Establishment and operation of the residential therapeutic services: an integrative literature review

2011 ◽  
Vol 5 (9) ◽  
pp. 2268
Author(s):  
Dulcian Medeiros de Azevedo ◽  
Danielle Souza Silva
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Latin American ◽  
Assisted Living ◽  
Reform Process ◽  
Assisted Living Facilities ◽  
Electronic Library ◽  
Residential Services ◽  
Salud Mental

ABSTRACT Objective: bringing to pass an integrative review of the literature on Therapeutic Residential Services (SRT) in Brazil. Method: the research was performed on the Latin American and Caribbean of Health Sciences Information System (LILACS) and Scientific Electronic Library On-line (SCIELO) database, from 2002 to 2009 period, using the descriptors Assisted Living Facilities, Mental Health Services and Desinstitutionalization, 13 articles having been included. Results: the highlights were publications in nursing journals, inferring nursing concern with the subject. Two thematic currents were developed: Therapeutic Residential Services - factors that interfere with their deployment and operation; the SRT and the influence of its actors. Conclusion: the establishment, implementation and experiences of SRT in the national setting meet the peculiarities of each region by the psychiatric reform process experienced. The break up with the old asylum model care represents a difficult task, not happening at the same time and similarly in all regions, because it involves socioeconomic and, especially, cultural issues. Descriptors: assisted living facilities; mental health; mental health services; deinstitutionalization; health care.RESUMOObjetivo: realizar uma revisão integrativa da literatura sobre os Serviços Residenciais Terapêuticos (SRT) no Brasil. Método: a busca foi realizada na base de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Scientific Electronic Library Online (SCIELO), período 2002 a 2009, a partir dos descritores Moradias Assistidas, Serviços de Saúde Mental e Desinstitucionalização, sendo incluídos 13 artigos. Resultados: destacaram-se as publicações em periódicos de enfermagem, inferindo preocupação da enfermagem com a temática. Foram construídos dois eixos temáticos: Serviços Residenciais Terapêuticos - fatores que interferem em sua implantação e funcionamento; O SRT e a influência de seus atores. Conclusão: a implantação, a implementação e as experiências dos SRT no cenário nacional obedecem a peculiaridades de cada região, mediante o processo de Reforma Psiquiátrica vivenciado. O rompimento com o antigo modelo manicomial representa uma difícil tarefa, não acontece ao mesmo tempo e de forma semelhante em todas as regiões, pois envolve questões socioeconômicas, e, principalmente, culturais. Descritores: moradias assistidas; saúde mental; serviços de saúde mental; desinstitucionalização; atenção à saúde. RESUMENObjetivo: realizar una revisión integradora de la literatura sobre Servicios Residenciales Terapéuticos (SRT) en Brasil. Método: se realizó una búsqueda en la base de datos Sistema Latinoamericano y del Caribe de Información en Ciencias de la Salud (LILACS) y Scientific Electronic Library Online (SCIELO), desde 2002 hasta 2009, con los descriptores vivienda asistida, Servicios de Salud Mental y la desinstitucionalización, e incluía 13 artículos. Resultados: los destaques fueron las publicaciones en revistas de enfermería, infiriendo preocupación de enfermería con el tema. Se construyó dos temas: los servicios residenciales terapéuticos - factores que interfieren con su implementación y explotación; el SRT y la influencia de sus actores. Conclusión: La creación, implementación y experiencias de los SRT en el panorama nacional obedecen las peculiaridades de cada región por el proceso de reforma psiquiátrica experimentado. La ruptura con el antiguo modelo manicomial representa una tarea difícil, no ocurre al mismo tiempo y de manera similar en todas las regiones, ya que involucra cuestiones socioeconómicas y, sobre todo, culturales. Descriptores: instituciones de vida asistida; salud mental; servicios de salud mental; desinstitucionalización; atención a la salud.  

scholarly journals Modelización cartográfica mediante funciones kernel para la ubicación óptima de centros de salud mental, que requieren limeñas agredidas psicológicamente por su pareja

2018 ◽  
pp. 12-19
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Optimal Location ◽  
Health Centers ◽  
Psychological Violence ◽  
Salud Mental ◽  
Las Mujeres ◽  
Mental Health Centers ◽  
San Martín

Modelización cartográfica mediante funciones kernel para la ubicación óptima de centros de salud mental, que requieren limeñas agredidas psicológicamente por su pareja Cartographic modelling using functions kernel for the optimal location of mentalhealth centers, requiring limeñas psychologically assaulted by your partner Erwin Kraenau Espinal y María Estela Ponce Aruneri             Universidad Nacional Mayor de San Marcos, Facultad de Ciencias Matemáticas, Lima 01 DOI: https://doi.org/10.33017/RevECIPeru2014.0002/ Resumen La violencia psicológica, llamada también violencia emocional, es una forma de maltrato; que humilla, hace sentir mal e insegura a una persona, deteriorando su confianza y autoestima; es sutil y es mucho más difícil percibirla o detectarla. Se manifiesta a través de palabras hirientes, descalificaciones, gritos e insultos. Diversas organizaciones Nacionales e Internacionales se han pronunciado por la eliminación de la violencia contra la mujer en todas sus formas. El Perú es un país con limitados recursos económicos y con gran demanda de requerimientos de salud, particularmente de  servicios de salud mental. La finalidad de la presente investigación es determinar la ubicación óptima de centros de salud mental que requieren las mujeres limeñas que son víctimas de  violencia psicológica por parte de su pareja. La base de datos utilizada fue proporcionada por el “MIMP” Ministerio de la Mujer y Poblaciones Vulnerables. Se aplicó el modelo de Kernel para describir la demanda espacial  de los  servicios de salud mental que requieren las mujeres que sufren agresión psicológica por su pareja y son  residentes habituales en las viviendas circundantes a los Centros de Emergencia Mujer ubicados en los distritos de Lima Cercado, Ate, Comas, Puente Piedra, San Juan de Miraflores, San Martín de Porres y Santiago de Surco; los resultados indican que los centros de salud mental deben ubicarse en el  Cercado de Lima y Santiago de Surco. Descriptores: Suavización kernel, intensidad, dependencia espacial, violencia psicológica. Abstract Psychological violence, also called emotional violence, is a form of abuse; that humiliates, makes them feel bad and insecure to a person, deteriorating confidence and self-esteem; is subtle and is much more difficult to perceive or detect. It manifests itself through harsh words, insults, shouting and swearing. Various national and international organizations have advocated the elimination of violence against women in all its forms. Peru is a country of limited resources and high demand for health needs, particularly mental health services. The purpose of this research is to determine the optimal location of mental health centers that require the Lima women who are victims of psychological violence by their partner. The database used was provided by the      "MIMP” Ministry of Women and Vulnerable Populations. Kernel model was applied to describe the spatial demand for mental health services required by women who suffer psychological aggression by their partner and are habitually resident in the surrounding housing for women's emergency centers located in the districts of Lima Cercado, Ate, Comas, Puente Piedra, San Juan de Miraflores, San Martin de Porres and Santiago de Surco; results indicate that mental health centers should be located in the Cercado de Lima and Santiago de Surco. Keywords: Kernel smoothing, intensity, spatial dependence, psychological violence.

scholarly journals Opinion and perception of attitudes related to smoking and its prohibition in mental health services

2022 ◽  
Vol 21 (1) ◽  
pp. 380-432
Author(s):  
Renata Marques de Oliveira ◽  
Jair Lício Ferreira Santos ◽  
Antonia Regina Ferreira Furegato
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
General Population ◽  
Health Services ◽  
Psychiatric Hospital ◽  
Psychiatric Symptoms ◽  
Smoking Ban ◽  
Clinical Variables ◽  
Salud Mental ◽  
Psychiatric Population

Introduction: The opinions and perceptions about smoking in the psychiatric population contribute to the fact that its prevalence in this population remains two or three times higher than that found in other groups.Aims: 1) To compare the opinions of the psychiatric population and general population regarding the smoking ban in mental health services, as well as their perception of mental health professionals’ attitudes in relation to smoking; 2) To identify the association between personal and clinical variables with opinions and perception of attitudes.Methods: This Brazilian cross-sectional epidemiological study took place in: Mental Health Outpatient Unit (n=126), Psychiatric Hospital (n=126) and Primary Health Unit (n=126). Individual interviews were performed using a questionnaire.Results: Most participants believe that smoking ban may aggravate psychiatric symptoms. When comparing the responses of the psychiatric population with those of the general population, it is observed that the two groups have similar opinions regarding the effects of tobacco on psychiatric symptoms and behaviors. The population hospitalized in the psychiatric hospital was the one that most agreed with the perception of the attitudes of professionals working in mental health services towards smoking, possibly due to situations experienced in the psychiatric hospital. Among the personal and clinical variables, the illiterate or those who studied up to primary/junior high school were the ones who most agreed that the smoking ban aggravates psychiatric symptoms.Conclusions: This study contribute to the practice of psychiatric nursing by disclosing the opinions and perceptions of attitudes associated with smoking in mental health services. Introducción: Las opiniones y percepciones acerca del tabaquismo de la población psiquiátrica contribuyen a que su prevalencia, en esa población, sea de dos a tres veces superior a la encontrada en otros grupos.Objetivos: 1) Comparar las opiniones de la población psiquiátrica y de la población general en relación a la prohibición de fumar, en los servicios de salud mental, así como comparar la percepción que tienen de las actitudes de profesionales de salud mental, en relación al tabaquismo; 2) Identificar la asociación entre variables personales y clínicas con las opiniones y percepciones de las actitudes.Método: Este estudio epidemiológico brasileño de corte transversal fue realizado en Ambulatorio de Salud Mental (n=126), en Hospital psiquiátrico (n=126) y en Unidad Básica de Salud (n=126). Fueron realizadas entrevistas individuales usando un cuestionario.Resultados: La mayoría de los participantes cree que los síntomas psiquiátricos pueden agravarse con la prohibición de fumar. Al comparar las respuestas de la población psiquiátrica con la población general, se observó que los dos grupos tienen opiniones similares acerca de los efectos del tabaco en los síntomas psiquiátricos y en el comportamiento. La población internada en el hospital psiquiátrico fue la que más concordó con las afirmaciones relacionadas a las actitudes de los profesionales que trabajan en los servicios de salud mental, en relación al tabaquismo, posiblemente debido a las situaciones que experimentan en el hospital psiquiátrico. Entre las variables personales y clínicas, los analfabetos y los que estudiaron hasta la enseñanza fundamental fueron los que más concordaron que la prohibición de fumar puede agravar los síntomas psiquiátricos.Conclusión: Este estudio contribuye para la práctica de la enfermería psiquiátrica, al revelar las opiniones y percepciones de actitudes relacionadas al tabaquismo, en los servicios de salud mental. Introdução: As opiniões e percepções acerca do tabagismo da população psiquiátrica contribuem para sua prevalência, nessa população, ser duas a três vezes superior à encontrada em outros grupos.Objetivo: 1) Comparar as opiniões da população psiquiátrica e da população geral em relação à proibição do fumo nos serviços de saúde mental, bem como a percepção que elas têm das atitudes dos profissionais de saúde mental em relação ao tabagismo; 2) Identificar a associação entre variáveis pessoais e clínicas com as opiniões e percepção das atitudes.Método: Este estudo epidemiológico brasileiro de corte transversal foi realizado em: Ambulatório de Saúde Mental (n=126), Hospital psiquiátrico (n=126) e Unidade Básica de Saúde (n=126). Foram conduzidas entrevistas individuais usando questionário.Resultados: A maioria dos participantes acredita que os sintomas psiquiátricos podem ser agravados com a proibição do fumo. Ao comparar as respostas da população psiquiátrica com as da população geral, é observado que os dois grupos têm opiniões similares acerca dos efeitos do tabaco nos sintomas psiquiátricos e no comportamento. A população internada no hospital psiquiátrico foi a que mais concordou com as afirmativas relacionadas às atitudes dos profissionais que trabalham nos serviços de saúde mental em relação ao tabagismo, possivelmente devido às situações que experienciam no hospital psiquiátrico. Dentre as variáveis pessoais e clínicas, os analfabetos e os que estudaram até o ensino fundamental foram os que mais concordaram que a proibição do fumo pode agravar os sintomas psiquiátricos.Conclusão: Este estudo contribui para a prática da enfermagem psiquiátrica ao revelar as opiniões e percepções das atitudes relacionadas ao tabagismo nos serviços de saúde mental.

scholarly journals Community-based rehabilitation and the Clubhouse Model as means to recovery and mental health services reform.

2014 ◽  
Vol 76 (1) ◽  
pp. 3 ◽  
Author(s):  
Esko Hänninen ◽  
Javed Afzal ◽  
Henrik Wahlberg
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
Derechos Humanos ◽  
Community Based Rehabilitation ◽  
Clubhouse Model ◽  
Salud Mental

Se examinan las tendencias de rehabilitación basada en la comunidad (CBR) y el modelo de rehabilitación psicosocial denominado Clubhouse (CH) como instrumentos de políticas de reforma de la Salud Mental (MH). El trabajo se basa en documentación del proyecto transnacional “Empoderamiento de adultos con enfermedad mental para aprendizaje e inclusión social en 2010-2012” además de otras fuentes. La colección de datos y subsecuentes análisis se prepararon en el contexto de cerca de 30 recomendaciones internacionales de políticas de salud mental desde los años 90 hasta el 2012. Los documentos fueron analizados y comparados con diferentes enfoques orientados a la recuperación, tales como el modelo CH, y con conceptos clave de la ciencia de Rehabilitación, vinculados con tendencias recientes de la rehabilitación psicosocial. Algunas de las más importantes recomendaciones intergubernamentales de políticas de salud mental son las Guías conjuntas de Trabajo de la Organización Mundial de la Salud (OMS) y UNESCO y varias asociaciones internacionales tales como la Asociación Mundial de Rehabilitación Psiquiátrica (WAPR) y el Marco Piramidal de la OMS para la óptima combinación de servicios de Salud Mental, complementados con el Plan Integral de Acción en Salud Mental 2013-2020 aprobado por la OMS este año. Todas estas fuentes incluyen el espectro total de trastornos mentales. Factores de combinación son los derechos humanos, basados en una comprensión más holística de las discapacidades en lugar de un enfoque meramente médico. Todas estas recomendaciones están orientadas a su utilización a nivel global.

scholarly journals Deinstitutionalization of Psychiatric Care in Latin America and the Caribbean

2021 ◽  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Latin America ◽  
Mental Health Services ◽  
Health Services ◽  
Latin American ◽  
Psychiatric Care ◽  
Supported Housing ◽  
Care Hospital ◽  
The Caribbean

This technical document is a framework for action. Its objective is to guide the psychiatric care deinstitutionalization process in the context of Latin America and the Caribbean. The essential purpose of deinstitutionalization is to limit the role of psychiatric hospitals by incorporating acute care hospital beds into general hospitals and replace those psychiatric facilities with community-supported housing solutions for people with severe mental illness. At the same time, there must be an efficient network of community-based mental health services. This involves the priority development of effective new community practices and services that protect the rights of people with mental illness. This publication summarizes the facilitators and barriers that will be encountered in the deinstitutionalization process and identifies useful and proven interventions in Latin American and Caribbean countries. Four areas of work are identified with the respective guidelines or suggestions for action, which should provide an operational guide for countries that are restructuring mental health services and moving toward the deinstitutionalization of psychiatric care.  ---do not use text below, please --- This technical document is a framework for action. Its objective is to guide the psychiatric care deinstitutionalization process in the context of Latin America and the Caribbean. The essential purpose of deinstitutionalization is to limit the role of psychiatric hospitals by incorporating acute care hospital beds into general hospitals and replace those psychiatric facilities with community-supported housing solutions for people with severe mental illness. At the same time, there must be an efficient network of community-based mental health services. This involves the priority development of effective new community practices and services that protect the rights of people with mental illness. This publication summarizes the facilitators and barriers that will be encountered in the deinstitutionalization process and identifies useful and proven interventions in Latin American and Caribbean countries. Four areas of work are identified with the respective guidelines or suggestions for action, which should provide an operational guide for countries that are restructuring mental health services and moving toward the deinstitutionalization of psychiatric care.   

Codesigned framework for organisational culture reform in South Australian older persons' mental health services after the Oakden Report

2020 ◽  
Vol 44 (6) ◽  
pp. 862
Author(s):  
Duncan McKellar ◽  
Jackie Hanson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Culture Change ◽  
Working Group ◽  
Older Persons ◽  
Organisational Culture ◽  
Service Development ◽  
Reform Process

The Oakden Report documented failures in governance, clinical practice and organisational culture occurring at the Oakden Older Persons’ Mental Health Service and drew national attention to the care of older people with complex clinical needs. Responding to the recommendations of the Report, a working group brought together stakeholders to engage in a codesign process involving literature review, gallery walks and focus groups, under the governance of the Oakden Response Oversight Committee. The working group developed a framework as a blueprint for organisational culture reform built around a central philosophy of compassionate relationship-centred care, supported by four priorities: developing a values-based workforce, cultivating psychological safety, facilitating excellence in care and providing transparent accountability. The purpose of the framework was to provide a way forward for South Australian older persons’ mental health services after The Oakden Report, and it may provide insight into similar processes of codesign and culture change in other service contexts. What is known about the topic? Changes to healthcare systems, requiring improved efficiencies and lower costs, are contributing to increasing challenges with staff satisfaction and wellbeing, and consistent delivery of dignified, meaningful care to people and their families. The need to nurture and lead healthcare organisations characterised by compassionate cultures is an increasingly prominent theme in global healthcare literature. The engagement of people with lived experience at all levels of system design supports effective and ethical service development. What does this paper add? This paper illustrates an approach to positive, compassion-focused organisational culture change, developed through codesign, occurring as a reform process following a crisis in service delivery. The paper applies key concepts in a framework that may be applied in a range of services to achieve positive organisational transformation. What are the implications for practitioners? Committed action to develop positive organisational culture characterised by compassionate relationship-centred care will have benefit for healthcare providers and the people who receive care. Keeping people with lived experience at the centre of design and development will support optimal outcomes for all stakeholders.

The nursing staff and new practices in mental health: the residential therapeutic service as background

2009 ◽  
Vol 4 (1) ◽  
pp. 444 ◽  
Author(s):  
Dulcian Medeiros Azevedo ◽  
Danielle Souza Silva
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Nursing Staff ◽  
Health Professionals ◽  
Professional Training ◽  
Business Practices ◽  
Microsoft Excel ◽  
Psychiatric Reform ◽  
Salud Mental

ABSTRACTObjective: to investigate the level of knowledge of nursing professionals on the psychiatric reform, related to its technical and scientific training and professional practice. Methods: exploratory and descriptive research with a qualitative approach, to be held in the Residential Therapeutic Service of the Municipal Health Secretariat of Caicó - RN. The study subjects will be the health professionals who are part of the nursing staff (6 aides and nursing technicians and 1 nurse), and the data will be obtained through a semistructured interview, split into three parts (characterization of the professional, professional training and interview guide). The interviews will be recorded in digital audio, respecting the ethical principles in research with humans, and later transcribed in full. The analysis will be mediated by Microsoft Excel Software (characterization and vocational training), and by the theoretical and methodological feature of the Theory of Social Representations, being created thematic categories. Expected results: it is attempted to provide tools for reflection and guidance of health professionals working in the Residential Therapeutic Service, facing the new redesign of business practices, after the Psychiatric Reform. It may also indicate ways to overcome and improve service to all municipal replacement network which provides mental health services. Descriptors: mental health services; nursing, team; psychiatric nursing; assisted living facilities. RESUMOObjetivo: investigar o nível de conhecimento dos profissionais de enfermagem sobre a reforma psiquiátrica, relacionado à sua formação técnico-científica e a sua prática profissional. Métodos: pesquisa de natureza exploratória e descritiva, com abordagem qualitativa, que será realizada no Serviço Residencial Terapêutico da Secretaria Municipal de Saúde de Caicó-RN. Os sujeitos de pesquisa serão os profissionais de saúde que integram a equipe de enfermagem (6 auxiliares/técnicos de enfermagem e 1 enfermeiro), e os dados obtidos através de uma entrevista semi-estruturada dividida em III partes (caracterização do profissional, formação do profissional e roteiro de entrevista). As entrevistas serão gravadas em áudio digital, respeitando-se os preceitos éticos na pesquisa com seres humanos, e posteriormente transcritas na íntegra. A análise será mediada pelo Software Microsoft Excel (caracterização e formação profissional), e pelo recurso Teórico-Metodológico da Teoria das Representações Sociais, sendo construídas categorias temáticas. Resultados esperados: intenta-se fornecer subsídios para a reflexão e orientação prática dos profissionais de saúde que atuam no Serviço Residencial Terapêutico, diante do novo redesenhar das práticas profissionais advindas da Reforma Psiquiátrica. Além disso, pode indicar caminhos de superação e melhoria no atendimento a toda rede substitutiva municipal que presta serviços de saúde mental. Descritores: serviços de saúde mental; equipe de enfermagem; enfermagem psiquiátrica; moradias assistidas. RESUMENObjetivo: investigar el nivel de conocimientos de los profesionales de enfermería sobre la Reforma Psiquiátrica, en relación con su formación técnica y científica y la práctica profesional. Método: estudio de investigación descriptiva, con enfoque cualitativo, que se realizará en el Servicio de Terapia Residencial de la Municipal de Salud en Caicó-RN. Los sujetos del estudio serán los profesionales de la salud que constituyen el equipo de enfermería (6 auxiliares/técnicos de enfermería y 1 enfermera), y los datos obtenidos a través de una entrevista semiestructurada dividida en 3 partes (caracterización del profesional, su graduación y la guía de entrevista). Las entrevistas serán grabadas en audio digital, respetando los principios éticos en la investigación con seres humanos, y posteriormente transcritas en su totalidad. El análisis será mediado por el Software Microsoft Excel (caracterización y graduación), y por el recurso teórico y metodológico de la Teoría de las Representaciones Sociales, siendo construidas categorías temáticas. Resultados esperados: se intenta proveer elementos para la reflexión y la orientación de los profesionales de salud que trabajan en el servicio de terapia residencial, frente al nuevo rediseño de las prácticas profesionales derivadas de la Reforma Psiquiátrica. Del mismo modo, eso puede indicar maneras para la superación y mejoramiento de la asistencia a toda la red municipal que presta servicios de salud mental. Descriptores: servicios de salud mental; grupo de enfermería; enfermería psiquiátrica; instituciones de vida asistida. 

Mental-health services for refugee women and children in Africa

2006 ◽  
Vol 49 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Marie-Antoinette Sossou
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Social Work Educators ◽  
Refugee Women ◽  
Travail Social ◽  
Salud Mental ◽  
Women And Children ◽  
African Refugee

English This article calls for activism in the provision of mental-health services for refugee women and children in Africa. African social work educators, practitioners and the international community are being asked to advocate for supplying mental-health services for the vulnerable African refugee population. French Cet article lance un appel à l'activisme et aux plaidoyers en vue de procurer des services en santémentale pour les femmes et les enfants réfugiés en Afrique. Les éducateurs en travail social, les praticiens et la communauté internationale sont appelés à appuyer la cause des populations réfugiées africaines vulnérables, afin de leur fournir des services en santémentale. Spanish Se hace un llamamiento al activismo y a la defensa de provisió n de servicios de salud mental para mujeres y niños africanos refugiados. Se pide a los educadores del trabajo social en África, los profesionales y la comunidad internacional que apoyen la provisió n de servicios de salud mental a los refugiados africanos.

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