Tramas históricas a respeito da psiquiatrização, disciplina e medicalização em algumas lentes de Michel Foucault

Este artigo busca traçar em formato de ensaio teórico uma trama histórica de alguns operadores analíticos dos procedimentos de psiquiatrização da sociedade e da medicalização dos corpos por meio de práticas sociais normalizadoras e disciplinares. Pensar estes acontecimentos e como são interrogados e trabalhados por Michel Foucault é uma proposta importante e nos auxilia a fazer perguntas a respeito do presente na medida em que diversas análises permitem correlações com a atualidade vivida e, assim, possibilita problematizar a considerável força da psiquiatria social hoje, reconfigurando as políticas de saúde mental disciplinadoras por um viés medicalizante e normalizador cada vez mais intenso em nome da defesa da sociedade. Logo, o presente texto contribui para diversas áreas de modo transdisciplinar no trabalho atento de desnaturalização histórica dos processos de medicalização e psiquiatrização da vida como norma disciplinar e social.Palavras-chave: História da psiquiatrização. Medicalização. Sociedade. Disciplina. Norma.Historical plots about psychiatry, discipline and medicalization in some of Michel Foucault's lensesABSTRACTThis article seeks to trace, in a theoretical essay format, a historial plots of some analytical operators of the psychiatric procedures of society and the medicalization of bodies through normalizing and disciplinary social practices. Thinking about these events and how they are interrogated and worked on by Michel Foucault is an important proposal and helps us to ask questions about the present, as several analyzes allow correlations with the current experience and, thus, make it possible to problematize the considerable strength of social psychiatry. today, reconfiguring disciplinary mental health policies through an increasingly intense medicalizing and normalizing bias in the name of defending society. Therefore, this text contributes to several areas in a transdisciplinary way in the careful work of historical denaturalization of the processes of medicalization and psychiatrization of life as a social and disciplinary norm.Keywords: History of psychiatrization. Medicalization. Society. Subject. Standard.

Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data

Introduction: Mental health policies have encouraged removals of psychiatric beds in many countries. It is under debate whether to continue those trends. We conducted a systematic review of expert arguments for trends of psychiatric bed numbers.Methods: We searched seven electronic databases and screened 15,479 papers to identify expert opinions, arguments and recommendations for trends of psychiatric bed numbers, published until December 2020. Data were synthesized using thematic analysis and classified into arguments to maintain or increase numbers and to reduce numbers.Results: One hundred six publications from 25 countries were included. The most common themes arguing for reductions of psychiatric bed numbers were inadequate use of inpatient care, better integration of care and better use of community care. Arguments to maintain or increase bed numbers included high demand of psychiatric beds, high occupancy rates, increasing admission rates, criminalization of mentally ill, lack of community care and inadequately short length of stay. Cost effectiveness and quality of care were used as arguments for increase or decrease.Conclusions: The expert arguments presented here may guide and focus future debate on the required psychiatric bed numbers. The recommendations may help policymakers to define targets for psychiatric bed numbers. Arguments need careful local evaluation, especially when supporting opposite directions of trends in different contexts.

Trauma Exposures, Resilience Factors, and Mental Health Outcomes in Persons Granted Asylum in the U.S. for Claims Related to Domestic Violence and Persecution by Organized Gangs

Survivors of domestic violence (DV) and of violence perpetrated by organized gangs (GV) face barriers to legal protection under U.S. asylum law. We abstracted data from 132 affidavits based on forensic medical evaluations of asylum seekers granted legal protection in the U.S. on the basis of DV and/or GV. We described claimants’ trauma exposures and resilience factors and used multiple logistic regression to quantify associations with Diagnostic and Statistical Manual-5 (DSM-5) diagnoses and improvement in mental health. People seeking asylum based on DV and/or GV have endured multiple types of trauma with significant impacts on their mental health. New experiences of trauma following migration to the U.S. were common and associated with DSM-5 diagnoses. Conversely, resilience factors were associated with improved mental health. Policies that aim to reduce ongoing trauma in the U.S. and to bolster resilience factors may promote asylee mental health and well-being.

STUDY LITERATURE REVIEW ADVOKASI KEBIJAKAN KESEHATAN MENTAL

Mental health is a condition that affects a person's thinking, feeling, and protecting yourself so you can succeed in your daily life. However, the amount of stigma and ignorance of the rights of mental health sufferers makes support groups want to carry out policy advocacy. The author conducted a study literature review on mental health policy advocacy that has been done by previous researchers to find out various programs or ways to advocate for mental health management. This SLR shows that advocacy efforts can be carried out by distributing content on social media, communicative discussions, and health literacy tools. Increasing mental health support for policy advocacy will make the government wiser towards mental health policies and also facilitate health services for people with mental disorders.

“Pay attention when turning a corner”: an overview of mental health policies in Brazil

Introduction: Brazilian’s history of psychiatric care is complex and has some dark periods, but the country managed to get international recognition for its mental health policies in the last years. Those have been currently suffering setbacks. Purpose: Review the historical context of mental health in Brazil, assessing the changes made after 2016, and carry out a critical analysis of the current inclination. Methodology: literature and narrative review using official governmental documents. Results and Discussion: Through its history, Brazil’s had ups and downs in the care of mental health patients. After almost 30 years of policies that are centered around the individual, and not only the individual’s disease, the hospitalocentric model of care has been subtly making its comeback, together with normatives that revogue rights before acquired and corroborates with segregation of the mentally ill. Conclusions: The current changes in the Mental Health politics are not walking alongside the line with movements responsible for the implementation of a biopsychosocial care. It provokes and invites us to continue fighting for fair health programs and for the continuation of the Universal Health System

Mental health law in Nepal

During the past three decades Nepal has gone through series of reforms to address the mental health needs of the Nepalese population by promulgation of an exclusive National Mental Health Policy and related Strategic Action Plan. Small but significant improvements have been achieved in Nepal with regard to mental health policies and plans. This article discusses the evolution of mental health policies in Nepal and analyses the challenges to be overcome for their effective implementation.

Logical structure of acceptance and exclusion in the history of mental health and welfare

Early traditional mental health policies in Japan did not protect the rights of patients with mental illnesses, with public safety prioritised over human rights. The situation has since improved, but these early perceptions have impacted on current mental health policies in Japan. Dr Minori Utsunomiya, Aichi Prefectural University, Japan, believes past policies are the root of many challenges facing people with mental illness and she is exploring Japan's complex history of mental health and psychiatric care to shed light on the correlation between past and present mental health policies. Key foci for Utsunomiya are the Psychiatric Custody Law of 1900, the Psychiatric Hospital Law of 1919 and the Mental Health Act of 1950 and she is exploring these laws from two perspectives: pre-World War II to post-war continuity/discontinuity and the structure of acceptance and exclusion for people with mental illnesses. As such, Utsunomiya embarked on an exploration of the process of the revision and abolition of laws and deliberation with respect to bills related to mental illness, investigated the roles and functions of public psychiatric hospitals and analysed the causal relationship between the revision of laws related to mental illness and social incident.

Digitalization of Mental Health Solution

Research is based on the current market of mental health apps in the market and will there be a recession or boom in their use. Comparing famous mental health apps available and research about their common features and what features an app should have to get more downloads in the mental health domain. Discussion about mental health policies of India. Research on the mentality of Indians and Americans on mental illness and how both mindsets differ from each other.

Acculturation Mitigates the Negative Impact of Perceived Stress on Depressive Symptoms Among U.S. Chinese Older Adults

The present study aimed to examine the role of acculturation in mitigating the negative impact of perceived stress on depressive symptoms among U.S. Chinese older adults. Data of 3,159 Chinese adults over 60 years old were drawn from the Population Study of Chinese Elderly in Chicago (PINE). In addition to socio-demographic variables, participants’ acculturation levels, perceived stress, and depressive symptoms were assessed. Perceived stress was positively related to depressive symptoms among Chinese older adults. However, no significant association was found between acculturation level and depressive symptoms. Regression analysis supported the moderation hypothesis of acculturation level on the relationship between perceived stress on depressive symptoms. The negative impact of perceived stress on depressive symptoms was mitigated for Chinese older adults who had higher levels of acculturation than for those who had lower levels of acculturation. The findings have implications in minority aging and mental health policies during the on-going pandemic era.

Mental health in the republic of Paraguay

Paraguay is a landlocked country in South America. It is a democratic low-middle-income nation, and the Ministry of Public Health and Social Welfare is responsible for its healthcare system. Mental health services receive just 1–2% of healthcare budgets, and there are only 1.6 psychiatrists per 100 000 inhabitants. There are insufficient resources to adequately assess and treat mental disorders in high-risk populations such as children, adolescents and prisoners. Despite several improvements to mental health policies within the past two decades, the nation still lacks a Mental Health Act and specific policies required to optimise the mental health of the population.