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Made available in DSpace on 2014-12-17T15:43:49Z (GMT). No. of bitstreams: 1 GlaudeniaAM_DISSERT.pdf: 2134728 bytes, checksum: f418d9786b3ab74e5c06ca33dab9e66a (MD5) Previous issue date: 2012-12-19 / The Psychiatric Reform has brought profound changes in assistance to people affected by mental disorders and behavior. In this context, mental health workers have played decisive roles of great impact, acting driving the process. Objective: To evaluate the impact felt by working professionals, because of the daily work with people who have psychiatric disorders. Methodology: This is a search field, a quantitative approach, sectional, descriptive and applied. Data collection occurred through the Assessment Scale Impact of Working in Mental Health Services (IMPACT-BR) applied to mental health researchers city Mossor? - RN. Results: Participants in this study 87 professionals, mostly female married, which took charge of higher education, working on a single service, working in the area for more than six years, aged between 25 and 64 years. There were a low effect of overloading the professionals surveyed. Discussion: Our results corroborate findings in other surveys conducted previously, not identifying large impact load at work among professionals of mental health teams studied. Subscales studied the highest score was observed in measuring the impact of work on team functioning. It was observed that the greater age and duration of action, reduced the emotional impact at work, suggesting that the experience enhances safety in decisions made and the possibility of greater control over the demands of work. Final Thoughts: The work presented showed that the interactive relationships between professionals and users are not the causes of greatest impact in the workplace, although it revealed overload in relation to specific aspects such as: fear of being assaulted by a patient and the feeling of physical exhaustion the end of the workday. Further investigations should be conducted on this topic in order to contribute to the implementation of psychiatric reform proposed by advances both in terms of assistance to individuals and the quality of life in the work of the professionals involved / A Reforma Psiqui?trica trouxe profundas modifica??es na assist?ncia ?s pessoas acometidas por transtornos mentais e de comportamento. Nesse contexto, os trabalhadores de sa?de mental desempenharam pap?is decisivos de grande repercuss?o, atuando de forma impulsionadora do processo. Objetivo: Avaliar o impacto laboral sentido pelos profissionais de sa?de, em virtude do trabalho di?rio com pessoas que apresentam dist?rbios psiqui?tricos. Metodologia: Trata-se de uma pesquisa de campo, numa abordagem quantitativa, seccional, descritiva e aplicada. A coleta de dados ocorreu por meio da Escala de Avalia??o do Impacto do Trabalho em Servi?os de Sa?de Mental (IMPACTO-BR), aplicada aos profissionais de Sa?de Mental da cidade de Mossor? - RN. Resultados: Participaram desse estudo 87 profissionais, em sua maioria do sexo feminino casados, que assumiam cargo de n?vel superior, trabalhando em um ?nico servi?o, atuando na ?rea h? mais de seis anos, com idade entre 25 e 64 anos. Foi observado um baixo efeito de sobrecarga nos profissionais pesquisados. Discuss?o: Os resultados encontrados corroboram com resultados encontrados em outras pesquisas realizadas anteriormente, n?o identificando grande carga de impacto no trabalho entre os profissionais das equipes de sa?de mental estudadas. Das subescalas estudadas a maior pontua??o foi observada na que mede o impacto do trabalho no funcionamento da equipe. Observou-se que quanto maiores a idade e o tempo de atua??o, menor o impacto emocional no trabalho, o que sugere que a experi?ncia aumenta a seguran?a nas decis?es tomadas e a possibilidade de um maior controle sobre as demandas de trabalho. Considera??es finais: O trabalho apresentado demonstrou que as rela??es interativas entre os profissionais e os usu?rios n?o s?o as causas de maior impacto no trabalho, embora tenha revelado sobrecarga em rela??o a aspectos pontuais como: receio de ser agredido por um paciente e a sensa??o de cansa?o f?sico ao fim do expediente. Novas investiga??es nessa tem?tica devem ser realizadas a fim de colaborar para a efetiva??o dos avan?os propostos pela Reforma Psiqui?trica tanto no que se refere ? assist?ncia aos sujeitos quanto na qualidade de vida no trabalho dos profissionais envolvidos

Thesis (M.S.P.H.)--University of Michigan, 1942.

Thesis (M.S.P.H.)--University of Michigan, 1942.

Syftet är att studera hur män med små barn upplever att deras möjligheter till församlingsengagemang i Equmeniaförsamlingar i Göteborgsområdet påverkar deras psykiska hälsa och på vilket sätt dessa män menar att församlingen kan bidra till ökad psykisk hälsa. Det är en deduktiv, kvalitativ studie med semistrukturerade intervjuer. De frågeställningar som är aktuella berör informanternas upplevelse av församlingen i förhållande till psykisk hälsa. Det teoretiska perspektiv som i huvudsak används är Aaron Antonovskys KASAM (känsla av sammanhang), där de tre komponenterna begriplighet, hanterbarhet och meningsfullhet används för analys av det empiriska materialet. Det finns även en genusaspekt i studien där R.W Connells konstruktivistiska synsätt på maskulinitet används i analys av materialet.Resultat och analys visar att informanterna upplever att församlingen bidrar till en högre KASAM. Informanterna varnar dock för att församlingen kan vara en riskfaktor som riskerar ett lägre KASAM, inte minst vad gäller känslan av hanterbarhet. Även om informanterna upplever att församlingen bidrar till ett högre KASAM beskriver de att samtalet om psykisk hälsa knappt existerar samt att det finns ett stort behov av samtalet. Detta leder i sin tur till att församlingen i ännu högre utsträckning kan bidra till en högre KASAM. Vad gäller genus finns det en del hegemonier i församlingarna, men dessa är enligt en av informanterna under förhandling.

The Health Regulatory Focus Scale (HRFS) is a short scale whichmeasures an individual’s prevention and promotion focus in a health-specific context. The main objective of this study was to examine the psychometric properties of the newly translated German version of the HRFS. Reliability and item characteristics were found to be satisfactory. Validity of both subscales toward other psychological constructs including behavioral approach and avoidance, core self-evaluations, optimism, pessimism, neuroticism, as well as severalmeasures of physical andmental health was shown. In addition, invariance of the measure across age and gender groups was shown. Exploratory as well as confirmatory factor analyses clearly indicated a two-factorial structure with a moderate correlation between the two latent constructs. Differences in health promotion and prevention focus between socio-demographic groups are discussed. The HRFS is found to be a valid and reliable instrument for the assessment of regulatory focus in health-related environments.

Background: Children who enter foster care usually do so because of maltreatment by their birth families. Early adversity such as this is associated with many negative outcomes, including disturbances of attachment and mental health in childhood and throughout the lifespan. Young children (under 5) are particularly at risk due to maltreatment rates being highest in this age range, and because of the vital brain development that occurs during this time. Improving the quality of existing relationships for young children is the most cost effective way to improve mental health outcomes. It is important that research investigates which relational and psychological variables that exist within the foster carer-child relationship may be protective against developing negative mental health outcomes, so as to inform carer training and future interventions for this vulnerable group. Aims: The aims of this research project were twofold. The first aim was to systematically review the existing literature on links between foster carer psychological variables (such as commitment to their foster child), and/or child psychological variables (such as their attachment style), and the mental health outcomes of children in foster care. The second aim was to investigate whether foster carer acceptance, commitment, awareness of influence and reflective functioning (RF) predict the mental health outcomes of Scottish preschool aged children who are looked after in foster care. Method: A systematic review of the existing literature was undertaken to address the first aim. The search strategy resulted in 12 quantitative studies that investigated links between child or carer psychological variables and child mental health outcomes. An empirical study of 179 pre-school aged children in foster care in Scotland was carried out to address the second aim. Participants were taking part in a wider RCT of a novel intervention to improve outcomes and permanency decisions for children in foster care. Foster carer acceptance, commitment, and awareness of influence was assessed using the This Is My Baby Interview, and scores of RF were coded from the transcripts of this interview using a computer-based algorithm. Child mental health information was gathered using the Infant Toddler Social Emotional Assessment. Data was gathered at 2 time points; baseline assessments occurred around 4 weeks after entry to care, and follow-up assessments were carried out a year later. Results: The systematic review found good evidence that foster child attachment security is linked to more positive mental health outcomes. It also found some evidence suggesting that foster carer psychological variables such as commitment and quality of caregiving also relate to child mental health outcomes, but this research is in its infancy and it is therefore difficult to draw firm conclusions around this. The results of the empirical study showed that carer commitment and awareness of influence predict child competence at baseline, and RF predicts internalising and externalising problems at follow up. No predictive relationships were found between carer variables and child mental health over time. Conclusion: The results from both studies suggest that carer psychological variables such as commitment to their foster child may relate to child mental health development. These results have implications in terms of foster carer training, and for intervention development for this vulnerable population. This research is however in its infancy, and the results suggest a complex picture with regard to carer psychological variables and child mental health. Large-scale high quality longitudinal research is needed to provide a clear understanding of these relationships.

Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 RaionaraCAS_TESE.pdf: 4380050 bytes, checksum: 699be89473c23f85e800ba02351475dc (MD5) Previous issue date: 2014-01-31 / A assist?ncia psiqui?trica e as pol?ticas de aten??o ? sa?de mental passaram por diversas transforma??es, marcadas ora por avan?os, ora por retrocessos centrados no estigma, desinteresse e preconceito que ainda permeiam a sociedade e o senso comum. Este estudo objetivou analisar o processo de reforma psiqui?trica e a pol?tica de sa?de mental do Munic?pio de Natal/RN a partir dos pap?is e fun??es dos profissionais de n?vel superior dos servi?os substitutivos em sa?de mental. Trata-se de uma pesquisa anal?tica, transversal, com dados quantitativos e qualitativos, realizada nos sete servi?os substitutivos de sa?de mental de Natal, entre os meses de mar?o a agosto de 2013, ap?s aprova??o do estudo pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, Parecer n? 217.808, CAAE: 10650612.8.1001.5537, em 01 de mar?o de 2013. A amostra por conveni?ncia comp?s-se por 65 profissionais de n?vel superior das equipes de sa?de mental. Utilizou-se um question?rio com quest?es fechadas e semiabertas sobre o perfil socioecon?mico, as pol?ticas, as pr?ticas e a forma??o em sa?de mental. Tabularam-se e submeteram-se as respostas das quest?es fechadas do question?rio no programa estat?stico SPSS vers?o 20.0, analisando-os por meio de estat?stica descritiva, com a formula??o de gr?ficos e tabelas. Para verificar o n?vel de signific?ncia, adotando-se p-valor<0,05, optou-se pela aplica??o dos testes qui-quadrado e exato de Fisher. Submeteram-se os dados das quest?es semiabertas ao software ALCESTE e ? luz da an?lise de conte?do de Bardin. O perfil dos participantes caracterizou-se por maioria do sexo feminino (79%), faixa et?ria de 36 a 55 anos (52%), m?dia de 42 anos, carga hor?ria de 40 horas semanais (62%), tempo de conclus?o da gradua??o de 6 a 15 anos (57%), trabalhavam na ?rea de sa?de mental h? menos de 10 anos (72%) e na institui??o pesquisada h? 5 anos ou menos (52%). Da amostra estudada, 86% atendiam grupos de usu?rios, 97% realizavam atendimento individual, 94% observavam o comportamento do paciente, 92% realizavam atendimento familiar, utilizando, principalmente, a abordagem cognitiva (28%). Os dados qualitativos originaram cinco categorias: Forma??o acad?mica e atua??o em sa?de mental; Aus?ncia de capacita??o e supervis?o em sa?de mental; Dificuldades da pr?tica profissional nos servi?os substitutivos de sa?de mental; Trabalho em equipe: entre acertos e conflitos; Pol?tica Nacional de Sa?de Mental: uma realidade ainda distante. Detectou-se adequabilidade dos pap?is e fun??es dos profissionais quanto ao tempo de trabalho na sa?de mental e na institui??o pesquisada; no atendimento e atividades individuais; na promo??o de a??es visando ? autonomia do paciente; no atendimento em grupo de pacientes; e, em parte, ? fam?lia/familiar dos portadores de transtorno mental, havendo inadequa??o quanto ao atendimento aos grupos de familiares (52.3%), ? forma??o especializada em sa?de mental (69.2%; p=0,02) e ?s dificuldades de trabalho nos servi?os (87.7%). Evidenciou-se adequa??o nos pap?is e nas fun??es d esenvolvidas pelos profissionais nos servi?os substitutivos em sa?de mental de Natal, embora convivendo em seu cotidiano com in?meras dificuldades encontradas no desenvolvimento de suas pr?ticas profissiona is frente ?s condi??es de trabalho

Submitted by Noeme Timbo (noeme.timbo@metodista.br) on 2017-11-08T15:58:50Z No. of bitstreams: 1 Isaac Soares Bastos.pdf: 555940 bytes, checksum: 907768ba1e505fa9191477c2ad0862ce (MD5) / Made available in DSpace on 2017-11-08T15:58:50Z (GMT). No. of bitstreams: 1 Isaac Soares Bastos.pdf: 555940 bytes, checksum: 907768ba1e505fa9191477c2ad0862ce (MD5) Previous issue date: 2017-03-29 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Being influenced by movements that arose mainly in France, England and Italy, care services for people suffering from some form of severe psychological distress have undergone through significant changes that favored the construction of new health paradigms, as well as new care devices. Such events brought about fairly fresh political, administrative and technical demands — as well as theoretical ones — that laid the groundwork for the construction of a novel field of knowledge that was diverse and heterogeneous (that one of the mental health), in which both worker and user reassessed their conceptions and practices regarding psychopathologies and their ways to treat them. Given this context, the present study had as its objective to verify how the CAPS worker perceives and intervenes before the user who presents or has presented a delirium state. Data were collected by using a socio-demographic questionnaire, a semi-structured interview technique and the participant observation. On the basis of proposals elaborated by Bardin, for the analysis and treatment of the data it was employed the Content Analysis technique. The data have revealed that the perception of the professional is created from conceptual axes, which we are going to divide into dualism of reality, nosographic, neurological, contextual and psychoanalytic. And it is from these axes that their intervention is configured. However, such axes are not demarcated or delimited in their theoretical or epistemological framework. They intersect and cross each other, producing a blended, eclectic intervention that sometimes is also done or based only on the experience and commitment of the professional. / Influenciados por movimentos que surgiram principalmente na França, Inglaterra e Itália, os serviços de atenção a pessoas que padeciam de algum tipo de sofrimento psíquico grave passaram por significativas mudanças que favoreceram a construção de novos paradigmas de saúde, como também novos dispositivos de atendimento. Tais acontecimentos trouxeram exigências politicas, administrativas, técnicas – como também teóricas – bastantes novas que propiciou a construção de um campo de saber diverso e heterogêneo (o da saúde mental) onde trabalhador e usuário reavaliaram suas concepções e práticas a respeito das psicopatologias e de suas formas de tratar. Diante desse contexto, o presente estudo teve como objetivo verificar como o trabalhador do CAPS percebe e intervém frente ao usuário que apresenta ou apresentou um quadro de delírio. Para coleta de dados foi utilizado questionário sócio demográfico, a técnica de entrevista semiestruturada. Para análise e tratamento dos dados foi empregada a técnica de Análise de Conteúdo tendo por base as propostas elaboradas por Bardin. Os dados revelaram que a percepção do profissional se faz a partir de eixos conceituais que dividimos em: dualismo de realidade, nosográfico, neurológico, contextual e psicanalítico. E é a partir deles que a sua intervenção se configura. No entanto, elas não se fazem demarcadas ou delimitadas em seu arcabouço teórico ou epistemológico. Eles se entrecortam e se atravessam e produz uma intervenção mesclada, eclética e que, por vezes também, se faz ou se baseia apenas na experiência e empenho do profissional.

To get closer to an answer to the questions of how the pandemic affected one's mental health after the pandemic, but also how it affected one's church involvement and one's own faith in God, interviews were conducted with five young women, aged 19–25 years. I used a mixed method, namely three short questionnaires where the informants had to assess their mental, existential, physical, and social health, as well as describe their church involvement, before, during and after the pandemic. These questionnaires were then the basis for the interviews, where they had to nuance their answers even more. In this way, the study's material and empirical data were collected. This was then analyzed based on selected theories dealing with coping, religious coping, meaning-based coping, and spirituality processes. The results of the study show that the pandemic affected the informants in different ways and to different extents. What one brought into the pandemic when it comes to one's mental, existential, physical, and social health tends to influence how one coped with it and what consequences the pandemic created for one's well-being. On the other hand, most of the informants expressed that they take with them new perspectives and lessons learned from the pandemic that they did not have in the same way before. Much of what they mention is that you learned how the body works and that your well-being is better from physical activity, or that now, after the pandemic, you can choose in a different way what you want to be involved in when it comes to the social aspect, but also concrete social interactions and relationships. They prioritize their well-being and well-being in a different way.