scholarly journals Mental health care situation in family health units: perceptions of community health agents

2015 ◽  
Vol 24 (1) ◽  
pp. 204-211 ◽  
Author(s):  
Jacqueline de Souza ◽  
Francine Baltazar Assad ◽  
Sara Pinto Barbosa ◽  
Heloisa França Badagnan ◽  
Letícia Yamawaka de Almeida ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Health ◽  
Family Health ◽  
Health Care Practices ◽  
Concept Of Health ◽  
Region Data ◽  
Qualitative Descriptive ◽  
Health Demands

This was a qualitative, descriptive study, performed with 17 Community Health Agents. The aim was to analyze the perception of these professionals regarding the most frequent mental health cases in the region. Data was collected through observation of the region and two focus groups. We used the structuralist perspective for the analysis. The results showed that these professionals perceived mental health demands from an expanded concept of health, in which the resources fit together between the various sectors. They deal with difficulties, develop actions based on soft technologies and do not necessarily focus on the disease. It was concluded that these elements reinforce the power of the Community Health Agents as performers of mental health care practices and as an important link between the healthcare service and the community.

scholarly journals Mental health care practices in the family health strategy: a review of possibilities and limit for na integrated care

2011 ◽  
Vol 4 (1) ◽  
pp. 33
Author(s):  
Vladimir Andrei Rodrigues Arce ◽  
Maria Fátima de Sousa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Professional Training ◽  
Family Health ◽  
Support Network ◽  
Health Care Practices ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

The implementation of Mental Health actions in the Family Health Strategy (ESF) still represents a challenge for professionals and health managers, although several experiences of practice are known in Brazil. Based on a literature review, we aimed to systematize the main elements of the facilities and difficulties in the insertion of mental health in the context of ESF. If it is possible to identify similarities between the characteristics reported in the literature, we found that the relationship between professionals and community, the knowledge about the reality of the communities and the proposed actions for prevention and health promotion will facilitate the development of mental health actions in the ESF. Still, the lack of professional training, the medicalized and fragmented mental health design, the lack of a support network for the actions of professionals and the prejudice against mental disorders are factors that make the implementation of health care difficult, what must be focus of technical actions and policies to subsidize the construction of mental health care, focused on deinstitutionalization.

scholarly journals Training of Community health workers for mental health care in primary care - empowering people to take care of peaple

2011 ◽  
Vol 4 (1) ◽  
pp. 135
Author(s):  
Denize Bouttelet Munari ◽  
Terezinha Silvério de Melo ◽  
Marina Barbosa de Oliveira ◽  
Camila Cândida Barbosa ◽  
Ana Carolina de Castro Mendonça Queiroz ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Health ◽  
Health Workers ◽  
Public Health Practice ◽  
National Health System ◽  
Family Health ◽  
Health Providers ◽  
School Of Nursing

Public health practice in Brazil calls for an ongoing search for qualified health providers for implementation of the Brazilian National Health System (SUS). In this context, mental health care is a major challenge due to its particularities. It requires establishing a channel of communication between its specific attributes and the Family Health Strategy for bringing together the community and specialized outpatient care. The objective of the present study was to report the experience of a training workshop on mental health for community health agents (CHA) organized by faculty and graduate students in nursing at Universidade Federal e Católica de Goiás School of Nursing, State of Goiás, Brazil. This initiative was developed due to a demand by CHA who reported lack of knowledge to meet the needs identified in families and their own mental health needs. The workshop was held biweekly in the second half of 2008 applying the Laboratory Education model, which enables the integration of theory and experiences based on the focus of interest of the subjects. The program was based on the needs of the group then worked through the experiential learning cycle, a key element of this approach. We conclude that involvement, attendance, interest and application of knowledge by CHA proved the efficacy of this model as a strategy capable of developing them as people and professionals.

Immigrant Mothers’ Perspectives of Barriers and Facilitators in Accessing Mental Health Care for Their Children

2020 ◽  
Vol 31 (6) ◽  
pp. 598-605
Author(s):  
Mia Tulli ◽  
Bukola Salami ◽  
Lule Begashaw ◽  
Salima Meherali ◽  
Sophie Yohani ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Providers ◽  
Barriers And Facilitators ◽  
Financial Strain ◽  
Lack Of Information ◽  
Semistructured Interviews ◽  
Qualitative Descriptive ◽  
Immigrant And Refugee

Introduction: Data on immigrant and refugees’ access to services in Canada typically focus on adult populations generally but not children specifically. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators for mental health care for their children in Edmonton, Alberta, Canada. Method: In this qualitative descriptive study, researchers conducted 18 semistructured interviews with immigrant and refugee mothers who live in Edmonton, self-identify as women, and have children living in Canada. Results: Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Discussion: Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.

Ethically Sensitive Mental Health Care: Is there a Need for a Unique Ethics for Psychiatry?

2003 ◽  
Vol 37 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Andrew Crowden
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Conceptual Analysis ◽  
Practical Wisdom ◽  
Care Practice ◽  
Health Care Practice ◽  
Health Care Practices ◽  
Unique Nature ◽  
Care Practices

Objective: This article takes up the challenge to comment and extend on Jennifer Radden's claims for a ‘unique ethics for psychiatry’ articulated in ‘Notes towards a professional ethics for psychiatry’, Australian and New Zealand Journal of Psychiatry 2002; 36:52–59. Method: The author is analytically trained in bioethics and employs the method of conceptual analysis. Results: Psychiatry is a unique mental health care practice which calls for unique ethical responses. However, it doesn't necessarily follow that a unique ethics for psychiatry is required. Conclusions: A more plausible explanation for how philosophical ethics informs the unique nature of psychiatric practice is better articulated within claims about the role-related nature of particular health care practices and the influence that the virtue of phronesis (practical wisdom) has on a clinician's decision-making and judgement.

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

2017 ◽  
Author(s):  
Milou A Feijt ◽  
Yvonne AW de Kort ◽  
Inge MB Bongers ◽  
Wijnand A IJsselsteijn
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Clinical Psychologists ◽  
Qualitative Descriptive ◽  
New Treatment ◽  
Health Model ◽  
Structured Representation

BACKGROUND The internet offers major opportunities in supporting mental health care, and a variety of technology-mediated mental and behavioral health services have been developed. Yet, despite growing evidence for the effectiveness of these services, their acceptance and use in clinical practice remains low. So far, the current literature still lacks a structured insight into the experienced drivers and barriers to the adoption of electronic mental health (eMental health) from the perspective of clinical psychologists. OBJECTIVE The aim of this study was to gain an in-depth and comprehensive understanding of the drivers and barriers for psychologists in adopting eMental health tools, adding to previous work by also assessing drivers and analyzing relationships among these factors, and subsequently by developing a structured representation of the obtained findings. METHODS The study adopted a qualitative descriptive approach consisting of in-depth semistructured interviews with clinical psychologists working in the Netherlands (N=12). On the basis of the findings, a model was constructed that was then examined through a communicative validation. RESULTS In general, a key driver for psychologists to adopt eMental health is the belief and experience that it can be beneficial to them or their clients. Perceived advantages that are novel to literature include the acceleration of the treatment process, increased intimacy of the therapeutic relationship, and new treatment possibilities due to eMental health. More importantly, a relation was found between the extent to which psychologists have adopted eMental health and the particular drivers and barriers they experience. This differentiation is incorporated in the Levels of Adoption of eMental Health (LAMH) model that was developed during this study to provide a structured representation of the factors that influence the adoption of eMental health. CONCLUSIONS The study identified both barriers and drivers, several of which are new to the literature and found a relationship between the nature and importance of the various drivers and barriers perceived by psychologists and the extent to which they have adopted eMental health. These findings were structured in a conceptual model to further enhance the current understanding. The LAMH model facilitates further research on the process of adopting eMental health, which will subsequently enable targeted recommendations with respect to technology, training, and clinical practice to ensure that mental health care professionals as well as their clients will benefit optimally from the current (and future) range of available eMental health options.

scholarly journals Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

2014 ◽  
Vol 48 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Mardênia Gomes Ferreira Vasconcelos ◽  
Euton Freitas de Castro Junior ◽  
Levi Alves Barreto ◽  
Lianna Ramalho de Sena Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Care ◽  
Family Health ◽  
Social Representation ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context.


scholarly journals Cuidado em saúde mental na estratégia saúde da família: a experiência do apoio matricial [Mental health care in the family health strategy: the experience of matrix support]

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Anne Larissa Lima Guimarães Gurgel ◽  
Maria Salete Bessa Jorge ◽  
Emília Cristina Carvalho Rocha Caminha ◽  
José Pereira Maia Neto ◽  
Mardênia Gomes Ferreira Vasconcelos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy
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