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[PMID]:27172517
[Au] Autor:Brolin R; Brunt D; Rask M; Syrén S; Sandgren A
[Ad] Endereço:Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden; rosita.brolin@lnu.se.
[Ti] Título:Striving for meaning-Life in supported housing for people with psychiatric disabilities.
[So] Source:Int J Qual Stud Health Well-being;11:31249, 2016.
[Is] ISSN:1748-2631
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to develop a grounded theory about people with psychiatric disabilities, living in supported housing. Interviews as well as observations during the interviews were analyzed together with secondary analyses of quantitative and qualitative material from previous studies. Being deprived of self-determination emerged as the main concern for residents in supported housing and striving for meaning emerged as the pattern of behavior through which this group resolves their main concern. Striving for meaning involves living in the present, striving for self-determination, strengthening self-esteem, emotional processing and resting from the present. The strategies facilitate each other and are used singly, together simultaneously, or alternately. If they are successful, a meaning in the present is perceived. If all the strategies fail repeatedly, escaping from the present is used in order to deal with being deprived of self-determination. The implications of the findings suggest prioritizing a reduction of the institutional nature of the social and physical environment, and to support the residents' self-determination.
[Mh] Termos MeSH primário: Pessoas com Deficiência/psicologia
Emoções
Habitação
Transtornos Mentais
Autonomia Pessoal
Serviço Social em Psiquiatria
[Mh] Termos MeSH secundário: Adulto
Idoso
Atitude Frente à Saúde
Meio Ambiente
Feminino
Teoria Fundamentada
Seres Humanos
Institucionalização
Masculino
Meia-Idade
Autoimagem
Meio Social
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160513
[St] Status:MEDLINE
[do] DOI:10.3402/qhw.v11.31249


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[PMID]:27167557
[Au] Autor:Jormfeldt H; Hallén M
[Ad] Endereço:School of Health and Welfare, University of Halmstad, Halmstad, Sweden; henrika.jormfeldt@hh.se.
[Ti] Título:Experiences of housing support in everyday life for persons with schizophrenia and the role of the media from a societal perspective.
[So] Source:Int J Qual Stud Health Well-being;11:30571, 2016.
[Is] ISSN:1748-2631
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The mental health-care system in Sweden, as in many other counties, has its main focus on the reduction of psychiatric symptoms and the prevention of relapses. People diagnosed with schizophrenia often have significant health issues and experience reduced well-being in everyday life. The social imaginary of mental illness as an imbalance of the brain has implications concerning general attitudes in society. The news media are an important source of information on psychiatric disorders and have an important role in cultivating public perceptions and stigma. News media can contribute to the mental illness stigma and place individuals with mental illnesses at risk of not receiving adequate care and support. The aim of this preliminary study was to describe users' experiences of housing support in everyday life. RESULTS: The results revealed three themes of housing support, which were needed, but frequently insufficiently fulfilled in the municipality. The three themes were: "Support to Practice Healthy Routines in Daily Life," "Support to Shape Meaningful Contents in Everyday Life," and "Support to Meet Needs of Integrity and Respect." CONCLUSIONS: The findings support previous studies arguing that current health care and housing support fails to meet basic needs and may lead to significant and unnecessary health risks. Further investigation is needed regarding the links between attitudes to mental illness in society and political and financial principles for health care and housing support for persons with schizophrenia. Further research is needed regarding the role of the media in policymaking concerning health promotion interventions for people diagnosed with schizophrenia.
[Mh] Termos MeSH primário: Atitude
Habitação
Meios de Comunicação de Massa
Esquizofrenia
Discriminação Social
Estigma Social
Serviço Social em Psiquiatria
[Mh] Termos MeSH secundário: Atividades Cotidianas
Promoção da Saúde
Seres Humanos
Pesquisa Qualitativa
Qualidade de Vida
Suécia
Valor da Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160512
[St] Status:MEDLINE
[do] DOI:10.3402/qhw.v11.30571


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[PMID]:26698176
[Au] Autor:Watson D
[Ad] Endereço:a School of Applied Social Science, College of Health and Social Sciences, University of Brighton , Brighton , UK.
[Ti] Título:Becoming an Approved Mental Health Professional: an analysis of the factors that influence individuals to become Approved Mental Health Professionals.
[So] Source:J Ment Health;25(4):310-314, 2016 Aug.
[Is] ISSN:1360-0567
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In England and Wales, the Approved Mental Health Professional (AMHP) has final responsibility for applying under the Mental Health Act 1983 to admit an individual compulsorily and convey them to psychiatric hospital. The AMHP role is challenging and legally accountable and unique to the UK context. AIMS: To analyse the motivation of individuals to become AMHPs, and identify factors which may affect motivation. METHOD: Semi-structured interviews were conducted with 12 AMHPs from local authorities across Southern England. Ten participants were social workers, one was qualified as both a nurse and social worker, and one was a mental health nurse. RESULTS: Participants identify career progression and professional development as significant as well as the status and independence of the role and enhanced job security. Social work participants value the Mental Health Act assessment as a contained piece of work, with a high degree of professional discretion. CONCLUSIONS: AMHPs are motivated by an increase in professional status and job security, but also exercising independent judgment and authority in a time-limited intervention is emotionally and professionally rewarding.
[Mh] Termos MeSH primário: Saúde Mental/educação
Motivação
Enfermagem Psiquiátrica/educação
Serviço Social em Psiquiatria/educação
[Mh] Termos MeSH secundário: Inglaterra
Feminino
Seres Humanos
Masculino
Cuidados de Enfermagem/psicologia
Assistentes Sociais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151225
[St] Status:MEDLINE


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[PMID]:26552941
[Au] Autor:Hoge CW; Ivany CG; Brusher EA; Brown MD; Shero JC; Adler AB; Warner CH; Orman DT
[Ad] Endereço:From the Center for Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Md.; the Behavioral Health Division, Office of the Army Surgeon General, Falls Church, Va.; the Behavioral Health Division, U.S. Army Medical Command Headquarters, Fort Sam Houston, Tex.; the Depa
[Ti] Título:Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect.
[So] Source:Am J Psychiatry;173(4):334-43, 2016 Apr 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The cumulative strain of 14 years of war on service members, veterans, and their families, together with continuing global threats and the unique stresses of military service, are likely to be felt for years to come. Scientific as well as political factors have influenced how the military has addressed the mental health needs resulting from these wars. Two important differences between mental health care delivered during the Iraq and Afghanistan wars and previous wars are the degree to which research has directly informed care and the consolidated management of services. The U.S. Army Medical Command implemented programmatic changes to ensure delivery of high-quality standardized mental health services, including centralized workload management; consolidation of psychiatry, psychology, psychiatric nursing, and social work services under integrated behavioral health departments; creation of satellite mental health clinics embedded within brigade work areas; incorporation of mental health providers into primary care; routine mental health screening throughout soldiers' careers; standardization of clinical outcome measures; and improved services for family members. This transformation has been accompanied by reduction in psychiatric hospitalizations and improved continuity of care. Challenges remain, however, including continued underutilization of services by those most in need, problems with treatment of substance use disorders, overuse of opioid medications, concerns with the structure of care for chronic postdeployment (including postconcussion) symptoms, and ongoing questions concerning the causes of historically high suicide rates, efficacy of resilience training initiatives, and research priorities. It is critical to ensure that remaining gaps are addressed and that knowledge gained during these wars is retained and further evolved.
[Mh] Termos MeSH primário: Assistência à Saúde/métodos
Família/psicologia
Serviços de Saúde Mental/organização & administração
Militares/psicologia
Atenção Primária à Saúde/métodos
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Campanha Afegã de 2001-
Assistência à Saúde/organização & administração
Medicina Baseada em Evidências
Seres Humanos
Guerra do Iraque 2003-2011
Política
Atenção Primária à Saúde/organização & administração
Enfermagem Psiquiátrica
Psiquiatria
Serviço Social em Psiquiatria
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160402
[Lr] Data última revisão:
160402
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:151111
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2015.15040553


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[PMID]:26547517
[Au] Autor:Leff HS; Cichocki B; Chow C; Salzer M; Wieman D
[Ad] Endereço:Human Services Research Institute, Cambridge, MA, United States; Department of Psychiatry, Harvard Medical School, Cambridge, MA, United States.
[Ti] Título:A menu with prices: Annual per person costs of programs addressing community integration.
[So] Source:Eval Program Plann;54:112-20, 2016 Feb.
[Is] ISSN:1873-7870
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Information on costs of programs addressing community integration for persons with serious mental illness in the United States, essential for program planning and evaluation, is largely lacking. To address this knowledge gap, community integration programs identified through directories and snowball sampling were sent an online survey addressing program costs and organizational attributes. 64 Responses were received for which annual per person costs (APPC) could be computed. Programs were categorized by type of services provided. Program types differed in median APPCs, though median APPCs identified were consistent with the ranges identified in the limited literature available. Multiple regression was used to identify organizational variables underlying APPCs such as psychosocial rehabilitation program type, provision of EBPs, number of volunteers, and percentage of budget spent on direct care staff, though effects sizes were moderate at best. This study adds tentative prices to the menu of community integration programs, and the implications of these findings for choosing, designing and evaluating programs addressing community integration are discussed.
[Mh] Termos MeSH primário: Integração Comunitária/economia
Transtornos Mentais/economia
Transtornos Mentais/terapia
Serviços de Saúde Mental/organização & administração
Serviço Social em Psiquiatria/organização & administração
[Mh] Termos MeSH secundário: Custos e Análise de Custo
Seres Humanos
Serviços de Saúde Mental/economia
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Serviço Social em Psiquiatria/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1609
[Cu] Atualização por classe:151130
[Lr] Data última revisão:
151130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151109
[St] Status:MEDLINE


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[PMID]:26380876
[Au] Autor:Dobscha SK; Denneson LM; Jacobson LE; Williams HB; Cromer R; Woods S
[Ad] Endereço:Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System; PO Box 1034 (R&D66), Portland, OR 97207, USA; Mental Health and Clinical Neurosciences Division, VA Portland Health Care System; PO Box 1034 (R&D66), Portland, OR 97207, USA; Department of Psychiatry, Oreg
[Ti] Título:VA mental health clinician experiences and attitudes toward OpenNotes.
[So] Source:Gen Hosp Psychiatry;38:89-93, 2016 Jan-Feb.
[Is] ISSN:1873-7714
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe Department of Veterans Affairs (VA) mental health clinician attitudes toward and experiences with OpenNotes (also known as Blue Button), which provides patients direct access to clinical notes online. METHOD: A 35-item online survey was administered to 263 mental health clinicians and nurses from one VA Medical Center. RESULTS: Seventy-nine percent of eligible subjects participated. Most respondents agreed or somewhat agreed that OpenNotes is a good idea in general, but only half agreed that making mental health notes available online is a good idea. Most believed that patients will better remember plans of care and be better prepared for visits. Most also felt that patients will worry more and request changes in notes. Many clinicians reported being less detailed and changing the tone of their notes. CONCLUSION: As a group, mental health clinicians are positive about OpenNotes in general but ambivalent about the use of OpenNotes in mental health care. The results call for research on outcomes of OpenNotes use in mental health and to develop education and support to help clinicians adapt to OpenNotes.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Revelação
Documentação
Registros Eletrônicos de Saúde
United States Department of Veterans Affairs
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Serviços de Saúde Mental
Profissionais de Enfermagem
Enfermagem Psiquiátrica
Psiquiatria
Psicologia
Serviço Social em Psiquiatria
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150919
[St] Status:MEDLINE


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[PMID]:26308836
[Au] Autor:Matarazzo BB; Signoracci GM; Brenner LA; Olson-Madden JH
[Ad] Endereço:Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC), 1055 Clermont Street, Denver, CO, 80220, USA. bridget.matarazzo@va.gov.
[Ti] Título:Barriers and Facilitators in Providing Community Mental Health Care to Returning Veterans with a History of Traumatic Brain Injury and Co-occurring Mental Health Symptoms.
[So] Source:Community Ment Health J;52(2):158-64, 2016 Feb.
[Is] ISSN:1573-2789
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As Veterans from recent conflicts return from deployments, increasing numbers are seeking care for physical (e.g., history of traumatic brain injury) and mental health (e.g., depression, anxiety) symptoms. Data suggest that only about half of recent Veterans are seeking care within the Veterans Health Administration. As such, providers within the community are likely to require additional training to meet the unique needs of these Veterans and their families. Towards this end, meetings were held with administrators and clinicians at Colorado Community Mental Health Centers (CMHCs) to identify current barriers and facilitators, as they relate to working with Veterans with a history of TBI and co-occurring mental health conditions. On-whole, CMHC employees had limited experience with providing care to the cohort of interest. Additional training will assist with increasing capacity and a web-based toolkit was developed to facilitate the transfer of knowledge ( www.mirecc.va.gov/visn19/tbi_toolkit ).
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Centros Comunitários de Saúde Mental
Acesso aos Serviços de Saúde
Serviço Social em Psiquiatria
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Lesões Encefálicas Traumáticas/psicologia
Lesões Encefálicas Traumáticas/terapia
Colorado
Serviços Comunitários de Saúde Mental
Feminino
Grupos Focais
Seres Humanos
Masculino
Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Meia-Idade
Serviço Social em Psiquiatria/métodos
Estados Unidos
United States Department of Veterans Affairs
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1612
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150827
[St] Status:MEDLINE
[do] DOI:10.1007/s10597-015-9926-9


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[PMID]:25963109
[Au] Autor:Deshields T; Kracen A; Nanna S; Kimbro L
[Ad] Endereço:Siteman Cancer Center, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO, USA.
[Ti] Título:Psychosocial staffing at National Comprehensive Cancer Network member institutions: data from leading cancer centers.
[So] Source:Psychooncology;25(2):164-9, 2016 Feb.
[Is] ISSN:1099-1611
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The National Comprehensive Cancer Network (NCCN) is comprised of 25 National Cancer Institute-designated cancer centers and arguably could thus set the standard for optimal psychosocial staffing for cancer centers; therefore, information was sought from NCCN Member Institutions about their current staffing for psychosocial services. These findings are put into perspective given the limited existing literature and consensus reports. METHODS: The NCCN Best Practices Committee surveyed member institutions about their staffing for psychosocial services. The survey was administered electronically in the winter of 2012. RESULTS: The survey was completed by 20 cancer centers. Across institutions, case managers and mental health therapists, typically social workers, were utilized most frequently to provide psychosocial services (67% of full-time-equivalents (FTEs)), with other psychosocial professionals also represented but less consistently. Most psychosocial services are institutionally funded (ranging from 64 to 100%), although additional sources of support include fee for service and grant funding. Training of psychosocial providers is unevenly distributed across responding sites, ranging from 92% of institutions having training programs for psychiatrists to 36% having training programs for mental health therapists. CONCLUSIONS: There was variability among the institutions in terms of patient volume, psychosocial services provided, and psychosocial staff employed. As accreditation standards are implemented that provide impetus for psychosocial services in oncology, it is hoped that greater clarity will develop concerning staffing for psychosocial services and uptake of these services by patients with cancer.
[Mh] Termos MeSH primário: Institutos de Câncer/organização & administração
Pessoal de Saúde/estatística & dados numéricos
Neoplasias/terapia
Serviço Hospitalar de Oncologia/organização & administração
Admissão e Escalonamento de Pessoal/estatística & dados numéricos
Serviço Social em Psiquiatria/estatística & dados numéricos
[Mh] Termos MeSH secundário: Pessoal de Saúde/psicologia
Seres Humanos
Masculino
Oncologia/organização & administração
Neoplasias/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150513
[St] Status:MEDLINE
[do] DOI:10.1002/pon.3826


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[PMID]:26595995
[Au] Autor:Benetka G
[Ti] Título:[Psychoanalysis and social work. Two books about the Vienna social worker Rosa Dworschak].
[Ti] Título:Psychoanalyse und Sozialarbeit. Zwei Bücher über die Wiener Sozialarbeiterin Rosa Dworschak..
[So] Source:Luzif Amor;28(56):168-71, 2015.
[Is] ISSN:0933-3347
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Nacional-Socialismo/história
Psicanálise/história
Serviço Social em Psiquiatria/história
[Mh] Termos MeSH secundário: Áustria
História do Século XIX
História do Século XX
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Dworschak R
[Em] Mês de entrada:1602
[Cu] Atualização por classe:151124
[Lr] Data última revisão:
151124
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:151125
[St] Status:MEDLINE


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[PMID]:26363660
[Au] Autor:Niederlender P
[Ad] Endereço:Groupement hospitalier de la région de Mulhouse Sud Alsace (GHR MSA), Pôle de psychiatrie S6/7, 87, avenue d'Altkirch, 68051 Mulhouse Cedex, France. Electronic address: niederlenderp@ch-mulhouse.fr.
[Ti] Título:[Nursing support in a housing association apartment].
[Ti] Título:Accompagnement infirmier en appartement associatif..
[So] Source:Soins Psychiatr;(300):24-9, 2015 Sep-Oct.
[Is] ISSN:0241-6972
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:A transferable lease project jointly run by the municipal authorities, the departmental council, the local mental health council and the hospital, has been set up for the benefit of patients in the process of reintegration. In this context, the work of the nurse is based around the individual support of the patient, integration within networks and the establishment of the project within the community.
[Mh] Termos MeSH primário: Habitação
Vida Independente/psicologia
Transtornos Mentais/enfermagem
Transtornos Mentais/reabilitação
Papel do Profissional de Enfermagem
Enfermagem Psiquiátrica
Reabilitação Psiquiátrica/métodos
Reabilitação Psiquiátrica/psicologia
[Mh] Termos MeSH secundário: Cuidadores
Comportamento Cooperativo
França
Seres Humanos
Comunicação Interdisciplinar
Aluguel de Propriedade
Transtornos Mentais/psicologia
Relações Enfermeiro-Paciente
Apoio Social
Serviço Social em Psiquiatria
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1602
[Cu] Atualização por classe:150914
[Lr] Data última revisão:
150914
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:150914
[St] Status:MEDLINE



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