Assistência Humanizada a Pessoa com Transtornos Mentais / Humanized Assistance for Person with Mental Disorders

Resumo: Os transtornos mentais geralmente são tratados pela sociedade com desprezo o que terminam gerando o isolamento social dos pacientes que apresentam os transtornos. Já avançamos muito no atendimento humanizado aos pacientes psquiatricos entre tanto ainda há muitas coisas que precisam serem mudadas diante da assistencia aos mesmos. Assim é de grande importancia buscar a qualificação dos profissionais de saúde para atender os pacientes com transtornos mentais de forma humanizada. Compreender a importância da assistência humanizada a pessoa com transtornos mentais. Trata-se de uma revisão integrativa da literatura, realizada nos meses de fevereiro a julho do ano 2021, através da coleta de dados dentro das seguintes bases: LILACS e BDENF, por meio dos seguintes descritores: humanização e transtornos mentais, sendo agrupados através do operador booleando “AND”, tendo como criterios de inclusão: artigos completos, publicados nos últimos cinco anos na lingua portuguesa, pesquisa primárias, disponiveis em meio eletrônico, sendo excluidos os seguintes artigos: artigos secundários, artigos repetidos, artigos pagos e publicados na lingua estrangeira e que tenha mais de cinco anos, desta forma foram selecionados para esta pesquisa dez artigos. Observou-se nos estudos que os cuidados humanizados direcionados aos pacientes com transtornos mentais têm evoluido possitivamente. Entretanto ainda existem algumas barreiras que são mencionadas pelos autores dos estudos, como por exemplo, alguns profissionais que insistem ainda em viverem dentro de suas práticas o modelo antigo de assistência à saúde mental. Outro ponto a se tratar é falha na capacitação desses profissionais para lidar de maneira humanizada com os pacientes que apresentam transtornos mentais. Assim entende-se que existem pontos ainda a serem melhorados para que o cuidado com os pacientes com transtornos mentais sejam realizados de forma mais humanizada entendendo que todos possuem o direito universal a saúde de qualidade. Palavras - chave: Humanização da assistência. Transtornos Mentais. Saúde Mental.Abstract: Mental disorders are generally treated with disdain by society, which ends up generating social isolation for patients with the disorders. We have already advanced a lot in humanized care for psychiatric patients. However, there are still many things that need to be changed in the face of their assistance. Thus, it is of great importance to seek the qualification of health professionals to assist patients with mental disorders in a humanized way. Understand the importance of humanized assistance to people with mental disorders. It is an integrative review of the literature, carried out from February to July of the year 2021, through the collection of data within the following bases: LILACS and BDENF, through the following descriptors: humanization and mental disorders, being grouped through the operator booleaning “AND”, with inclusion criteria: complete articles, published in the last five years in Portuguese, primary research, available in electronic media, excluding the following articles: secondary articles, repeated articles, paid articles and published in the language foreign and that is more than five years old, ten articles were selected for this research. It was observed in the studies that humanized care directed to patients with mental disorders has evolved positively. However, there are still some barriers that are mentioned by the authors of the studies, such as, for example, some professionals who still insist on living the old mental health care model within their practices. Another point to be addressed is the failure to train these professionals to deal in a humanized manner with patients with mental disorders. Thus, it is understood that there are still points to be improved so that care for patients with mental disorders is carried out in a more humane way, understanding that everyone has the universal right to quality health.Keywords: Humanization of assistance. Mental Disorders. Mental health.

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The Impact of the Covid-19 Pandemic on the Mental Health of Health Professionals

International Journal of Neuroscience Research ◽

10.28933/ijnr-2021-06-2005 ◽

2021 ◽

pp. 14

Author(s):

◽

Keyword(s):

Mental Health ◽

High Risk ◽

Health Professionals ◽

Disease Transmission ◽

Search Strategy ◽

Working Hours ◽

Review Of The Literature ◽

Inclusion Criteria ◽

The Impact ◽

Emotional Balance

Objective: To assess the impact on mental health of health professionals during the COVID-19 pandemic. Methods: Narrative review of the literature, of a descriptive character, carried out through bibliographic survey through a search strategy based on the terms: Mental health, Health professionals and Covid-19. Inclusion criteria were adopted: articles published in Portuguese, English and Spanish indexed in the PUBMED / MEDLINE, SciELO and VHL databases published between February 2020 and August 2020. Results: The COVID-19 pandemic established a chaos in all sectors of society, the health sphere was the most affected. The routine of health professionals was abruptly altered by the constant confrontation of an enormous pressure that goes from working in an environment with a high risk of contamination without adequate protection, excessive working hours, frustration, lack of contact with family to experiences of discrimination by a small part of society who see them as potential vectors of disease transmission. Conclusion: The pandemic was extremely harmful to the health of health professionals, affecting their emotional balance. It was shown that the pandemic scenario caused a lot of damage, as these professionals were exposed to high and intense workloads, which caused physical and mental exhaustion, leading to a feeling of weakness and professional insecurity.

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Quality of service and commitment to tobacco dependence treatment for individuals living with mental disorders in France: A pilot study

International Journal of Social Psychiatry ◽

10.1177/00207640211042914 ◽

2021 ◽

pp. 002076402110429

Author(s):

João M Castaldelli-Maia ◽

Priscila D Gonçalves ◽

Danielle R Lima ◽

Helena F Moura ◽

Gisèle Apter

Keyword(s):

Mental Health ◽

Quality Of Service ◽

Pilot Study ◽

Mental Disorders ◽

Mental Health Professionals ◽

Health Professionals ◽

Tobacco Dependence ◽

Treatment Quality ◽

Tobacco Treatment

Background: There are remarkably high smoking rates in patients living with mental disorders (PLWMD), and the absence of a specific treatment policy for smoking cessation for these patients worldwide. The present study aimed to (i) investigate the quality of service and commitment to tobacco dependence treatment, and (ii) produce high-quality French versions of the Index of Tobacco Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS). Methods: ITTQ and TTCS were used to assess French mental health professionals ( n = 80). Both scales were translated from their original language following standard procedures (i.e. forward translation). Descriptive analysis for total score, each factor and item were calculated for the entire sample, followed by subgroup analysis by gender, and role of the practitioner. Results: Nurses presented higher levels of both treatment commitment and treatment quality in their mental health care units, compared to psychiatrists, and residents. Overall, counseling offering was low and there was a perception that it is unfair to take tobacco away from PLWMD. In the other hand, there were high levels of smoking assessment and perceptions that nicotine dependence should be included in drug treatment programs. Conclusions: There is a gap in tobacco treatment implementation for French PLWMD. The present pilot study alerts about the problem, and should stimulate larger studies validating such measures for wide use with French-speaking mental health professionals. French nurses presented higher levels of both treatment commitment and quality, and could be in a leadership position for such implementation. Encouraging the implementation of tobacco counseling within conventional mental health treatment is critical to improve cessation rates among this population. There is a potential for the sustainability of tobacco treatment interventions since the levels of commitment observed here were higher than in previous studies conducted abroad.

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Public recognition of mental disorders and beliefs about treatment: changes in Australia over 16 years

The British Journal of Psychiatry ◽

10.1192/bjp.bp.111.104208 ◽

2012 ◽

Vol 200 (5) ◽

pp. 419-425 ◽

Cited By ~ 52

Author(s):

Nicola J. Reavley ◽

Anthony F. Jorm

Keyword(s):

Mental Health ◽

Health Literacy ◽

Mental Disorders ◽

Mental Health Professionals ◽

National Survey ◽

Health Professionals ◽

Mental Health Literacy ◽

Public Recognition ◽

Similar Survey ◽

Treatment Changes

BackgroundA 1995 Australian national survey of mental health literacy showed poor recognition of disorders and beliefs about treatment that differed from those of health professionals. A similar survey carried out in 2003/4 showed some improvements over 8 years.AimsTo investigate whether recognition of mental disorders and beliefs about treatment have changed over a 16-year period.MethodA national survey of 6019 adults was carried out in 2011 using the same questions as the 1995 and 2003/4 surveys.ResultsResults showed improved recognition of depression and more positive ratings for a range of interventions, including help from mental health professionals and antidepressants.ConclusionsAlthough beliefs about effective medications and interventions have moved closer to those of health professionals since the previous surveys, there is still potential for mental health literacy gains in the areas of recognition and treatment beliefs for mental disorders. This is particularly the case for schizophrenia.

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Economia solidária, saúde mental e inclusão: uma revisão de literatura / Solidarity economy, mental health and inclusion: a literature review

Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO ◽

10.47222/2526-3544.rbto28134 ◽

2020 ◽

Vol 4 (4) ◽

pp. 674-687

Author(s):

Ioneide De Oliveira Campos ◽

Rafael Moraes Reis

Keyword(s):

Mental Health ◽

Web Of Science ◽

Case Reports ◽

Self Management ◽

Review Of The Literature ◽

Inclusion Criteria ◽

Solidarity Economy ◽

Collective Work ◽

Qualitative Approaches ◽

Salud Mental

A Economia Solidária é uma alternativa para inserção laboral de pessoas com transtornos mentais. Realizou-se uma revisão da literatura, com o propósito de conhecer o que tem sido publicado sobre Economia Solidária, inclusão e Saúde Mental, quais os objetivos e métodos de pesquisa, quem são os profissionais e populações-alvo e quais os resultados obtidos nos estudos. Foram considerados os seguintes critérios para a realização desse estudo: a importância da temática para o contexto da Saúde Mental e a identificação de pesquisas e relatos de experiência que informassem práticas em Saúde Mental e Economia Solidária. A revisão foi realizada nas bases: Web of Science, DOAJ, PubMed, SciElo e LILACS, sem restrições de ano. Os descritores utilizados foram “economia solidária”, “saúde mental” e “inclusão”. Vinte e nove (n=29) artigos foram encontrados e, após a aplicação dos critérios de inclusão, dez foram analisados na íntegra. Trinta e quatro (n=34) profissionais estiveram envolvidos nas pesquisas, sendo a Terapia Ocupacional, Enfermagem e Psicologia, as profissões que apareceram mais frequentemente. Todos os estudos encontrados eram qualitativos e foram conduzidos no Brasil. A entrevista foi o método mais adotado. Os resultados dos estudos sinalizaram ganhos para aspectos intrínsecos dos usuários no que se refere a autogestão, expressão, empoderamento, e também extrínsecos, como a questão familiar e do trabalho coletivo. A revisão agregou conhecimento que permitem refletir sobre a importância da interdisciplinaridade, do trabalho colaborativo em rede, e sobre a necessidade de documentação das experiências em Economia Solidária no país. AbstractThe Solidarity Economy is an alternative for the labour inclusion of people with mental health. A review of the literature was conducted in order to know what has been published on the issue of Solidarity Economy, Inclusion and Mental Health, what are the objectives and research methods, who are the professionals and populations’ target, and the results identified in the research. We considered the following criteria: the importance of the issue in the mental health context and identification of studies and case reports which informed practice in Mental Health and Solidarity Economy. The search was done at the databases: Web of Science, DOAJ, PubMed, Scielo and LILACS, with no year restrictions. The descriptors used were "solidarity economy", "mental health" and "inclusion". Twenty-nine (n=29) were found and after the inclusion criteria filter, ten articles were analysed. Thirty-four (n=34) professionals were involved in the studies and the most were Occupational Therapy, Nursing and Psychology. All the studies found used qualitative approaches and were conducted in Brazil. The interview was the most adopted method for data collection. The results indicate outcomes for users' intrinsic aspects such as self-management, expression, empowerment, and also extrinsic, such as family and collective work. The review added knowledge to reflect about the interdisciplinary and collaborative network, and also on the documentation of experiences in Solidarity Economy in the country.Keywords: Mental health; Solidarity economy; Public policies; Inclusion; Research.ResumenLa Economía Solidaria es una alternativa para la inserción laboral de personas con trastornos mentales. Se realizó una revisión de la literatura, con el fin de conocer qué se ha publicado sobre Economía Solidaria, inclusión y Salud Mental, cuáles son los objetivos y métodos de investigación, quiénes son los profesionales y las poblaciones objetivo y cuáles son los resultados obtenidos. Se consideraron los siguientes criterios para realizar este estudio: la importancia del tema para el contexto de la salud mental y la identificación de informes de investigación y experiencia que informarían las prácticas con la Salud Mental y la Economía Solidaria. La revisión se realizó en las bases de datos: Web of Science, DOAJ, PubMed, Scielo y LILACS, sin restricciones de año. Los descriptores utilizados fueron "economía solidaria", "salud mental" e "inclusión". Veintinueve (n = 29) artículos fueron encontrados y, después de aplicar los criterios de inclusión, diez fueron analizados en su totalidad. Treinta y cuatro (n = 34) profesionales participaron en las investigaciones, siendo la Terapia Ocupacional, Enfermería y Psicología las profesiones que aparecieron con más frecuencia. Todos los estudios encontrados fueron cualitativos y se realizaron en Brasil. La entrevista fue el método más adoptado. Los resultados de los estudios señalaron ganancias para los aspectos intrínsecos de los usuarios, como la autogestión, la expresión, el empoderamiento y también los aspectos extrínsecos, como el tema del trabajo familiar y colectivo. La revisión agregó conocimiento que nos permite reflexionar sobre la importancia de la interdisciplinariedad, así como el trabajo en red colaborativo, y sobre la necesidad de documentar experiencias en Economía Solidaria en el país.Palabras clave: Salud mental; Economía solidaria; Políticas públicas; Inclusión; Investigación.

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Perception of internal medicine residents regarding psychiatric patients’ care

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v45.2-20200262.ing ◽

2021 ◽

Vol 45 (2) ◽

Author(s):

Paulo Roberto Oliveira Henrique Santana ◽

Cibele Isaac Saad Rodrigues

Keyword(s):

Internal Medicine ◽

Mental Health ◽

Mental Disorders ◽

Social Relations ◽

Psychiatric Patients ◽

Scientific Progress ◽

Educational Interventions ◽

Cross Sectional ◽

Attribution Questionnaire ◽

Cross Sectional Design

Abstract: Introduction: Mental disorders are accountable for the segregation of patients in many diverse cultures and historical moments worldwide. The evolution of neuroscience, technologies and advances in the psychosocial sphere have not been enough to change this paradigm. Many people still fear having social relations with someone with a psychiatric disorder, despite scientific progress and efforts to reduce prejudice in recent decades. Objective: The aim of this study was to assess the training in mental health during the undergraduate course offered to residents in Internal Medicine and analyze the feelings, perceptions, and stigmas of these physicians regarding the care offered to patients with mental disorders. Method: This study has a qualitative, quantitative approach and descriptive, cross-sectional design. Thirty-two residents in Internal Medicine participated and, for comparison, the questionnaires were also answered by 8 residents in Psychiatry. Two instruments were applied: one for the characterization of the participants’ sociodemographic profile and the attribution questionnaire (AQ-26B). Qualitative data were obtained through a focus group with 14 residents and the content analysis was used for categorization. The most frequent categories were illustrated with Pareto charts. Results: The results demonstrated that residents in internal medicine showed higher indexes of stigma regarding aspects such as fear and intolerance. It was also possible to infer gaps related to training in mental health, low perception of care responsibility, in addition to the difficulty in legitimizing complaints and showing negative feelings. Conclusion: One can conclude the need for educational interventions that promote the decrease of the stigma and the search for training regarding comprehensive and empathic care for patients with mental disorders.

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Readmissions of long-stay psychiatric patients to the acute services from hostels in the community

Psychiatric Bulletin ◽

10.1192/pb.17.9.524 ◽

1993 ◽

Vol 17 (9) ◽

pp. 524-525 ◽

Cited By ~ 4

Author(s):

Rosie Shepperd

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Disorders ◽

Psychiatric Patients ◽

Psychiatric Services ◽

Social Aspects ◽

Community Mental Health Care ◽

Alternative Vision ◽

The Social ◽

The 19Th Century

The asylum movement was developed in the 19th century to provide care and cure for people with mental disorders. In the 20th century the old vision of asylum was abandoned, but no new alternative vision of community mental health care has taken its place. A divide between acute psychiatric services and provision for the social aspects of care has been described by Murphy (1991).

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Prospective acceptance of distinct mobile mental health features in psychiatric patients and mental health professionals

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2018.11.025 ◽

2019 ◽

Vol 109 ◽

pp. 126-132 ◽

Cited By ~ 8

Author(s):

Leonie Hendrikoff ◽

Lana Kambeitz-Ilankovic ◽

Rüdiger Pryss ◽

Fanny Senner ◽

Peter Falkai ◽

...

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Health Professionals ◽

Psychiatric Patients ◽

Mobile Mental Health ◽

Health Features

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The Public's Ability to Recognize Mental Disorders and their Beliefs about Treatment: Changes in Australia Over 8 Years

Australian & New Zealand Journal of Psychiatry ◽

10.1080/j.1440-1614.2006.01738.x ◽

2006 ◽

Vol 40 (1) ◽

pp. 36-41 ◽

Cited By ~ 134

Author(s):

Anthony F. Jorm ◽

Helen Christensen ◽

Kathleen M. Griffiths

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Mental Health Professionals ◽

National Survey ◽

Health Professionals ◽

Psychiatric Ward ◽

Treatment Beliefs ◽

The Public ◽

Low Level ◽

Treatment Changes

Objective: A national survey of Australian adults in 1995 showed a low level of recognition of mental disorders and beliefs about treatment that were often discordant with those of professionals. The present study aimed to find out whether recognition and treatment beliefs have changed over 8 years. Method: A national survey of 2001 adults in 2003–2004 included the same questions as the 1995 survey. These interview questions were based on a vignette of a person with either depression or schizophrenia. Results: Over the 8 years, the public showed better recognition of depression and schizophrenia and gave more positive ratings to a range of interventions, including help from mental health professionals, medications, psychotherapy and psychiatric ward admission. Conclusions: The Australian public's beliefs have changed over 8 years to be more like those of mental health professionals. This change may have positive implications for helpseeking and treatment concordance.

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