scholarly journals Psichikos negalią turinčių asmenų globa Lietuvoje: priklausomybė nuo paveldėtos paslaugų teikimo kultūros

2012 ◽  
Vol 6 ◽  
pp. 87-96 ◽  
Author(s):  
Dainius Pūras ◽  
Eglė Šumskienė
Keyword(s):  
Mental Health ◽  
European Union ◽  
Intellectual Disabilities ◽  
Residential Care ◽  
Community Care ◽  
Mental Health Problems ◽  
Current System ◽  
The European Union ◽  
Soviet System ◽  
Residential Institutions

Vilniaus universiteto Medicinos fakulteto Psichiatrijos klinikaVasaros g. 5, tel. (+370 5) 261 10 43. El. paštas: [email protected] universiteto Filosofijos fakulteto Socialinio darbo katedraUniversiteto g. 9/1, Tel. (+370 5) 266 76 10. El. paštas: [email protected]  Straipsnyje nagrinėjama sutrikusios psichikos ir sutrikusio intelekto asmenų globa didelėse uždarose stacionariose globos įstaigose. Iki Sovietų Sąjungos žlugimo šios įstaigos ne tik globojo, bet ir izoliavo sutrikusios psichikos ir sutrikusio intelekto individus. Tvirtas šių įstaigų pozicijas to meto socialinės apsaugos sistemoje lėmė ideologinės priežastys, dominuojantis defektologijos mokslas, sukurta materialinė ir teisinė bazė, neigiamas visuomenės nusistatymas sutrikusios psichikos ir sutrikusio intelekto asmenų atžvilgiu. Žlugus Sovietų Sąjungai, stacionarios globos sistema pasirodė esanti ypač atspari permainoms – ji ne tik atsilaikė prieš bandymus veiksmingai transformuoti, bet ir sulaukė investicijų iš Europos Sąjungos fondų. Atkūrus Nepriklausomybę įvykusios permainos – darbuotojų mokymai, pastatų rekonstrukcija, paslaugų įvairovės didinimas – neatnešė institucinės kultūros, atskirties tradicijos permainų ir tik sustiprino stacionarios globos institucijų padėtį.Tai sudarė prielaidas Lietuvoje susiformuoti unikaliam sutrikusios psichikos ir sutrikusio intelekto asmenų globos būdui, kurį galima įvardyti kaip visuomenės ir valstybės raidai nepalankią ydingo sovietinio paveldo ir atsirinktų ES paramos bei vertybių kombinaciją.Pagrindiniai žodžiai: stacionari globa, psichikos ir intelekto sutrikimai, Europos Sąjunga, ideologija.Care for persons with memental disability: dependency on inherited culture of srevicesDainius Pūras, Eglė Šumskienė SummaryGoal of this article is to identify main obstacles while transforming Lithuanian system of residential care for persons with mental and intellectual disabilities from repressive and isolating Soviet tradition to individualised community care. During the Soviet times the goal of large residential institutions was to take physical care after individuals with mental and intellectual disabilities as well as to isolate them from the rest of the society. These institutions were deeply anchored in the Soviet system of social assistance, based on the principles of defectology and stigmatizing attitudes towards persons with mental health problems. After collapse of the Soviet Union this system appeared to be eminently resistant to reforms: it withstood attempts of transformation and even managed to receive investments from the European Union structural funds thus strengthening the positions of large residential institutions over modern community care. More than two decades of investments in training of staff, reconstruction of buildings, modernisation of services and other components of mental health services in Lithuania have not resulted in the change of paradigm, as institutional culture and tradition of exclusion remains still very strong.Thus, current system of care for persons with mental and intellectual disabilities in Lithuania can be defined as a combination of strong effects of former Soviet system and selectively chosen components of modern mental health policy and services.Key words: residential care, intellectual and mental disabilities, European Union, ideology.

The Mental Health and Social Exclusion European Network

2000 ◽  
Vol 5 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Luigi Leonori ◽  
Manuel Muñoz ◽  
Carmelo Vázquez ◽  
José J. Vázquez ◽  
Mary Fe Bravo ◽  
...  
Keyword(s):  
Mental Health ◽  
European Union ◽  
Social Exclusion ◽  
Mentally Ill ◽  
Outcome Evaluation ◽  
World Federation ◽  
The European Union ◽  
Capital Cities ◽  
Homeless Mentally Ill ◽  
The Impact

This report concerns the activities developed by the Mental Health and Social Exclusion (MHSE) Network, an initiative supported by the Mental Health Europe (World Federation of Mental Health). We report some data from the preliminary survey done in five capital cities of the European Union (Madrid, Copenhagen, Brussels, Lisbon, and Rome). The main aim of this survey was to investigate, from a mostly qualitative point of view, the causal and supportive factors implicated in the situation of the homeless mentally ill in Europe. The results point out the familial and childhood roots of homelessness, the perceived causes of the situation, the relationships with the support services, and the expectations of future of the homeless mentally ill. The analysis of results has helped to identify the different variables implicated in the social rupture process that influences homelessness in major European cities. The results were used as the basis for the design of a more ambitious current research project about the impact of the medical and psychosocial interventions in the homeless. This project is being developed in 10 capital cities of the European Union with a focus on the program and outcome evaluation of the health and psychosocial services for the disadvantaged.

scholarly journals A child and adolescent mental health service for children with intellectual disabilities – 8 years on

2010 ◽  
Vol 34 (5) ◽  
pp. 195-199
Author(s):  
Barry Wright ◽  
Chris Williams ◽  
Marcella Sykes
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Intellectual Disabilities ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
Adolescent Mental Health Service

SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.

scholarly journals A United Kingdom Pilot Study of Kinetic Shift Therapy and Mindfulness Based Therapy for Clients Living with Intellectual Disabilities and Enduring Mental Health Problems

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Collins-McGroarty J ◽  
Faulkes-Sharrock E ◽  
Wilkes R
Keyword(s):  
Mental Health ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Health Problems ◽  
Behavioral Issues ◽  
Client Group ◽  
Sensitive Topics ◽  
Kinetic Shift ◽  
The Impact

Objective: Clients with moderate intellectual disabilities are reported to struggle with ongoing mental health problems, especially around emotional and behavioral issues around sensitive topics like their sexuality, which is not always easy to communicate through traditional talking therapies for this client group, therefore a group of individuals were selected to determine the impact of a newer energy psychotherapy technique called Kinetic Shift Therapy (KS) alongside Mindfulness based therapy (MBT) which is utilized more, however with limited published research to determine the positive impact on the symptoms and behaviors that affect this client group.

scholarly journals The Need for More Community Nursing for Adults with Intellectual Disabilities and Mental Health Problems

2005 ◽  
Vol 50 (3) ◽  
pp. 187-187 ◽  
Author(s):  
Jane Summers ◽  
Judith Adamson ◽  
Elspeth Bradley ◽  
Kerry Boyd ◽  
Stephen Collins ◽  
...  
Keyword(s):  
Mental Health ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Health Problems ◽  
Community Nursing ◽  
Adults With Intellectual Disabilities

“When other people try to understand”: exploring the experiences of people with intellectual disabilities, who also have mental health problems

2020 ◽  
Vol 14 (3) ◽  
pp. 91-101
Author(s):  
Sasha Martine Mattock ◽  
Kieron Beard ◽  
Amy Baddeley
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Focus Group ◽  
Health Services ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Health Problems ◽  
Content Type ◽  
The People ◽  
People With Intellectual Disabilities

Purpose Recent guidelines from the National Institute of Health and Care Excellence highlight that service users (SUs) with intellectual disabilities and co-occurring mental health problems rarely get the opportunity to share their experiences of mental health services. Over the past 20 years, policy documents have stated that these individuals (SUs) must be included in decisions about their care. Research suggests that often this is not the case. Therefore, this paper aims to create a space for SUs to share their experiences of mental health services, and what they found helpful. Design/methodology/approach A focus group was held with five SUs, two psychologists and two researchers. The audio recording of the discussion was transcribed and analysed using thematic analysis. Findings Three main themes were identified, namely, “relationships with others”, “inclusion and communication” and “challenges”. This focus group highlighted that although some SUs felt supported, they reported having little control in their lives and wanted to be listened to. Research limitations/implications Including a SU in the planning and facilitation of the focus group would have made this research more inclusive. Practical implications The implications of this research suggest that by listening to and involving SUs and developing more person-centred services, recovery rates may increase as the services provided would be more targeted. Originality/value Very little research has previously been conducted to explore SUs’ experiences. This paper highlights the value of being heard and the knowledge that is often lost if the authors do not take the time to listen to the people for whom a service is designed.

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