Mental heath in republic of moldova: The way from in-patient to community-based care services

2017 ◽  
Vol 41 (S1) ◽  
pp. S604-S604
Author(s):  
J. Chihai
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Inclusion ◽  
International Standards ◽  
Community Based ◽  
Persons With Disabilities ◽  
Competing Interest ◽  
The Government ◽  
Mental Health Centers

IntroductionThe history of mental health in Moldova has been centered on psychiatric institutions. Current reform goals are centered on the reduction in psychiatric hospital beds, shifting the focus towards outpatient therapy, where community mental health centers have a central role in coordinating recovery and social reintegration.Objectivesto collect different data according guidance for establishing a situational analyses about Moldova.Methodologywe elaborated a guidance with outline: the historical perspective:– a. back a 5–10 years events/developments; epidemiologic data;– b. the service delivery system;– c. mental health system: laws/regulations, role of the government as well as civil organizations, mechanisms for data collection, monitoring of performance, costs, quality of care and outcomes;– d. opportunities, barriers, and needed changes/innovations needed to address these.ResultsThe current focus is on moving from a relatively centralized system towards a more community-based approach to psychiatric care and community supports, as well as deinstitutionalization and integration of mental health care with primary care. Besides over reliance on institutionalization, the Moldovan mental health care system faces other challenges, including access to care, workforce limitations, and stigma.ConclusionLooking forward, success in these efforts will require continued strong political will to bring domestic law, policies and practices into line with international standards in the field of human rights for persons with disabilities. By supporting deinstitutionalization and improving the accessibility of mainstream services, more people will have the opportunity for social inclusion and the ability to contribute to the communities’ social and economic growth.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Community Based Mental Health Care in Bosnia and Herzegovina – an Overview of the Last Six Years

2017 ◽  
Vol 41 (S1) ◽  
pp. S613-S614
Author(s):  
G. Racetovic ◽  
P. Slavica ◽  
B. Rosic ◽  
S. Grujic-Timarac
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Bosnia And Herzegovina ◽  
Active Role ◽  
Good Choice ◽  
Mental Illnesses ◽  
Community Based ◽  
Competing Interest

IntroductionMental health care in Bosnia and Herzegovina (BH) is changing and shows the new trends more than 20 years. In last 6 years is established strong network of community mental health centers (CMHC) as a most important service in the prevention, treatment and rehabilitation of mental illnesses.ObjectivesProject of mental health in BH (PMH) is the largest reform project, supported by the Swiss Government and it is planned to be implemented in whole BH emphasizing importance of community mental health care and putting patients in the focus of the reform.Aims and methodTo show positive trends and practices in BH as well as obstacles in some fields of the reform.ResultsFor the last six years are made positive national mental health policies, established case management model in work with people with severe mental disorders, broad spectrum of services recognized by health insurance (validation of the work for all team members), user initiatives (organization), active role of primary mental health care, reduction of hospitalization, etc. On the other way, yet are not established protected housing, early interventions services and universal methodology or team structure in all CMHC.ConclusionsCommunity based mental health care shown as a good choice in the reform of the mental health in BH, confirming positive results from other countries. That is a reason to continue with improvements based on daily practices of the teams in CMHC.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Mental health care practice in transgender persons deprived of liberty

2017 ◽  
Vol 41 (S1) ◽  
pp. S586-S587
Author(s):  
G.N. Jemar ◽  
S. Mariana Edith ◽  
D. Maria Mercedes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Inclusion ◽  
Gender Diversity ◽  
Care Practice ◽  
New Paradigm ◽  
Transgender Persons ◽  
Competing Interest ◽  
And Gender

Gender diversity set a new paradigm in terms of challenge and study for mental health. The analysis includes everything from basic parameters such as shed prejudices and preconceptions, to question old concepts rooted yet even from the proposed DSM, understanding gender diversity not just in terms of behaviour, choices or sexual conditions but from the integration of this in cognition and social inclusion, and finally understand that the nosological processes become in fact they do not have their origins in the diversity of gender, and that this per se does not constitute a pathology. The main issues addressed are the social marginalization, the problems of co-existence, discrimination, external and internal positioning for their conduct, election or sexual and gender perceptions and ways of adaptation are implemented, in addition to nosological processes current mental health, which are influenced but not because of the above. The population Trans in penitentiary system frequently mental health care for problems such as substance abuse, convivial and adaptive circumstances, being achieved in most cases a specific record of the particular problems and behavioral system that allows the convivencial adaptation, with the limiting variables that negatively influence (discrimination, marginalization, etc). The binary logic in the current psychopathology as well as society and culture in general prevents nosological analyze processes of these patients regardless of their behavior, sexual choice or self-perception of gender. They should consolidate new paradigms of psychopathological analysis to achieve a more comprehensive understanding of the nosological processes in these patients to achieve effective therapeutic targets.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Nature-Based Interventions for Mental Health Care: Social Network Analysis as a Tool to Map Social Farms and their Response to Social Inclusion and Community Engagement

2019 ◽  
Vol 16 (18) ◽  
pp. 3501 ◽  
Author(s):  
Marta Borgi ◽  
Mario Marcolin ◽  
Paolo Tomasin ◽  
Cinzia Correale ◽  
Aldina Venerosi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Mental Health Care ◽  
Rural Areas ◽  
Social Inclusion ◽  
Local Communities ◽  
Social Farming

Social farming represents a hybrid governance model in which public bodies, local communities, and economic actors act together to promote health and social inclusion in rural areas. Although relational variables are crucial to foster social farm performance, the relational system in which farms are embedded has still not been fully described. Using social network analysis, here we map the nature of the links of a selected sample of social farms operating in Northern Italy. We also explore possible network variations following specific actions taken to potentiate local social farming initiatives. The results show a certain degree of variability in terms of the extension and features of the examined networks. Overall, the actions taken appear to be significant to enlarge and diversify farms’ networks. Social farming has the potential to provide important benefits to society and the environment and to contrast vulnerability in rural areas. Being able to create social and economic networks of local communities, social farming may also represent an innovative way to respond to the cultural shift from institutional psychiatry to community-based mental health care. This study emphasizes the critical role played by network facilitation in diversifying actors, promoting heterogeneous relationships, and, in turn, system complexity.

scholarly journals Recovery for all in the community; position paper on principles and key elements of community-based mental health care

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
René Keet ◽  
Marjonneke de Vetten-Mc Mahon ◽  
Laura Shields-Zeeman ◽  
Torleif Ruud ◽  
Jaap van Weeghel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Position Paper ◽  
Community Based

scholarly journals Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

2017 ◽  
Vol 22 (1) ◽  
pp. 75-86 ◽  
Author(s):  
Karen Athié ◽  
Christopher Dowrick ◽  
Alice Lopes do Amaral Menezes ◽  
Luanda Cruz ◽  
Ana Cristina Lima ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Help Seeking ◽  
Rio De Janeiro ◽  
Care Service ◽  
Framework Analysis ◽  
Community Based ◽  
Social Rules ◽  
Primary Mental Health Care

Abstract Taking into consideration issues such as stigma and the mental health gap, this study explores narratives of anxious and depressed women treated in a community-based primary care service in a Rio de Janeiro favela about their suffering and care. We analysed 13 in-depth interviews using questions from Kadam's study. Framework analysis studied Access, Gateway, Trust, Psychosocial Issues, and Primary Mental Health Care, as key-concepts. Vulnerability and accessibility were the theoretical references. Thematic analysis found “suffering category”, highlighting family and community problems, and “help seeking category”, indicating how these women have coped with their emotional problems and addressed their needs through health services, community resources and self-help. Women's language patterns indicated links between implicit social rules and constraints to talk about suffering, especially if related to local violence. High medical turnover and overload are barriers for establishing a positive relationship with family physicians and continuity of care is a facilitator that promotes trust, security and adherence. Concluding, to plan community-based primary mental health care of this population, cultural and social factors must be comprehended as well as the work health teams conditions.

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