Predictors of the use of Psychosocial Interventions in Portugal: Results from the SMAILE Project

2017 ◽  
Vol 41 (S1) ◽  
pp. S156-S156
Author(s):  
G. Cardoso ◽  
A. Antunes ◽  
A. Loureiro ◽  
P. Santana ◽  
J. Caldas-de-Almeida ◽  
...  
Keyword(s):  
Social Inequalities ◽  
Metropolitan Areas ◽  
Psychiatric Treatment ◽  
Common Mental Disorder ◽  
Psychosocial Interventions ◽  
Psychiatric Services ◽  
Professional Activity ◽  
Day Hospital ◽  
Level Of Education ◽  
Different Types

IntroductionThe treatment of psychiatric disorders depends on a combination of different types of care, such as psychiatric treatment and psychosocial interventions. However, there is little research on the factors that determine access to care, particularly to psychosocial interventions.ObjectivesTo characterize the use of psychosocial interventions (psychotherapy, day hospital, and psychosocial rehabilitation) in users of outpatient psychiatric services in Portugal.AimsThis retrospective study analyses all outpatient psychiatric visits in four Portuguese departments of psychiatry in the metropolitan areas of Lisbon and Porto, and aims to evaluate the socio-demographic and clinical determinants of psychosocial interventions.MethodsSocio-demographic and clinical variables were obtained from clinical charts of outpatients’ visits in 2002, 2007 and 2012 (n = 2621). All patients were characterized regarding the use of any psychosocial intervention beyond psychiatric consultations. Logistic regression analysis was performed to evaluate the predictors of psychosocial interventions use.ResultsBeing followed in 2012, being single, having no professional activity, and having a diagnosis of psychosis or common mental disorder were significantly associated (P < 0.05) with higher odds of accessing psychosocial interventions. On the other hand, a lower level of education was associated with less use of this type of care.ConclusionsSocio-demographic and clinical characteristics of psychiatric services, outpatients are determinants of the use of psychosocial interventions. Evidence suggests that social inequalities may influence the access to psychosocial interventions in Portugal.FundingFundação para a Ciência e Tecnologia (FCT), Portugal.

Effect of the principle of proportionality in deciding whether to dismiss from position of judge

2019 ◽  
pp. 46-57
Author(s):  
Olga Yavorska
Keyword(s):  
Key Words ◽  
Social Problems ◽  
Judicial Power ◽  
Legal Responsibility ◽  
Professional Activity ◽  
Special Place ◽  
Different Types ◽  
Legal Sanctions ◽  
Principle Of Proportionality ◽  
Judicial Protection

The article deals with violations, which are often grounds for bringing disciplinary liability of judges, as well as the enforcement of them in the form of a petition for the dismissal from position of judge. A special place in the system of legal responsibility of a judge is taken by the institute of disciplinary responsibility, the essence of which lies in the possibility of applying by a specially authorized body to an individual bearer of judicial power - judges of legal sanctions, directly provided by law, for violations in the sphere of professional activity. The institute of disciplinary responsibility is considered, the purpose of which is to solve social problems in the interests of implementing and maintaining the necessary level of efficiency of the system of judicial protection as a necessary guarantee of the protection of rights, interests and freedoms of people. The analysis of grounds for disciplinary liability of a judge and types of disciplinary punishment has been carried out. The obligatory signs of disciplinary violations that are the cause of prosecution are analyzed. It is considered about the application of the principle of proportionality to disciplinary authorities in determining the type of collection. The practice of applying the principle of proportionality of disciplinary organs in case of imposition of penalties and violation of the question of ambiguity of such practice is analyzed. The article states that with qualitatively similar offenses committed by different judges, the disciplinary bodies chose one type of collection, but in different proportions. The method of determining the principle of proportionality in differentiating the choice of terms in this type of collection for actually such mistakes seems unclear. Moreover, the use of the same principle in choosing different types of charges for virtually identical disciplinary offenses is unclear, in particular, when the repeat offense is a feature. Key words: disciplinary responsibility of a judge, principle of proportionality, disciplinary offenses, penalties, dismissal from position of judge.

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

Patterns of Disability in Two Different Types of Day Hospital for the Elderly in Clwyd

1984 ◽  
Vol 47 (9) ◽  
pp. 278-280
Author(s):  
R Sampangi Ramaiah ◽  
David T Jones ◽  
Eirian Wyn Morris
Keyword(s):  
The Elderly ◽  
Day Hospital ◽  
Different Types

FEATURES OF SELF-ACTUALIZATION OF CIVIL SERVANTS WITH DIFFERENT TYPES OF WORK MOTIVATION

2020 ◽  
pp. 119-134
Author(s):  
O. M. Kolesnikov
Keyword(s):  
Work Motivation ◽  
Social Recognition ◽  
Civil Servants ◽  
The Other ◽  
Professional Activity ◽  
Professional Work ◽  
Professional Recognition ◽  
Different Types ◽  
Self Actualization ◽  
Economic Work

An article presents the empirical study on the peculiarities of selfactualization of civil servants with different types of work motivation. The two groups of respondents (civil servants and non-governmental workers) were compared. “Professional”, “instrumental” and “patriotic” types of work motivation were more pronounced among non-governmental employees. Civil servants-respondents were less interested in work content, they were more likely to take an uninteresting job; their motives for self-improvement were less pronounced, and therefore, they were not so interested in difficult tasks, regarded by the respondents of the other group as a professional challenge and a way for self-expression. Professional recognition was not so important for civil servants as social recognition; they were less likely to think about fair remuneration for their labor. They did not so much need “the idea” as a driving force for work, as well as recognition by others of their indispensability in organizations where they worked. At the same time, a higher percentage of civil servants (in comparison with the other group) did not seek to improve their skills and were characterized by reduced professional activity, responsibility, desire to share their skills and achievements with others. It was more difficult for civil servants (compared to non-governmental workers) to live in the present, not to postpone life “for later”; they felt more insecure, were “up in the clouds”; such self-actualizing values as goodness, beauty, integrity, truth, uniqueness, psychological hardiness, justice, achievement, order, self-sufficiency, etc., although demonstrated quite closely by both groups, were still less pronounced among civil servants. The need for knowledge was also much less expressed by civil servants, as well as autonomy, independence, a sense of freedom. Civil servants were inclined to focus on other worker’s opinions and external social standards; it was more difficult for them to establish strong and friendly relationswith others; they were more anxious and insecure comparing to nongovernmental workers. Civil servants with instrumental work motivation had neither a general benevolent attitude towards people, nor the values of self-actualization in general. In contrast, civil servants with professional work motivation not only shared such values, but also valued life “here and now”, strived for knowledge and creativity in professional work. Patriotic and lumpenized types of work motivation were expressed by civil servants indirectly. At the same time, employees with the patriotic type had very similar tendencies to self-actualization as employees with the professional type: they tended to live today, appreciated a current moment, strived for harmonious relationships with others, felt natural sympathy, trust in people, sought for new knowledge. The main features of this type, according to the respondents, were increased anxiety, self-doubt, neuroticism. All identified correlations between self-actualization indicators and lumpenized work motivation were negative for civil servants. Economic work motivation was the rarest for civil servants, respectively, the corresponding selfactualization tendencies included only a friendly and impartial attitude towards other people.

scholarly journals Physical activity of subjects aged 50–64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC)

2002 ◽  
Vol 5 (6b) ◽  
pp. 1163-1177 ◽  
Author(s):  
M Haftenberger ◽  
AJ Schuit ◽  
MJ Tormo ◽  
H Boeing ◽  
N Wareham ◽  
...  
Keyword(s):  
Physical Activity ◽  
Professional Activity ◽  
Cross Sectional ◽  
Men And Women ◽  
Recreational Activities ◽  
Professional Activities ◽  
Adjusted Means ◽  
Different Types ◽  
Sectional Analysis ◽  
Prospective Investigation

AbstractObjective:To describe physical activity of participants in the European Prospective Investigation into Cancer and Nutrition (EPIC).Design:A cross-sectional analysis of baseline data of a European prospective cohort study.Subjects:This analysis was restricted to participants in the age group 50–64 years, which was represented in all EPIC centres. It involved 236 386 participants from 25 centres in nine countries. In each EPIC centre, physical activity was assessed by standardised and validated questions. Frequency distribution of type of professional activity and participation in non-professional activities, and age-adjusted means, medians and percentiles of time dedicated to non-professional activities are presented for men and women from each centre.Results:Professional activity was most frequently classified as sedentary or standing in all centres. There was a wide variation regarding participation in different types of non-professional activities and time dedicated to these activities across EPIC centres. Over 80% of all EPIC participants engaged in walking, while less than 50% of the subjects participated in sport. Total time dedicated to recreational activities was highest among the Dutch participants and lowest among men from Malmö (Sweden) and women from Naples (Italy). In all centres, total time dedicated to recreational activity in the summer was higher than in the winter. Women from southern Europe spent the most time on housekeeping.Conclusions:There is a considerable variation of physical activity across EPIC centres. This variation was especially evident for recreational activities in both men and women.

scholarly journals REVIEW: INTEGRATIVE COORDINATION ABILITIES OF COACHES IN WELLNESS TYPES OF GYMNASTICS

2015 ◽  
Vol 4 (99) ◽  
pp. 2-7
Author(s):  
Olga Aftimichuk
Keyword(s):  
Professional Training ◽  
Theoretical Research ◽  
Professional Activity ◽  
Human Organism ◽  
Wide Range ◽  
Different Types ◽  
Analysis And Synthesis ◽  
And Behavior ◽  
Coordination Development ◽  
Complex Coordination

Background. The coordination development level influences the execution of any human activity, which is very important for the general perception of this activity and behavior in general. It is especially relevant for to coaches in wellness and sports gymnastics. The aim of the present study was the identification of the coordination skills of coaches of different types of gymnastics, which would improve the process of their professional training. Material and Methods. This review presents a synthesis of research conducted by the author. The following methods of theoretical research were used: abstract and axiomatic methods, analysis and synthesis, induction and deduction, idealization, comparison and generalization, and projecting. Results. The coaches’ training in different types of gymnastics includes the development of a wide range of professional skills: the tandem of communicative and motor skills that determine one type of complex coordination. The realization of complex coordination presupposes the participation of sensor systems (analyzer systems), which are visual, auditory, tactile, vestibular, and motor systems. The basic speech component of complex coordination in coaches’ activity/behavior determines his/her communicative orientation in the process of teaching. It is explained by the connection between the cultivation of complex coordination skills with the congenital and genetic, anatomical and physiological particularities of the human organism. We determined the coordination abilities, the formation of which contributes to the development of complex coordination skills. Conclusion. Development of integrative coordination abilities is an important part of professional activity of coaches of gymnastics, which requires such preparation.

scholarly journals Analysis of partnerships for actions intra-sectoral and inter-sectors for health in areas of high socio-environmental vulnerability in the city of São Paulo/Brazil: a mixed method study

2019 ◽  
Author(s):  
Patricia Melo Bezerra ◽  
Iara Coelho Zito Guerriero
Keyword(s):  
Social Inequalities ◽  
Statistical Significance ◽  
Well Being ◽  
Sao Paulo ◽  
Second Phase ◽  
São Paulo ◽  
Different Types ◽  
The Relationship ◽  
The City ◽  
Basic Health Units

Abstract Context Since poverty areas are socioeconomic complex and limiting environments, there is a need to develop intra-sectoral and inter-sectoral actions in the health territory in order to achieve the economic and social well-being of people and society. This research aims to understand the relationship between inter-sectorial and inter-sectoral actions for health and socio-environmental groupings of the most vulnerable health territories in the city of São Paulo, identify which are the most frequent partners of these actions and how professionals experience these partnerships in their daily lives.Method We adopted the mixed sequential and explanatory method. In the first phase, an online form is applied and identifies the Basic Health Units (BHU) that take place as intersectoral actions with more partners. In the second phase, we explored how the professionals consider the characteristics of the territory where they act to seek partnerships and how they carry out the actions.Results Analysis of quantitative data indicated that: a) More than 98% of BHUs conduct intra- and inter-sectoral partnerships and b) there is no relationship between the indices of the most vulnerable groupings and the presence of intra- and inter-sectoral actions with statistical significance p <0.05. The content analysis of literal transcriptions pointed out that: intra- and inter-sectoral practices developed in the health territories were driven by the needs of the treatment of diseases or by the precarious conditions of life of individual or collectivities. However, in order to assist different types of violence, health professionals avoid seeking partnerships, including with the Tutelary Council and the Center for Human Rights, as they fear they will suffer reprisals by those who cause this violence. There was consistency between quantitative and qualitative data, except for partnership with education, other BHUs, environment, and the Tutelary Council.Conclusion The construction of personalized partnerships for individual and collective health, in order to cope with social inequalities; of chronic diseases and by phases of the life cycle involved in socioeconomic fragilities that generate more poverty is part of the job from BHU’s professionals.

scholarly journals L’e-portfolio pour collecter et gérer les traces de l’activité : exemple d’une formation à l’enseignement instrumental et vocal

2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Elsa Paukovics ◽  
Pierre-François Coen ◽  
Angelika Güsewell ◽  
Valentina Giovannini-Cartulano
Keyword(s):  
Teaching Practice ◽  
Vocal Pedagogy ◽  
Professional Activity ◽  
Digital Learning ◽  
Master's Program ◽  
Nous Sommes ◽  
Learning Platform ◽  
Different Types ◽  
Futurs Enseignants

Le développement d’une posture d’enseignant-praticien réflexif repose sur la collecte et le traitement de différentes traces de l’activité professionnelle. La nature des traces collectées, leur rôle dans la formation, leur utilisation et leur gestion diffèrent selon les contenus et les dispositifs de formation. Par l’utilisation d’une plateforme électronique d’apprentissage (e-portfolio), le master en pédagogie instrumentale et vocale vise à développer la posture de praticien réflexif des futurs enseignants d’instruments ou de chant. Cette plateforme permet le dépôt, la gestion et le partage de différents types de traces de l’activité. La présente recherche vise à capter la nature des traces collectées ainsi que leur utilisation pour la rédaction d’un bilan de compétences. Il ressort d’entretiens menés avec les étudiants que les e-portfolios contiennent essentiellement des traces élaborées de l’activité et que ces traces sont peu ou pas utilisées lors de la rédaction du bilan de fin de cursus. Les étudiants mentionnent plutôt l’utilisation de traces immatérielles de type souvenirs, récoltées durant leur pratique en enseignement dans et hors formation. À partir de ces constats, nous sommes amenés à nous questionner sur la compréhension du rôle de la trace par les étudiants et l’orientation de leur apprentissage vers le produit plutôt que vers le processus. The development of a reflexive teacher-practitioner position is based on gathering and processing various artifacts of professional activity. The nature of the artifacts collected, their role in training, their use and their management differ according to the content and the training provisions. By using a digital learning platform (eportfolio), the Haute école de musique Vaud Valais Fribourg’s master’s program in instrumental and vocal pedagogy intends to develop the reflexive practitioner position of future teachers in this field. Different types of artifacts of the activity can be deposited, managed, and shared on this platform. The aim of this research is to define the nature of the artifacts gathered and use them to write a skills report. It highlights the interviews conducted with students and the fact that eportfolios essentially contain artifacts developed from the activity and that these artifacts are hardly or not used in the end-of-course report. Rather, students mention the use of intangible artifacts such as memories, collected during their teaching practice both in and out of training. Based on these observations, we are led to question students’ understanding of the role of artifacts and the orientation of their learning towards the product rather than the process.

scholarly journals Organization of Community Psychiatric Services in Finland

10.17816/cp64 ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 55-64
Author(s):  
Jyrki Korkeila
Keyword(s):  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Economic Recession ◽  
Psychiatric Services ◽  
Severe Mental Disorders ◽  
Community Based ◽  
Institutional Settings ◽  
Primary Organization ◽  
Methods Of Treatment ◽  
Rapid Transformation

Background. The Finnish psychiatric treatment system has undergone a rapid transformation from operating in institutional settings to a adopting a community-based approach, through implementation of national plans; this process was carried out quickly, due to a severe economic recession in the early 1990s. Methods. This paper is a narrative review, based on relevant documents by national authorities, academic dissertations and published scientific literature, between 1984 and 2018, as well as the interviews of key experts in 2019. Results. The municipality is currently the primary organization, responsible for all health services. Municipalities may also work together in organizing the services, either through unions of municipalities or hospital districts. Services are to a great extent outpatient-oriented. The number of beds is one fifth of the previous number, around four decades ago, despite the increase in population. In 2017, 191,895 patients in total (4% of Finns) had used outpatient psychiatric services, and the number of visits totalled 2.25 million. Psychotherapy is mainly carried out in the private sector by licensed psychotherapists. Homelessness in relation to discharged psychiatric patients has not been in evidence in Finland and deinstitutionalization has not caused an increase in the mortality rate among individuals with severe mental disorders. Conclusion. Psychiatric patients have, in general, benefitted greatly from the shift from institutions to the community. This does not preclude the fact that there are also shortcomings. The development of community care has, to date, focused too heavily on resource allocation, at the expense of strategic planning, and too little on methods of treatment.

A study to evaluate the provision of psychosocial supervision within an Early Intervention team

2010 ◽  
Vol 3 (2) ◽  
pp. 58-70 ◽  
Author(s):  
Sandra T. Neil ◽  
Sarah Nothard ◽  
David Glentworth ◽  
Elaine Stewart
Keyword(s):  
Early Intervention ◽  
Thematic Analysis ◽  
Psychosocial Interventions ◽  
Descriptive Statistics ◽  
Early Interventions ◽  
Structured Interviews ◽  
Team Members ◽  
Different Types ◽  
Intervention Team ◽  
The Uk

AbstractPsychosocial Interventions (PSIs) and PSI supervision underpin the delivery of early interventions for people experiencing psychosis. Early Intervention (EI) teams are relatively new in the NHS and there is currently a lack of empirical research into PSI supervision in this area. This study aimed to elicit staff views of PSI supervision and to identify any unmet supervision needs within a newly developed EI team in the UK. Semi-structured interviews were conducted with 16 multidisciplinary team members. Descriptive statistics and a thematic analysis were used to analyse the responses. The different types of supervision available to team members, gaps in the provision of PSI supervision and aspects that supervisees found helpful and unhelpful about PSI supervision are discussed as are ideas for improving the provision of PSI supervision in EI teams. The limitations of the study and ideas for further research are also outlined.

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