scholarly journals Assessment of assertive community treatment in the Bizkaia Mental Health Services/Evaluación del tratamiento asertivo comunitario en la Red de Salud Mental de Bizkaia

2012 ◽  
Vol 12 (3) ◽  
Author(s):  
C. Pereira Rodriguez ◽  
J.J. Uriarte Uriarte ◽  
J. Moro Abascal ◽  
Fco. J. Martinez Corral
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Salud Mental ◽  
La Red

scholarly journals The Greek Hybrid Version of the Assertive Community Treatment Model: A Perspective View between Challenges and Limitations

Psych ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 792-799
Author(s):  
Vaios Peritogiannis ◽  
Fotini Tsoli
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Assertive Community Treatment ◽  
Rural Areas ◽  
Community Treatment ◽  
Community Mental Health Service ◽  
Perspective View

The Assertive Community Treatment (ACT) model of care has been long considered to be effective in the management of patients with severe mental illness (SMI) in most Western countries. The implementation of the original ACT model may be particularly challenging in rural and remote communities with small and dispersed populations and lack of adequate mental health services. Rural programs may have to adapt the model and modify the ACT fidelity standards to accommodate these limitations, and this is the rationale for the introduction of more flexible, hybrid ACT models. In rural Greece, the so called Mobile Mental Health Units (MMHUs) are well-established community mental health services. For patients with SMI that have difficulties engaging with treatment services, the new hybrid ACT model has been recently launched. The objective of this manuscript is to present the recently launched hybrid ACT model in rural areas in Greece and to explore the challenges and limitations in its implementation from the experience of a team of mental health professionals with ACT experience. Referral criteria have not been strictly set, but the number of previous relapses and hospitalizations is taken under consideration, as well as the history of poor treatment adherence and disengagement from mental health services. The main limitation in the implementation of the hybrid ACT service is that it has been introduced in several areas in the absence of a pre-existing community mental health service. This may impact referrals and limit focus on the difficult cases of patients with SMI, thus making the evaluation of the model inapplicable.

scholarly journals Diagnósticos de enfermagem identificados em instituições psiquiátricas

2019 ◽  
Vol 13 ◽  
Author(s):  
Tatiana Gomes da Silva ◽  
Rosimere Ferreira Santana ◽  
Priscilla Alfradique de Souza ◽  
Virginia Faria Damásio Dutra
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
The Elderly ◽  
Psychiatric Nursing ◽  
Nursing Process ◽  
Psychiatric Institutions ◽  
Salud Mental ◽  
La Red ◽  
Nursing Diagnoses

RESUMOObjetivo: identificar, na literatura, os diagnósticos de Enfermagem encontrados em adultos e idosos internados em instituições psiquiátricas. Método: trata-se de um estudo, bibliográfico tipo revisão integrativa, com busca nas bases de dados MEDLINE, CINAHL e LILACS, com os descritores diagnósticos de Enfermagem, Enfermagem Psiquiátrica, Saúde Mental, Geriátrica e, sem restrições quanto à data de publicação, natureza do estudo ou idioma. Apresentaram-se os resultados em forma de figura. Resultados: encontraram-se quatro artigos e se categorizaram 18 diagnósticos de Enfermagem, 15 diagnósticos de Enfermagem reais e três diagnósticos de Enfermagem de risco presentes em frequência maior que 50% nos artigos selecionados. Conclusão: forneceu-se, pelo estudo, um mapeamento dos Diagnósticos de Enfermagem mais comuns entre os usuários internados nas instituições psiquiátricas, contribuindo, assim, para o aperfeiçoamento do Processo de Enfermagem em serviços da rede de Saúde Mental. Descritores: Diagnóstico de Enfermagem; Enfermagem Psiquiátrica; Saúde Mental; Enfermagem Geriátrica; Processos de Enfermagem; Serviços de Saúde Mental. ABSTRACT Objective: to identify, in the literature, the nursing diagnoses found in adults and the elderly hospitalized in psychiatric institutions. Method: this is an integrative review type bibliographical study, with search in the MEDLINE, CINAHL and LILACS databases, with the diagnostic descriptors of Nursing, Psychiatric Nursing, Mental and Geriatric Health, and without restrictions on the date of publication, nature of the study or language. The results were presented in figure form. Results: four articles were found and 18 nursing diagnoses, 15 real nursing diagnoses and three risk nursing diagnoses present at a frequency higher than 50% in the selected articles were categorized. Conclusion: the study provided a mapping of the most common Nursing Diagnoses among users hospitalized in psychiatric institutions, thus contributing to the improvement of the Nursing Process in Mental Health services. Descriptors: Nursing diagnosis; Psychiatric Nursing; Mental health; Geriatric Nursing; Nursing Processes; Mental Health Services. RESUMEN Objetivo: identificar, en la literatura, los diagnósticos de Enfermería encontrados en adultos y ancianos internados en instituciones psiquiátricas. Método: se trata de un estudio, bibliográfico tipo revisión integrativa, con búsqueda en las bases de datos MEDLINE, CINAHL e LILACS, con descriptores diagnósticos de Enfermería, Enfermería Psiquiátrica, Salud Mental, Geriátrica y, sin restricciones en cuanto a la fecha de publicación, na turaleza del estudio o idioma. Se presentaron los resultadosen forma de figuras.  Resultados: se encontraron cuatro artículos y se categorizaron 18 diagnósticos de Enfermería, 15 diagnósticos de Enfermería reales y tres diagnósticos de Enfermería de riesgo presentes en frecuencia mayor que 50% en los artículos seleccionados. Conclusión: se proporcionó, por el estudio, un mapeamiento de los Diagnósticos de Enfermería más comunes entre los usuarios internados en las instituciones psiquiátricas, contribuyendo así al perfeccionamiento del Proceso de Enfermería en servicios de la red de Salud Mental. Descritores: Diagnóstico de Enfermería; Enfermería Psiquiátrica; Salud Mental; Enfermería Geriátrica; Nursing Process; Mental Health Services.

Fidelity in Mental Health Services: Clinical Strategies for Implementing Resource Groups

2017 ◽  
Vol 45 (2) ◽  
pp. 211-222
Author(s):  
Tommy Nordén ◽  
Jonny Andersson ◽  
Torsten Norlander
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Assertive Community Treatment ◽  
Educational Program ◽  
Community Treatment ◽  
Divergent Validity ◽  
Clinical Strategies ◽  
Resource Group

We investigated whether or not people working in the fields of psychiatry and social work who do not have experience in assessing the fidelity of resource group assertive community treatment could use a new manual for the Clinical Strategies Implementation Scale–Revised (CSI–R) in a reliable and valid fashion. Participants were 4 men and 17 women who were caregivers recruited from psychiatric and social-work clinics in Middle Sweden. The study was conducted using a combination of quantitative and qualitative techniques. The caregivers were asked to rate 2 fictional cases individually and thereafter discuss their assessments in focus groups. Results indicated acceptable values for homogeneity, criterion validity, and divergent validity. We concluded that people working in the fields of psychiatry and social work who are inexperienced in using the CSI-R can use it in a reliable and valid way with the help of the new manual, and that the procedure used to conduct the study can be used as a model for a brief educational program or seminar.

Compulsory community mental health care: Oceania

2016 ◽  
Author(s):  
Anthony J. O’Brien
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Developing Countries ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Care ◽  
Developed Countries ◽  
Community Treatment ◽  
Community Mental Health Care

Oceania is characterized by the diversity of countries and by highly variable provision of mental health services and community mental health care. Countries such as Australian and New Zealand have well-developed mental health services with a high level of provision, but many less developed countries lack mental health infrastructure. Some developing countries such as Samoa and Tonga have passed mental health legislation with provision for community treatment orders, but this legal measure is probably not a useful mechanism for advancing mental health care in developing countries. Instead, efforts to improve provision of care seem best directed to the primary care sector, and to the general health workforce, rather than to specialists. The UN CRPD offer extensions of human rights to people with mental illness and most countries in Oceania have signed it. However, the absence of a regional rights tribunal potentially limits the realization of those rights.

scholarly journals How shortcomings in the mental health system affect the use of involuntary community treatment orders

2017 ◽  
Vol 41 (3) ◽  
pp. 351 ◽  
Author(s):  
Edwina M. Light ◽  
Michael D. Robertson ◽  
Philip Boyce ◽  
Terry Carney ◽  
Alan Rosen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health System ◽  
Mental Health System ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Involuntary Treatment ◽  
Community Settings ◽  
Community Treatment Orders

Objective The aim of the present study was to examine stakeholder perspectives on how the operation of the mental health system affects the use of involuntary community treatment orders (CTOs). Methods A qualitative study was performed, consisting of semi-structured interviews about CTO experiences with 38 purposively selected participants in New South Wales (NSW), Australia. Participants included mental health consumers (n = 5), carers (n = 6), clinicians (n = 15) and members of the Mental Health Review Tribunal of NSW (n = 12). Data were analysed using established qualitative methodologies. Results Analysis of participant accounts about CTOs and their role within the mental health system identified two key themes, namely that: (1) CTOs are used to increase access to services; and (2) CTOs cannot remedy non-existent or inadequate services. Conclusion The findings of the present study indicate that deficiencies in health service structures and resourcing are a significant factor in CTO use. This raises questions about policy accountability for mental health services (both voluntary and involuntary), as well as about the usefulness of CTOs, justifications for CTO use and the legal criteria regulating CTO implementation. What is known about this topic? Following the deinstitutionalisation of psychiatric services over recent decades, community settings are increasingly the focus for the delivery of mental health services to people living with severe and persistent mental illnesses. The rates of use of involuntary treatment in Australian community settings (under CTOs) vary between state and territory jurisdictions and are high by world standards; however, the reasons for variation in rates of CTO use are not well understood. What does this paper add? This paper provides an empirical basis for a link between the politics of mental health and the uptake and usefulness of CTOs. What are the implications for practitioners? This paper makes explicit the real-world demands on the mental health system and how service deficiencies are a significant determinant in the use of CTOs. Practitioners and policy makers need to be candid about system limitations and how they factor in clinical and legal justifications for using involuntary treatment. The results of the present study provide data to support advocacy to improve policy accountability and resourcing of community mental health services.

scholarly journals Modelización cartográfica mediante funciones kernel para la ubicación óptima de centros de salud mental, que requieren limeñas agredidas psicológicamente por su pareja

2018 ◽  
pp. 12-19
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Optimal Location ◽  
Health Centers ◽  
Psychological Violence ◽  
Salud Mental ◽  
Las Mujeres ◽  
Mental Health Centers ◽  
San Martín

Modelización cartográfica mediante funciones kernel para la ubicación óptima de centros de salud mental, que requieren limeñas agredidas psicológicamente por su pareja Cartographic modelling using functions kernel for the optimal location of mentalhealth centers, requiring limeñas psychologically assaulted by your partner Erwin Kraenau Espinal y María Estela Ponce Aruneri             Universidad Nacional Mayor de San Marcos, Facultad de Ciencias Matemáticas, Lima 01 DOI: https://doi.org/10.33017/RevECIPeru2014.0002/ Resumen La violencia psicológica, llamada también violencia emocional, es una forma de maltrato; que humilla, hace sentir mal e insegura a una persona, deteriorando su confianza y autoestima; es sutil y es mucho más difícil percibirla o detectarla. Se manifiesta a través de palabras hirientes, descalificaciones, gritos e insultos. Diversas organizaciones Nacionales e Internacionales se han pronunciado por la eliminación de la violencia contra la mujer en todas sus formas. El Perú es un país con limitados recursos económicos y con gran demanda de requerimientos de salud, particularmente de  servicios de salud mental. La finalidad de la presente investigación es determinar la ubicación óptima de centros de salud mental que requieren las mujeres limeñas que son víctimas de  violencia psicológica por parte de su pareja. La base de datos utilizada fue proporcionada por el “MIMP” Ministerio de la Mujer y Poblaciones Vulnerables. Se aplicó el modelo de Kernel para describir la demanda espacial  de los  servicios de salud mental que requieren las mujeres que sufren agresión psicológica por su pareja y son  residentes habituales en las viviendas circundantes a los Centros de Emergencia Mujer ubicados en los distritos de Lima Cercado, Ate, Comas, Puente Piedra, San Juan de Miraflores, San Martín de Porres y Santiago de Surco; los resultados indican que los centros de salud mental deben ubicarse en el  Cercado de Lima y Santiago de Surco. Descriptores: Suavización kernel, intensidad, dependencia espacial, violencia psicológica. Abstract Psychological violence, also called emotional violence, is a form of abuse; that humiliates, makes them feel bad and insecure to a person, deteriorating confidence and self-esteem; is subtle and is much more difficult to perceive or detect. It manifests itself through harsh words, insults, shouting and swearing. Various national and international organizations have advocated the elimination of violence against women in all its forms. Peru is a country of limited resources and high demand for health needs, particularly mental health services. The purpose of this research is to determine the optimal location of mental health centers that require the Lima women who are victims of psychological violence by their partner. The database used was provided by the      "MIMP” Ministry of Women and Vulnerable Populations. Kernel model was applied to describe the spatial demand for mental health services required by women who suffer psychological aggression by their partner and are habitually resident in the surrounding housing for women's emergency centers located in the districts of Lima Cercado, Ate, Comas, Puente Piedra, San Juan de Miraflores, San Martin de Porres and Santiago de Surco; results indicate that mental health centers should be located in the Cercado de Lima and Santiago de Surco. Keywords: Kernel smoothing, intensity, spatial dependence, psychological violence.

Social Policy Considerations for Community Mental Health Services: A Curriculum Module Integrating Mental Health Research

1998 ◽  
Vol 4 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Joseph L. Mosca
Keyword(s):  
Mental Health ◽  
Social Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Health Research ◽  
Mental Health Policy ◽  
Community Mental Health Services ◽  
Mental Health Research ◽  
Community Treatment ◽  
Traditional Service

This curriculum module is designed for use in an undergraduate social policy course. It focuses on mental health policy and its impact on services to the chronic mentally ill in the community. Relevant mental health research is integrated in order to provide a basis for comparing traditional service interventions with alternative approaches. Learning outcomes that are critical to social policy analysis are addressed to include: problem identification and analysis; policy reform proposals; implementation concerns; and assessment. These components of social policy are applied to mental health services by specifically comparing family-aided assertive community treatment to longstanding approaches associated with deinstitutionalization.

Sign in / Sign up

Export Citation Format

Share Document