A Terapia Comunitária Integrativa na abordagem da saúde mental na atenção primária: um relato de experiência

The Integrative Community Therapy (ICT), in addition to being a therapeutic method, is considered a community space to user embracement, where people can share their sufferings, life experiences, knowledge, problems, tough situations, victories and overcoming stories. The objective of this work is to report the experience and present the process of an ICT group’s insertion in a primary care unit located in Curitiba-PR. The themes and achievements presented by the participants are discussed, as well as the role of the primary care professional as a therapist in an ICT circle, and its reverberations in the workplace and clinical practice. It is concluded that ICT has great value because it can be understood as a technology for mental health, as well as a collaborative practice of social intervention, given the greatness of its possibilities since it empowers the community in solving their problems, and humanizes the work of the health team.

Exploring sustainable primary care responses to intimate partner violence in New Zealand: Qualitative use of complexity theory

© © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective To explore what affects sustainable responses to intimate partner violence within New Zealand primary care settings using complexity theory. Design Primary care professional interviews on intimate partner violence as a health issue are analysed using a complexity theory-led qualitative research methodology grounded in poststructuralism. Setting Four general practices in one region of the North Island of New Zealand, two serving a general patient population and two adopting an indigenous approach. Participants Seventeen primary care professionals and management from the four recruited general practices. Results The complex adaptive system approach the ' Triple R Pathway', calls attention to system interactions influencing intimate partner violence responsiveness across health system levels. Four exemplars demonstrate the use of the Triple R Pathway. Two key system areas challenge the emergence of primary care responsiveness: (1) Non-recognition of intimate partner violence as a key determinant of ill-health. (2) Uncertainty and doubt. Conclusions The relationship between intimate partner violence and ill-health is not well recognised, or understood in New Zealand, at both policy and practice levels. Inadequate recognition of socioecological determinants of intimate partner violence leads to a simple health system response which constrains primary care professional responsiveness. Constant intervention in system interactions is needed to promote the emergence of sustainable responses to intimate partner violence.

Exploring sustainable primary care responses to intimate partner violence in New Zealand: Qualitative use of complexity theory

© © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective To explore what affects sustainable responses to intimate partner violence within New Zealand primary care settings using complexity theory. Design Primary care professional interviews on intimate partner violence as a health issue are analysed using a complexity theory-led qualitative research methodology grounded in poststructuralism. Setting Four general practices in one region of the North Island of New Zealand, two serving a general patient population and two adopting an indigenous approach. Participants Seventeen primary care professionals and management from the four recruited general practices. Results The complex adaptive system approach the ' Triple R Pathway', calls attention to system interactions influencing intimate partner violence responsiveness across health system levels. Four exemplars demonstrate the use of the Triple R Pathway. Two key system areas challenge the emergence of primary care responsiveness: (1) Non-recognition of intimate partner violence as a key determinant of ill-health. (2) Uncertainty and doubt. Conclusions The relationship between intimate partner violence and ill-health is not well recognised, or understood in New Zealand, at both policy and practice levels. Inadequate recognition of socioecological determinants of intimate partner violence leads to a simple health system response which constrains primary care professional responsiveness. Constant intervention in system interactions is needed to promote the emergence of sustainable responses to intimate partner violence.

No Shame, No Stigma

This chapter helps parents decide when their student needs psychological help and, if so, how to arrange it. The role of the primary care professional is crucially important, to examine medical illnesses and medications that might cause depression. In addition, primary healthcare professionals are increasingly able to diagnose psychiatric disorders and provide referrals for mental health problems. Parents need to ensure that a mental health professional is licensed, experienced with adolescents, and trained in cognitive behavior therapy or interpersonal therapy, the therapies with effectiveness in treating depression. The advantages and disadvantages of antidepressant medications are detailed. The chapter also includes a section on suicide and how to talk about it. Two cases of teens seeking consultation are described, along with their parents’ concerns. Vignettes about talking to reluctant teens about therapy are included.

Exploring sustainable primary care responses to intimate partner violence in New Zealand: Qualitative use of complexity theory

© © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective To explore what affects sustainable responses to intimate partner violence within New Zealand primary care settings using complexity theory. Design Primary care professional interviews on intimate partner violence as a health issue are analysed using a complexity theory-led qualitative research methodology grounded in poststructuralism. Setting Four general practices in one region of the North Island of New Zealand, two serving a general patient population and two adopting an indigenous approach. Participants Seventeen primary care professionals and management from the four recruited general practices. Results The complex adaptive system approach the ' Triple R Pathway', calls attention to system interactions influencing intimate partner violence responsiveness across health system levels. Four exemplars demonstrate the use of the Triple R Pathway. Two key system areas challenge the emergence of primary care responsiveness: (1) Non-recognition of intimate partner violence as a key determinant of ill-health. (2) Uncertainty and doubt. Conclusions The relationship between intimate partner violence and ill-health is not well recognised, or understood in New Zealand, at both policy and practice levels. Inadequate recognition of socioecological determinants of intimate partner violence leads to a simple health system response which constrains primary care professional responsiveness. Constant intervention in system interactions is needed to promote the emergence of sustainable responses to intimate partner violence.

Exploring sustainable primary care responses to intimate partner violence in New Zealand: Qualitative use of complexity theory

ObjectiveTo explore what affects sustainable responses to intimate partner violence within New Zealand primary care settings using complexity theory.DesignPrimary care professional interviews on intimate partner violence as a health issue are analysed using a complexity theory-led qualitative research methodology grounded in poststructuralism.SettingFour general practices in one region of the North Island of New Zealand, two serving a general patient population and two adopting an indigenous approach.ParticipantsSeventeen primary care professionals and management from the four recruited general practices.ResultsThe complex adaptive system approach the ‘Triple R Pathway’, calls attention to system interactions influencing intimate partner violence responsiveness across health system levels. Four exemplars demonstrate the use of the Triple R Pathway. Two key system areas challenge the emergence of primary care responsiveness: (1) Non-recognition of intimate partner violence as a key determinant of ill-health. (2) Uncertainty and doubt.ConclusionsThe relationship between intimate partner violence and ill-health is not well recognised, or understood in New Zealand, at both policy and practice levels. Inadequate recognition of socioecological determinants of intimate partner violence leads to a simple health system response which constrains primary care professional responsiveness. Constant intervention in system interactions is needed to promote the emergence of sustainable responses to intimate partner violence.