Preface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia Patients in China: The Shanghai Model D. Chang, et al. 2. Enhancing Adherence: The Role of Group Psychotherapy in the Treatment of MDR-TB in...
morePreface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia Patients in China: The Shanghai Model D. Chang, et al. 2. Enhancing Adherence: The Role of Group Psychotherapy in the Treatment of MDR-TB in Urban Peru A. Sweetland, et al. 3. Mental Health Promoter Training with Guatemalan Refugee Women in Mexico City and the Camps of Southern Mexico D.L. Billings, I. Saenz. 4. Mental Health Services in Primary Care: The Case of Nepal S. Acland. 5. 'Our Lives Were Covered in Darkness': The Work of the National Literacy Mission in Northern India A. Cohen. 6. The Risk of Freedom: Mental Health Services in Trieste A. Cohen, B. Saraceno. 7. Indigenous Models for Attenuation of Postpartum Depression: Case Studies from Fiji and Hong Kong A.E. Becker, D.T.S. Lee. About the Contributors. Index
... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que existe entre ser o no atendido con calidad ... Pero frente a estudios que solo cuentan camas como su éxito o fracaso yo me permito apoyar a...
more... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que existe entre ser o no atendido con calidad ... Pero frente a estudios que solo cuentan camas como su éxito o fracaso yo me permito apoyar a Matt Muijen, Asesor en Salud Mental ...
Background Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible...
moreBackground Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes in the use of psychotropic drugs due to the economic recession in Portugal, by comparing self-reported consumption in 2008/09 and 2015/16. Methods Data from the World Mental Health Survey Initiative Portugal (2008/09) and the National Mental Health Survey Follow-Up (2015/16) were used (n = 911). McNemar’s tests were performed to estimate changes in consumption of any psychotropic drug and of antidepressants, anxiolytics, and hypnotics/sedatives. Multiple Generalised Estimating Equations models with interaction effects were used to estimate the population odds of consuming psychotropic drugs according to year, gender and age. Results An increase of 6.74% was estimated in the consumption of psychotropic drugs from 2008/09 to 2015/16. Population ...
Involuntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency of compulsory admissions is assumed to be alarmingly high; however, no study has systematically investigated this issue. In line with this,...
moreInvoluntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency of compulsory admissions is assumed to be alarmingly high; however, no study has systematically investigated this issue. In line with this, the present study aims to estimate the frequency of compulsory admissions in a psychiatric hospital and to explore its underpinnings. All individuals who were admitted to the Psychiatric Hospital of Attica during June-October 2011 were included into the study. Information about their socio-demographic and clinical characteristics as well as their previous contact with mental health services was obtained from interviewing the patient and his/her physician. Furthermore, information about the initiation of the process of compulsory admission as well as patient's referral upon discharge was retrieved from patients' administrative record. Out of the 946 admissions 57.4% were involuntary. A diagnosis of unipolar depression, high social support and...
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moreBase de dados : LILACS. Pesquisa : 169581 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 169581. ...
Lorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels,...
moreLorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d'investir dans la sante mentale. D'ou la necessite d'avoir des arguments solides pour convaincre, dans divers secteurs, de l'importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu'ils constituent un defi majeur au developpement mondial.
Lorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d’investir...
moreLorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d’investir dans la sante mentale. D’ou la necessite d’avoir des arguments solides pour convaincre, dans divers secteurs, de l’importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu’ils constituent un defi majeur au developpement mondial.
Nations for Mental Health è un Programma dell'Organizzazione Mondiale della Sanità istituito di recente, dopo la pubblicazione, nel maggio 1995, di un rapporto sulla salute mentale nel mondo da parte di un gruppo di studio della...
moreNations for Mental Health è un Programma dell'Organizzazione Mondiale della Sanità istituito di recente, dopo la pubblicazione, nel maggio 1995, di un rapporto sulla salute mentale nel mondo da parte di un gruppo di studio della Harvard Medical School. Il Segretario Generale delle Nazioni Unite ha accolto con entusiasmo la pubblicazione, riconoscendo che l'obiettivo globale delle Nazioni Unite “*è quello di promuovere la salute mentale e il benessere di tutti gli abitanti del pianeta”. Il Programma delle Nazioni per la Salute Mentale si fa carico di questa missione. Il suo scopo principale consiste nel migliorare la salute mentale e il benessere psicosociale delle popolazioni meno favorite del mondo. Il Programma mira ad aumentare la consapevolezza delle conseguenze dei problemi di salute mentale e di abuso di sostanze sul benessere sociale e sulla salute fisica, a coordinare gli sforzi internazionali per combattere le malattie mentali e ad attuare i progetti di salute menta...
Mozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. To collect essential information on Mozambique's MH...
moreMozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. To collect essential information on Mozambique's MH system for decision making, to improve quality of services delivered, update MH Strategy and Action Plan. The study used the WHO-AIMS to assess MH systems including policy and legislation, organization of services, MH in primary care, human resources, public education and link with other sectors, monitoring and research. A comparative analysis was conducted to present the evolution of relevant data from 2010 to 2014. There are two psychiatric hospitals in the country and beds in general hospitals. In the period, the number of beds in general hospitals remained stable (203), and the beds in psychiatric hospitals increased from 173 to 298. Mental health outpatient facilities have increased from 83 to 152. The number of psychiatrists (9 in 2010, and 10...
Mental, neurological, and substance use disorders and related disabilities (MNS disorders) are leading contributors to the burden of disease globally. (The term MNS is a relatively new acronym coined by the World Health Organization [WHO]...
moreMental, neurological, and substance use disorders and related disabilities (MNS disorders) are leading contributors to the burden of disease globally. (The term MNS is a relatively new acronym coined by the World Health Organization [WHO] to refer to the complete range of disorders of the brain and the mind for its mental health Gap Action Programme [mhGAP].) Unipolar depressive disorders, alcohol use disorders, and self-inflicted injuries rank
The psychiatric hospital has been (and continues to be, where it still exists) the best example of "continuity" in psychiatry. But it is a perverse continuity: the patients are continually abandoned. Still, this perversity may...
moreThe psychiatric hospital has been (and continues to be, where it still exists) the best example of "continuity" in psychiatry. But it is a perverse continuity: the patients are continually abandoned. Still, this perversity may help us become aware of some interesting facts in understanding the risks of continuity and discontinuity within nonhospital psychiatry. Indeed, today the question must be posed in full measure: we must know everything that is necessary for continuity of treatment and rehabilitation, but also everything that is of no use or contingent, i.e., that is irrelevant in terms of the patient's interests. The risks of continuity in outpatient settings are often discussed, e.g., risks of turning the subject into a permanent invalid (one could say that this is a hospital risk outside die hospital); but little has been said about the contrary risks, i.e., those associated with discontinuity, in which, again, there is a hospital risk: abandonment. Four harmful situations are frequently created, especially within a rehabilitation program:
The date of March 31, 2015, following the Law 81/2014, has marked a historical transition with the final closure of the six forensic psychiatric hospitals in Italy. This law identifies a new pathway of care that involves small-scale high...
moreThe date of March 31, 2015, following the Law 81/2014, has marked a historical transition with the final closure of the six forensic psychiatric hospitals in Italy. This law identifies a new pathway of care that involves small-scale high therapeutic profile facilities (Residenze per la Esecuzione della Misura di Sicurezza, REMS) instead of the old forensic psychiatric hospitals. The Law promotes a new recovery-oriented rehabilitation approach for the persons with mental disorders who committed a criminal offence, but lack criminal responsibility and deemed as socially dangerous. After a brief description of what happens abroad, this article highlights the positive aspects of the law that, as a whole, has to be considered innovative and unavoidable. The main debated problems are also reviewed, including the lack of changes to the Criminal Code; the improper equation between insanity and mental illness and social dangerousness; the evaluation of "socially dangerousness", bas...
The Mental Health domain is larger than psychiatry because it implies the establishment of strategies aiming at the promotion of the well-being of the population, the prevention of mental disorders and their treatment and care....
moreThe Mental Health domain is larger than psychiatry because it implies the establishment of strategies aiming at the promotion of the well-being of the population, the prevention of mental disorders and their treatment and care. Politicians, planners, users and families and society at large have a great expectations and this require health professionals to be able to provide public mental health knowledge. It is necessary to identify those specific public mental health actions to which general practitioners and specialist could contribute. To do so more knowledge in public mental health is needed and more training is necessary.
In 2005, the World Health Organization (WHO) launched the second edition of the Mental Health Atlas, consisting of revised and updated information on mental health from countries. The sources of information included the mental health...
moreIn 2005, the World Health Organization (WHO) launched the second edition of the Mental Health Atlas, consisting of revised and updated information on mental health from countries. The sources of information included the mental health focal points in the Ministries of Health, published literature and unpublished reports available to WHO. The results show that global mental health resources remain low and grossly inadequate to respond to the high level of need. In addition, the revised Atlas shows that the improvements over the period 2001 to 2004 are very small. Imbalances across income groups of countries remain largely the same. Enhancement in resources devoted to mental health is urgently needed, especially in low- and middle-income countries.
There is an enormous gap between the burden of mental disorders and mental health resources in low- and middle-income countries. The Mental Health: Global Action Programme of the World Health Organization (WHO) envisions an active role...
moreThere is an enormous gap between the burden of mental disorders and mental health resources in low- and middle-income countries. The Mental Health: Global Action Programme of the World Health Organization (WHO) envisions an active role for research in the multidimensional efforts required to change the current mental health situation in these countries (Research for Change). WHO's strategies to achieve this include developing a research policy and a priority agenda at country level with active collaboration from all stakeholders, building research capacity and infrastructure and involving scientific journals to stimulate and disseminate public health oriented research. A recently agreed joint statement by editors of prominent journals publishing mental health research and WHO sets major objectives and some possible strategies for achieving this. WHO is committed to making Research for Change a reality by working with partners who share this aim.
Mental disorders represent a major challenge to global development worldwide. Effective (and in some cases cost-effective) interventions are available for almost all of them. However, these interventions are often not implemented. Unknown...
moreMental disorders represent a major challenge to global development worldwide. Effective (and in some cases cost-effective) interventions are available for almost all of them. However, these interventions are often not implemented. Unknown variables, quite similar among themselves across the world, can have a strong influence in increasing the service quality in spite of the differences in resources and technologies. These unknown variables often result from the adoption of paradigms which are relatively independent from resources and technologies. We examine here four such paradigms.
Mental health research focused on low- and middle-income (LAMI) countries is needed in view of the burden of neuropsychiatric diseases and the deficiency of mental health resources in these countries. To examine whether mental health...
moreMental health research focused on low- and middle-income (LAMI) countries is needed in view of the burden of neuropsychiatric diseases and the deficiency of mental health resources in these countries. To examine whether mental health research publications on LAMI countries address issues that are likely to influence public mental health. Four databases were searched for years 2000 and 2001 with subject headings related to mental disorders, mental health services, somatic therapies and psychotherapy. Countries were categorized into income groups according to World Bank (2000) criteria. The title, index words and abstracts were reviewed. Almost 55% of publications related to ten LAMI countries. One sixth of research publications related to services/policies, but less than 1% were devoted to economic evaluation. Affective disorders, self-inflicted injuries and mental retardation were under-researched. The geographic spread of internationally accessible mental health research publicatio...
Very little information is available on budget and financing of mental health services in the world. During year 2001, WHO collected information from all countries on resources available for mental health care as a part of Project Atlas....
moreVery little information is available on budget and financing of mental health services in the world. During year 2001, WHO collected information from all countries on resources available for mental health care as a part of Project Atlas. The present report seeks to describe the situation regarding federal budgets and financing of mental health care at the country level. It also examines the association between relative allocation of health budget to mental health and mental health policy, programme and resource indicators in 89 countries. The information was collected through a questionnaire (with an accompanying glossary) that was sent to the mental health focal point in the Ministry of Health of each country. Eighty nine countries provided information on their mental health budget as a proportion of health budget. In addition, information was obtained on policy, programme and mental health resource indicators (beds, personnel, services to special population and availability of dru...
Mental health care programmes during and after acute emergencies in resource-poor countries have been considered controversial. There is no agreement on the public health value of the post-traumatic stress disorder concept and no...
moreMental health care programmes during and after acute emergencies in resource-poor countries have been considered controversial. There is no agreement on the public health value of the post-traumatic stress disorder concept and no agreement on the appropriateness of vertical (separate) trauma-focused services. A range of social and mental health intervention strategies and principles seem, however, to have the broad support of expert opinion. Despite continuing debate, there is emerging agreement on what entails good public health practice in respect of mental health. In terms of early interventions, this agreement is exemplified by the recent inclusion of a "mental and social aspects of health" standard in the Sphere handbook's revision on minimal standards in disaster response. This affirmation of emerging agreement is important and should give clear messages to health planners.