With the trend of increasing international academic exchange, the number of international students in Sweden continues to expand over years. The stress faced by international students has attracted more and more attention from university organizations and the society. This project takes the current mental health-care service for international students at Linnaeus University as the research object. Based on the participatory design and service design theory, challenges faced by the international student health-care service system and improvement opportunities were investigated through a stakeholder map, semi-structured interviews, observations, questionnaires and co-creation workshops among other methods. By introducing participatory design into the development process, an improved mental health-care service system with integrated online and offline information is presented as an example for universities’ organizations for improving the mental health-care service for international students.

Top-down, centralised approaches to reform of mental health services implemented over the past 15 years in Australia have failed to achieve the widely shared aim of comprehensive, integrated systems of care. Investment to date has focused on the development and integration of specialist mental health services and primary medical care, and evaluation research suggests some progress. Substantial inadequacies remain however in the comprehensiveness and continuity of care received by people affected by mental health problems, particularly in relation to social and psychosocial interventions. Intersectoral collaboration that includes the diverse range of non-medical primary health and social care services is one of the most fundamental remaining challenges facing mental health system reform.

Made available in DSpace on 2016-04-29T13:31:32Z (GMT). No. of bitstreams: 1 Juliana A Oliveira.pdf: 795655 bytes, checksum: cd71278ab84392899b8db3021d0e1f1b (MD5) Previous issue date: 2007-05-21 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The Reform of Psychiatric services in Brazil is in process of consolidation and the transition from treatment at psychiatric hospitals to rehabilitation and shelter services is still under way. As such, due to a variety of reasons, some clients of these services prefer to remain at psychiatric hospitals instead of returning to their homes. Research was carried out at a psychiatric hospital attached to SUS (Sistema Único de Saúde) and located in the city of São Paulo, in order to better understand the reasons for the resistance to disinterment. Information was gathered with clients and professionals using a diversity of research strategies (observations, conversations, interviews and participation in routine activities) during the visits made to the institution between August 2005 and March 2006. Interviews were carried out with patients that, according to the various health professionals working at this institution, externalized the "desire to remain in the internment" and with a Charity Sister that assumed the role of "spokesman" for the professional team. The analysis was base on Discursive Social Psychology in dialogue with a constructionist perspective. The desire to remain at the hospital was based on multiple factors, including lack of financial conditions, of housing, family, work and social relationships, as well as the progressive weakening of these social bonds due to frequent psychiatric internments. Moreover, the psychiatric hospital seems to function as a protective shell from a society that is intolerant with regards to mental illness. However, the desire to remain in hospital seems to be more related to lack of alternatives than to internment itself as the people that were interviewed often were sad and their speech presented many lapses and contradictions indicating paradoxical positions regarding staying in and leaving. We conclude that it is urgent to implement the proposals of the Psychiatric Reform, specially concerning strategies for strengthening social bonds in order that the desire to return to social life can truly blossom / Partindo do pressuposto que a Reforma Psiquiátrica está em pleno processo de construção e que em decorrência de seus pontos falhos, alguns usuários podem querer continuar vivendo em hospitais psiquiátricos, o presente estudo investiga, por meio das práticas discursivas de usuários e trabalhadores de um serviço de Saúde Mental da cidade de São Paulo, os sentidos que sustentam o suposto desejo de permanecer internado . Para coleta de informações elegimos um hospital psiquiátrico da cidade de São Paulo, predominantemente vinculado ao SUS, onde fizemos visitas durante o período de agosto de 2005 a março de 2006, distribuídas entre observação das rotinas, participação nas variadas atividades, entrevistas com usuárias que verbalizaram o desejo de permanecer no internamento e uma Irmã de Caridade, porta-voz da equipe profissional. A análise das informações coletadas foi sustentada a partir da perspectiva do construcionismo social. De modo geral, as entrevistas contribuíram para melhor entender o suposto desejo de permanecer no hospital psiquiátrico . A falta de condições financeiras, habitação, trabalho, relacionamentos sociais, além de internações psiquiátricas recorrentes, pareceram dificultar a reinserção social, bem como diminuir a proximidade com a família. Além disso, o hospital psiquiátrico pareceu tornar-se uma proteção do usuário em uma sociedade intolerante perante a loucura. É válido destacar as falas das usuárias sobre o hospital e a experiência de internação psiquiátrica foram acompanhadas de lapsos de linguagem e feições entristecidas, retratando o sofrimento da internação e a contradição presente em optar pela vida intra-muros. A partir dessas reflexões indaga-se sobre a urgência do fortalecimento efetivo da rede social extra-muros, a partir da estruturação da Reforma Psiquiátrica, de modo a possibilitar o desejo de retorno ao convívio social