Modelli operativi per l'inserimento di utenti dei servizi di salute mentale nel mondo del lavoro

2009 ◽  
pp. 105-125
Author(s):  
Vincenzo Trono
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Workers ◽  
Mental Health Workers ◽  
Social Planning ◽  
Work Placement ◽  
Health Project ◽  
Customary Practices

- this paper addresses - in the context of mental health care and rehabilitation - the issue of work. Work inclusion for people suffering of mental disorders is a pathway towards: recovery of skills and relations, acknowledgment of identity, right of citizenship and right of having an employment and receiving an income. The author describes training and placement activities, now customary practices, that ensure nevertheless flexibility and adaptability in the responses to the needs of the user. He underlines the role of mental health workers and their teams, and the quality of their relationship with the users that have developed in a perspective of confidence and empowerment. He finally analyses critically the current different modes of work placement and proposes new ways of improving work inclusion and social planning.Key Words: work, mental health, project, communityParole Chiave: lavoro, salute mentale, progetto, comunitŕ.

Global psychiatry

2017 ◽  
pp. 674-680
Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Workers ◽  
Global Mental Health ◽  
Scale Up ◽  
Mental Health Workers ◽  
Middle Income ◽  
Humanitarian Emergencies ◽  
Psychiatric Illnesses ◽  
Aids Pandemic

‘Global psychiatry’ discusses the global mental health movement. Across the globe, and especially in low- and middle-income settings, there is a high prevalence of untreated psychiatric illness. In lower resourced settings there is often the need to address the added influence of poverty. The chapter discusses the question of how to scale up services and models, including using lay mental health workers and also integration of mental health care into primary health care settings to better meet the needs of those suffering from psychiatric illnesses across the globe. Four areas are discussed in more detail—the HIV/AIDS pandemic, perinatal mental illness, child and adolescent mental health, and humanitarian emergencies.

Task-shifting in Mental Health Services: Extent, Impact and Challenges in Ghana

2017 ◽  
Vol 41 (S1) ◽  
pp. S618-S618
Author(s):  
V. Agyapong
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Health Workers ◽  
Continuing Professional Development ◽  
Task Shifting ◽  
Mental Health Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

AimTo examine the role and scope of practice of community mental health workers (CMHWs) as well as the impact and challenges associated with of work of CMHWs within Ghana's mental health delivery system.MethodsA cross sectional survey of 11 psychiatrists, 29 health policy directors and 164 CMHWs as well as key informant interviews with 3 CMHWs, 5 psychiatrists and 2 health policy directors and three focus group discussions with 21 CMHWs. Results of quantitative data were analysed with SPSS version 20 whilst the results from qualitative data were analysed manually through thematic analysis.ResultsIn addition to duties prescribed in their job descriptions, all the CMHWs identified several jobs that they routinely perform including jobs reserved for higher level cadres such as medication prescribing for which most of the CMHWs have no training. Some CMHWs reported they had considered leaving the mental health profession because of the stigma, risk, lack of opportunities for continuing professional development and career progression as well as poor remuneration. Almost all the stakeholders believed CMHWs in Ghana receive adequate training for the role they are expected to play although many identify some gaps in the training of these mental health workers for the expanded roles they actually play. All the stakeholders expressed concerns about the quality of the care provided by CMHWs.ConclusionThe study highlights several important issues, which facilitate or hinder effective task-shifting arrangements from psychiatrists to CMHWs and impact on the quality of care provided by the latter.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals The Role of Ethics in Reducing and Improving the Quality of Coercion in Mental Health Care

HEC Forum ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 59-74 ◽  
Author(s):  
Reidun Norvoll ◽  
Marit Helene Hem ◽  
Reidar Pedersen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care

scholarly journals ‘Restoring the person's life’: a qualitative study to inform development of care for people with severe mental disorders in rural Ethiopia

2016 ◽  
Vol 26 (1) ◽  
pp. 43-52 ◽  
Author(s):  
S. Mall ◽  
M. Hailemariam ◽  
M. Selamu ◽  
A. Fekadu ◽  
C. Lund ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Workers ◽  
Service Users ◽  
Severe Mental Disorders ◽  
Term Care ◽  
Rural Ethiopia

Aims.In low-income countries, care for people with severe mental disorders (SMDs) who manage to access treatment is usually emergency-based, intermittent or narrowly biomedical. The aim of this study was to inform development of a scalable district-level mental health care plan to meet the long-term care needs of people with SMD in rural Ethiopia.Methods.The present study was carried out as formative work for the Programme for Improving Mental health CarE which seeks to develop, implement and evaluate a district level model of integrating mental health care into primary care. Six focus group discussions and 25 in-depth interviews were conducted with service planners, primary care providers, traditional and religious healers, mental health service users, caregivers and community representatives. Framework analysis was used, with findings mapped onto the domains of the Innovative Care for Chronic Conditions (ICCC) framework.Results.Three main themes were identified. (1) Focused on ‘Restoring the person's life’, including the need for interventions to address basic needs for food, shelter and livelihoods, as well as spiritual recovery and reintegration into society. All respondents considered this to be important, but service users gave particular emphasis to this aspect of care. (2) Engaging with families, addressed the essential role of families, their need for practical and emotional support, and the importance of equipping families to provide a therapeutic environment. (3) Delivering collaborative, long-term care, focused on enhancing accessibility to biomedical mental health care, utilising community-based health workers and volunteers as an untapped resource to support adherence and engagement with services, learning from experience of service models for chronic communicable diseases (HIV and tuberculosis) and integrating the role of traditional and religious healers alongside biomedical care. Biomedical approaches were more strongly endorsed by health workers, with traditional healers, religious leaders and service users more inclined to see medication as but one component of care. The salience of poverty to service planning was cross-cutting.Conclusions.Stakeholders prioritised interventions to meet basic needs for survival and endorsed a multi-faceted approach to promoting recovery from SMD, including social recovery. However, sole reliance on this over-stretched community to mobilise the necessary resources may not be feasible. An adapted form of the ICCC framework appeared highly applicable to planning an acceptable, feasible and sustainable model of care.

scholarly journals The Art of Silence: Researching the Role of Silence in Nature Based Expressive Arts

2019 ◽  
Vol 4 (2) ◽  
pp. 646-676
Author(s):  
Alexandra Tegart
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Community Services ◽  
Expressive Arts ◽  
Mental Health Workers ◽  
Care Providers ◽  
Vulnerable Communities ◽  
Short Series ◽  
Downtown Eastside

This paper journeys into the aesthetics of silence in nature-based expressive arts practice and research. Explored is how nature-based expressive arts (EXA) therapy can help cultivate an embodied sense of silence to nourish and support frontline mental health workers in the Vancouver Downtown Eastside, easing the stresses of assisting a population in the midst of an opioid and overdose crisis. The transformational effects of EXA are discussed as they relate to a short series of workshops with frontline mental health workers from Vancouver’s PHS Community Services Society. We collectively experienced how the phenomenon of silence can help provide a rich resource to care providers and, in turn, inform the nature of our research in vulnerable communities.  

scholarly journals Attitudes of mental health workers to treatment in their own workplaces

1996 ◽  
Vol 20 (1) ◽  
pp. 20-22
Author(s):  
John Stephens ◽  
Mark Prunty ◽  
Wojciech Falkowski
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Treatment Options ◽  
Mental Health Workers ◽  
Local Service ◽  
Care Workers ◽  
Operational Policies ◽  
Mental Health Care Workers

Recent questions have been raised regarding the development of policies by Trusts for the treatment of their locally resident staff outside the hospitals in which they work. A questionnaire was developed to elicit views of mental health care workers on this issue. Overwhelming agreement was found among a wide variety of staff groups on the need for provision of treatment options outside the local service. Considerable thought and planning are needed in the development of formal operational policies to ensure such a service is provided by all hospitals/Trusts.

SOCIALLY WITHDRAWN CHILDREN: THE ROLE OF MENTAL HEALTH PRACTITIONERS

1977 ◽  
Vol 5 (2) ◽  
pp. 337-343 ◽  
Author(s):  
Tony Appolloni ◽  
Thomas P. Cooke
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Social Withdrawal ◽  
Maladaptive Behavior ◽  
Mental Health Workers ◽  
Classroom Teachers ◽  
Behavioral Technology ◽  
The Social ◽  
Health Practitioners

This paper reviews the literature regarding the problem of social withdrawal in childhood. Consideration is offered of the significance of the problem as an entity and as it is related to other patterns of maladaptive behavior. Additionally, behavior therapy classroom procedures which have proven effective in remediating social withdrawal are critically reviewed. It is concluded that sufficient behavioral technology now exists to treat the problem of social withdrawal in regular classroom settings, and that mental health workers should serve as resource people to classroom teachers to enhance the social development of withdrawn children.

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