Família de baixa renda que convive com uma pessoa com transtorno mental: uma revisão bibliográfica

2008 ◽  
Vol 2 (4) ◽  
pp. 417 ◽  
Author(s):  
Iracema Silva Frazão ◽  
Maria Eduarda Batista de Lima

ABSTRACTObjective: to describe the relation between income and mental health as well as the process of dehospitalization and the family responsibility when taking care of a person with mental disorder and the difficulties through this process and the importance of the State in the promotion of a family’s financial and psychic support and to the role of nursing dealing with family and patients with mental illness. Methodology: literature review systematic study using the followings describers: health mental; family; poverty; nursing, as axles of the following contents: family, financial conditions and mental health; poor families coping with mental disorders; the family burden; the importance of the State in the promotion of a family’s financial and psychic support and to the role of nursing dealing with family and patients with mental illness. Results: it’s consent the idea that the State should be the responsible for the guarantee of the social rights of all the citizens; all of the health’s professionals should support the familiars who live with a person with mental disorder teaching them how give the care and giving orientations about the social’s benefices. Conclusion: the humanist action of the nursing and of the others mental heath’s professional is so much important to the family who cooping with mental disorder, because who gives the care needs receive the same care too. Descriptors: health mental; family; poverty; nursing. RESUMOObjetivo: abordar a relação entre renda e saúde mental, bem como o processo de deshospitalização e responsabilização da família no cuidado à pessoa com transtorno mental e suas dificuldades, destacando-se o papel do Estado na promoção de um maior suporte financeiro e psicológico a essas famílias e também a importância da Enfermagem na atuação junto à família e ao portador desses transtornos. Metodologia: estudo de revisão de literatura sistemática no qual foi levantada a produção científica na área de saúde mental preferencialmente dos últimos cinco anos, partindo dos descritores: saúde mental; família; pobreza; enfermagem, como eixos norteadores para o encadeamento dos seguintes conteúdos: família, condições de renda e saúde mental; a família de baixa renda convivendo com a pessoa em sofrimento mental; as sobrecargas vivenciadas pelas famílias cuidadoras; o acolhimento da família que acolhe; o papel da enfermagem no cuidado às famílias. Resultados: é consensual a idéia de que o Estado deve ser responsável pela garantia dos direitos sociais de todos os cidadãos, assim como os profissionais de saúde que compõem a rede de serviços devem apoiar os familiares das pessoas em sofrimento mental, tanto na capacitação para o cuidado, como na orientação para adquirir benefícios sociais e previdenciários àqueles que necessitem. Conclusão: o olhar humanizado não só da equipe de Enfermagem, mas de todos os profissionais envolvidos na saúde mental dos familiares cuidadores, é de extrema necessidade, já que quem cuida também precisa de cuidados. Descritores: saúde mental; família; pobreza; enfermagem.RESUMENObjetivo: describir la relación entre la renta y la salud mental así como el proceso del dehospitalizacion y la responsabilidad de la familia al cuidar de una persona con desorden mental y las dificultades con este proceso, destacando la prominencia al papel delo Estado en la promoción de un mayor suporte financiero e psicológico a estas familias e también del oficio de enfermera que trata de la familia y de los pacientes con enfermedad mental. Metodología: Es un estudio de revisión de literatura sistemática con los descriptores: salud mental; familia; pobreza; enfermería, como ejes para la articulación de los siguientes contenidos: familia, condiciones de renta e salud mental; familia de ingressos bajos que cohabita con enfermos mentales; la sobrecargas vividas por la familia que cuida; el acolhimiento de la familia que acolhe; el oficio de enfermera que trata de la familia de los pacientes con enfermedad mental. Resultados: es un consenso que lo Estado es el responsabile per la garantía de los derechos sociales de todo ciudadano; los professionales de la salud debem apoyar los familiares de las personas con sufrimiento mental, tanto con la capacitación del cuidado y también con la orientación de los derechos sociales que necessitam. Conclusión: la acción humanizada del grupo de Enfermeria y también de todos los professionales de la salud mental es muy importante para la familia cuidadora, porque quién cuida también necessita de los mismos cuidados. Descriptores: salud mental; familia; pobreza; enfermería.  

2017 ◽  
Vol 4 (1) ◽  
pp. 001-005
Author(s):  
Tutut Pujianto ◽  
Retno Ardanari Agustin

Mental health is an integral part of health, and a condition that affects the physical, mental, and  social  development  of  the  individual  optimally.  Mental  disorder  is  disturbances  in:  cognitive, volition, emotion (affective), and actions (psychomotor). Mental disorder is a collection of abnormal circumstances, whether physically related, or mentally. It is divided into two groups, namely: mental disorder  (neurosis)  and  mental  illness  (psychosis).  Mental  disorder  is  caused  by  some  of  the  above causes affected simultaneously or coincidence occurs. The purpose of this study was to increase the role of family and society in the treatment of mental disorder patients which was consequently could reduce the number of mental disorders patients This research used obsevational design with descriptive analy- sis. The subjects were family members who treat mental disorder patients as much as 16 respondents. The data collection was done in October 2012. The family role data grouped into appropriate and inappro- priate  category.  The  research  found  that  11  people  (68.75%)  in  the  category  of  inappropriate,  and appropriate by 5 people (31.25%), with average family role of 63.19%. The higher of inappropriate category was because 9 respondents (56.25%) in the age of elderly (> 50 years). This condition caused a decrease in the ability to perform daily activities, including health treatment. There were 4 patients who have been treated for 7-14 years, so the family feels accustomed to the condition of the patient. There were 8 people (50%) in productive age treated the patients, so it could not be done continuously. Based on these conditions, there should be efforts to increase knowledge and willingness of the patients and families, in caring for patients with mental disorders. The examples of such activities were to consult with the nearest health employees, and report to the health worker if there is a risky condition immedi- ately.


2013 ◽  
Vol 22 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Jacqueline Botura Bessa ◽  
Maria Angélica Pagliarini Waidman

We aimed to learn about the needs of the family which provides care to a person with a mental disorder in the current model of health care. This is a qualitative study conducted in the municipalities of three regional health units in the state of Paraná, using data collection with thirty-two families. Data were analyzed by means of indicators. The results show gaps in the mental health services in relation to the care provided to people with a mental illness and their families with regard to the need for: adaptation after diagnosis of the pathology, family counseling, treatment compliance, hospitalization, financial assistance, transportation assistance, reintegration into society, inclusion in outpatient services after hospitalization, and the bond between professionals and people assisted. We conclude that these requirements need to be explored by mental health network professionals as to the possibility and implementation of deinstitutionalized, integral and decisive assistance to the person with a mental illness and his/her family.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 848-848
Author(s):  
Taylor Bucy ◽  
Kelly Moeller ◽  
John Bowblis ◽  
Tetyana Shippee

Abstract The Omnibus Budget Reconciliation Act (OBRA) of 1987 included provisions for the Preadmission Screening and Resident Review (PASRR) program, which requires states to create and maintain systems to assess persons with serious mental illness (SMI) seeking NH care. The prevalence of SMI in NHs is increasing, and little is known about the effectiveness of the PASRR program intervention. We conducted 20 interviews with state and national PASRR stakeholders, including assessors, hospital discharge planners, mental health advocates, geriatricians and geriatric psychiatrists. Interview data were triangulated with state provided materials on PASRR collection and implementation. Based on these interviews, we identified four themes: 1) variation in the implementation of federal PASRR legislation across states and jurisdictions, 2) the need for investment in professional development and workforce capacity, 3) lack of usefulness of PASRR in ongoing care planning, and 4) the need to consider the role of age, race/ethnicity, and stigma on quality of care for NH residents with SMI. Stakeholders agree that PASRR legislation was well intentioned, but also expressed concern regarding the completion of PASRR as an issue of compliance versus meaningful assessment. More work is needed to determine how best to develop and support the care needs of people with SMI, while being mindful of the original goals of deinstitutionalization that prompted OBRA passage. In order to assess the impact of the PASRR program on quality of care and mental health outcomes, further research should take an evaluative approach through meaningful use of PASRR data.


2005 ◽  
Vol 6 (1) ◽  
pp. 12
Author(s):  
Geetha Appachu

From womb to grave, in times of peace as well as war, women face discrimination at the hands of the state, community and the family. Female infanticide deprives countless women of life itself. Every year, millions of women are raped by partners, relatives, friends and strangers, by employers, colleagues and security officials. "Marginalized women" today are the focus of concern and, several of their issues are strongly debated to bring about positive changes. Reliefs, improvements and facilities for various groups of marginalized women are remarkable achievements in the progress of our present society. Several professional bodies have highlighted their efforts to support different marginalized women sectors but have also mentioned their concern about its very existence and alarming increase in the size of these sectors. Current world scenario indicates the role of various organizations in working for the cause of different sectors of marginalized woman. Has the momentous of this work shadowed the issue of "marginalization of women"?


2008 ◽  
Author(s):  
Ivelina Borisova ◽  
Theresa Betancourt ◽  
Wietse Tol ◽  
Ivan Komproe ◽  
Mark Jordans ◽  
...  
Keyword(s):  

2020 ◽  
Vol 7 (3) ◽  
pp. 97-105
Author(s):  
Feruza Davronova ◽  

The purpose of this article is to study the image of socio-political activity of women, their role and importance in the life of the state and society.In this, we referred to the unique books of orientalists and studied their opinions and views on this topic. The article considers the socio-political activity of women, their role in the state and society, the role of the mother in the family and raising a child, oriental culture, national and spiritual values, traditions and social significance of women


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Joseph ◽  
H Sankar ◽  
D Nambiar

Abstract The fourth target of Sustainable Development Goal (SDG) 3 advocates for the promotion of mental health and wellbeing. The Indian state of Kerala is recognized for its gains in health and development but has substantial burden of mental health ailments. Historical analysis is vital to understand the pattern of mental health morbidity. The current study focusses on comparable estimates available from three largescale population-based surveys in India to explore trends in prevalence of mental health disorders over the years and map resources and infrastructure available for mental health care in Kerala. We undertook a secondary analysis of national demographic surveys from 2002 to 2018 which reported information on mental health and availability of health infrastructure and human resources. Data were collated and descriptive analyses were conducted. We compared the national and state level estimates over the years to study the trend in the prevalence of mental health disability. The prevalence of mental retardation and intellectual disability in Kerala increased from 194 per hundred thousand persons in 2002 to 300 per hundred thousand persons in 2018, two times higher to the national average. The prevalence of mental illness increased from 272 per hundred thousand people to 400 per hundred thousand people in sixteen years. The prevalence was higher among males (statistical significance was not indicated) in mental illness and mental retardation. 2018 data showed that the public sector had 0.01 hospitals and 5.53 beds per hundred thousand persons available for mental health treatment. Results showed a substantial increase in mental health illness over the 16-year study period that has affected males and females, as well as all social classes of the state. The current health infrastructure and human resources in the public sector of the state are inadequate to meet the current burden of the problem and to ensure universal access to care for its population. Key messages The trend in prevalence of mental health disorders in the state is increasing across the years. There is a mismatch between the extend of the problem and resources available in public sector.


1998 ◽  
Vol 32 (5) ◽  
pp. 612-615 ◽  
Author(s):  
Alan Rosen

We admitted to ourselves, …and to our colleagues that we cannot treat people with severe and persistent mental illness as independent practitioners, and asked to be key players on the multidisciplinary team (Extract from A 12-Step Recovery Program for Psychiatrists [1]).


2017 ◽  
Vol 11 (2) ◽  
pp. 74-82
Author(s):  
Heather Welsh ◽  
Gary Morrison

Purpose The purpose of this paper is to investigate the use of the Mental Health (Care and Treatment) (Scotland) Act 2003 for people with learning disabilities in Scotland, in the context of the recent commitment by the Scottish Government to review the place of learning disability (LD) within the Act. Design/methodology/approach All current compulsory treatment orders (CTO) including LD as a type of mental disorder were identified and reviewed. Data was collected on duration and type of detention (hospital or community based) for all orders. For those with additional mental illness and/or personality disorder, diagnoses were recorded. For those with LD only, symptoms, severity of LD and treatment were recorded. Findings In total, 11 per cent of CTOs included LD as a type of mental disorder. The majority of these also included mental illness. The duration of detention for people with LD only was almost double that for those without LD. A variety of mental illness diagnoses were represented, psychotic disorders being the most common (54 per cent). Treatment was broad and multidisciplinary. In all, 87 per cent of people with LD only were prescribed psychotropic medication authorised by CTO. Originality/value There has been limited research on the use of mental health legislation for people with learning disabilities. This project aids understanding of current practice and will be of interest to readers both in Scotland and further afield. It will inform the review of LD as a type of mental disorder under Scottish mental health law, including consideration of the need for specific legislation.


2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.


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