scholarly journals Dependência química: saúde mental das pessoas em situação de rua

2021 ◽  
Vol 11 (33) ◽  
pp. 327-332
Author(s):  
Viviane Venturi ◽  
Luiz Faustino dos Santos Maia ◽  
Ana Maria Sanches ◽  
Cidia Vasconcellos

Pessoas que vivem em situação de rua foram caracterizadas como pessoas que não dispunham de uma moradia fixa. A partir deste contexto observamos que cada vez mais pessoas vivem excluídas de seus direitos básicos. Este trabalho visa compreender a saúde mental de pessoas que vivem em situação de rua. Trata-se de um estudo descritivo de revisão da literatura, através de artigos encontrados nas bases de dados SCIELO, Biblioteca Virtual em Saúde e sites governamentais, onde foram encontrados 45 artigos, dos quais foram selecionados 13 artigos para o desenvolvimento do presente trabalho. Observou-se a importância dos consultórios de rua como porta de entrada das pessoas que vivem em situação de rua no acesso aos serviços de saúde e consequentemente contribuindo para a sua reinserção na sociedade. As pessoas que vivem em situação de rua vivem de forma vulnerável, suscetíveis a vários fatores que podem comprometer a sua saúde física e mental, os profissionais que trabalham com essa população através dos consultórios na rua, devem estar preparados para atender essa demanda e toda a singularidade.Descritores: Consultório na rua, Pessoas em situação de rua, Assistência à saúde. Chemical dependency: mental health of homeless peopleAbstract: People living on the streets were characterized as people who did not have a fixed home. From this context, we observe that more and more people are excluded from their basic rights. This work aims to understand the mental health of people living on the streets. It is a descriptive study of literature review, through articles found in the SCIELO databases, Virtual Health Library and government websites, where 45 articles were found, of which 13 articles were selected for the development of this work. It was observed the importance of street clinics as a gateway for people living on the streets in accessing health services and consequently contributing to their reintegration into society. People living on the streets live in a vulnerable way, susceptible to various factors that can compromise their physical and mental health, professionals who work with this population through street offices must be prepared to meet this demand and the entire community. singularity.Descriptors: Street Clinic, Homeless Persons, Health care. Dependencia química: salud mental de las personas sin hogarResumen: Las personas que vivían en la calle se caracterizaron como personas que no tenían un hogar permanente. Desde este contexto, observamos que cada vez son más las personas excluidas de sus derechos básicos. Este trabajo tiene como objetivo comprender la salud mental de las personas que viven en la calle. Se trata de un estudio descriptivo de revisión de la literatura, a través de artículos encontrados en las bases de datos SCIELO, Biblioteca Virtual en Salud y sitios web gubernamentales, donde se encontraron 45 artículos, de los cuales 13 artículos fueron seleccionados para el desarrollo del presente trabajo. Se observó la importancia de las clínicas de calle como puerta de entrada para que las personas que viven en la calle accedan a los servicios de salud y, en consecuencia, contribuyan a su reintegración a la sociedad. Las personas que viven en la calle viven de manera vulnerable, susceptibles a diversos factores que pueden comprometer su salud física y mental, los profesionales que trabajan con esta población a través de oficinas de calle deben estar preparados para atender esta demanda y la singularidad de toda la comunidad.Descriptores: Práctica de Calle, Personas sin Hogar, Atención de la Salud.

2021 ◽  
Vol 2 (1) ◽  
pp. 92-100
Author(s):  
Erik Gabriel Díaz Avila ◽  
Marcela Fernández-Carrera Muchova ◽  
Teresa Sánchez Villanueva ◽  
Vega Sánchez Calvo ◽  
Jesús Francisco Mesonero Robles

El duelo es un proceso natural que han de pasar las personas tras la pérdida de un ser querido. Durante la actual pandemia COVID-19 los profesionales sanitarios han sido víctimas, pues se han tenido que enfrentar a una situación sin precedentes en la que se ha puesto en juego su propia salud mental. El objetivo principal del estudio ha sido analizar el duelo en los profesionales sanitarios durante la actual pandemia COVID-19. Se realizó una revisión de la literatura, no sistemática, en las diferentes bases de datos científicas para analizar el duelo en el ámbito de la medicina ligado al duelo vivido por los profesionales sanitarios, centrado en la situación actual de crisis sanitaria, así como los problemas que añadió la pandemia COVID-19. La pandemia COVID-19 ha puesto de manifiesto la importancia del duelo y la despedida justa, la cual no se pudo dar en la mayoría de los casos. Es imperiosa la preparación que han de recibir los profesionales sanitarios para enfrentar dicho proceso e incluso, los futuros profesionales sanitarios. Queda de manifiesto la importancia de la capacitación y cuidado de la salud mental, tanto en pacientes, familiares, personal sanitario y futuros profesionales de la salud. A la vez que, se ha de garantizar la resiliencia enfocada a los aspectos relacionados con el duelo. Grief is a natural process that people go through after the loss of a loved one. During the current COVID-19 pandemic, health professionals have been victims, as they have had to face an unprecedented situation in which their own mental health has been put at stake. The main objective of the study has been to analyze the grief in health professionals during the current COVID-19 pandemic. A literatura review, non-systematic was carried out in the different scientific databases to analyze the grief in the field of medicine linked to the grief experienced by health professionals, focused on the current situation of health crisis, as well as the problems added by the COVID-pandemic. 19. The COVID-19 pandemic has highlighted the importance of mourning and a fair farewell, which could not be given in most cases. The preparation that health professionals must receive to face this process and even future health professionals is imperative. The importance of training and mental health care is evident, both in patients, relatives, health personnel and future health professionals. At the same time, resilience focused on aspects related to grief must be guaranteed.


2020 ◽  
pp. 002076402094678
Author(s):  
Dana Alonzo ◽  
Dafne Aida Zapata Pratto

Background: Mental Health professionals often have to deal with at-risk individuals in crises and lack specialized training on suicide risk assessment and intervention. This study examined mental health professionals’ attitudes toward at-risk individuals and their perceptions of the quality of training and treatment available for assessing and intervening with this population. Methods: A total of 32 mental health professionals (13 psychiatrists, 16 psychologists, 2 psychiatric nurses; 1 social assistant) from highly vulnerable communities in Lima, Peru discussed their perceptions in four focus groups conducted by the authors. Results: Participants reported glaring deficiencies in all areas explored including training, knowledge and skills regarding suicide assessment and management. In addition, using ground theory analysis, three domains of findings emerged representing barriers and facilitators of treatment engagement, risk and protective factors of suicide and pros and cons of the current mental health care system including micro-, mezzo- and macro-level factors. The most frequently identified barrier was the perception that suicide is illegal; facilitator was family involvement; risk factor was poor parenting; protective factor was religious beliefs; pro of mental health care system was establishment of community-based services and con of mental health care system was lack of access to psychiatrists. Conclusion: The lack of specialized training available in the institutions that are designed to prepare mental health professionals for working with at-risk individuals is notable and has a direct and known impact self-identified by helping professionals. The need and desire for targeted training is palpable and essential to address growing rates of suicide, particularly among youth, in Peru.


2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 85S-91S
Author(s):  
Sandeep Grover ◽  
Siddharth Sarkar ◽  
Rahul Gupta

Digital psychiatry and e-mental health have proliferated and permeated vastly in the current landscape of mental health care provision. The COVID-19 crisis has accelerated this digital transformation, and changes that usually take many years to translate into clinical practice have been implemented in a matter of weeks. These have outpaced the checks and balances that would typically accompany such changes, which has brought into focus a need to have a proper approach for digital data handling. Health care data is sensitive, and is prone to hacking due to the lack of stringent protocols regarding its storage and access. Mental health care data need to be more secure due to the stigma associated with having a mental health condition. Thus, there is a need to emphasize proper data handling by mental health professionals, and policies to ensure safeguarding patient’s privacy are required. The aim of useful, free, and fair use of mental health care data for clinical, business, and research purposes should be balanced with the need to ensure the data is accessible to only those who are authorized. Systems and policies should be in place to ensure that data storage, access, and disposal are systematic and conform to data safety norms.


2019 ◽  
Vol 59 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Edyta Charzyńska ◽  
Irena Heszen-Celińska

Abstract This qualitative study involved a sample of 121 Polish mental health professionals who were interviewed about their definitions of spirituality and their opinions and practices concerning the inclusion of clients’ spirituality in therapy. Using inductive content analysis, we identified seven categories regarding the definitions of spirituality: (1) relationship, (2) transcendence, (3) dimension of functioning, (4) a specific human characteristic, (5) searching for the meaning of life, (6) value-based lifestyle, and (7) elusiveness and indefinability. The majority of respondents claimed to include elements of spirituality in therapy. However, some participants included spirituality only under certain circumstances or conditions, or did not include it at all, citing lack of need, lack of a clear definition of spirituality, their own insufficient knowledge, lack of experience, fear, or concern over ethical inappropriateness. Implicit techniques were primarily used when working on clients’ spirituality. This article deepens the knowledge on including spirituality in mental health care, with special consideration for a specific context of a highly religious and religiously homogenous culture.


Author(s):  
Gali Katznelson ◽  
Jacek Orzylowski

A 2017 survey of 529 psychiatrists in Canada found that while 72% of psychiatrists supported medical assistance in dying (MAID) in some cases, only 29.4% supported MAID solely on the basis of mental disorders.  Understanding and addressing the concerns of mental health professionals will be crucial in deciding whether and how to expand MAID solely for a mental disorder in Canada. The report, “The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder Is the Sole Underlying Medical Condition,” authored by The Council of Canadian Academies, highlights some concerns that mental health professionals might harbour. These include potentially feeling that there is a conflict between providing MAID and their duties as mental health care workers, the subjectivity of the current law, and Canada’s inequitable mental health care system.


CNS Spectrums ◽  
2009 ◽  
Vol 14 (12) ◽  
pp. 677-684 ◽  
Author(s):  
Stephen M. Stahl

The recent shootings at Ft. Hood, allegedly by an army psychiatrist, have placed much needed focus on army mental health care. Questions are now being raised as to whether longstanding and severe shortages in the number of mental health professionals in the army may have led authorities to overlook danger signals in this psychiatrist, failing to remove him in order to retain a worker with rare and valuable psychiatric credentials for army service. Whether or not this is the case, examination of mental health care in the army shows a system that is indeed understaffed, under tremendous pressure, and near the breaking point.


2007 ◽  
Vol 15 (4) ◽  
pp. 658-664
Author(s):  
Maria Alice Ornellas Pereira

This study aims to identify the representations about Psychosocial Rehabilitation by Mental Health professionals working in open services, and also the difficulties they have met in the process of turning the care effective for the population. The study uses a qualitative methodology, collecting data by means of semistructured interviews with 15 subjects. The professionals identify the rehabilitation process as complex, meeting several obstacles and requiring their dedication and a flexible attitude to achieve the expected results.


2019 ◽  
Vol 44 (3) ◽  
pp. 149-155 ◽  
Author(s):  
Annie Snow ◽  
Julie Cerel ◽  
Diane N Loeffler ◽  
Chris Flaherty

AbstractContemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous literature review identified eight relevant studies: six qualitative designs and two quantitative designs. Thematic synthesis revealed three major barriers to care and five corresponding subthemes: (1) personal concerns, involving fear of being pathologized or stereotyped and an objection to common therapeutic practices; (2) incompetent mental health professionals, including those who are unknowledgeable, unnuanced, and unsupportive; and (3) affordability factors. Results indicate an acute need for practitioner training to ensure the psychological well-being of TGNC clients.


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