Дисертації з теми "Regional Mental Health"
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Peláez, Gonzáles Nicole Stephanie. "Instituto Regional de Salud Mental en Ayacucho." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/655453.
Повний текст джерелаIn Peru, mental health is a highly neglected issue. There is a notable deficit of adequate infrastructure for the propitious and correct restoration of balance in the lives of people suffering from mental illnesses, since there are only three specialized institutions in Lima city, centralizing attention and leaving forgotten populations in which there is also a lot of demand. It seems that mental wellness is not considered as a main topic and mechanism of any type of society that seeks growth in all areas. According to the analysis of the causes, consequences and effects brought for the above mentioned, it is necessary to understand that each population has a different history, social situation and ways of life. Therefore, under the mental health demand statistics in Peru, given by the National Institute of Mental Health "Honorio Delgado Hideyo Noguchi", it was determined that Ayacucho city, in the peruvian highlands, has the population with the highest percentage of people with mental problems, probably caused by the terrorist violence that they suffered between 1980 and 2000. To conclude, the objective of this research is to propose a specialized center named "Regional Institute of Mental Health" in the city of Ayacucho, which through adequate architectural spaces and treatments of modern psychiatry, relate the mental wellness of citizens with the local customs in order to promote economic, social and cultural development in the region.
Tesis
Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.
Повний текст джерелаpublished_or_final_version
Public Health
Master
Master of Public Health
Lima, Damaris Bezerra de [UNESP]. "O espaço fórum como apoio na formação da rede intersetorial regional em saúde mental: desafios e potencialidades." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/97526.
Повний текст джерелаO estudo tem por objetivo descrever e analisar o processo de construção do Fórum Permanente Intersetorial de Saúde Mental da região de Ourinhos, como um processo com momentos instituintes e apoio na formação da rede intersetorial regional em saúde mental, visto que a dificuldade na emergência de processos instituintes e na reinvenção de espaços coletivos de discussão das problemáticas comuns a diferentes setores é sentida não só pela Saúde Pública, mas por toda a sociedade. O Fórum foi designado como um espaço coletivo de discussão, que objetiva refletir sobre as ações em saúde mental e levantar propostas visando à consolidação de uma rede intersetorial. Pressupõe uma gestão compartilhada e democrática, em que as redes, os vínculos e a corresponsabilização podem ser consolidados, valorizando o protagonismo nas práticas em saúde mental e na efetivação de uma política regional. A possibilidade de formular, concretizar e implantar políticas regionais de saúde mental desta forma, articulando diferentes saberes e setores, pode propiciar um espaço coletivo em que a responsabilidade seja de fato compartilhada, por meio de análises, decisões e avaliações construídas coletivamente, resultando em mais e melhor produção de vida e reafirmando pressupostos éticos no fazer em saúde mental. Neste trabalho, utilizou-se a metodologia qualitativa com registros em diário de pesquisa designada como uma pesquisa-intervenção. Dentro de uma abordagem qualitativa, a pesquisa foi desenvolvida de forma descritiva a partir da inspiração da análise institucional
This study aims to describe and analyze the process along the construction of the Permanent Intersectoral Forum of Mental Health of the Ourinhos Region, as a process with moments instituting as well as support in the formation of the regional intersectoral network in mental health, once the difficulty in emerging instituting processes and in reinventing collective spaces for the discussion of those problematics which are common to different sectors is not only felt in Public Health but in society as a whole. The Forum has been designated as a collective space for discussion, aiming to reflect on the actions in mental health and to raise propositions targeting the consolidation of an intersectoral network. It presupposes a shared and democratic management in which the networks, bonds and shared liability can be consolidated, valuing the protagonism in the practices in mental health as well as in the accomplishment of a regional politics. The possibility of formulating, materializing and implementing regional politics in mental health in this way, by articulating different knowledges and sectors can provide a collective space in which responsibility can actually be shared, by means of analysis, decisions and evaluations that are constructed collectively, resulting in more and better production of life and reaffirming ethical premises in getting mental health done. The qualitative methodology for research has been used in this work, together with entries in a research journal, designated here as an intervention-research. Within a qualitative approach, the research has been carried out by parameters of a descriptive form, from an inspiration in institutional analysis
Lima, Damaris Bezerra de. "O espaço fórum como apoio na formação da rede intersetorial regional em saúde mental : desafios e potencialidades /." Assis, 2013. http://hdl.handle.net/11449/97526.
Повний текст джерелаBanca: Simone Mainieri Paulon
Banca: Cristina Amélia Luzio
Resumo: O estudo tem por objetivo descrever e analisar o processo de construção do Fórum Permanente Intersetorial de Saúde Mental da região de Ourinhos, como um processo com momentos instituintes e apoio na formação da rede intersetorial regional em saúde mental, visto que a dificuldade na emergência de processos instituintes e na reinvenção de espaços coletivos de discussão das problemáticas comuns a diferentes setores é sentida não só pela Saúde Pública, mas por toda a sociedade. O Fórum foi designado como um espaço coletivo de discussão, que objetiva refletir sobre as ações em saúde mental e levantar propostas visando à consolidação de uma rede intersetorial. Pressupõe uma gestão compartilhada e democrática, em que as redes, os vínculos e a corresponsabilização podem ser consolidados, valorizando o protagonismo nas práticas em saúde mental e na efetivação de uma política regional. A possibilidade de formular, concretizar e implantar políticas regionais de saúde mental desta forma, articulando diferentes saberes e setores, pode propiciar um espaço coletivo em que a responsabilidade seja de fato compartilhada, por meio de análises, decisões e avaliações construídas coletivamente, resultando em mais e melhor produção de vida e reafirmando pressupostos éticos no fazer em saúde mental. Neste trabalho, utilizou-se a metodologia qualitativa com registros em diário de pesquisa designada como uma pesquisa-intervenção. Dentro de uma abordagem qualitativa, a pesquisa foi desenvolvida de forma descritiva a partir da inspiração da análise institucional
Abstract: This study aims to describe and analyze the process along the construction of the Permanent Intersectoral Forum of Mental Health of the Ourinhos Region, as a process with moments instituting as well as support in the formation of the regional intersectoral network in mental health, once the difficulty in emerging instituting processes and in reinventing collective spaces for the discussion of those problematics which are common to different sectors is not only felt in Public Health but in society as a whole. The Forum has been designated as a collective space for discussion, aiming to reflect on the actions in mental health and to raise propositions targeting the consolidation of an intersectoral network. It presupposes a shared and democratic management in which the networks, bonds and shared liability can be consolidated, valuing the protagonism in the practices in mental health as well as in the accomplishment of a regional politics. The possibility of formulating, materializing and implementing regional politics in mental health in this way, by articulating different knowledges and sectors can provide a collective space in which responsibility can actually be shared, by means of analysis, decisions and evaluations that are constructed collectively, resulting in more and better production of life and reaffirming ethical premises in getting mental health done. The qualitative methodology for research has been used in this work, together with entries in a research journal, designated here as an intervention-research. Within a qualitative approach, the research has been carried out by parameters of a descriptive form, from an inspiration in institutional analysis
Mestre
Korman, Nancy Lincoln. "Managing change : the development of mental handicap services in South East Thames Regional Health Authority, 1978-88." Thesis, London School of Economics and Political Science (University of London), 1991. http://etheses.lse.ac.uk/1105/.
Повний текст джерелаLeibe, Mary. "Creating Healthy Urban Environments: Commercial Landscaping, Preference and Public Health." ScholarWorks@UNO, 2016. http://scholarworks.uno.edu/td/2262.
Повний текст джерелаHarrison, Daniel Sam. "Exploring the Relationship of Urban Form and Mental Health in the 500 Largest Cities of the United States." DigitalCommons@CalPoly, 2017. https://digitalcommons.calpoly.edu/theses/1767.
Повний текст джерелаAkinola, Olubusayo Ruth. "Mental Health Professionals' Attitude and Perception of their Role in Tackling Substance Abuse and Related Disorders in Nigeria." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/488.
Повний текст джерелаChow, Lily Lucia. "Criminalization of the mentally ill : a study of psychiatric services within the Lower Mainland Regional Correctional Centre, Health Care Centre." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29687.
Повний текст джерелаArts, Faculty of
Social Work, School of
Graduate
Hudgins, Cathy Mills. "Region as a Cultural Context in Family Therapy." Diss., Virginia Tech, 2008. http://hdl.handle.net/10919/26521.
Повний текст джерелаPh. D.
Andersson, Fia. "Primary health care and the challenges of identifying bipolar disorder : A regional comparative study in Sweden." Thesis, Stockholms universitet, Institutionen för folkhälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-191066.
Повний текст джерелаTraesel, Elisete Soares. "O ser e o servir nas teias da (des)estabilidade : análise psicodinâmica das vivências de servidores públicos de uma gerência regional do INSS diante dos novos modelos de gestão." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/98296.
Повний текст джерелаThe goal of this research was to understand the reality of a Brazilian public corporation in the current management reform context, the workers‟ experiences, their working conditions, and its impact on their mental health and on their quality of life. A mixed sequential- transformative research approach was conducted. We used the WHOQOL-Bref questionnaire, that evaluates the quality of life, and the SRQ-20, which seeks data on mental health, with regard to Minor Psychiatric Disorders associated to psychosomatic symptoms. The qualitative research was guided by PDT (in Portuguese) methodology - Psychodynamics of Work, which consists in collective listening to the workers‟ experiences. 51 workers from a regional INSS agency (similar to Social Security Agency), located in Rio Grande do Sul, state of Brazil, participated to this research. Besides applying questionnaires, 12 meetings were held for collective listening. It was found that participants consider their quality of life on average 14 (from 4 to 20). In the analysis of subscales and individual issues, there is a significant decrease of this score, indicating that the rate of overall quality of life does not represent its entire domain. Considering physical environment, 88% of workers were dissatisfied. The energy level was also considered unsatisfactory, having in mind that 56.9% of workers evaluated it as little or medium. For leisure opportunities, the percentage of dissatisfaction was about 70.6%. The dissatisfaction expressed is congruent with the results of qualitative research. The SRQ-20 points out harm to participants‟ mental health, associated to frenetic pace and meaningless activities to which they are continuously subjected. 72.5% of participants were nervous, tense and worried, revealing their insecurity about the future and the instability of the current management reform. Overall, for the cut-off point 7/8 there was positivity to the SRQ-20 and minor psychiatric disorders index was 42.9 %. The analysis of SRQ-20 subscales revealed the main suggestive aspects of mental disorders lie in the anxious-depressive mood and in the decrease of vital energy dimension, indicating overload, loss of work meaning, insecurity and mental fatigue, indicating the urgency of prevention and health promotion actions in this context. The investigation on the association between quality of life aspects and mental health ones and also on psychodynamics of work characteristics revealed significant factors about mental illness. It is possible to highlight the prevalence of individual defensive strategies of resignation, submission and insulation as well as prevalence of pathogenic suffering. We add the above mentioned to the precariousness verified in this work context, in particular, the lack of recognition to the importance of public servants in what regards the social outcomes of their work, associated to the collapse of common good ethics that maintain working sense. Besides, there was (in)stability demonstrated from discontinuity of salary, from lack of growth opportunities and also from the intense workload. The pride in this profession, the pleasure in ensuring people‟s rights and the recognition and appreciation of this important social role, as well as the resumption of work collectives, through the creation of discussion spaces, as proposed by PDT, may create facing strategies for promoting healthier working relationships and emancipatory actions.
Salvalagio, Ana Rosa. "A reforma psiquiátrica e seus rebatimentos sobre as famílias atendidas nos CAPS I da 20ª Regional de Saúde do Paraná." Universidade Estadual do Oeste do Paraná, 2018. http://tede.unioeste.br/handle/tede/4070.
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Currently, Mental Health care is the reflection of numerous discussions and changes that culminated in the Psychiatric Reform process, which aims to gradually replace Psychiatric Hospitals with community-based open services, such as the Psychosocial Care Center (PCC), considered one of the main provisions of Mental Health policy. The family institution was historically moved away from the person with mental disorder, but throughout the historical process and the changes in Mental Health Policy, this was taken as a partner in the care. In this context, the impacts generated by the need for family care for mental disorders are also related to the peculiarity of social policies in Brazil (generally, focalists, precarious and welfarist), and Mental Health, being one of these policies, does not escape its logic. As the PCC is a currently the strategic equipment of the Mental Health Policy, users and their families are key subjects to understand the problem to be researched, namely: To what extent the implementation of the Psychiatric Reform generates impacts on the families served in the PPC I of the 20th Regional of Health of Paraná? What are these impacts? Or, what kind of refuting were produced about the family in the face of the need to care for a member with mental disorder posed by the logic of family and community life in which the Psychiatric Reform is based? In order to respond to this research problem, this research proposal is carried out through the qualitative approach, through exploratory research. To do this, an empirical study is carried out by the research subjects: families of people with mental disorders treated in the PCC I of the municipalities of the 20th Regional Health Center of Paraná (cities of Assis Chateaubriand, Palotina, Guaíra, Marechal Cândido Rondon, and Santa Helena). The purpose of this study is to: seize, understand and analyze the refuting / impacts of the implementation of the Psychiatric Reform on the families served in the PCC I by the referred Health Region. The semi-structured interview is used as a methodology and the data are interpreted collected through the technique of content analysis. The results show that PCC I need to implement actions that address families as caregivers, but also need care. Despite insufficient family-directed activities, family members demonstrate satisfaction with the performance of PCC related to the treatment mental disorder patients. We conclude that the Psychiatric Reform as a process of tensions and contradictions, which permeate capitalist society itself, has its weaknesses; however, it is still a very important proposal for the construction of new forms of care and new relations between Family / User / Services. In spite of this importance, it is clear in the discourses of family members, the role of the family as a private agent of social protection, when assuming the functions of protection that the State should exercise, evidencing a family overloaded with the demands of care. It is hoped that this research allows important reflections for professionals and managers of Mental Health, once the approximation with the reality of the users of the PCC I and their relatives, relevant quantitative and qualitative data on the familiar coexistence was obtained, giving support for new interventions.
Atualmente, a assistência em Saúde Mental é o reflexo de inúmeras discussões e mudanças que culminaram no processo da Reforma Psiquiátrica, que visa à substituição gradativa dos Hospitais Psiquiátricos por serviços abertos de base comunitária, dentre eles o Centro de Atenção Psicossocial (CAPS), os quais são considerados um dos principais dispositivos da política de Saúde Mental. A instituição familiar foi historicamente afastada da pessoa com transtorno mental, mas ao longo do processo histórico e das mudanças na Política de Saúde Mental, essa foi tomada como parceira no cuidado. Nesse contexto, os impactos gerados pela necessidade do cuidado familiar do transtorno mental, relaciona-se também à peculiaridade das políticas sociais no Brasil (geralmente, focalistas, precarizadas e assistencialistas) e à Saúde Mental, sendo uma dessas políticas, não escapa à sua lógica. Frente a essa realidade, como os CAPS são atualmente os equipamentos estratégicos da Política de Saúde Mental, os usuários e suas famílias são sujeitos à chaves para se compreender a problemática que se quer pesquisar, a saber: Em que medida a implementação da Reforma Psiquiátrica gera impactos sobre as famílias atendidas nos CAPS I da 20ª Regional de Saúde do Paraná? Quais são esses impactos? Ou que tipo de rebatimentos foram produzidos sobre a família diante da necessidade do cuidado de um membro com transtorno mental posta pela lógica da convivência familiar e comunitária em que se pauta a Reforma Psiquiátrica? Para responder a tais perguntas de pesquisa, esta proposta investigativa realizou-se por meio da abordagem qualitativa, por meio da pesquisa exploratória. Para tanto, realizou-se um estudo empírico com os sujeitos da pesquisa: famílias de pessoas com transtorno mental atendidas nos CAPS I dos municípios da 20ª Regional de Saúde do Paraná (Assis Chateaubriand, Palotina, Guaíra, Marechal Cândido Rondon e Santa Helena). Objetivou-se, com este estudo, apreender, compreender e analisar os rebatimentos/impactos da implementação da Reforma Psiquiátrica sobre as famílias atendidas nos CAPS I da referida Regional de Saúde. Utilizou-se como metodologia a entrevista semiestruturada, os dados coletados foram analisados e interpretados por meio da técnica de análise de conteúdo. Os resultados obtidos revelaram que os CAPS I precisam implementar ações que atendam às famílias como sujeitos que cuidam, mas que também precisam de cuidado. Apesar da insuficiência de atividades direcionadas para a família, os familiares demostram satisfação com o trabalho que o CAPS realiza com as pessoas com transtorno mental. Conclui-se, com base nos dados, que a Reforma Psiquiátrica, na condição de um processo de tensões e contradições, as quais permeiam a própria sociedade capitalista, apresenta suas fragilidades; entretanto, ela não deixa de ser uma proposta importantíssima para a construção de novas formas de cuidado e novas relações entre Família/Usuário/Serviços. Não obstante, apesar dessa importância, ficou latente nos discursos dos familiares/cuidadores a família como agente privado de proteção social, ao assumir funções de proteção que o Estado deveria exercer, evidenciando-se uma família sobrecarregada com as demandas do cuidado. Espera-se que esta pesquisa possibilite reflexões importantes para os profissionais e gestores da Saúde Mental, uma vez que a aproximação com a realidade dos usuários dos CAPS I e seus familiares, levantou-se dados quantitativos e qualitativos relevantes sobre a convivência familiar, dando suporte para novas intervenções.
Cuel, Brena Talita. "Caminhos da rede : a experiência de uma regional do SUS na organização da Rede De Atenção Psicossocial (RAPS) a quem faz uso de drogas." Universidade Federal de São Carlos, 2016. https://repositorio.ufscar.br/handle/ufscar/7950.
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The current debate about the "drug problem" in society has been the subject of major political and social actions. Recently, both the Ministry of Health and the Government of the State of São Paulo have provided urgently measures to combat this problem. The Psychosocial Care Network (PSCN) has been deploying as a guideline of these actions, in order to propose a redevelop of the health care services for people with mental disorders and other, who are addicted to alcohol and other drugs, seeking an articulation among territorial services to provide an adequately response to the demands for each region. In this context, it is proposed to know how the implementation of the PSCN in a determined Regional Health of the State of São Paulo has occurred, specifically on the care of the drug users, from the view of the mental health service technician. The methodology of the field in the Social Occupational Therapy is grounded on the discussion of the social role of the technician with special attention to the health technician. The regional in discussion has 26 cities and 29 specialized care services in mental health. 135 questionnaires were applied to the service technicians, an interview was conducted with the regional manager of mental health, eight questionnaires were applied to the municipal managers of mental health and a conversation was held with the technical team of a specialized service, CAPS-ad (Center of Psychosocial Care – Alcohols and Drugs), which is from a city that take part in this Regional. This study has showed that the process of the PSCN implementation is vertical and hierarchical, which hampers an effective articulated network among the technicians, even as the discussion about the intersectoriality and networking. The mental health area displays a restricted speech to its services, acting in a sectored way, away from the concept of networking and intersectionality. As a result, this study also brings the role ambiguous that the technician has, sometimes reproducing a technical and with it keeping the social order; sometimes illustrating the central role in the care of that population. Thus it has reflected ways and possibilities to think of mode of management and technical team, through the improvement of the social networks and the care of the person, individual and collective.
O debate atual acerca do “problema das drogas” na sociedade tem sido tema das principais ações políticas e sociais. Recentemente, tanto o Ministério da Saúde quanto o Governo do Estado de São Paulo têm implantado medidas de caráter de urgência para combater tal problemática. Uma das diretrizes dessas ações tem sido a implantação da Rede de Atenção Psicossocial (RAPS) como forma de propor uma reformulação nos serviços de atenção e cuidado às pessoas com transtornos mentais e que fazem uso de álcool e outras drogas, buscando uma articulação entre serviços territoriais para que possam responder satisfatoriamente às demandas de cada região. Nesse contexto, propõe-se conhecer como tem ocorrido a implantação da RAPS numa determinada Regional de Saúde no estado de São Paulo, especificamente, no que tange ao cuidado aos usuários de drogas, a partir da visão do técnico do serviço de saúde mental. Embasase na metodologia do campo da Terapia Ocupacional Social acerca da discussão sobre o papel social do técnico, com recorte aqui para o técnico do setor de saúde. A regional em tela soma 26 municípios e 29 serviços especializados de cuidado em saúde mental. Foram aplicados 135 questionários com os técnicos dos serviços, realizou-se uma entrevista com o gestor regional de saúde mental, aplicaram-se oito questionários com os gestores municipais de saúde mental e foi realizada uma conversa dialogada junto à equipe técnica de um serviço especializado (um Centro de Atenção Psicossocial Álcool e Drogas - CAPS-ad) de um dos municípios que compõe esta Regional. Tal estudo mostrou que o processo de implantação da RAPS ocorre de maneira vertical e hierárquica, dificultando a efetivação de uma rede articulada entre os técnicos, assim como a discussão sobre intersetorialidade e o trabalho em rede. A área de saúde mental apresenta conteúdo teórico ainda restrito aos seus serviços, atuando de maneira setorizada, distante do conceito de redes e de intersetorialidade. Também, traz como resultados o papel ambíguo que o técnico ocupa, ora sendo reprodutor de uma técnica e, com isso, mantenedor da ordem social; ora desempenhando papel central para o cuidado àquela população. Refletem-se aqui caminhos e possibilidades para se pensar formas de gestão e da equipe técnica, por meio da valorização das redes sociais e do cuidado ao sujeito, individual e coletivo.
Sasso, Ariane Morassi. "Desenvolvimento de um sistema para a gestão de desempenho dos centros de atenção psicossocial (CAPS) em um departamento regional de saúde." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/82/82131/tde-03102017-161209/.
Повний текст джерелаIn the last 40 years, the mental health care system has undergone profound changes, and since the 70s, various social and professional movements boosted the psychiatric reform and the deinstitutionalization process. This, preached the end of the current asylum model, responsible for the exclusion and chronicity of patients, and made way for a new model driven by more humanitarian outpatient services, wherein the main representatives were the Community Mental Health Services (Centros de Atenção Psicossocial, CAPS). These services are considered the entrance to the mental health network and they have the responsibility for establishing joint initiatives for data collection on key issues and on mental health needs in the territory. To achieve this, they need a way to collect, store and make this data available in order to generate information that can assist in the management and in the decision making process, ensuring the quality of care provided. The data entry and the obtainment of this information could be made through an electronic system, however, we can notice the absence of a system to store and manipulate technical and managerial information about mental health in the Unified Health System (Sistema Único de Saúde, SUS). In addition, there is a lack of assessment tools and indicators to measure the effectiveness of the services, including in the XIII Regional Health Department of the São Paulo State (Departamento Regional de Saúde XIII, DRS XIII), which is the focus of this project. In this way, it becomes necessary to develop a computerized system, which would help CAPS from that region in the data collection and storage of relevant information and in the generation of indicators and reports that may be effective to improve the network as a whole. In this dissertation, as an initial process for the creation of the system, the study of the flow of care a patient is subjected in each CAPS from the DRS XIII is described. Besides that, is also described the study of data collection instruments used by them, such as the therapeutic project and psychosocial interview. Finally, aiming to improve future data storage in the system, suggestions are made for the representation of concepts in the mental health area through archetypes in the openEHR standard.
Flogstam, Johanna, and Jensen Lina Wernström. ""Jag tror vi behöver bli mer tränade i att prata om livet och döden och universum" : En kvalitativ studie om betydelsen av den existentiella hälsan inom kommunalt och regionalt folkhälsoarbete bland barn och unga." Thesis, Högskolan Kristianstad, Fakulteten för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-22219.
Повний текст джерелаIntroduction: The development of mental illness among children and adolescents is a serious public health problem today. Evidence shows that spiritual health is important for mental health and well-being. Snacka om livet (SOL) is a project designed to promote the existential health of children and adolescents. Continued work on the project depends on creating the conditions for the area’s implementation and on policymakers prioritizing the area. Purpose: To investigate the experience of existential health within Skåne's municipal and regional cross-sectoral public health work in the promotion of children and young people's mental health. Methods: The study had a qualitative approach with ten participants with senior positions within the municipality and region. The informants were selected based on a strategic selection. The interviews were conducted with a semi-structured method and with thorough ethical considerations. The empirics were analyzed based on qualitative content analysis. Results: The results showed that the area is new, important and of current interest in relation to mental illness among children and adolescents. The concept was to some extent perceived as complex and taboo but was also described as having great benefits for individuals and society. Spiritual health was perceived to strengthen and equip children and adolescents. A prerequisite for the area’s implementation was meant, among other things, to include the concept in public health work. Conclusion: The study has been able to contribute additional evidence and knowledge to this relatively new and unexplored area. Spiritual health is a resource in both prevention and promotion of public health work. The study has identified that health literacy can be an important tool for the area's integration into public health. The concept needs to be clarified, made aware and given space in the public health perspective.
Gnanadev, Appannagari M. D. "Expanding a gang tattoo removal program for San Bernardino County." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1738.
Повний текст джерелаJennifer, Gedeon. "Assessing the Social and Mental Health Services Provided to Middle-Eastern Newcomers in the Resettlement Process in the National Capital Region." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32330.
Повний текст джерелаKrasniqi, Miranda, and Ayche Rufat. "Förbättrat inflytande för brukare med psykisk ohälsa : en kvalitativ studie om samverkan mellan regionala och kommunala organisationer." Thesis, Högskolan Kristianstad, Fakulteten för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-22159.
Повний текст джерелаDrew, David, and Jessica Banks. "RELIGION AND SPIRITUALITY IN CLINICAL PRACTICE: AN EXPLORATION OF RELUCTANCE AMONG PRACTITIONERS." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/858.
Повний текст джерелаOgaranko, Christine E. "Consumer participation in mental health planning : the development of the Winnipeg Regional Mental Health Council's role within a regionalized health care system." 2000. http://hdl.handle.net/1993/23068.
Повний текст джерелаChen, Hung-Hua, and 陳虹樺. "A Cross-regional Comparison of Environmental Restorative Perceptions and Mental Health." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/7dq29n.
Повний текст джерела國立東華大學
觀光暨休閒遊憩學系
106
Making contact with nature has a restorative effect on human both physically and psychologically and improves people’s mental health. Studies have shown that different types of landscapes and environments have different restorative effects and mental health perceptions. People who are frequently exposed to natural environment have better environmental restorative perception and mental health. There is a distinctive difference in the urban and rural settings between the east and west coasts of Taiwan, as there are obviously more natural resources on the east coast. However, there is only a small number of studies focusing on the comparison between cross-regional variables in terms of restorative effects and mental health. For this, it is the purpose of this study to investigate the difference between visitors to Hualien and Taitung county on the east coast and to the rest of Taiwan, and to shed some light on how environmental restorative perceptions have influence on the mental health in general. An in-side questionnaire survey was conducted on tourists and covered 3 areas, namely the Huisun National Forest Park on the west coast and the Chinan National Forest Recreation Area and Liyu Lake on the east coast. The survey was conducted in 2013, 2016 and 2017. 936 copies of questionnaire were distributed and 760 valid copies were retrieved with a retrieval rate of 81.1%. The tourists were grouped into those from the east coast and those from the west coast based on the zip code provided in the questionnaire. The data collected were analyzed using factor analysis, reliability analysis, multivariate analysis of variance (MANOVA), analysis of covariance (ANCOVA) and regression analysis. The results are presented below: (1) the environmental restorative perception consisted of freedom from restraints, attractions and escape from daily chores for the factor analysis, whereas the mental health covered physical and psychological rhythms, driving performance, restoration of focus and psychological comfort; (2) the dimensional reliability ranged from 0.76 to 0.85 for the environmental restorative perception scale with the attraction at the highest. For the mental health scale, the dimensional reliability fell between 0.72 and 0.91 with the physical and psychological rhythms at the highest. Both of the scales above provided acceptable validity and reliability for the purpose of the study; (3) the MANOVA carried out on the statistical variables of the socioeconomic context revealed significant difference in environmental restorative perception in terms of age, marriage status and occupation, whereas gender, age, marriage status, occupation and residence exhibited significant difference in mental health. Visitors who are 41 years old or older, married, have a full-time job and homemakers had better environmental restorative perception and mental health; gender and age displayed significant difference only in mental health. Female visitors performed better than male ones in the categories of physical and psychological rhythms restoration of focus and those from west coast performed better than those from east coast in physical and psychological rhythms; (4) when the variables of marriage status, age and occupation remained stationery, it was found that residence had no significant effect on environmental restorative perception. When marriage status, age and occupation remained unchanged, the residence had different effect on physical and psychological rhythms for mental health and west coast visitors had better mental health. By controlling the gender variable, it was clear that the residence had different effect on driving performance and physical and psychological rhythms and east coast visitors did better than west coast ones in terms of the driving performance. On the other hand, the effect was more significant in west coast visitors that in east coast visitors in terms of physical and psychological rhythms; (5) by defining the three environmental restorative perception dimensions at independent variables, the multiple regression analysis for mental health indicated that all four multiple regression models used came out significant with R2 ranging from 0.039 to 0.308. The three environmental restorative perception dimensions had the greatest explanatory power of multiple regression models on psychological comfort, since all three environmental restorative perception dimensions were significant. It is suggested that the regulatory authority promote the health effects from the natural environment for visitors of various socioeconomic backgrounds as this is not only beneficial to human health both physically and psychologically, but also serves as a basis for cross-regional tourism promotion and leisure travels. A possible topic for future studies on cross-regional mental health research can be,for example, adding the variables of personal socioeconomic background into the multiple regression models to predict mental health. The finding may shed further insights on the research of this line.
Packham, Brooke Elise. "Effectiveness of Dialectical Behaviour Therapy Group Skills Training for Borderline Personality Disorder in Regional Community Mental Health." Thesis, 2022. https://hdl.handle.net/2440/136552.
Повний текст джерелаThesis (Ph.D.) -- University of Adelaide, School of Psychology, 2022
Chiang, Hung-Chi, and 江弘基. "Help-receiving Experiences of Reported Suicide Attempters: Field Observation of Nantou Regional Mental Health Service Center." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/16534252477729284401.
Повний текст джерела國立臺灣大學
健康政策與管理研究所
101
Purpose: This doctoral dissertation aimed at understanding the help-receiving experiences of reported suicide attempters while passively facing community outreach postvention services. It is the researcher’s hope that, by looking deeply into the interaction between involuntary suicide attempters and service providers, the social context behind the suicide prevention strategy be further clarified. Methods and materials: In-depth interviews with 30 reported suicide attempters, including their families were carried out, between 2003 and 2005, with the assistance of community outreach nurses in the Nantou Regional Mental Health Service Center. Before the interviews began, the researcher spent six months on participation observation in outpatient clinics and outreach visits to familiarize with suicidal patients and clients. Details regarding the operation of the center were also collected as background information. Results: According to the analysis of transcripts of interviews and the comparison with case records, the researcher found that after the suicide attempters were reported and outreached, they became the involuntary clients. The rejection/acceptance of the postvention services were related to the ways they looked at their suicide attempts and the affiliation of the outreach helpers. The turning point of attitude change was determined by the personality and helping style of the helpers. Traditional models of help-seeking behaviors, which are based on the concept of active help-seeking and compliance to professional advises, do not apply in the case of the passive, help-receiving suicidal attempters. Due to the stigma attached to both suicidal behaviors and mental illness/health services, the reported suicide attempters’ trust and acceptance towards community outreach services cannot be guaranteed by the professional/institutional identity of the psychiatric outreach nurses; most of the time, it became barriers to receiving assistance. The severity of emotional distress and the negative consequences of not seeking help, as emphasized in healthcare utilization studies, also cannot explain why the involuntary helpees changed their minds. For those who finally accepted referral mental health care, looking for specific professionals for different needs is crucial during their journey of receiving help for recovery. This finding fits the model of entry point in healthcare research. As for the issue of timing to seek help, this study points out many blind-spots related to lay delay and system delay of the suicide prevention system. Conclusions: Psychiatry/medical model dominated the strategy development and services provision of suicide prevention efforts made by the Nantou Regional Mental Health Service Center. From the help-receiving experiences of the suicide attempters, it is clear that the mental illness perception cannot facilitate help-seeking/receiving behaviors, especially in the initial stage of outreach intervention. The mal-adaption responses to this setback triggered the pro-action approach adopted later by the center. The psychiatric nurses step forward and further and went beyond psychiatric wards, professional identities, and rigid administrative procedures. The result was a successful interaction model between involuntary suicide attempters and innovative outreach helper. It shows an alternative to risk-approach, which over-relies on unexplainable, and often frustrating, mortality and morbidity.
Zeng, Ma Li, and 曾瑪俐. "Job Stress and Mindfulness, physical and Mental Health of Nurses Evidence from a Regional Teaching Hospital." Thesis, 2019. http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/login?o=dnclcdr&s=id=%22107CGU05528030%22.&searchmode=basic.
Повний текст джерелаWeng, Chic-erh, and 翁芝爾. "Exploring the Influence of Workplace Violence on Physical and Mental Health among Nurses of a Regional Teaching Hospital." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/r8ew7y.
Повний текст джерела國立臺灣大學
健康政策與管理研究所
106
Workplace violence, as a major type of psychosocial work hazards, has been known to impost significant physical and mental health risks on workers. This issue has gained growing attentions in the field of occupational health management in Taiwan. This study was designed to examine the prevalence of workplace violence in nursing staff and to understand its impacts on physical and mental health as well as burnout status. A cross-sectional questionnaire survey was conducted among female nurses of a regional hospital which is located in the Northern Taiwan. Recruited through convenience sampling methods, a total of 288 female nurses participated and completed questionnaires. SPSS 22 software was used for data analysis. The findings of the research are listed as below: (1) The 12-month prevalence of workplace violence among nurses were 60.1% for verbal violence, 29.2% for psychological violence, 17.4% for physical violence and 6.9% for sexual harassment; the prevalence of workplace violence in any of the above types was 63.9%; among them, the percentages of nurses who had ever filed complaints were in the range of 12.9% and 23.7%, depending on the type of violence.(2) As high as 80% of nurses correctly answered the questions which were to assess their knowledge regarding workplace violence, indicating that nurses’ attitude is Neutral to Positive.(3)The prevalences of high personal burnout, high client-related burnout, poor self-rated health, and poor mental health were 68.7%, 40.6%, 12.2%, and 58.0%, respectively. (4)Average daily working hours ≧ 8.5 hours and heavy psychological workloads were found to associated with poor self-rated health and poor mental health, while night and rotating shifts were found to associate with high client-related burnout.(5) In terms of job characteristics, nurses with medium levels of psychological job demands and low levels of workplace justice were found to be at higher risk of workplace violence. (6) Nurses who had experienced any type of workplace violence were found to have increased risks for poor self-rated health (OR=2.624), poor mental health (OR=2.029) and high personal burnout (OR=2.717), as compared to nurses without experiences of workplace violence. The risks of poor performance are significantly higher than those who never suffer from workplace violence. Findings of this study suggested that reasonable working hour arrangement should be ensured and reporting mechanism for workplace violence should be established. To improve occupational health, the research also suggests the hospital administration to monitor workplace violence and its potential impacts on employees’ health.
Tsai, Yi-Ying, and 蔡依瑩. "The Relationship Among Job Stress,Leisure Participation and Physical and Mental Health for Physicians of Armed Forces Regional Teaching Hospitals." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/2ys73z.
Повний текст джерела義守大學
管理學院管理碩士在職專班
102
The aim of this study has been to examine the status and relations between job stress and leisure participation on the physicians’ physical and mental health of the six Armed Forces regional teaching hospitals. This research primarily focuses on the following factors affecting the above-mentioned physicians when facing job stress and leisure participation: 1.Medical malpractice issues. 2. Preparation for hospital accreditation process. 3.Changes in mood. 4.Casual relaxation response. 5. Accompanied by a sense of leisure. This study is devoted to creating a framework to help those Armed Forces regional teaching hospital physicians’ arranging appropriate leisure participation. By using questionnaire and analyzing collected information via the statistical software SPSS, it demonstrated that: *There is a significant positive correlation in related work stress and leisure participation. *There is a significant negative correlation in the working pressure and physical and mental health. The results offered by this research can serve as a roadmap for both the Armed Forces regional teaching hospital physicians and the National Defense Medical Bureau when conducting programs to design and implement measures for pressure relief on one hand, such as the establishment of medical mediators system. And on the other hand, arranging appropriate leisure participation for those physicians, further to maintain or improve their health.
WU, JIA-KAI, and 吳家凱. "A Research on Hospital Employees' Organizational Change Awareness and Mental Health: A Case Study of a Regional Hospital in Hsinchu City." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/494e2s.
Повний текст джерела中華大學
行政管理學系
107
This study explores the "organizational change awareness" and "psychological health" of employees in Hsinchu Hospital and focuses on employees. Based on relevant literatures and analysis, this study revised the "organizational change awareness" and "psychological health" scales as research tools. This study used questionnaires to collect 341 valid questionnaires. Statistical analysis based on the data obtained from the questionnaires. The findings are as follows. 1.In the part of organizational change awareness, the differences in organizational change awareness among hospital employees with different demographic variables were partially established. 2.In the mental health section, the differences in mental health among hospital staff with different demographic variables were partially established. 3.The organizational change awareness of hospital staff has a low correlation with mental health. . Finally, based on the research results of "organizational change awareness" and "mental health", some suggestions are made for reference.
Lee, Chung-Cheng, and 李忠政. "Impact of Type D personality on perceived job stress and physical-mental health among doctors and nurses in a regional teaching hospital." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/17678007597212809921.
Повний текст джерела高雄醫學大學
醫務管理學研究所碩士在職專班
100
Objective: The purpose of the study was to investigate the impact of the Type D personality on perceived job stress and physical-mental health among doctors and nurses in a regional teaching hospital. Methods: A sample of 333 healthcare professionals (86 doctors and 247 nurses) of a regional teaching hospital in Kaohsiung was eligible for the study.We adopted cross-sectional research design. The Type D Scale-14,Taiwanese version-revised self-report to measure Type D personality, the Questionnaire of Medical Workers’ Stress (QMWS) , and the Chinese Health Questionnaire-12 (CHQ-12)were used in the study. A conceptual model was analysed via structural equation modeling. Results: The model fits the data well. Absolute fit test was Chi-square=9.7 d.f.=6, p= .14. Relative fit tests were GFI= .99,AGFI= .97, CFI= .99,TLI= .99,RMSEA= .04.The structural equation model showed that Type D personality directly influenced perceived job stress (Beta= .38,p< .001) and physical-mental health (Beta= .53,p< .001) . Perceived job stress directly influenced physical-mental health (Beta= .14,p= .027) . In other words, Type D personality had indirect influence on physical-mental health via perceived job stress too. Conclusions: Type D personality had an obvious impact on perceived job stress and physical-mental health. Type D subjects had higher level of perceived job stress and poorer physical-mental health. The result can be a helpful reference for further investigation to workplace health management.
Benetti, Chiara. "Le rapport d’usagers de maisons d’hébergement en santé mentale à leur environnement immédiat : une étude socio-écologique." Thèse, 2017. http://hdl.handle.net/1866/20014.
Повний текст джерелаKruss, Julie L. ""Country women are resilient but....” : family planning access in rural Victoria." Thesis, 2012. https://vuir.vu.edu.au/21315/.
Повний текст джерелаBaril, Andrée-Ann. "Dysfonctions cérébrales et changements neuroanatomiques dans l’apnée obstructive du sommeil chez les personnes âgées." Thèse, 2018. http://hdl.handle.net/1866/21195.
Повний текст джерелаLima, Ana Sofia Santos. "Poderá a doença crónica contribuir para a depressão? Estudo caso-controlo." Master's thesis, 2020. http://hdl.handle.net/10316/97598.
Повний текст джерелаIntroduction: Depression disorders are the leading cause of disability worldwide and are widely known to be more prevalent in patients with chronic pathology. This study aimed to relate the chronic disease and the appearance of depressive disorders throughout the Central region of Portugal and also to conclude about the chronic pathologies that are most associated with subsequent diagnosis of depression.Methods and materials: A case-control retrospective study was carried out, including all the adults from the Portuguese Central region, who, in 2017, were not previously diagnosed with depressive disorder. The most prevalent chronic diseases in 2017 were analysed using computer data from the ARS primary care. The new cases of depressive disorder in 2018 were counted and a statistical analysis was performed calculating the relative risk (RR) of each chronic disease being associated with depression, based on the Chi-square test. The p-value <0.05 was defined as statistically significant.Results: The sample studied included 1.416.532 adults. The incidence rate of depressive disorder in 2018 in the Central region was 1.18%. The chronic diseases that were significantly related to the development of depressive disorder were: "Anxiety/anxiety disorder" (RR=1.59; p<0.001), "Fibromyoma of the uterus" (RR=1.51; p<0.001), "Vertigo syndrome" (RR=1.30; p<0.001), "Cervical spine syndrome" (RR=1.28; p<0.001), "Osteoporosis" (RR=1.27; p<0.001), "Painful shoulder syndrome" (RR=1.25; p<0.001), "Spine syndrome with pain irradiation" (RR=1.22; p<0.001), "Musculoskeletal system disease, other" (RR=1.19; p<0.001), "Goiter" (RR=1.26; p<0.001), "Hypothyroidism/myxedema" (RR=1.26; p<0.001), "Varicose veins in the leg" (RR=1.26; p<0.001) and "Functional alteration of the stomach" (RR=1.19; p<0.001).Discussion: Several relationships between certain chronic diseases and depression previously described in the literature were confirmed, while others were contested or non-significant. This study has presented some limitations, as other risk factors for depressive disorder were not considered, there may have been undercoding or recording errors and the depressive disorder may have been underdiagnosed.Conclusion: This study has established a statistically significant relationship between several chronic diseases frequent in the Central region and the subsequent development of depressive disorder which finding highlights the importance of a quality follow-up by the General and Family Medicine (GFM) practitioner, with particular attention to people with musculoskeletal diseases, anxiety, vertigo syndrome, uterine fibromyomas and thyroid pathology.
Introdução: As perturbações depressivas são a principal causa de incapacidade em todo o mundo e sabe-se que apresentam uma maior prevalência nos doentes com patologia crónica. Este estudo teve como objetivo relacionar a doença crónica e o aparecimento de perturbação depressiva em toda a região Centro de Portugal e concluir acerca das patologias crónicas que mais estão associadas a posterior diagnóstico de depressão.Materiais e métodos: Foi realizado um estudo retrospetivo caso-controlo constituído pelos adultos da Administração Regional de Saúde (ARS) Centro que, em 2017, não apresentavam diagnóstico prévio de perturbação depressiva. Foram analisadas as doenças crónicas ativas em 2017 mais prevalentes através de dados informáticos dos cuidados primários da ARS do Centro. Foram contabilizados os novos casos de perturbação depressiva em 2018 e realizada uma análise estatística calculando o risco relativo (RR) de cada doença crónica se associar a depressão, com base no teste do Qui-quadrado. Foi definido como estatisticamente significativo o valor-p <0,05.Resultados: A amostra estudada foi de 1.416.532 adultos. A taxa de incidência de perturbação depressiva em 2018 na região Centro foi 1,18%, tendo sido superior no sexo feminino e na faixa etária entre os 54 e os 65 anos. As doenças crónicas que significativamente se relacionaram com o desenvolvimento de perturbação depressiva foram: “Distúrbio ansioso/estado de ansiedade” (RR=1,59; p<0,001), “Fibromioma do útero” (RR=1,51; p<0,001), “Síndrome vertiginoso” (RR=1,30; p<0,001), “Síndrome da coluna cervical” (RR=1,28; p<0,001), “Osteoporose” (RR=1,27; p<0,001), “Síndrome do ombro doloroso” (RR=1,25; p<0,001), “Síndrome da coluna com irradiação de dores” (RR=1,22; p<0,001), “Doença do aparelho músculo-esquelético, outra” (RR=1,19; p<0,001), “Bócio” (RR=1,26; p<0,001), “Hipotiroidismo/mixedema” (RR=1,26; p<0,001), “Veias varicosas da perna” (RR=1,26; p<0,001) e “Alteração funcional do estômago” (RR=1,19; p<0,001).Discussão: Foram confirmadas várias relações entre doenças crónicas e o aparecimento de depressão, previamente descritas na literatura, enquanto que outras foram contestadas ou não foram significativas. Este estudo apresentou algumas limitações pois não foram considerados outros fatores de risco para perturbação depressiva, pode ter havido sub-codificação ou erros de registo e a perturbação depressiva pode ter sido subdiagnosticada.Conclusão: Verificou-se uma relação estatisticamente significativa entre várias doenças crónicas frequentes na região Centro e o desenvolvimento posterior de perturbação depressiva, o que realça a importância de um seguimento de qualidade pelo médico de medicina geral e familiar (MGF) com especial atenção a pessoas com certas doenças6crónicas, nomeadamente musculoesqueléticas, perturbações de ansiedade, síndrome vertiginoso, fibromiomas uterinos e patologia tiroideia.
Chemane, Bonginkosi Reginald. "Evaluation of psychological intervention programs for children with behavoural and emotional problems in schools of industries in the Ukhahlamba Region." Thesis, 2004. http://hdl.handle.net/10530/734.
Повний текст джерелаThe general aim of this study was to determine the effectiveness of the psychological intervention programs in the two schools of industries (SOf's) namely, Mimosadafe and Newcastle Schools of Industries. A third school, Bersig SOI was used for piloting the study and the results were incorporated in the main study findings. Twenty-seven educators, one social worker and one consulting clinical psychologist, and sixty-one learners participated in the study. The major findings of the study were as follows: the psychological intervention programs at SOI's are ineffective; learners are benefiting only partially by being at SOI's. According to educators, learners are benefiting partially because they bunk classes, reconstruction social workers are not supportive, Department of Education is not supportive, no follow up programs for learners post-SOl, emphasis is placed only on structure - not therapeutic programs. Only 15% of educators were found to be adequately trained to teach at SOI. Although psychological intervention programs exist at SOI's, they are not structured and they are only administered on a need-to-basis (reactive rather than proactive/preventive). Intervention strategies used at SOI's are based on individualistic, reactive, traditional mainstream psychology that is based on a disease/medical model. Based on these findings, the current study suggested a change of intervention strategies at these schools into strategies based on community psychological methods of intervention, ft was also suggested that the non-mental health professionals e.g. teachers and house parents should be involved in conducting psychological intervention. To be equal to this challenge these non-professionals should be trained.
KORNATOVSKÁ, Zuzana. "Dostupnost, organizace a zdravotně - sociální benefity řízených pohybových aktivit u dětí s disabilitou." Doctoral thesis, 2014. http://www.nusl.cz/ntk/nusl-170504.
Повний текст джерелаFilip, Josef. "Financování vzdělávání žáků se zdravotním postižením ve středních školách." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-335133.
Повний текст джерелаTAUBROVÁ, Květa. "Náročnost profese sociální práce z pohledu sociálního pracovníka v Dětském centru Jihočeského kraje." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-393926.
Повний текст джерела