Mental health

Top PDF Mental health:

Mental health

Mental health

The objective of the Program on Mental Health of the Division of Health Promotion and Protection, which was examined by the Subcommittee on Planning and Programming in April 1995 and by the Executive Committee in June 1996, is to provide technical cooperation to the countries in activities related to mental health and psychiatric care. The Program has three components: (1) the promotion of mental health and primary prevention of psychiatric disorders; (2) the control of psychiatric disorders; and (3) interventions on the psychosocial aspects of health and human development.
Mostrar mais

5 Ler mais

Table 1: Comparison of mental health developments in given countries

Table 1: Comparison of mental health developments in given countries

significantly below the world reference average of 4.2 per 100,000 (8). By these standards, Guyana’s mentally ill are markedly underserved. Available public mental health services are predominantly institution-based. Tertiary level services are provided by one 240-bed mental hospital - the National Psychiatric Hospital - which provides both inpatient and outpatient services. Care provided at the mental hospital is primarily custodial and heavily reliant on pharmacologic intervention. The majority of mental hospital beds are filled by long stay patients who do not necessarily require institutional care. There is one 4-bed short-stay community-based psychiatric unit in the country’s tertiary heath care facility, the Georgetown Public Hospital Corporation (GPHC), which provides emergency and acute care services. There are few community-based services and minimal services available at primary care level. There are no national or institutional standards for mental health care, facilities or human resources. The National Psychiatric Hospital (NPH) is in substantial disrepair and significantly below the standard of facilities that provide for physical health care, raising concern about equitable treatment of the mentally ill. There are no standards, protocols, policies or guidelines for the use of psychotropic medications; the assessment, treatment, monitoring, and ongoing evaluation of patients with mental disorders; the charting of patient information; or the maintenance of health records. There is little national mental health data available for mental health service monitoring and evaluation. As a consequence, datasets of sufficient quality are not available to inform service utilization or to provide quality assurance for mental health care. Informal mental health services are poorly developed and limited to substance abuse ambulatory support and counseling services for male individuals with substance abuse problems provided by two non-governmental organizations (NGOs) in the capital city of
Mostrar mais

53 Ler mais

Master's dissertation in Mental Health Policy and Services By Nancy Najm Supervised by: Professor Graça Cardoso

Master's dissertation in Mental Health Policy and Services By Nancy Najm Supervised by: Professor Graça Cardoso

outreach capacity this team started developing and implementing a pilot model which is based on evidence based approaches in low-middle income countries, namely task-shifting and home-based interventions. This model was technically and financially supported by Handicap International (HI), an international aid organization working in mental health and psycho-social support in Palestinian Camps since 2004. FGC Al-Buss and HI developed the mental health community based services from 2010 until 2016. This six-year project aimed at promoting and improving the mental health of children and their families in the community through awareness raising, networking, empowerment and care activities targeting at the same time the children and their families, as well as other community stakeholders working with children at schools, kindergartens and animation and social centers. As a result of this partnership, two important documents were produced in order to share the experiences developed among local and national stakeholders in the mental health field. The first document entitled Community Based Mental Health: A practical methodological guide based on experiences of two multidisciplinary mental health teams in working with children and families in Palestinian camps, represents a methodological guide on managerial activities, service provision practices and processes related to mental health promotion and care activities, while the second is a “lessons learned” document on parents’ empowerment entitled : Empowering Parents, a “lessons learnt” document on experiences in empowering parents of children with mental health problems in the Palestinian Camps by two multidisciplinary mental health teams. Both papers 4 represent very important resources for the other mental health teams of the NISCVT as they document key approaches, practices and tools. Thus, the documents provide elements of good practices which aim to support professionals and managers in adapting their expertise to the specificity of a community based multidisciplinary provision of services to children living in marginalized or vulnerable communities.
Mostrar mais

113 Ler mais

Complementary therapies as resources for mental health in Primary Health Care

Complementary therapies as resources for mental health in Primary Health Care

The availability of some CP in the unit that was the field of this research was successful regarding the guidelines of the National Policy for Complementary Practices. Since it can be classified as an Integrated Primary Care Unit, a modali- ty recently instituted in the city of São Paulo, it offers ample care, even counting with a Mental Health team, unlike other units. Much the same, the valuing of such practices by the management is a factor that determines the true inclusion of the CPs in the SUS services, and reflects on the high interest and demands of the users of the territory being considered.
Mostrar mais

9 Ler mais

A dissertation submitted in partial fulfilment of the requirement for the International Masters in Mental Health Policy and Services 2013 Student Number: 2009048 Supervisor: Professor Miquel Xavier

A dissertation submitted in partial fulfilment of the requirement for the International Masters in Mental Health Policy and Services 2013 Student Number: 2009048 Supervisor: Professor Miquel Xavier

We can say then that it is now widely accepted that the provision of mental health care and treatment should always be provided in the least restrictive, least stigmatising environment. Most people with mental health difficulties prefer to be treated in their own community (54), (55). In-patient mental health care should only be required for a small percentage of people experiencing acute mental health difficulties and for the minimum amount of time required therapeutically. In the UK and elsewhere there is now a growing preference for acute home-based care delivered by specialised crisis teams as an alternative to hospital admission. According to a recent systematic review, home-based care is thought to be feasible for approximately 55% of service users who otherwise would be admitted. Such care also appears to reduce costs and increase satisfaction (56). The manner in which mental health care and treatment is provided continues to move through a transitional phase in Ireland. As we navigate through this change we must be mindful that not all change is innovation. To be a wo rthwhile innovation (not simply a „change‟) a service development must demonstrate that it produces better outcomes than that which precedes it. Not only that, it must be sustainable (2).
Mostrar mais

204 Ler mais

EFFECTS OF A MENTAL HEALTH TRAINING PROGRAM ON HEALTH CARE WORKERS’ KNOWLEDGE AND ATTITUDE AND PRACTICE IN BELIZE BY ELEANOR DAVIS BENNETT A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF INTERNATIONAL MASTER IN MENTAL

EFFECTS OF A MENTAL HEALTH TRAINING PROGRAM ON HEALTH CARE WORKERS’ KNOWLEDGE AND ATTITUDE AND PRACTICE IN BELIZE BY ELEANOR DAVIS BENNETT A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF INTERNATIONAL MASTER IN MENTAL

Over 40% of the respondents believed that weak nerves was the cause of mental illness, but a minority (16%) thought demon/ spirits and obeah (10%) were factors in the etiology of mental illness. In Belize it is common for persons with mental illness such as depression and psychosis to be thought of or told that they have “weak nerves” and are often encouraged to “not allow” themselves to become mentally ill. People very commonly buy vitamins to “strengthen the nerves” if they show symptoms such as difficulty sleeping or nervousness. It was interesting to see this belief reflected in the responses of the interviewees. It was encouraging, however, that this selection was not as popular in the post-training scores. Obeah was included as a selection referring to a folkloric sorcery practice that is widely believed to be the cause of mental illnesses in Belize. Respondents of the rural health nursing professions selected these responses most often than the other category of nurses. A possible explanation might be that the training curriculum for this group did not include a mental health component. Almost 75% of those surveyed agreed that medication was effective in the treatment of mental illness which has important implications for knowledge and practice as well. Medication control of symptoms such as hallucinations and mood swings is important if persons with mental illnesses were to live in their communities without needing constant care. It was somewhat surprising, then, that over 80% of the respondents felt that persons with mental illness in fact needed constant care. The reason for this is unclear but it may have something to do with the pairing of chronicity of severe mental illnesses with the belief that those with such diagnoses need constant care.
Mostrar mais

95 Ler mais

The Lancet's Series on Global Mental Health: 1 year on

The Lancet's Series on Global Mental Health: 1 year on

The National Taskforce on Community Mental Health System Development in Indonesia was established by the Directorate of Mental Health of the Indonesian Ministry of Health, in June, 2008, with technical support from the Centre for International Mental Health, University of Melbourne, and fi nancial support from AusAID, Christian Blind Mission, and the University of Melbourne (US$485 000 for 1 year). The taskforce will strengthen the capacity of Indonesia’s Ministry of Health to plan, implement, manage, and assess mental-health systems at provincial and district levels, and to develop eff ective and equitable community-focused mental-health services. Four taskforce working groups will receive training, mentoring, and technical support from the Centre for International Mental Health and will produce proposals for the consideration of government on mental- health legislation, policy, and fi nancing; community mental-health workforce; integrated hospital and community-focused mental-health services; and ethics, human rights, and advocacy. These proposals will be presented and discussed at the seventh International Mental Health System Development Conference in Indonesia in mid-2009, and then presented to the Ministry of Health with a well articulated case for investment in mental-health services.
Mostrar mais

4 Ler mais

Sleep quality and mental health

Sleep quality and mental health

Subjective sleep quality is assessed in the PSQI by questioning during the past month how would you classify your sleep quality, as “very good”, “good”, “bad” or “very bad”. From the seven domains of the PSQI, is considered the most “qualitative” subscale (Buysse et al., 1989, Buysse et al., 2008). This could help explain why in the present model with the three countries it was not associated to depression, anxiety nor stress. As well, since ours is a non-clinical population, the levels of depression, anxiety and stress are low which could underestimate the effect of this subjective aspect of sleep quality. Previous studies confirmed that different people interpret their sleep quality through different aspects of sleep, such as, sleep duration (Bastien et al., 2003), sleep latency (Kecklund et al., 2003), day sleepiness (Hayley et al., 2013), daily mood and physical feelings on waking (Webb et al., 1976), among others. Thus, how people interpret their sleep quality may relate to other aspects of people´s life besides the mental health complaints (e.g., age and gender (Kaplan et al., 2017; Mellor et al., 2014), pre-existing physical and mental health (Chen et al., 2005), economic and working status (Arber et al., 2009; Chen tel al., 2005) and country of origin (Hollan, 2013)). For instance, in our sample, when analyzing each country, subjective sleep quality relates to depression in the Spanish population, and to stress in the Portuguese population. As well, the influence of country on the relationship between subjective sleep quality and mental health was significant only when comparing Portuguese and Brazilians, and in the case of stress. That is, although subjective sleep quality was not significantly associated in the all sample to mental health, the way it related to stress it was different between Portuguese and Brazilians.
Mostrar mais

173 Ler mais

Psychedelics and mental health: a population study.

Psychedelics and mental health: a population study.

The estimated associations between the use of psychedelics are presented as adjusted odds ratios (aOR), 95% confidence intervals (CI), and p-values. A statistically significant odds ratio greater than one indicates an association, and an odds ratio less than one indicates an inverse association. Because the mental health outcomes are all relatively uncommon, in this case, the odds ratio is a close approximation to the relative risk. For example, an adjusted odds ratio of 0.6 for a given outcome indicates that the rate of that outcome in psychedelic users is approximately 60% the rate in non-psychedelic users, after adjusting for control variables. We used a standard alpha of 0.05; however any significant results should be considered in the context of the number of statistical analysis performed. It is typically recommended to have at least 10 events per predictor variable for multivariate logistic regression, although recent simulation studies suggest as few as 5 events per predictor variable is sufficient [27]. All the unstratified analyses had at least 10 events per predictor variable, with 21 to 379 events per predictor variable for mental health indicators besides the specific psychotic symptoms. In the stratified analyses of three of the more uncommon specific psychotic symptoms (‘‘force inserting thoughts’’, ‘‘force stealing thoughts’’, ‘‘plot to harm you’’) there were in some cases less than 10 and as few as 5 events per predictor variable. For all control variables the variance inflation factors were under 2.5, indicating little multi-collinearity. All calculations took into account the weighting variables and complex sample design variables of the NSDUH. For all calculations we used SPSS/PASW Statistics (version 18.0.3) with the Complex Samples Module.
Mostrar mais

9 Ler mais

Key words Mental health, Child, Adolescent,

Key words Mental health, Child, Adolescent,

This document, which outlines the paths to constructing child and adolescent mental health policy, also states that coordination and cooper- ation between different sectors and the perma- nent construction of the network are vital, and that services are responsible for the universal provision of welcoming care and responsible referral, with joint accountability of the various actors involved. In this respect, services should tailor their actions to the specific characteris- tics of their catchment areas and the territories in which users live, which include, among other things, social ties, history, and the relations that people establish and the places they frequent 14 .
Mostrar mais

10 Ler mais

Key words Mental health, Child, Adolescent,

Key words Mental health, Child, Adolescent,

important role in the mental health reform pro- cess, which involves the creation of new public policies, practices, knowledge, and ways of relat- ing to this experience. Using a guiding question addressing the history of child and adolescent mental health in Brazil and the participation of child and adolescent mental health service users in the policy construction process, a narrative lit- erature review was undertaken framing the main policy developments and advances in this area within the overall context of the Brazilian men- tal health reform. A search of technical, institu- tional, and legal documents in the thematic area Mental Health was conducted using a national database. The material analyzed addressed mile- stones in child and adolescent mental healthcare, highlighting the paths taken in building this field. The article also discusses the participation of child and adolescent mental health service usersin this process in the form of a commentary. Finally, the article highlights the need to guarantee the par- ticipation of this group to enable them to play a leading role in the struggle for the construction and realization of rights.
Mostrar mais

10 Ler mais

Global mental health: perspectives from Ethiopia

Global mental health: perspectives from Ethiopia

that could potentially be utilised by other countries in Africa (27). The strategy encourages the involvement of informal sectors to support mental health care in the community, specifically through the involvement of teachers, nongovernmental organisations (NGOs), and especially traditional and religious leaders. The strategy acknowledges that traditional healers and religious lea- ders account for a ‘significant extent of mental health care’ and so aims to provide them with ‘training’ to improve detection and referral. The informal-sector players are expected to work collaboratively with the formal sector. However, so far, there is limited communication between the formal and informal sectors, and it is unclear how collaboration could be initiated and made mutually rein- forcing for the benefit of patients with mental illness. In this regard, an interesting experiment is being under- taken by the Department of Psychiatry at Addis Ababa University, in which the department runs a two weekly psychiatric clinic at a famous traditional healing site just outside of Addis Ababa. The service seems to have good acceptability, and there is a plan for evaluating the acceptability of the service and its impact.
Mostrar mais

7 Ler mais

Saúde mental do estudante de medicina/  Mental health of the medicine student

Saúde mental do estudante de medicina/ Mental health of the medicine student

Trata-se de uma revisão de literatura sobre saúde mental e estudantes de medicina. Os artigos foram selecionados dos bancos de dados da Pubmed e SCIELO. A busca foi realizada entre os meses de janeiro a julho de 2019, com os seguintes descritores: “Saúde Mental”, “Depressão”, “Síndrome de Burnout”, “mental health”, “students, medical”, “depression”, “burnout syndrome”. Foram considerados estudos na língua portuguesa e inglesa, publicados no período compreendido entre janeiro de 2015 e julho de 2019.

13 Ler mais

Estratégia familiar de cuidado em saúde mental / Family mental health care strategy

Estratégia familiar de cuidado em saúde mental / Family mental health care strategy

This work was carried out with the purpose of analyzing and discussing the way in which the family carries out and understands the care of the person with mental suffering. To reach this understanding it is necessary to turn to the family caregivers themselves and, to understand the way the care is seen by them within their daily reality, case studies were carried out with caring families. From this, it was possible to observe units of analysis that were repeated within the conversations with the family caregivers, such as: financial resources and care, medication and care, domestic activities and care and even the need for care of the family caregiver himself. From the interviews with the family caregivers it was possible to observe the complexity of the care for the caregiver, since this impacts the life of the family caregiver in several ways, financial, psychological, physical and spiritual. With this it was acceptable to create a discussion, using the own literature and the Mental Health Public Policies, to investigate how the care is seen and applied in the reality of the caring families, which many times do not have many resources, and live with the mental suffering in their daily life.
Mostrar mais

16 Ler mais

Estratégia Educacional em Saúde Mental para Médicos da Atenção Básica Mental Health Educational Program for Primary Health Care Physicians

Estratégia Educacional em Saúde Mental para Médicos da Atenção Básica Mental Health Educational Program for Primary Health Care Physicians

Introduction: Brazilian primary health care and mental health policies have contributed significan- tly to improving health care in the country. Both defend the basic principles of the Unified Health Sys- tem (SUS) and propose a change in the health care model, focusing on a decentralized, community/ family-oriented approach, rather than the traditional centralized, hospital-oriented model. Objective: This article aims to provide practical elements, which may serve as a model for the implementation of mental health education programs for primary health care physicians who work in Brazil. Methods: Learning needs in mental health were identified using data triangulation methodology that drew on literature review, questionnaires and focus groups. The study was conducted in the town of Sobral, Ceará, with the participation of 26 family physicians from 28 Basic Health Units and three psychiatry professors from Brazilian medical schools. Results: Most of the family doctors felt unprepared to solve mental health problems and identified major gaps in their medical training. They reported that the focus on mental health issues was insufficient, and centered on the hospital setting and healing, rather than in the context of community care. The educational program developed provides health teams and health education institutions with the conceptual, practical and methodological framework for primary-level mental health education initiatives. Conclusion: The tools to identify health learning needs proved useful in the development of continuing education programs together with primary health professionals. For the purposes of validation, it is suggested that this program be tested in different Brazilian cities followed by thorough evaluation.
Mostrar mais

9 Ler mais

PREDIÇÃO DA CRIATIVIDADE E SAÚDE MENTAL CREATIVITY PREDICTION AND MENTAL HEALTH

PREDIÇÃO DA CRIATIVIDADE E SAÚDE MENTAL CREATIVITY PREDICTION AND MENTAL HEALTH

ABSTRACT - Creativity has been mentioned by the literature for a long time. The way each one of was conceptualize it differs from researcher to researcher and his or her way of interpreting it, however its potential has been receiving an increasing interest by the scientific community. Its benefits extend to many human life fields, including satisfaction, well-being and mental health. This research tries to find a creative behavior prediction model, assuming that it will help on the development of a better psychological well-being. So this research used four main variables: the creative person, the creative process, the creative product and the creative environment. The sample featured 215 college students and the results revealed four predictive models of creative behaviors, with a greater emphasis on the visual arts and crafts. We conclude with the idea that, it’s possible to predict creative products and that it can be of great importance to a good mental health development.
Mostrar mais

8 Ler mais

Mental health and psychiatric care in Bolivia: what do we know?

Mental health and psychiatric care in Bolivia: what do we know?

Information on psychiatric morbidity in Bolivia and on the impact of mental disorders on public health is limited. Currently the international literature indicates that mental and behavioral disorders are among the leading causes of burden of disease worldwide (13%) [29]. In addition, men- tal disorders tend to persist throughout the lifecourse, causing significant long-lasting impairment [26]. The lit- erature emphasizes the need for further investment in mental health care systems. Despite current efforts to en- hance the mental health care system in Bolivia, the coun- try still invests very little in mental health, with only 0.2% of the total budget for health care allocated specifically for mental health care [15]. This is much less than the average budget for mental health care in South America, which is estimated to be 2.36% [9]. Bolivia still lacks epidemio- logical data based on which mental health policy should be established. Therefore, the production of such data might be an important tool to engage policymakers in the restructuring of the mental health system.
Mostrar mais

7 Ler mais

Better mental health care

Better mental health care

Nesses 50 anos do Mental Health Act no Reino Unido, as ideias do livro se apresentam como referência abrangente para as redes de serviços de cuidados comunitários em saúde mental, para todos os níveis de desenvolvimento regional/nacional e local. Em nosso país, de recursos parcos para a saúde - e menor ainda para a saúde mental -, devemos bater-nos por serviços mais eficientes e evidenciados nos melhores resultados da pesquisa. Incorporarmos nas ações os direitos humanos, a eficiência no planejamento e nos investimentos e a participação total da comunidade. Lutamos pela garantia da transferência dos recursos intra-hospitalares desativados para os serviços comunitários (CAPS e outros). Ainda, da leitura depreende-se que precisamos de todos os tipos de serviços que satisfaçam as reais necessidades de uma rede completa de atenção comunitária, que busque alternativas para soluções específicas locais, sob a ótica do melhor cuidado e da avaliação, e menos das certezas programáticas, ou dogmáticas. Às universidades, a tarefa de capacitação das equipes, de transferência dos resultados de pesquisas, do envolvimento direto no debate e na consolidação de uma rede de serviços efetiva, eficiente, acessível, compreensiva, equitativa, autônoma e sem solução de continuidade do intra ao extra-hospitalar.
Mostrar mais

1 Ler mais

CD43.R10: Mental health

CD43.R10: Mental health

Taking into account that, despite all efforts made in the Region to highlight and reduce the negative impact of mental health problems, in many places mental health services continue to be poorly funded and organized and people who suffer from mental disorders still have no access to proper treatment;

3 Ler mais

CE128.R12: Mental health

CE128.R12: Mental health

Taking into account that, despite all efforts made in the Region to highlight and reduce the negative impact of mental health problems, in many places mental health services continue to be poorly funded and organized and people who suffer from mental disorders still have no access to proper treatment;

3 Ler mais

Show all 10000 documents...