratic Governance ◽  
Comparative Approach ◽  
Democratic Transitions ◽  
The World ◽  
Resource Poor ◽  
International Comparative ◽  
The Impact

This article argues for the importance of an international comparative perspective in terms of our analysis and response to violent crime. This is particularly important in the light of the fact that while an increasing number of countries in the global Southhave achieved formal democracy, they continue to be plagued by high levels of violent crime. In fact, transitions from authoritarian to democratic governance around the world, from Eastern Europe to Latin America and Africa, have been accompanied by escalating violent crime rates. In this context, we have much to learn from an international comparative approach in terms of understanding why democratic transitions are so often accompanied by increases in violence, what the impact of this violence is on the ability of these societies to deepen democracy, and what the most appropriate interventions are in relatively new and often resource poor democracies.

scholarly journals Impact of COVID-19 on the mental health of healthcare workers in different regions of the world

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S258-S258
Author(s):  
Mahfuja Islam ◽  
Philip George ◽  
Sindhu Sankaran ◽  
Janet Leu Su Hui ◽  
Tzun Kit
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Psychological Distress ◽  
Healthcare Workers ◽  
Well Being ◽  
Subjective Assessment ◽  
Survey Tool ◽  
Frontline Workers ◽  
The World ◽  
The Impact

AimsThe global health system is facing a serious challenge after the recent outbreak of COVID-19 coronavirus infection which was first identified in Wuhan, China in November 2019 and declared as a pandemic in March 2020 by WHO. There is a wide consensus that this pandemic has negative psychosocial consequences as well as unforeseeable provision of mental health care services and just not on physical health alone. The aim of this research study is to determine the prevalence of psychological distress and to identify the sociodemographic variables with the main attributable factors associated with the psychological distress among healthcare workers and suggestions on how to reduce the impact on the mental health of healthcare workers during the COVID-19 pandemic in different regions of the world.MethodWe performed a cross-sectional study from September-November 2020. We used a self-administered survey tool which was distributed electronically to healthcare workers across the globe. The data were stored on an online database with password protected devices where survey responses were restricted to investigators exclusively.Data collected were: 1) Socio-demographic data (age, gender, marital status, ethnicity, religion, role in the healthcare, region of practice); 2) Psychological General Well-Being Index (PGWBI) questionnaire which contains 22 standardized items. This is a subjective assessment to score the degree of psychological well-being by focusing on 6 domains: depression; anxiety; positive-well-being; self-control; vitality and general health; 3) Subjective assessment from respondents of the main attributable factors causing psychological distress and suggested methods to help reduce the impact on mental health on health care workers.ResultMajority out of the 217 respondents were from a younger age group; females and married/domestic partnership, mainly from Western Pacific Region, South East Asian and the African Region. More than half the respondents were moderate-severely psychologically distressed and the three main attributable factors causing psychological distress were: fear of family/friends contracting COVID-19 followed by lack of PPE and discomfort caused by wearing PPE for long hours. Respondents suggested that the distress would be reduced if: more resources were provided in hospital; protocols and guidelines were implemented and counselling facilities with recreational activities were available to frontline workers.ConclusionThis study showed that the COVID-19 pandemic has affected the mental health of healthcare workers and more support or strategies need to come in place to protect frontline workers at the time of crises.

scholarly journals Study of Social Vulnerability of Climate Change at the Mountain Ecosystem

2018 ◽  
Vol 73 ◽  
pp. 02023
Author(s):  
Muhammad Rifqi Maulana ◽  
Denny Nugroho Sugianto
Keyword(s):  
Climate Change ◽  
Social Vulnerability ◽  
Settlement Patterns ◽  
Forest Cover ◽  
Human Life ◽  
Mountain Ecosystem ◽  
The World ◽  
Main Factors ◽  
Social Measurement ◽  
The Impact

Climate change is a global phenomenon, where the impact will be experienced by all parts of the world. One of the areas studied was Indonesia. Climate change in Indonesia has the direct and indirect effect on aspects of human life. Climate change can cause ecosystem disturbances. One of which is a mountainous ecosystem on Mount Rinjani, Lombok Island. The mountain ecosystem is very similar to the climate in Indonesia, this will have a special impact on the agricultural sectors. Therefore it is necessary to know the level in their environment. This paper will discuss social measurement parameters and their impact on climate in mountain ecosystems. The main factors are ecosystems (control environment, settlement patterns), ecology (forest cover, cliff conditions) and economy (livelihood & income / natural resources).

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