<p> Natural disasters and catastrophic events have devastated hundreds of thousands of individuals worldwide. While governmental and disaster relief agencies attempt to respond as quickly as possible, individuals can be cut off from resources and services for extended periods, increasing stress and health complications. Individuals with mental illnesses are even more vulnerable in the aftermath of a disaster when they are cut off from vital medications and therapeutic services. Disaster preparedness promotes resilience and empowers individuals to take personal responsibility for their safety. The purpose of this project was to identify potential funding sources and write a grant proposal that funds the development and implementation of disaster preparedness classes for individuals living in the community with mental illnesses. Actual submission and/or funding of this grant was not a requirement for the successful completion of this project.</p>

<p>The purpose of this psychoeducational curriculum is for Latino caregivers to enhance their awareness in the Mental Health field, as advocate for their family members. Educating caregivers on how to access services, and overcome stigma, language barriers, and cultural insensitivity also to enhance quality services. The curriculum specifically addresses outreach. The curriculum will expand caregivers? understanding the symptoms of mental illness including diagnosis, and the importance of self-care to prevent burnout. It will include activities that will promote group discussions, and concepts for learning enhancement. Additionally, handouts will be provided with resources for support services for caregivers. A facilitators? guide is also included to assist with the implementation of the curriculum.

Hälsofrämjande ledarskap är ett komplext fenomen som innefattar att främja hälsan i arbetslivet med hälsofrämjande aktiviteter. Studien fokuserade på det salutogena perspektivet, hälsa och hälsofrämjande arbete, arbetsrelaterad stress, arbetsmiljölagen samt ledarskapsteorier som kan kopplas till det hälsofrämjande ledarskapet. Studien syftade till att undersöka ledares upplevelser av hälsofrämjande ledarskap och resurser som främjar deras hälsa. Elva ledare från två organisationer deltog i studien.  Halvstrukturerade intervjuer genomfördes som kategoriserades genom meningskoncentrering. Analysen resulterade i ett antal slutsatser som var gemensamma för flertalet av respondenterna. Majoriteten av ledarna ansåg sig inte vara hälsofrämjande ledare och var fokuserade på fysiska friskvårdsåtgärder snarare än psykosociala. Ledarna  hade en uppfattning om att det rådde otydlig ansvarsfördelning, bristande kunskap  om hälsofrämjande ledarskap, men tillgång till hälsofrämjande resurser. / Health promotion leadership is complex and includes promoting health in the workplace. The study focuses on the salutogenetic perspective, health promotion, work-related stress, work environment legislation and leadership theories that can be linked to health promotion leadership. This study aims to investigate if leaders have knowledge about health-promoting leadership and access to resources that are health promoting. Eleven leaders from two organizations participated. Semi-structured interviews were conducted thematised through meaningful concentrator. The analysis showed several recurring statements amongst a majority of the respondents which were that the leaders did not view themselves as health- promoting leaders and their focus were on physical working environment rather than psychological. The perception of responsibility in the matter was unclear in both organizations and the leaders generally lacked knowledge of health promotion leadership while having access to health promoting resources.

O objeto deste estudo são as práticas de terapia ocupacional desenvolvidas em Centros de Atenção Psicossocial Álcool e outras Drogas (CAPS AD) do município de São Paulo. Os terapeutas ocupacionais são convocados a atender a consumidores problemáticos de drogas, trabalhando na maioria dos equipamentos de saúde destinados a esse objetivo. O principal equipamento da política ministerial para atenção especializada a esse grupo são os CAPS AD, serviços recentemente inventados, que estão em processo de implementação no país. Revisão bibliográfica inicial apontou lacunas na produção teórica sobre as práticas de terapia ocupacional na atenção em saúde a consumidores de drogas. Esta investigação partiu do campo da saúde coletiva, compreendendo que os processos históricos de desenvolvimento da terapia ocupacional se relacionam com o processo de produção em saúde como um todo. Tomou-se em consideração: o atual contexto do processo de produção em saúde, que encontra-se atravessado pela privatização do setor e pela lógica privada; o lugar social da mercadoria droga, como produto do processo de produção capitalista; e os modos de vida atravessados pelo consumo, como forma de relação social. Pretendeu-se responder à seguinte pergunta: Quais as configurações das práticas de terapeutas ocupacionais nos CAPS AD? Trata-se de pesquisa do tipo exploratória e descritiva de natureza qualitativa. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com nove terapeutas ocupacionais trabalhadores de CAPS AD, de diferentes regiões da cidade de São Paulo e Grande São Paulo. A análise de dados foi feita por meio de aproximação dialética da análise de conteúdo, utilizando o processo de trabalho, e seus elementos, como categoria de análise, conforme mediado pelas políticas estatais do campo das substâncias psicoativas. Os resultados são: os TOs entrevistados apresentam trajetos singulares de formação e de trabalho, que configuram suas práticas de maneira exemplar, mais do que técnicas ou linhas teóricas adotadas no campo; a formação está fortemente orientada pelos princípios das políticas estatais e por conhecimentos específicos, que qualificam os TOs para perceber e intervir sobre os processos de gestão do serviço; por essas razões o trabalho dos TOs exerce influência considerável sobre a organização dos serviços. Pode-se observar ainda a existência de configuração específica de instrumentos de trabalho eleitos pelos entrevistados baseada em: diretrizes das políticas estatais, horizontalidade, fazer crítico, questionamento instaurador de reflexão crítica, olhar e intervenção sobre a concretude e materialidade da vida, trabalho, processos criativos e estética, e uso da rede social. Conclui-se que: o objeto de trabalho, mais pronunciado, em terapia ocupacional nos CAPS AD é o sujeito individual, de relações sociais e potencial criativo; e a finalidade das práticas é a de ampliar as possibilidades desses sujeitos de se relacionarem socialmente como cidadãos de direitos / The object of this study is the practices of occupational therapists developed in the Psychosocial Care Centres - Alcohol and other Drugs (CAPS AD) in São Paulo. The public policies in Brazil called occupational therapists to answer to problematic drug consumers needs working on most health services intended for this purpose. The main public service for this specialized attention is the CAPS AD, recently created and in process of implementation. Initial literature review shows a small number of academic productions about the practices of occupational therapists to care for problematic drug consumers. This research is based on the collective health field of knowledge and practices; therefore, it values the historical processes in which occupational therapy developed and its relations with the structures of the health production system. We considered that: the current context of the health production system is either highly privatized or determined by the private logic of the production process; the drug is as commodity, product of the capitalist production process; and the way of life values consumption as a form of social relation. This investigation wants to answer the following question: What are the configurations of occupational therapists practices in the CAPS AD services? This is a qualitative exploratory and descriptive research. We collected data from nine interviews with occupational therapists that work or worked at CAPS AD, from different regions of the city and small cities around (metropolitan region of São Paulo). Data was analysed through a dialectic approach of content analysis, using the work process and its elements, as a category of analysis, as mediated by the state policy in the field of psychoactive substances. The results are: 1) the occupational therapists interviewed have unique trajectories that compose their resources for the work importantly, more than the techniques or the theories adopted in the field; 2) the work of occupational therapists influence the working process as a whole, as they have a formation strongly funded on public policies and on specific knowledge for perceiving and acting over the management of the institution. Furthermore, there is a specific configuration of working tools common to the respondents: guidelines of state policies, horizontality, critical doing, inquisitive questioning that produces critical reflection, specific understanding and intervention on the concreteness and materiality of life, work, creative processes and aesthetics, besides the use of social networks. We conclude that: the object of the OTs labour process that was more pronounced was the individual of social relations and creative potential; and the purpose of the practices developed to care for drug users was the possibility of expanding these individuals horizons to relate in society as citizens of rights

O cenário atual das instituições públicas de saúde caracteriza-se pelas peculiaridades do modelo de reestruturação produtiva, em que o enxugamento da máquina pública traduz-se num contexto de precarização das condições de trabalho. Em meio à escassez e inadequação dos recursos materiais e ao déficit de recursos humanos, os trabalhadores de enfermagem vêem-se diante da necessidade de elaborarem adaptações e improvisações de materiais, equipamentos e, até mesmo, de pessoal. Diante desta problemática, selecionou-se como objeto de estudo: a percepção do trabalhador de enfermagem sobre as adaptações e improvisações no trabalho hospitalar e suas implicações na saúde do trabalhador. Apresenta como objetivos: identificar a percepção dos trabalhadores de enfermagem sobre as adaptações e improvisações; descrever as situações que conduzem os trabalhadores de enfermagem à realização desta prática e analisar as implicações das adaptações e improvisações na saúde dos trabalhadores de enfermagem. Pesquisa qualitativa e descritiva, cujo cenário foi um hospital público universitário, localizado na cidade do Rio de Janeiro. Os sujeitos foram vinte trabalhadores das equipes de enfermagem, atuantes nos setores de terapia intensiva e enfermarias cirúrgicas. Os dados foram coletados por meio de entrevista semi-estruturada, no mês de julho do ano de 2009. Procedeu-se à análise temática de conteúdo, a qual propiciou a criação de quatro categorias empíricas: categoria 1: contextos e determinantes das adaptações/improvisações; categoria 2: pré-requisitos para a realização das adaptações/improvisações; categoria 3: aspectos subjetivos vinculados à prática do adaptar/improvisar e categoria 4: a face positiva e a face negativa do adaptar/improvisar as repercussões na saúde do trabalhador. Concluiu-se que as percepções dos trabalhadores de enfermagem sobre a prática do adaptar/improvisar caracteriza-se contraditória ou dialética, com respostas que envolvem o sofrimento e o prazer; a satisfação e a insatisfação; a motivação e a desmotivação, entre outras contradições. Constatou-se que as adaptações e improvisações são elaboradas, predominantemente, para garantir que o cuidado seja prestado, pois diante de um contexto de precarização, a falta de recursos quase que inviabiliza a prestação do cuidado, e esta prática caracteriza-se como uma artimanha ou um ajuste no processo de trabalho o qual assegura que a tarefa seja cumprida. Verificou-se que esta prática tem impactos negativos na saúde, espoliando física e psiquicamente os trabalhadores de enfermagem. / The current setting of public health institutions is characterized by the peculiarities of the model of productive restructuring in the downsizing of public administration results in a context of precarious working conditions. Among the scarcity and inadequacy of material resources and lack of human resources, nursing workers are faced with the need to develop adaptation and improvisation of materials, equipment and even personnel. In front of this problematic situation, was selected as the object of study: the perception of nursing workers on the adaptations and improvisations in hospital work and its implications in the health of the worker. This study shows as objectives: to identify the perception of nursing on the adaptations and improvisations, to describe the situations that lead to nursing workers to carry out this practice and to examine the implications of the adaptations and improvisations in workers' health care. A qualitative and descriptive research, the scene was a public university hospital, located in Rio de Janeiro. The subjects were twenty employees of nursing teams, working in the fields of intensive care and surgical wards. Data were collected through semi-structured interview, in July of 2009. The sample was thematic content analysis, which enabled the creation of four empiric categories: Category 1: Contexts and determinants of adaptations / improvisations; Category 2: Prerequisites for the implementation of adaptations / improvisations; Category 3: Subjective aspects linked the practice of adapt / improvise and Category 4: The positive face and negative face of adapt / improvise - the impact on workers' health. It was concluded that the perceptions of nursing practice of adapt / improvise characterized contradictory or dialectical, with responses that involve the suffering and pleasure, satisfaction and dissatisfaction, motivation and demotivation, among other contradictions. It was found that the adaptations and improvisations are designed predominantly, to ensure that care is provided, because in front of a precarious context, the lack of resources almost render impossible to provide care, and this practice is characterized as a ruse or an adjustment in the work process which ensures that the task is fulfilled. It was found that this practice has negative impacts on health, despoiling the nursing workers physically and mentally.

Background: The parenting usually entails great joy but can also involve major challenges. Parenting is not always experienced positively, on occasion it can be very stressful. Studies show that early intervention can enhance the parenting role and promote connection between the child and the parent and thus facilitate illness prevention in children.  Aim: To illustrate child health, nurses and parenting counselors provided extended home visits for new parents.    Method: A qualitative design and the phenomenological approach are used. Seven interviews were carried out with Child health nurses and parenting counselors. The results were analyzed with a content analysis.  Results consist of four headings; Prerequisites for good cooperation, The importance of the meeting place, Concrete support for parents, Challenges to support parents  Conclusion: The result shows that the project helped child health nurses and parenting counselors provide increased security and support in the parenting role. They have learned that the collaboration in the project has been experienced positively as they together can support families with their specific knowledge. Their view is that the families appreciate the support offered and it is easier for them to discuss sensitive topics in their own home. The prerequisites for being able to respond to challenges in the project require staff support from the manager and training in different cultural approaches.

<p> The purpose of this project was to locate a potential funding source and write a grant to support funding for the Emergency Response Team (ERT) program. The ERT will use solution-based practices within the Mendocino County Health and Human Services Agency to support family stabilization. An ERT would enable children and families to access multidisciplinary team services, including mental health and alcohol/drug services, immediately after a referral to Child Protective Services. This approach will allow families to address their needs for stabilization and ensure streamlined support, thus reducing the potential for children to be removed from the home or shorten the duration of the removal. Ultimately, this approach will ensure families access to appropriate levels of mental health and alcohol or drug service supports to enhance the well being of children, families, and the community. The actual submission and/or funding of this grant were not a requirement for the successful completion of this project.</p>

<p> This study was designed to explore how the experience of past parental alienation and current estrangement from adult child(ren) affected aging alienated parents particularly in the domains of depression and life satisfaction. This study also explored the link between past parental alienation and late-life estrangement from adult child(ren). The sample of 65 participants responded to an online survey after responding to a recruitment flyer posted on Craig's List. </p><p> The results showed mild to moderate levels of depression and moderate dissatisfaction with life among the study participants. Higher levels of parental alienation were significantly associated with higher levels of depression and greater dissatisfaction with life. Participants also overwhelmingly reported that past parental alienation had contributed to their current estrangement from their adult child(ren). </p><p> Further research is needed on the impact of parental alienation on the well-being of aging parents.</p>

<p> Since age has been identified as a leading risk factor for the development of Alzheimer's disease and related dementias (ADRD) and as the U.S. population ages, ADRD has become a community concern. Latinos face greater risk due to systemic psychosocial stressors such as limited community-based supportive services, lack of trained bilingual health care professionals, and low quality of treatment and preventative care. The purpose of this project was to develop a dementia program targeting the underserved Latino community of Orange County, California, identify potential funding sources, and develop a grant proposal on behalf of the Orange County Vital Brain Aging Program at Hoag Memorial Hospital Presbyterian. The proposed program will increase awareness on ADRD while decreasing barriers in health care utilization through community-based education and psychosocial and cognitive assessments. The actual submission and/or funding of this grant were not requirements for the successful completion of this project.</p>

<p> Citizenship/immigration status, high poverty rates and gender specific issues, present a significant problem, when addressing the mental health needs of Latino adolescents. This study utilized data from the 2009 California Health Interview Survey (CHIS). The independent variables for the study were citizenship/immigration status, socioeconomic status, and gender. The dependent variable was mental health. To examine the relationship between the independent and dependent variables, a frequency and regression analysis was performed. The results of the study indicate that citizenship/immigration status and gender are significant predictors of mental health among Latino adolescents. The results of the study suggest that social workers, community leaders, community members, and mental health providers, should explore selecting effective interventions with optimal outcomes for the mental health of this population.</p>