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[PMID]:28465277
[Au] Autor:Gammon D; Strand M; Eng LS; Børøsund E; Varsi C; Ruland C
[Ad] Endereço:Center for Shared Decision-Making and Collaborative Care Research, Oslo University Hospital, Oslo, Norway.
[Ti] Título:Shifting Practices Toward Recovery-Oriented Care Through an E-Recovery Portal in Community Mental Health Care: A Mixed-Methods Exploratory Study.
[So] Source:J Med Internet Res;19(5):e145, 2017 May 02.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mental health care is shifting from a primary focus on symptom reduction toward personal recovery-oriented care, especially for persons with long-term mental health care needs. Web-based portals may facilitate this shift, but little is known about how such tools are used or the role they may play in personal recovery. OBJECTIVE: The aim was to illustrate uses and experiences with the secure e-recovery portal "ReConnect" as an adjunct to ongoing community mental health care and explore its potential role in shifting practices toward recovery. METHODS: ReConnect was introduced into two Norwegian mental health care communities and used for 6 months. The aim was to support personal recovery and collaboration between service users and health care providers. Among inclusion criteria for participation were long-term care needs and at least one provider willing to interact with service users through ReConnect. The portal was designed to support ongoing collaboration as each service user-provider dyad/team found appropriate and consisted of (1) a toolbox of resources for articulating and working with recovery processes, such as status/goals/activities relative to life domains (eg, employment, social network, health), medications, network map, and exercises (eg, sleep hygiene, mindfulness); (2) messaging with providers who had partial access to toolbox content; and (3) a peer support forum. Quantitative data (ie, system log, questionnaires) were analyzed using descriptive statistics. Qualitative data (eg, focus groups, forum postings) are presented relative to four recovery-oriented practice domains: personally defined recovery, promoting citizenship, working relationships, and organizational commitment. RESULTS: Fifty-six participants (29 service users and 27 providers) made up 29 service user-provider dyads. Service users reported having 11 different mental health diagnoses, with a median 2 (range 1-7) diagnoses each. The 27 providers represented nine different professional backgrounds. The forum was the most frequently used module with 1870 visits and 542 postings. Service users' control over toolbox resources (eg, defining and working toward personal goals), coupled with peer support, activated service users in their personal recovery processes and in community engagement. Some providers (30%, 8/27) did not interact with service users through ReConnect. Dyads that used the portal resources did so in highly diverse ways, and participants reported needing more than 6 months to discover and adapt optimal uses relative to their individual and collaborative needs. CONCLUSIONS: Regardless of providers' portal use, service users' control over toolbox resources, coupled with peer support, offered an empowering common frame of reference that represented a shift toward recovery-oriented practices within communities. Although service users' autonomous use of the portal can eventually influence providers in the direction of recovery practices, a fundamental shift is unlikely without broader organizational commitments aligned with recovery principles (eg, quantified goals for service user involvement in care plans).
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental/organização & administração
Aconselhamento/métodos
Acesso aos Serviços de Saúde
Transtornos Mentais/terapia
Avaliação de Resultados (Cuidados de Saúde)
Consulta Remota/utilização
[Mh] Termos MeSH secundário: Adulto
Feminino
Grupos Focais
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Noruega
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.7524


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[PMID]:29179833
[Au] Autor:Aagaard J; Tuszewski B; Kølbæk P
[Ad] Endereço:Aarhus University Hospital, Risskov DK-8240, Denmark; Aalborg University Hospital, Psychiatric Hospital, Center for Psychosis Research, Aalborg DK-9000, Denmark. Electronic address: joaa@rn.dk.
[Ti] Título:Does Assertive Community Treatment Reduce the Use of Compulsory Admissions?
[So] Source:Arch Psychiatr Nurs;31(6):641-646, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The growing number of compulsory admissions in Denmark and other countries is a compelling challenge. We hypothesized that Assertive Community Treatment (ACT) may have the quality to reduce the use of several type of coercion including compulsory admissions. Although ACT is not designed for coercion prevention, it may prove efficient in averting major crisis among the included patients. Studies in Denmark showed that ACT has a major and significant advantage in reducing number and length of admissions. METHODS/DESIGN: We collected service data from National Case Register at three psychiatric hospitals, which constitutes the inpatient and outpatient mental health services in the North Denmark Region. Data included psychiatric and somatic service use among 240 patients starting in ACT. Primary measure concerned the extent to which ACT might reduce compulsory admissions. RESULTS: During a five years period patients allocated to ACT show decreasing admission trends. In comparison with all other psychiatric service users, we found a significant difference in trends concerning voluntary admissions and involuntary admissions according to the dangerous criterion, and decrease in number of contacts to Psychiatric Emergency Room (PER) CONCLUSION: An assertive approach undoubtedly reduces hospitalization including some involuntary admissions. ACT is preferable from both team and patient perspectives, and further caused reduction of PER visits compared to standard treatment. PERSPECTIVES: The criterion of Severe Mental Illness (SMI) may be revised to facilitate ACT to be offered to a larger group of SMI patients. In addition, introduction of Crisis Intervention Teams should be considered and allocated to PER.
[Mh] Termos MeSH primário: Coerção
Internação Compulsória de Doente Mental/estatística & dados numéricos
Serviços Comunitários de Saúde Mental/utilização
Transtornos Mentais/terapia
[Mh] Termos MeSH secundário: Adulto
Serviços Comunitários de Saúde Mental/estatística & dados numéricos
Intervenção na Crise/métodos
Dinamarca
Feminino
Hospitais Psiquiátricos
Seres Humanos
Pacientes Internados/estatística & dados numéricos
Masculino
Transtornos Mentais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28465383
[Au] Autor:Newton-Howes G; Ryan CJ
[Ad] Endereço:Giles Newton-Howes, MBChB, MRCPsych, FRANZCP, Department of Psychological Medicine, University of Otago, Wellington, New Zealand; Christopher James Ryan, MBBS, MHL, FRANZCP, Discipline of Psychiatry and the Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, Australia giles.newton-howes@otago.ac.nz.
[Ti] Título:The use of community treatment orders in competent patients is not justified.
[So] Source:Br J Psychiatry;210(5):311-312, 2017 05.
[Is] ISSN:1472-1465
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Empirical evidence for the effectiveness of community treatment orders (CTOs) is at best mixed. We examine CTOs through the prism of human rights and discrimination, bearing the evidence in mind, and argue that a necessary condition for their use is that a person lacks decision-making capacity.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Serviços Comunitários de Saúde Mental/legislação & jurisprudência
Competência Mental/legislação & jurisprudência
Transtornos Mentais/terapia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Violações dos Direitos Humanos/legislação & jurisprudência
Seres Humanos
Direitos do Paciente/legislação & jurisprudência
Psiquiatria
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1192/bjp.bp.116.193920


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[PMID]:29227132
[Au] Autor:Sessions KL; Wheeler L; Shah A; Farrell D; Agaba E; Kuule Y; Merry SP
[Ad] Endereço:Mayo Clinic School of Medicine, Rochester. Sessions.Kristen@mayo.edu.
[Ti] Título:Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme.
[So] Source:Afr J Prim Health Care Fam Med;9(1):e1-e7, 2017 Nov 30.
[Is] ISSN:2071-2936
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international mental health issues. AIM: This paper aims to evaluate the perceptions of a wide range of mental health stakeholders in a Ugandan community regarding the benefits and barriers to developing a community-based mental health programme. SETTING: Bwindi Community Hospital (BCH) in south-west Uganda provides services through a team of community health workers to people in the Kanungu District. METHODS: Thematic analysis of 13 semi-structured interviews and 6 focus group discussions involving 54 community members and 13 mental health stakeholders within the BCH catchment area. RESULTS: Stakeholders perceived benefits to a community-based compared to a hospital-based programme, including improved patient care, lower costs to patients and improved community understanding of mental illness. They also cited barriers including cost, insufficient workforce and a lack of community readiness. CONCLUSIONS: Stakeholders express interest in developing community-based mental health programmes, as they feel that it will address mental health needs in the community and improve community awareness of mental illness. However, they also report that cost is a significant barrier to programme development that will have to be addressed prior to being able to successfully establish such programming. Additionally, many community members expressed unique sociocultural beliefs regarding the nature of mental illness and those suffering from a psychiatric disease.
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental/métodos
Serviços Comunitários de Saúde Mental/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Transtornos Mentais/terapia
Participação dos Interessados
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.4102/phcfm.v9i1.1462


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[PMID]:29254361
[Au] Autor:Manning V; Dowling NA; Lee S; Rodda S; Garfield JBB; Volberg R; Kulkarni J; Lubman DI
[Ad] Endereço:1 Turning Point, Eastern Health , Melbourne, VIC, Australia.
[Ti] Título:Problem gambling and substance use in patients attending community mental health services.
[So] Source:J Behav Addict;6(4):678-688, 2017 Dec 01.
[Is] ISSN:2063-5303
[Cp] País de publicação:Hungary
[La] Idioma:eng
[Ab] Resumo:Background and aims Relatively little is known about co-occurring gambling problems and their overlap with other addictive behaviors among individuals attending mental health services. We aimed to determine rates of gambling and substance use problems in patients accessing mental health services in Victoria, Australia. Methods A total of 837 adult patients were surveyed about their gambling and administered standardized screening tools for problem gambling and harmful tobacco, alcohol, and drug use. Prevalence of gambling problems was estimated and regression models used to determine predictors of problem gambling. Results The gambling participation rate was 41.6% [95% CI = 38.2-44.9]. The Problem Gambling Severity Index identified 19.7% [CI = 17.0-22.4] as "non-problem gamblers," 7.2% [CI = 5.4-8.9] as "low-risk" gamblers, 8.4% [CI = 6.5-10.2] as "moderate-risk" gamblers, and 6.3% [CI = 4.7-8.0] as "problem gamblers." One-fifth (21.9%) of the sample and 52.6% of all gamblers were identified as either low-risk, moderate-risk, or problem gamblers (PGs). Patients classified as problem and moderate-risk gamblers had significantly elevated rates of nicotine and illicit drug dependence (p < .001) according to short screening tools. Current diagnosis of drug use (OR = 4.31 [CI = 1.98-9.37]), borderline personality (OR = 2.59 [CI = 1.13-5.94]), bipolar affective (OR = 2.01 [CI = 1.07-3.80]), and psychotic (OR = 1.83 [CI = 1.03-3.25]) disorders were significant predictors of problem gambling. Discussion and conclusions Patients were less likely to gamble, but eight times as likely to be classified as PG, relative to Victoria's adult general population. Elevated rates of harmful substance use among moderate-risk and PG suggest overlapping vulnerability to addictive behaviors. These findings suggest mental health services should embed routine screening into clinical practice, and train clinicians in the management of problem gambling.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/epidemiologia
Transtorno Bipolar/epidemiologia
Serviços Comunitários de Saúde Mental
Transtorno Depressivo Maior/epidemiologia
Jogo de Azar/epidemiologia
Transtornos Psicóticos/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Austrália/epidemiologia
Comorbidade
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Prevalência
Vitória/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1556/2006.6.2017.077


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[PMID]:28454533
[Au] Autor:Puntis SR; Rugkåsa J; Burns T
[Ad] Endereço:Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, OX3 7JX, UK. stephen.puntis@psych.ox.ac.uk.
[Ti] Título:Associations between compulsory community treatment and continuity of care in a three year follow-up of the Oxford Community Treatment Order Trial (OCTET) cohort.
[So] Source:BMC Psychiatry;17(1):151, 2017 04 28.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Most studies investigating the effectiveness of Community Treatment Orders (CTOs) use readmission to hospital as the primary outcome. Another aim of introducing CTOs was to improve continuity of care. Our study was a 3-year prospective follow-up which tested for associations between CTOs and continuity of care. METHODS: Our study sample included 333 patients recruited to the Oxford Community Treatment Order Trial (OCTET). We collected data on continuity of care using eight previously operationalized measures. We analysed the association between CTOs and continuity of care in two ways. First, we tested the association between continuity of care and OCTET randomisation arm (CTO versus voluntary care via Section 17 leave). Second, we analysed continuity of care and CTO exposure independent of randomisation; using any exposure to CTO, number of days on CTO, and proportion of outpatient days on CTO as outcomes. RESULTS: 197 (61%) patients were made subject to CTO during the 36-month follow-up. Randomisation to CTO arm was significantly associated with having a higher proportion of clinical documents copied to the user but no other measures of continuity. Having a higher proportion of outpatient days on CTO (irrespective of randomisation) was associated with fewer 60 day breaks without community contact. A sensitivity analysis found that any exposure to CTO and a higher proportion of outpatient days on CTO were associated with fewer days between community mental health team contacts and 60 day breaks without contact. CONCLUSION: We found some evidence of an association between CTO use and better engagement with the community team in terms of increased contact and fewer breaks in care. Those with CTO experience had a higher number of inpatient admissions which may have acted as a mediator of this association. We found limited evidence for an association between CTO use and other measures of continuity of care.
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental/estatística & dados numéricos
Continuidade da Assistência ao Paciente/estatística & dados numéricos
Programas Obrigatórios/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1319-x


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[PMID]:29253031
[Au] Autor:Kim M; Lee YH
[Ad] Endereço:Department of Nursing, Graduate School, Chonnam National University, Dong-gu, Gwangju, Republic of Korea.
[Ti] Título:Gender-specific factors associated with the use of mental health services for suicidal ideation: Results from the 2013 Korean Community Health Survey.
[So] Source:PLoS One;12(12):e0189799, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined gender-specific factors associated with the use of mental health services (MHS) for suicidal ideation (SI). We included data on 6,768 males and 12,475 females who had experienced SI over the past year from the nationwide 2013 Korean Community Health Survey. These individuals were grouped as MHS users for SI if they had received professional counseling at medical institutions, professional counseling agencies, or community health centers for SI-related problems. Their information on sociodemographic factors, socio-familial relationships, health behaviors, and health status were included as exposures in a logistic regression analysis. Of the 19,243 individuals, 7.0% of the males and 10.5% of the females used MHS for SI treatment. For males with SI, living in an urban area, being a widower, and having unhealthy behaviors (frequent alcohol consumption and infrequent walking) were associated with underuse of MHS. For females with SI, frequent contact with friends, low level of religious activity, and good self-rated health were associated with underuse of MHS. For both males and females, those who were younger, completed higher education, and experienced depression/suicide attempts in the past year were more likely to use MHS for SI. These findings suggest that gender-specific factors should be used to inform suicide prevention strategies.
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental/organização & administração
Ideação Suicida
[Mh] Termos MeSH secundário: Adulto
Idoso
Consumo de Bebidas Alcoólicas
Aconselhamento
Depressão/epidemiologia
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Análise de Regressão
República da Coreia
Fatores de Risco
Fatores Sexuais
Classe Social
Suicídio/prevenção & controle
Tentativa de Suicídio/prevenção & controle
População Urbana
Caminhada
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189799


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[PMID]:29229712
[Au] Autor:Rudoler D; de Oliveira C; Cheng J; Kurdyak P
[Ad] Endereço:Institute for Mental Health Policy Research (Rudoler, de Oliveira, Cheng, Kurdyak), Centre for Addiction and Mental Health; Mental Health and Addictions Research Program (Rudoler, de Oliveira, Cheng, Kurdyak), Institute for Clinical Evaluative Sciences; Department of Psychiatry, Faculty of Medicine
[Ti] Título:Payment incentives for community-based psychiatric care in Ontario, Canada.
[So] Source:CMAJ;189(49):E1509-E1516, 2017 Dec 11.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In September 2011, the government of Ontario implemented payment incentives to encourage the delivery of community-based psychiatric care to patients after discharge from a psychiatric hospital admission and to those with a recent suicide attempt. We evaluated whether these incentives affected supply of psychiatric services and access to care. METHODS: We used administrative data to capture monthly observations for all psychiatrists who practised in Ontario between September 2009 and August 2014. We conducted interrupted time-series analyses of psychiatrist-level and patient-level data to evaluate whether the incentives affected the quantity of eligible outpatient services delivered and the likelihood of receiving follow-up care. RESULTS: Among 1921 psychiatrists evaluated, implementation of the incentive payments was not associated with increased provision of follow-up visits after discharge from a psychiatric hospital admission (mean change in visits per month per psychiatrist 0.0099, 95% confidence interval [CI] -0.0989 to 0.1206; change in trend 0.0032, 95% CI -0.0035 to 0.0095) or after a suicide attempt (mean change -0.0910, 95% CI -0.1885 to 0.0026; change in trend 0.0102, 95% CI 0.0045 to 0.0159). There was also no change in the probability that patients received follow-up care after discharge (change in level -0.0079, 95% CI -0.0223 to 0.0061; change in trend 0.0007, 95% CI -0.0003 to 0.0016) or after a suicide attempt (change in level 0.0074, 95% CI -0.0094 to 0.0366; change in trend 0.0006, 95% CI -0.0007 to 0.0022). INTERPRETATION: Our results suggest that implementation of the incentives did not increase access to follow-up care for patients after discharge from a psychiatric hospital admission or after a suicide attempt, and the incentives had no effect on supply of psychiatric services. Further research to guide design and implementation of more effective incentives is warranted.
[Mh] Termos MeSH primário: Assistência Ambulatorial/métodos
Serviços Comunitários de Saúde Mental/provisão & distribuição
Acesso aos Serviços de Saúde/estatística & dados numéricos
Motivação
Psiquiatria
Reembolso de Incentivo
[Mh] Termos MeSH secundário: Assistência ao Convalescente
Assistência à Saúde/métodos
Feminino
Hospitalização
Seres Humanos
Análise de Séries Temporais Interrompida
Estudos Longitudinais
Masculino
Meia-Idade
Ontário
Alta do Paciente
Tentativa de Suicídio
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.160816


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[PMID]:28987051
[Au] Autor:Heitzman J; Markiewicz I
[Ad] Endereço:Instytut Psychiatrii i Neurologii, Klinika Psychiatrii Sadowej.
[Ti] Título:Financing of forensic psychiatry in view of treatment quality and threat to public safety.
[Ti] Título:Finansowanie psychiatrii sadowej a jakosc leczenia i zagrozenie bezpieczenstwa publicznego..
[So] Source:Psychiatr Pol;51(4):599-608, 2017 Aug 29.
[Is] ISSN:2391-5854
[Cp] País de publicação:Poland
[La] Idioma:eng; pol
[Ab] Resumo:Stay in a psychiatric hospital of persons who committed the gravest criminal acts while in a state of insanity aims to ensure their effective treatment (therapeutic function), but above all to prevent the repetition of prohibited acts of significant harm to the community (preventive function). Forensic patients are provided with suitable medical, psychiatric, rehabilitation and resocialization care. The court imposes an indefinite detention. In view of the dual purpose of the stay in a psychiatric hospital, both therapeutic and preventive, the treatment costs generated by forensic wards are higher than those of general psychiatric wards. This prompts person from outside psychiatry, who do not understand the nature of preventive measures, to call for continuing reductions in the expenditure on forensic psychiatric care. It is, therefore, worth analyzing the possible meaning and results of the attempts to economizeforensic psychiatry, to find savings and to manipulate financing system under the pretence of economic incentive to improve treatment quality. In this paper, the authors address and discuss the above and other issues.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Serviços Comunitários de Saúde Mental/legislação & jurisprudência
Reforma dos Serviços de Saúde/legislação & jurisprudência
Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência
Segurança/legislação & jurisprudência
[Mh] Termos MeSH secundário: Hospitais Psiquiátricos/legislação & jurisprudência
Seres Humanos
Alta do Paciente/legislação & jurisprudência
Competência Profissional/legislação & jurisprudência
Saúde Pública/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


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[PMID]:28792989
[Au] Autor:Franzmann UT; Kantorski LP; Jardim VMDR; Treichel CADS; Oliveira MM; Pavani FM
[Ad] Endereço:Universidade Federal de Pelotas, Pelotas, Brasil.
[Ti] Título:[Factors associated with perception of improvement by users of Centers for Psychosocial Care in the South of Brazil].
[Ti] Título:Fatores associados à percepção de melhora por usuários de Centros de Atenção Psicossocial do Sul do Brasil..
[So] Source:Cad Saude Publica;33(7):e00085216, 2017 Aug 07.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:This study aimed to investigate factors associated with perceived improvement among users of Centers for Psychosocial Care. This was a cross-sectional study of 1,493 users of Centers for Psychosocial Care in the South of Brazil. Users' perceived improvement was assessed by Perceived Change Scale - Patients (PCS-Patients). Associated factors were investigated using logistic regression guided by a hierarchical model, with statistical significance set at p < 0.05. Factors associated with the outcome were: state where the Center for Psychosocial Care was located, paid work, diagnosis of schizophrenia, age at diagnosis < 18 years, longer time attending the center, ease of access, and involvement in the evaluation. The factors that actually involve improvement in users include those pertaining to characteristics of the illness and aspects related to services in the implementation of mental health policies and their organization.
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental/normas
Transtornos Mentais/terapia
Medidas de Resultados Relatados pelo Paciente
Satisfação do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Brasil/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos
Percepção
Pesquisa Qualitativa
Distribuição por Sexo
Fatores Socioeconômicos
Inquéritos e Questionários
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE



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