Institutional Care and Family Reintegration: The Transition Process in the Voices of Young Brazilians

This article aims to present reflections on the transition from being institutionalised to autonomous life, from the perspective of deinstitutionalised young Brazilians. Five young adults participated in the pilot study. The Piagetian clinical method was used. Through semi-structured interviews, the following were investigated: causes of institutionalisation, preparation for transition, deinstitutionalisation and perspectives of present and future life. The results indicate that there was no effective preparation for transition from the institution to the family and/or independent life. Biological families have difficulties in achieving (re) integration and overcoming conflicts between parents and children. In conclusion, when leaving institutions, some young people manage to build their own arrangements for a new life trajectory, while others return to contexts of risk and life on the street. Public policies to assist these young people should be prioritised.

Complex respiratory and motor rehabilitation program in a patient with post-pulmonary tuberculosis conditions and multiple sequelae after SARS-CoV-2 infection: case report

Introduction: A great variety of medical issues can occur after the COVID-19 infection including fatigue, muscle weakness, locomotor disability, self-care dysfunction, polyneuropathy, persistent dyspnea on exertion and a hypercoagulable state. Materials and methods: This paper presents the case of a nonsmoker 49-year-old male with right lung lower lobe lobectomy for post tuberculosis bronchiectasis and diabetes mellitus, who developed multiple serious physicals, neurological, hematological and respiratory consequences, related to critical COVID-19 infection and prolonged hospitalization, Results: A favorable evolution of the patient’s respiratory sequels and motor impairment on both lower limbs was noticed after a complex individualized rehabilitation program started in the post COVID-19 Rehabilitation Department of Balneal and Rehabilitation Sanatorium, Techirghiol, Romania, consisting in better functional parameters and exercise tolerance, significant improvement in daily activities, remission of exertional dyspnea, social and family reintegration. Conclusions: multidisciplinary approach and complex individualized programs of rehabilitation is required after a critical form of COVID in a patients known with tuberculosis, and other complex pathologies, in order to restore physical function and mobility and optimize respiratory parameters. Keywords: COVID-19, Rehabilitation, Tuberculosis,

No Place Like Home? Postdeployment Reintegration Challenges Facing South African Peacekeepers

This study focuses on soldiers returning from peacekeeping missions and the challenges they experience adapting to the home environment in the postdeployment phase. The article focuses on South African peacekeepers returning from missions in Darfur/Sudan, the Democratic Republic of Congo, and Burundi. Interviews with 50 South African peacekeepers on the challenges they face in terms of their homecoming, family reintegration, and military support were conducted. Overall, the study found that both external military factors such as deployment length and nature of mission, and internal factors specific to the soldier affected reintegration. We highlight three major findings of our study: Firstly, our analysis show that peacekeepers across gender, rank, and race identify the absence from their children as a major challenge. Secondly, while relational turbulence characterized by ambivalence and concerns about infidelity was prevalent among all, there was a clear difference in the answers between the male and female peacekeepers. Thirdly, a large majority voiced the need for more support from the military institution for their families, before, during, and after deployment.

At Home: Family reintegration of trafficked Indonesian men

Large numbers of Indonesian men migrate each year for work in construction, in factories and in agriculture, on plantations and on fishing boats. Many of them end up exploited in ways that constitute human trafficking, suffering violence, deprivation, restricted freedom and severe exploitation as well as long periods of separation from their families. This article explores the challenges faced by forty-nine Indonesian men reintegrating into their families and communities after having been trafficked. While many problems with the family were caused by economics, tensions also resulted from long separations, fractured relationships, and frustration and blame over ‘failed’ migration and unfulfilled expectations. Tensions were sometimes exacerbated when men faced recrimination and blame in their communities after return. Understanding the nature of and reasons for the problems that men faced after trafficking is vital in considering how trafficked men and their families can be supported to recover and reintegrate after trafficking.

A Tale of Two Families

During military deployment, soldiers can become part of a system of people and experiences in their assigned military unit that may rival the importance of relationships and experiences within their natural families at home. Following deployment, returning soldiers may face the challenges of managing membership in two complex and powerful family systems, each with its own unique priorities, rules of engagement, and demands for the soldier’s attention and participation that may not always be compatible. Achieving a mutual understanding of the system of close relationships formed around military deployment and incorporating this new “unit family” system into a couple’s marital relationship and natural family system becomes a task that is important and, possibly, essential to successful family reintegration after deployment.