Institutionalized Child and Adolescent Population in a Psychiatric Outpatient Clinic: A Review of 4 Years

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
V. Santos ◽  
M. Soares ◽  
S. Pedroso ◽  
F. Sousa

Background:The Convention on the Rights of the Child acknowledges that the family is the natural environment for the upbringing of a child and that the parents have the primary responsibility for the child's education. However, it also mentions the need to find adequate substitute care whenever the child is temporarily or permanently deprived of his or her family environment, or when the child's best interests cannot be secured within the family environment. This substitute care may include adoption, foster placement or, as last resort, placement in an institution suitable for child care. Although some institutions have high quality standards for child care, this is not always the case.Institutionalized children are likely to come from unfavourable family environments, where they were victims of multiple psychosocial adversities, and studies show they present high scores of emotional and conduct disorders, together with cognitive problems.Methods:We examined medical files of all the institutionalized children and adolescents who attended the outpatient clinic of the Department of Child and Adolescent Psychiatry in Coimbra, Portugal, between the years 2005 and 2008, in order to characterize this population.Results:There was a male excess in our sample. The majority of the children and adolescents were institutionalized due to abuse and/or neglect and had conduct or oppositional defiance disorder. A considerable number had cognitive deficits.Discussion:Mental health services should work closely with these institutions to identify their strengths and difficulties, facilitating prevention, diagnosis and treatment of psychiatric problems.

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients


Author(s):  
Maria Aparecida Alkimin

O presente trabalho busca investigar e demonstrar que a proposta de Dom Bosco, por meio de seu sistema educativo e preventive, vivenciados no Oratório de Valdocco, Itália, está centrada na proteção integral e cuidados especiais com a criança e o adolescente. Nesse sentido, pode-se afirmar que o método educativo assistencial e o sistema preventivo de Dom Bosco estão presentes na regulação legislativa do Sistema de Proteção e de Garantias previstos na Convenção sobre os Direitos da Criança e no Estatuto da Criança e do Adolescente (ECA), que consagram o princípio-valor da proteção integral e o cuidado especial com a população infanto-juvenil.AbstractThe educational approach of Don Bosco centered on full protection and special care with children and adolescentsThe aim of this paper is to investigate and demonstrate that Don Bosco ́s proposal, through its educational system and preventive experienced in Valdocco Oratory, Italy, focuses on full protection and care to children and adolescents. In this sense, one can say that the method of education, care and preventive system of Don Bosco are present in the legislative regulation of the System of Warranties and Protection under the Convention on the Rights of the Child and the Child and Adolescent Statute (ECA), which uphold the principle-value of integral protection and special care of the juvenile population.ResumenEl enfoque educativo de Don Bosco se centró en la protección plena y especial cuidado con los niños, niñas y adolescentesEste estudio tiene como objetivo investigar y demostrar que el proyecto de Don Bosco, a través de su sistema preventivo y educativo, con experiencia en Oratorio de Valdocco, Italia, se centra en la protección plena y especial de cuidados con los niños y adolescentes. En este sentido, se puede afirmar que el método educativo de atención plena y el sistema preventivo de Don Bosco están presentes en la regulación legislativa de la protección y garantías previstas en la Convención sobre los Derechos del Niño y del Estatuto de los Niños y Adolescentes (ECA), los cuales consagran el valor-principio de la protección integral y la atención especial de la población juvenil.Revisor do inglês: Prof. Tadeu GiattiRevisor do espanhol: Prof. Lilian de Souza


1993 ◽  
pp. 16-24
Author(s):  
Eino Jutikkala

Calculations have been made of the total child and adolescent mortality in Finland in the 1700s and 1800s and the beginning of the 1900s. The author examines the cohort mortality of children and adolescents in different periods, regions and social groups. He does this by using the family reconstruction method with the aid of genealogical tables. The study focuses on five populations. In these cases the common allegation that during preindustrial period half the children died before reaching maturity is somewhat exaggerated.


2020 ◽  
Vol 21 (2) ◽  
pp. 8-26 ◽  
Author(s):  
Patrick Dolan ◽  
Nevenca Zegarac ◽  
Jelena Arsic

This paper considers Family Support as a fundamental right of the child. It examines the relationship between the well-being of the child as the core concept of contemporary legal and welfare systems and family as a vital institution in society for the protection, development and ensuring the overall well-being of the child. Considering the fact that international legal standards recognise that children’s rights are best met in the family environment, the paper analyses what kind of support is being provided to families by the modern societies in the exercising of children’s rights and with what rhetoric and outcomes. Family Support is also considered as a specific, theoretically grounded and empirically tested practical approach to exercising and protecting the rights of the child. Finally, international legal standards are observed in the context of contemporary theory and practice of Family Support, while the conclusion provides the implications of such an approach.


2019 ◽  
Vol 6 (1-2) ◽  
pp. 67-82
Author(s):  
Seyed Masoud Noori ◽  
Maryamossadat Torabi

In this article, children’s rights will be studied in the Iranian legal system with remarks on its references in the Shia Jurisprudence. One of the main issues regarding children, is their guardianship, custody or tutorship. The Iranian legal system, same as the Shia Jurisprudence, has always kept the best Interest of the child as an essential ground for law making. Referring to court decisions; it is evident that control of the guardianship on the child is limited by the best interests of the child, because this interests is what we are sure to understand from the reason of custody of the child and that this system is designed only to secure child’s best interests since he/she might be incapable to secure his/her interests alone. The Iranian legal system, especially in the family law section is based on the Islamic rules. The main documents in the Shia Jurisprudence in Islam are Quran, Hadith, Consensus and reasoning which will be defined herein. In addition, a more recent review will be made in this study regarding the ratified laws regarding children’s rights and international treaties and conventions while focusing on the Convention on the Rights of the Child even though, Iran joined this convention by having several reservations.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Bruno David Henriques ◽  
Regina Lunardi Rocha ◽  
Amanda Márcia dos Santos Reinaldo

ABSTRACT Drugs abuse is a complex phenomenon with many causes, and it affects children and adolescents. The objective of this research was to seek scientific evidence that contributes to the understanding of the existing relation between the use of crack and other drugs by children and adolescents and the family. The method used was the integrative review. The bases analyzed were: MEDLINE, LILACS, Cochrane, BDENF and IBECS. Descriptors: cocaine, crack, family and family relationships. Three categories were evidenced: Family environment as a protector and/or facilitator for the use of crack and other drugs by children and adolescents; Lack of knowledge and the repercussions of the use of crack and other drugs by children and adolescents in the family environment; Networks to support the family and coping with the use of crack and other drugs. The family environment has a protective function against the use of drugs, but the issue of drugs has to be faced and addressed. It is also necessary to strengthen the social networks and discuss prevention themes.


Author(s):  
Birsen Şentürk Pilan ◽  
Serpil Erermiş ◽  
Tuğçe Özcan ◽  
Reyhan Çalışan ◽  
İlayda Barankoğlu ◽  
...  

Objective: The aim of this study was to examine the sociodemographic characteristics, psychiatric diagnoses and factors associated with psychiatric diagnoses of children and adolescents who are victims of sexual abuse. Method: The files of 92 children and adolescents aged between 0-18 who were referred to University Hospital Child and Adolescent Psychiatry Forensic Policlinic between January 2017 and December 2019 due to sexual abuse were evaluated retrospectively. Psychiatric diagnoses of the cases were made according to DSM 5 diagnostic criteria. Intellectual capacity of the cases was evaluated according to the latest verison of Wechsler Intelligence Scale for Children. Results: In our study, 78 (84.8%) cases were female and 14 (15.2%) were male. Mean age of the cases was 14.1±3.88 years. The most common type of sexual abuse was touching (52.2%, n=48). There was a psychiatric diagnose in 50 (54.3%) of them. The most common psychiatric diagnoses were posttraumatic stress disorder (n=29, 31.5%) and major depressive disorder (n=25, 27.2%). The rate of psychiatric diagnosis was significantly higher in cases exposed to coercion and violence (p=0.032). In 32 cases (34.8%), it was determined that the abuser was within the family. Conclusion: Sexual abuse has an effect on child’s development throughout life.In our study, the rate of psychiatric diagnosis was high. It is very important to provide the necessary psychiatric support to the victims of sexual abuse. With the studies to be done in this area, awareness can be increased and necessary precautions can be taken.


2010 ◽  
Vol 35 (2) ◽  
pp. 38-42 ◽  
Author(s):  
Marian Quartly

This paper considers the development of the idea of children's rights, firstly at an international level, and then nationally and locally. Focussing on the central ‘right’ as defined by the United Nations Convention on the Rights of the Child (1989) – that ‘the child … should grow up in a family environment, in an atmosphere of happiness, love, and understanding’ – the paper points to a contradiction implicit here between the child imagined as a rights-bearing individual and the child imagined as in need of protection, by the family and, if necessary, by the state.


Author(s):  
Rodrigo Freitas Paixão ◽  
Ana Paula Motta Costa

O artigo busca traçar um paralelo entre a imposição da guarda compartilhada pela Lei 13.058/2014 e a Doutrina da Situação Irregular que estabelecia a forma como os direitos das crianças e dos adolescentes eram tutelados pelo Estado antes da Convenção Internacional sobre os Direitos da Criança. Para tanto, mostrará que, empesar da boa intenção do legislador, a imposição incondicional da guarda compartilhada pode configurar uma afronta à Doutrina da Proteção Integral, em especial ao Princípio do Melhor Interesse da Criança e do Adolescente, e um retorno aos principais pensamentos que embasavam a Doutrina da Situação Irregular.Title: The imposition of joint custody as a rule in the Brazilian legal system: a parallel with the Irregular Situation DoctrineAbstract: The article seeks to draw a parallel between the imposition of shared custody by Law 13.058/2014 and the Irregular Situation Doctrine which established how the rights of children and adolescents were protected by the State prior to the International Convention on the Rights of the Child. This study will demonstrate that, in spite of the good intentions of the legislator, the unconditional imposition of joint custody can constitute an affront to the Integral Protection Doctrine, especially to the Principle of the Best Interests of Children and Adolescents, and a return to the main thoughts that embase the Irregular Situation DoctrineKeywords: human rights of children and adolescents; principle of the best interests of children and adolescents; joint custody; irregular situation docrtine; integral protection doctrine


Author(s):  
Yousef Mohammed Abdullah Al Attar

The aim of this study was to identify the most prevalent behavioral problems among orphaned children from the point of view of supervisors in the light of some variables in the center of child care in Muscat Governorate, and the number of the sample (44) supervisor and supervisor. The researcher used the measure of behavioral problems in children deprived of the family environment by the preparation of Hoywa (2016). The research followed the descriptive approach, and the research found that the most common behavioral problems in orphaned children is the problem of lying and then the problem of hyperactivity followed by the problem of aggressive behavior and in the latter came the problem of aggressive behavior. The study also showed no statistically significant differences between males and females in behavioral problems.


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