scholarly journals Critical review: From neglect to a new look: the construction of the National Policy of Integral Attention to Users of Alcohol and Other Drugs as a conquest of the Brazilian Psychiatric Reform. The case of Recife (PE)

Author(s):  
Stefany De Barros Camargo

This work is based on secondary sources such as the conquest of the Brazilian Psychiatric Reform. It is an exploratory study, with the objective of briefly examining the structuring and transformations of mental health policies in Brazil. On the other hand, it seeks to highlight fragments in the enunciation mechanisms that strengthen services aimed at caring for people in psychic suffering. In conclusion, the analysis shows that, in some people, society shows different behavior patterns and norms, and they react differently to the problem in question. And that mental illness is now considered a social degeneration. And in this sense, we emphasize the necessary care to the carriers of this disease, as well as the importance of a quality nursing care. And this aspect, is emphasized in some congresses and seminars held for a social education, mainly in the aspect of education and awareness of drug use. And reinforced the construction of the National Policy of Integral Attention to Users of Alcohol and Other Drugs as a conquest of the Brazilian Psychiatric Reform. The case of Recife (PE).

2015 ◽  
Vol 12 (1) ◽  
pp. 321-350 ◽  
Author(s):  
Sônia Weidner Maluf

This paper discuss biolegitimacy as an instrument and device for the production of rights, recognition and access to services and care from the state, as a means to demand and conquer rights and as an expression of a new biopolitical regime. Biolegitimacy is articulated with a broader context of political shift, with an emphasis on the processes of pathologization, medicalization or biologization of social experiences, particularly concerning the production of public policies and actions of the state in the field of rights and citizenship. Despite the breadth of the issues that can be addressed through this concept in its formulation by Didier Fassin, the focus of this article is mental health policies in Brazil in the context of Brazil's Psychiatric Reform program, particularly those policies aimed at women. If on one hand the Psychiatric Reform is based on the principles of the human rights of the ill and of psychiatric patients, and on the democratization and universalization of access to healthcare, on the other hand, in various aspects these same policies reproduce the device of biolegitimacy. The focus is the notion of the "life-cycle" of women, a principle widely used in the documents and guidelines mainly in those specifically aimed at women's health.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I R Rubikas

Abstract Background Lithuanian has experienced rapid and relatively successful transition to capitalism and transatlantic-Western values and practices in recent decades. Suicide and legal alcohol consumption rates remain the highest in the EU and OECD, and Lithuania's Positive emotions index score has been consistently amongst the 10 lowest in the world in recent years. Emigration rate is the highest in the EU and OECD, social inequality is amongst the highest in the same groups. Despite a relatively strong economy these changes are not automatically transferred to better social and emotional well-being. Methods This unconventional situation calls for strong and unconventional policy responses in the area of mental health, amongst others. Health impact assessment using theory-based approach and desk research. Results Recent attempts include strategic reorientation towards social and emotional well-being, stronger focus on prevention and promotion and primary care, intensifying efforts to reduce suicide rates, and implementation of strong regulatory measures to reduce alcohol use. Suicide rates have been declining since 2013 but remain high. Effort is made to implement best practices in media reporting, recognition and providing appropriate help for those in suicide crisis, expanding prevention efforts. Conclusions Finally, WHOs “best buys” in alcohol control were implemented since 2017, including steep increases in excise taxes, ban on alcohol advertisement, increase of allowed age, reducing alcohol trading hours and others. This resulted in the steepest decline of legal alcohol consumption in decades. The chosen policy route may be called iterative policy-making, whereby improvements are made along the way, which allows for quicker policy decisions and results. Key messages Mental health policies need to be based on the socio-political context of the specific country. Smaller countries such as Lithuania might benefit form flexible approaches to mental health policies.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.


2021 ◽  
Vol 4 (2) ◽  
pp. 381-391
Author(s):  
Isra Sarwar ◽  
Shabnam Gul ◽  
Muhammad Faizan Asghar

Women, the 48.45% of total Afghan population usually termed and referred as the most victimized clan of Afghanistan. It is engendered notion and perceived as reality around the world. Undoubtedly, Mujahidin and later the Taliban have made the situation miserable for women. But, comparatively, women in Afghanistan did not face as many cruelties earlier during Taliban regime as they suffering today. They were secured, honored and allowed to participate equally in all spheres of life ranging from socio-economic to religio-political during the reign of Taliban. Majority of the religious elite among the Muslims interprets the religious teachings according to its own requirements to assure legitimacy particularly in the context of women. Same is the case with Afghanistan, which, being the buffer state, had been remained epicenter for political interests of world powers and who used its soil to expand or legitimize their authority, violate human rights specifically women as wartime strategy to achieve the goals. This intricate study with reference to the manipulated status of women is based on qualitative method and will explore the political dimensions where women have been used as wartime strategy to legitimize the power. It is based on explanatory and exploratory goals of the study. The thematic and observational approach will be used to analyze the available qualitative data by using secondary sources.


Author(s):  
Augustine Nduka Eneanya

Persisting absence of human rights, widening inequality, and social justice in healthcare delivery systems within and between countries present significant challenges to the focus and practice of contemporary public health. This chapter compares how cases of human rights, equity, and social justice are integrated in America's and Nigeria's healthcare policies. Qualitative research and case study design were adopted. Data were collected from secondary sources, such as reviewed literature, textbooks, journal articles, government reports, and internet. Content and critical case studies analysis methods were utilized to analyze, explain, and compare America's and Nigeria's health policies. Findings reveal absence of human rights, equity, and social justice among sub-groups in healthcare service delivery in America and Nigeria. The chapter concludes by suggesting that human rights, equity, and social justice should be integrated into health policies of America and Nigeria in order to make access to healthcare service delivery a right for citizens.


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