scholarly journals Terapia Comunitária Integrativa como estratégia de apoio à atenção primária à saúde

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 446-461
Author(s):  
Maria da Graça Araújo Garcia
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Professional Practice ◽  
Community Based ◽  
Universal System ◽  
Levels Of Care ◽  
Primary Health ◽  
Primary Mental Health Care ◽  
Health Care Unit

This article reports on the process of implementing Integrative Community Therapy (ICT) in the Primary Health Care (PHC) of the Health Care Unit XXXXX. The relevance of this work takes place in the sphere of welcoming people in psychic distress who seek support in the Single Health System (SUS). PHC is the gateway to the SUS, a public, universal system, hierarchized in attention levels and that proposes care in an equitable and integral manner. PHC is responsible for coordinating care at all levels of care. From this perspective, TCI, as a community-based and systemic care strategy, will be considered Primary Mental Health Care. The project considers the ICD as a scenario for changing professional practice in the area of mental health and a field of in-service teaching for doctors and resident doctors of Family and Community Medicine and Psychiatry.

Lock-down, social distancing and mental health during the covid-19 pandemic: perspectives, challenges, and opportunities in African settings: A Case of Democratic Republic of Congo (Preprint)

2020 ◽  
Author(s):  
Mutume Vivalya ◽  
Jimmy BEN FORRY ◽  
Okesina AKEEM AYODEJI ◽  
Kalima Nzanzu Adelard ◽  
Paluku Mwalitsa Jean-Paul ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Democratic Republic ◽  
Mental Health Problems ◽  
Democratic Republic Of Congo ◽  
Community Based ◽  
Republic Of Congo ◽  
Primary Health ◽  
Therapy Strategy

UNSTRUCTURED The COVID-19 pandemic has led to the resolution of a total lockdown both developed and developing countries. The lock-down has worsened the prevailing economic crisis, affected the health and political system, exacerbated unemployment levels and cost of managing health conditions in African settings and especially the Democratic Republic of Congo; which tends to have detrimental effects on the mental health of the affected population. Also, it is extremely expensive to access professional health care services. We ought to provide insight into policy-relevant approaches including integrative community based organization, digital heath, systematic screening of mental health problems in primary health care, given that failure to treat those who are emotionally affected will result in long-term social and economic outcomes and costs to society. The primary health workers should be trained on mental health care delivered through the internet and digital support. Helping affected community by COVID-19 to feel mentally better will require the integration of online telehealth among primary health care for the online mental health screening and psychotherapy centred on a supportive therapy strategy, anger/stress management, and the establishing of integrative community based organisation. Any partners during the COVID-19 should plan for the workshop on online mental health services and training to allow its integration and the reportage from patient’s home to the health centres and hospitals.

scholarly journals A student-facilitated community-based support group initiative for Mental Health Care users in a Primary Health Care setting

2017 ◽  
Vol 22 ◽  
pp. 307-315
Author(s):  
Leana Meiring ◽  
Maretha Visser ◽  
Nicola Themistocleous
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Support Group ◽  
Health Centre ◽  
Social Constructionist ◽  
Service Users ◽  
Community Based ◽  
Primary Health

Background: South African Mental Health Care (MHC) legislation advocates for supportive rehabilitative services in Primary Health Care (PHC) settings. PHC settings are often understaffed and MHC nurses in these settings overburdened with high patient loads. Alternative cost-effective psycho-social intervention strategies must be explored to supplement the overstrained MHC sector to meet the rehabilitative and supportive needs of service users in community settings. Using a social constructionist epistemology, this study aimed to highlight the value of a community-based support group for MHC users at a Tshwane District Community Health Centre. This was done by exploring the meaning group members attached to the group. The intervention was a collaborative partnership between a local University Psychology Department and the Department of Health, Tshwane District, utilising post-graduate psychology students as group facilitators.Methods: Qualitative research methods were applied. Data were collected using semistructured interviews and a collage-making and storytelling method. Thematic analysis highlighted the main themes representing the meaning the five participants ascribed to the group.Results: The findings suggest that the group offered the participants a sense of belonging and a means of social and emotional support. The group also created opportunity for learning, encouraged mental and physical mobilisation and stimulation, and served as an additional link to professional services. Conclusion: The findings suggest that student-facilitated support groups could offer a viable supplement for offering support to service users in PHC settings. The group assisted MHC users to cope with symptoms, social integration, and participating in meaningful activities as part of rehabilitation services.

scholarly journals Viewpoint: Peer support workers: an untapped resource in primary mental health care

2015 ◽  
Vol 7 (1) ◽  
pp. 84 ◽  
Author(s):  
Juan Perez ◽  
Jacquie Kidd
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Peer Support ◽  
Care Setting ◽  
Primary Health Care Setting ◽  
Primary Health ◽  
Primary Mental Health Care ◽  
Untapped Resource

The treatment of moderate to severe mental illness in a primary health care setting is an area under development and can be contentious. The capacity, capability, resourcing and willingness of staff and organisations all feature in the discussions among specialist services and primary health care providers about the opportunities and barriers associated with primary mental health care. This paper presents the peer support worker as an untapped resource that has the potential to support the patient, primary health care staff, and general practitioner in the care of people who fall outside the current understanding of 'mild' mental health problems, but who would nonetheless benefit from receiving their care in a primary health care setting. KEYWORDS: General practice; mental health; mental health services, community; primary health care

scholarly journals Professionals’ perspectives on factors within primary mental health services that can affect pathways to involuntary psychiatric admissions

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Irene Wormdahl ◽  
Tonje Lossius Husum ◽  
Jorun Rugkåsa ◽  
Marit B. Rise
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Care Level ◽  
Psychiatric Admissions ◽  
Primary Health ◽  
Primary Mental Health Care

Abstract Background Reducing involuntary psychiatric admissions has been on the international human rights and health policy agenda for years. Despite the last decades’ shift towards more services for adults with severe mental illness being provided in the community, most research on how to reduce involuntary admissions has been conducted at secondary health care level. Research from the primary health care level is largely lacking. The aim of this study was to explore mental health professionals’ experiences with factors within primary mental health services that might increase the risk of involuntary psychiatric admissions of adults, and their views on how such admissions might be avoided. Methods Qualitative semi-structured interviews with thirty-two mental health professionals from five Norwegian municipalities. Data were analysed according to the Systematic Text Condensation method. Results Within primary mental health care professionals experienced that a number of factors could increase the risk of involuntary psychiatric admissions. Insufficient time and flexibility in long-term follow-up, limited resources, none or arbitrary use of crisis plans, lack of tailored housing, few employment opportunities, little diversity in activities offered, limited opportunities for voluntary admissions, inadequate collaboration between services and lack of competence were some of the factors mentioned to increase the risk of involuntary psychiatric admissions. Several suggestions on how involuntary psychiatric admissions might be avoided were put forward. Conclusions Mental health professionals within primary mental health care experienced that their services might play an active part in preventing the use of involuntary psychiatric admissions, suggesting potential to facilitate a reduction by intervening at this service level. Health authorities’ incentives to reduce involuntary psychiatric admissions should to a greater extent incorporate the primary health care level. Further research is needed on effective interventions and comprehensive models adapted for this care level.

A study of current primary health care in rural district, Japan - Problmes of community-based school health.

1986 ◽  
Vol 35 (2) ◽  
pp. 165-171
Author(s):  
Kenji ABE ◽  
Tetsuhito FUKUSHIMA ◽  
Akio NAKAGAWA ◽  
Nobuo YOSHIDA ◽  
Tomoko TAGAWA ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
School Health ◽  
Rural District ◽  
Community Based ◽  
Primary Health

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

scholarly journals Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Service Users ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Primary Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.

scholarly journals Social determinants of depression: association with age, gender and primary health care model

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J China
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Social Determinants ◽  
Care Physician ◽  
Health Policies ◽  
Age And Gender ◽  
Primary Health ◽  
And Gender ◽  
Primary Health Care Physician

Abstract Background Depression is one of the most common mental disorders worldwide and is a major contributor to the overall global burden of disease. The social determinants of age, gender and access to a primary health care physician have been identified as significant determinants of variability in the prevalence of depression. This research evaluates the association between depression and these social determinants in the city of Almada, in Portugal. Methods This cross-sectional study reports the one-month prevalence (December, 2015) of depression and its association with age, gender and access to a primary health care doctor in Almada's primary health care population. Data was collected from the 'Information System of the Regional Health Administration' (SIARS) database. The diagnostic tools used for the identification of cases were the ICPC-2 codes 'P76: Depressive Disorder' and 'P03: Feeling Depressed'. An odds ratio was applied as an association measure. Results Regarding gender and age: women are more likely to develop depression than men (OR 3.21) and the age group of 40-64 years is more likely to develop depression compared with other age groups (OR 2.21). The odds of being affected by depression for patients with a permanent primary health care physician, compared with users without a permanent primary health care physician, are higher (OR 2.24). Conclusions The patterns of association of age and gender, uncovered in this dataset, are consistent with previously reported findings for other Western countries. The association between depression and the assignment of a permanent primary health care doctor is highly significant. This finding suggests the existence of a higher detection rate of depression in patients with a permanent doctor and adds weight to the need to implement health policies that guarantee a primary health care physician for each patient. Key messages The age and gender gap in depression calls for stronger public health and intersectoral strategies to promote and protect mental health, in community-based settings. Reducing barriers and enhancing access to high-quality primary medical care must be a cornerstone of mental health policies.

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