Introdução: A Atenção Básica é caracterizada como a principal porta de entrada do Sistema Único de Saúde (SUS), onde devem estar centradas as ações de promoção de saúde. Neste sentido, a Unidade Básica de Saúde (UBS), como ação organizativa de saúde no território, deve desenvolver ações diretamente vinculadas à promoção de saúde. Para o seu desenvolvimento pleno é necessário que os atores deste processo compreendam a importância de se pautarem nos princípios da Política Nacional de Atenção Básica (PNAB). Objetivos: Compreender o processo de implementação da PNAB nas UBS do município de Gurupi-TO na percepção dos coordenadores das equipes de Saúde da Família. Metodologia: Participaram da pesquisa 11 (onze) enfermeiros gestores de Equipes de Saúde da Família, um de cada UBS de Gurupi-TO. Tratou-se de uma pesquisa descritiva e exploratória, de abordagem qualitativa. A coleta ocorreu em dois momentos, no primeiro utilizou-se um questionário semiestruturado e no segundo foi utilizado o método roda de conversa. O segundo momento ocorreu com intuito de complementar as informações obtidas na primeira entrevista. Para análise dos dados utilizou-se o método de análise de conteúdo. Resultados e Discussão: O processo de implementação da PNAB nas UBS de Gurupi ocorre de maneira vertical através de reuniões mensais com gestores da Secretaria Municipal de Saúde. No entanto, por mais que os sujeitos participantes da pesquisa reconheçam que os princípios e diretrizes da PNAB são importantes para o pleno desenvolvimento da Atenção Básica, os entrevistados afirmaram que devido à sobrecarga de tarefas e atribuições; à alta demanda de atendimentos e ao déficit de recursos humanos, a implementação da PNAB não ocorre integralmente. Conclusões/Considerações Finais: Os profissionais entrevistados afirmaram conhecer a PNAB, reconheceram a importância da participação da comunidade na gestão da Atenção Básica para que se organizem os modelos locais de saúde. Também reconheceram a importância de todos os atores sociais envolvidos na gestão do SUS. Assim, para concretizar as ações de promoção da saúde, devem ir além das atividades voltadas ao cuidado e à prevenção. / the basic attention is characterized as the main entry point of the Unified Health System (SUS), where health promotion actions should be centered. In this sense, the Basic Health Unit (UBS), as an organizational health action in the territory, must develop actions directly linked to health promotion. For its full development, it is necessary that the actors in this process understand the importance of being guided by the principles of the National Policy Basic Attention (PNAB). Objectives: To understand the process of implementation of the PNAB in the UBS of the municipality of Gurupi-TO in the perception of the coordinators of the Family Health teams. Methodology: participated in the research 11 (eleven) nurses managers of Family Health Teams took part in the research, one from each UBS of Gurupi-TO. It was a descriptive and exploratory, qualitative approach. The collection took place in two moments, in the first one was used a semistructured questionnaire and in the second was used the talk wheel method. The second moment occurred in order to complement the information obtained in the first interview. For data analysis, the content analysis method was used. Results and discussion: The process of implementation of the PNAB in the Gurupi-TO UBS occurs vertically through monthly meetings with managers of the Municipal Health Secretariat. However, although the subjects participating in the research recognize that the principles and guidelines of the PNAB are Important for the full development of the basic attention, interviewees said that due to the overload of tasks and attributions; The high demand for services and the deficit of human resources, the implementation of the PNAB does not occur in full. Conclusions/final considerations: The professionals interviewed said they knew the PNAB, they recognized the importance of community participation in the management of basic attention in order to organize local health models. They also recognized the importance of all social actors involved in SUS management. Thus, in order to implement health promotion actions, they must go beyond activities related to care and prevention.

Dada a complexidade da violência contra as mulheres e do caráter multidimensional do problema, a Política Nacional de Enfrentamento à Violência contra as Mulheres traz como proposição a necessária resposta global e sistêmica, que caracteriza o atendimento em rede. A produção científica dedicada à investigação das instituições de atendimento às mulheres em situação de violência, particularmente na análise da rede, ainda é relativamente escassa, em contraste com a ampliação dessa rede. Desta forma, o presente estudo buscou compreender, sob a ótica dos profissionais das áreas psicossocial, de segurança pública e da saúde, quais as relações intersetoriais estabelecidas entre as diferentes instituições que constituem a rede de atenção às mulheres em situação de violência em um município do interior do estado de São Paulo. Para a compreensão do fenômeno, aproximou-se do Paradigma da Complexidade, de Edgard Morin. Na pesquisa, utilizou-se a abordagem qualitativa e participaram do estudo sete profissionais, considerados como informantes-chave. Para a coleta dos dados, utilizaram-se a entrevista semiestruturada e os Mapas Mínimos da Rede Social Institucional, e os dados dessas entrevistas foram analisados por meio da modalidade da interpretação dos sentidos. No estudo, depreenderam-se duas categorias temáticas centrais: o sistema autoeco-organizador das instituições e a dialógica das instituições que compõem a rede, atuando na/em rede na atenção à mulher em situação de violência. Na primeira categoria, identificou-se o eixo de atenção das instituições, classificado em: assistência psicossocial, assistência à saúde e assistência policial. Na funcionalidade da instituição no atendimento à mulher em situação de violência, evidencia-se a vocação diferencial das três instituições, a partir da qual se estabelece o atendimento às mulheres em cada local e a captação das demandas. Na segunda categoria, identifica-se a construção das relações entre as instituições na rede, em que a fragilidade institucional mostra-se como limitante às respostas necessárias para superar os problemas das mulheres. Frente a esse cenário, as instituições buscam parcerias que tendem a se manter como de caráter pessoal. Sobre a transversalidade do trabalho na rede na atenção às mulheres em situação de violência, as instituições, por meio de parcerias, buscam a intersetorialidade, entretanto a transversalidade é uma realidade ainda distante de se concretizar devido às fragilidades na rede, caracterizadas pela falta de comunicação, de capacitação e pela banalização da violência pelos profissionais. Apesar dessas fragilidades, os profissionais reconhecem as potencialidades em redes, caracterizadas pelas ações de parcerias, comunicação entre algumas instituições e a não replicação do atendimento. Assim, os resultados desta pesquisa evidenciam que o trabalho na rede ainda não contempla o que se concebe por ações multidisciplinares e interdisciplinares com vista à atuação intersetorial para trabalhar pelo bem comum da mulher. Com esta pesquisa, portanto, pretendemos dar subsídios para ajudar a fortalecer a rede de atenção à mulher em situação de violência / Given the complexity of violence against women and the multidimensional nature of the issue, the Brazilian National Policy to Confront Violence against Women addresses the necessary global and systemic response that characterizes the care network. Scientific literature devoted to research institutions that provide care to women in situations of violence, particularly in network analysis, is still relatively scarce, in contrast to the expansion of this network. This study aimed to understand, from the perspective of professionals from the psychosocial, public safety and health areas, what are the intersectoral relationships established among the different institutions that constitute the care network for women in situations of violence in a city of the state of São Paulo, Brazil. To understand the phenomenon, Edgard Morin\'s Paradigm of Complexity was approached. Seven professionals, considered as key informants, participated in this qualitative study. For data collection, semi- structured interview and the Minimum Map of the Institutional Social Network were used. Data from the interviews were analyzed through interpretation of the meanings. Two central themes were identifies in the study: the self-organizing ecosystem of the institutions and the dialogic of the institutions that constitute the network, working at/as a network of care to women in situations of violence. In the first category, the axis of care of the institutions was identified, classified as psychosocial care, health care and police assistance. In the functionality of the institution in providing care to women in situations of violence, the different vocation of the three institutions is highlighted, from which the assistance to women in each location and the reception of demands is defined. In the second category it was identified the construction of the relationship among the institutions in the network, in which institutional weakness is shown as a limiting factor to answers needed to overcome women\'s problems. Faced with this scenario, institutions search for partnerships that tend to be kept with a personal character. Regarding the cross-sectional characteristic of the work on the network in care to women in situations of violence, institutions seek an intersectoral action through partnerships, however, the cross-sectional component is yet a distant reality to be achieved because of the weaknesses of the network, characterized by the lack of communication, of training and by the normalization of violence by workers. Despite these weaknesses, the personnel recognize the potential of networks, characterized by the partnerships, communication among some institutions and by not replicating care. Thus, the results of this research show that the work on the network does not yet include what is conceived as multidisciplinary and interdisciplinary activities aiming at the intersectoral action to work for the benefit of women. This research, therefore, is intended to provide support to contribute to the strengthening of the network of care to women in situations of violence

Made available in DSpace on 2016-04-27T14:31:24Z (GMT). No. of bitstreams: 1 Marcio Alexandre Masella.pdf: 1100158 bytes, checksum: 63e5ef231583141e44ef0c3379683057 (MD5) Previous issue date: 2014-08-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This qualitative research literature review with a look kind of interdisciplinarity of my work experience has generated a number of questions and inquiries about the safety net and its importance for inclusion of adolescents in conflict with the law. Aimed to demonstrate the specificity of the protective care of the actors of Rights Guarantee System (RGS) meet the demands of the teen author of offense network activity, since all young Brazilians are guaranteed the right to a dignified life, with education, health care, an end to discrimination and mistreatment. Analysis of the fundamental rights of teenagers were held in conflict with the law; the Doctrine of Irregular; the Doctrine of Integral Protection; work and network perspective of intersectionality and completeness, based on the Federal Constitution (FC), the Statute of the Child and Adolescente (ACE). Verifiquei this research the need to overcome the shares for the construction and execution of the social safety net for a performance comprehensive and intersectoral while intervention proposal of a policy which guarantees the rights of adolescent vulnerability. This research aimed to build policies for adolescents in conflict with the law, I hope to contribute to building intersectoral articulated policies aimed at ensuring the rights of adolescents, seeking to effect what we already are established in national regulations (CF and ACE). This experience served as a support and look at construction practices that do not reproduce the exclusion / Esta pesquisa qualitativa do tipo revisão bibliográfica com um olhar da interdisciplinaridade da minha experiência de trabalho gerou uma série de questionamentos e indagações sobre a rede de proteção e sua importância para inclusão do adolescente em conflito com a lei. Teve o objetivo de demonstrar a especificidade da atividade da rede de proteção do atendimento dos atores do Sistema de Garantia de Direitos (SGD) frente às demandas do adolescente autor de ato infracional, uma vez que todos os jovens brasileiros tem a garantia do direito a uma vida digna, com educação, saúde, o fim da discriminação e maus-tratos. Foram realizadas análises dos direitos fundamentais dos adolescente em conflito com a lei; a Doutrina da Situação Irregular; a Doutrina da Proteção Integral; o trabalho e rede numa perspectiva da intersetorialidade e integralidade, tendo como base, a Constituição Federal (CF), o Estatuto da Criança e do Adolescente (ECA). Verifiquei com esta pesquisa a necessidade de superação das ações para a construção e efetivação da rede de proteção social para uma atuação integral e intersetorial, enquanto proposta de intervenção de uma política que garanta os direitos dos adolescentes em vulnerabilidade. Com esta pesquisa dirigida a construção de políticas para os adolescentes em conflito com a lei, espero contribuir para a construção de políticas intersetoriais, articuladas, voltadas a assegurar os direitos dos adolescentes, na busca de efetivar o que já encontra estabelecido nas normativas nacionais (CF e ECA). Essa experiência serviu de apoio e um olhar para construção de práticas que não reproduzissem a exclusão

A tese proposta tem por objeto de estudo a política intersetorial Educação-Saúde voltada para o atendimento a demandas escolares nos serviços de saúde pública. Tem por objetivos contribuir com subsídios para a ampliação do debate sobre o uso de recursos não medicalizantes no atendimento à demanda escolar no âmbito dos Serviços Públicos de Saúde; para a formulação de uma política pública intersetorial com corresponsabilidade social dos setores de educação e saúde em busca de qualidade e atendimento integral à saúde escolar e para a formulação de um proposta de otimização de recursos públicos de atendimento à queixa escolar, já existentes nos setores de saúde e de educação. Estabelecidos esses objetivos, foi desenvolvida uma experiência de intervenção com recursos intra e interinstitucionais do Sistema Único de Saúde, visando a explorar novas formas de atender ao grande número de encaminhamentos realizados por escolas. A proposta decorrente dessa experiência, denominada Projeto Terapêutico Singular Núcleo de Apoio à Saúde Educacional - NASE, encontra nicho no Programa Saúde na Escola. A pesquisa intervenção aqui descrita foi realizada durante o ano de 2014 em uma unidade de saúde da cidade de São Paulo, que estabeleceu parceria com uma escola municipal vizinha. Os dados primários foram obtidos por meio de fichas de alunos com queixa escolar encaminhados ao Serviço de Saúde, questionários aplicados a pais e/ou responsáveis, oficinas de vivência e assistência social e atendimentos clínicos. Foram constituídos dois grupos de crianças encaminhadas para atendimento médico pela coordenação da escola e por professores. Embora o número de crianças não tenha sido o mesmo nos dois grupos, foi possível observar uma similaridade relativa ao tipo de queixa escolar: entre crianças encaminhadas pela coordenação da escola (71 do Ciclo I), 36,6% apresentavam dificuldade de aprendizagem e, entre as encaminhadas por professoras (26, sendo 13 do Ciclo I e 13 do Ciclo II), 80,76% apresentavam dificuldades na escrita, leitura, e na compreensão e interpretação de textos. Apresentaram queixa de alterações de comportamento, 21,22% do grupo encaminhado pela coordenadora e 73,07% do encaminhado por professoras. Desse conjunto de crianças, três foram selecionadas para desenvolverem atividades do referido Projeto Terapêutico Singular. Junto a essas crianças foram coletados dados por meio de exame neurológico, de um questionário e de participação em oficinas de vivência e assistência social. Foram realizados três encontros em grupo. As oficinas, integradas por um neurologista, uma psicóloga e uma assistente social, propiciaram oportunidade de realização de atividades lúdicas de aprendizagem, favoreceram o conhecimento da vida afetiva e sócio histórica das crianças e suas famílias e possibilitaram uma visão crítica da demanda de atendimento à queixa escolar. Foi possível constatar a necessidade de redirecionamento dessa demanda, podendo ser o NASE uma ponte transitória e importante no diálogo intersetorial educação-saúde / The proposed thesis has as its object of study the Education-Health intersectoral policy directed to meet the educational complaints on public health services. It aims to contribute with subsidies to expand the debate over the use of non-medicalized resources in the care of school complaints within the Public Health Services; for the development of an inter-sectorial public policy with social responsibility of the education and health sectors in pursuit of quality and full care for school health and for the development of an optimization proposal for public funds to assist the school complaints, which already exist in the health and education sectors. Established this objectives, an intervention experience with intra and inter-institutional resources from the Public Health System was developed, in order to explore new ways of meeting the large number of referrals made by the schools. The proposal resulting from this experience, called Singular Therapeutic Project Support Center for Educational Health NASE, finds housing in the School Health Program. The intervention research described here was carried out during the year 2014 in a health facility in the city of São Paulo, which was partnered with a nearby municipal school. Primary data were obtained through records of students with school complaints referred to the Health Service, questionnaires given to parents and / or guardians, experience workshops and social care and clinical care. Two groups of children, referred for medical care by the school coordination and teachers, were formed. Although the number of children has not been the same in both groups, it was possible to observe a similarity related to the type of school complaints: among children referred by the school coordination (71 from Cycle I), 36% had learning disabilities and, among the ones referred by the teachers (26, 13 from Cycle I and 13 from Cycle II), 80,76% had difficulties in writing, reading, and comprehension and interpretation of texts. Behavioral changes were showed in 21, 22% of the group sent by the coordinator and 73,07% of the group referred by teachers. From this set of children, three were selected to develop activities from the aforementioned Singular Therapeutic Project. Among these children data were collected through neurological exams, a questionnaire and the participation in workshops of living and social care. Three group meetings were conducted. The workshops, staffed by a neurologist, a psychologist and a social worker, have enabled the opportunity to accomplish playful learning activities, favored the knowledge of the affective life and social history of the children and their families, and provided a critical view over the demand for assistance to school complaints. It was possible to observe the need to redirect this demands, may possibly be the NASE a transitory and important bridge in the education-health intersectoral dialogue

<p>School psychologists in South Africa are employed by the state to provide psychological services to schools. The role of school psychologists has been debated and contested nationally and internationally for many decades, with the need for a paradigm shift in school psychology practice and redefining the role of school psychologists being highlighted. In this study, the roles and practices of school psychologists are explored, with a focus on the nature of collaborative work engaged in when facilitating school development. In particular, challenges that emerge when school psychologists work with other sectors to facilitate school development are investigated. The overall research question was: What are the challenges that face school psychologists who facilitate school development through intersectoral collaboration and how can these challenges be addressed?</p>

<p>School psychologists in South Africa are employed by the state to provide psychological services to schools. The role of school psychologists has been debated and contested nationally and internationally for many decades, with the need for a paradigm shift in school psychology practice and redefining the role of school psychologists being highlighted. In this study, the roles and practices of school psychologists are explored, with a focus on the nature of collaborative work engaged in when facilitating school development. In particular, challenges that emerge when school psychologists work with other sectors to facilitate school development are investigated. The overall research question was: What are the challenges that face school psychologists who facilitate school development through intersectoral collaboration and how can these challenges be addressed?</p>

WHO rekommenderar hälso- och sjukvården att bli mer hälsofrämjande. Däremot visar forskning att hälso- och sjukvården inte lever upp till denna rekommendation. Landstinget Västmanland har dock gjort en satsning på det hälsofrämjande arbetet. Fyra hälsocenter har etablerats i länet till följd av detta. Syftet med denna uppsats var att undersöka hur personalen vid dessa hälsocenter upplevde sina förutsättningar att jobba hälsofrämjande med kost- och motionsvanor. Metoden som användes för att besvara syftet var kvalitativ. Datainsamlingen skedde genom att sex semistrukturerade intervjuer genomfördes. Fem hälsovägledare och en person med övergripande ansvar för hälsocenterverksamheten intervjuades. Datamaterialet analyserades med hjälp av en induktiv och manifest kvalitativ innehållsanalys. Resultatet visar att hälsocenters arbete följer de grundprinciper som tagits fram för hälsofrämjande arbete. Stöd i organisationen och den egna kompetensen var faktorer som underlättade arbetet, medan bristfälliga lokaler och samverkansproblem till exempel var faktorer som upplevdes hindra arbetet. Slutsatserna som presenterats utifrån uppsatsens resultat var att delar av hälsocenters arbete fungerade bra men att det fanns vissa förbättringsmöjligheter. Till följd av att hälsocenters arbete bedömdes ligga i linje med grundprinciperna för hälsofrämjande arbete drogs även slutsatsen att verksamheten kan vara ett gott exempel för andra vårdorganisationer som önskar arbeta hälsofrämjande. / WHO recommend health services to become more health promoting. Yet, research indicates that health services don’t fulfill these recommendations. The county Landstinget Västmanland however, has made a commitment to work health promoting. Due to this commitment four Health facilities has been established in the county. The aim of this study was to investigate how the staff at these health facilities experienced their premises to work health promoting with diet- and physical activity habits. A qualitative method was used to answer this. Six semistructured interviews was performed to collect data. Five health counselors and one person with administrative responsibility for the health facilities was interviewed. An inductive and manifest qualitative content analysis was used to analyze the collected data. The result indicated that the health facilities was working health promoting according to the fundamental principles for health promotion. The result also showed that a supportive organization and the individual competence was two factors among others that made the work easier. Inadequate facilities and collaboration issues for example was on the other hand factors that the respondents felt complicated their work. The conclusions drawn from the result is that parts of the health facilities, health promotion work is working well, but that there is room for improvements. Also the conclusion that the health facilities can set an example for other health services that wishes to become more health promoting was drawn.

WHO rekommenderar hälso- och sjukvården att bli mer hälsofrämjande. Däremot visar forskning att hälso- och sjukvården inte lever upp till denna rekommendation. Landstinget Västmanland har dock gjort en satsning på det hälsofrämjande arbetet. Fyra hälsocenter har etablerats i länet till följd av detta. Syftet med denna uppsats var att undersöka hur personalen vid dessa hälsocenter upplevde sina förutsättningar att jobba hälsofrämjande med kost- och motionsvanor. Metoden som användes för att besvara syftet var kvalitativ. Datainsamlingen skedde genom att sex semistrukturerade intervjuer genomfördes. Fem hälsovägledare och en person med övergripande ansvar för hälsocenterverksamheten intervjuades. Datamaterialet analyserades med hjälp av en induktiv och manifest kvalitativ innehållsanalys. Resultatet visar att hälsocenters arbete följer de grundprinciper som tagits fram för hälsofrämjande arbete. Stöd i organisationen och den egna kompetensen var faktorer som underlättade arbetet, medan bristfälliga lokaler och samverkansproblem till exempel var faktorer som upplevdes hindra arbetet. Slutsatserna som presenterats utifrån uppsatsens resultat var att delar av hälsocenters arbete fungerade bra men att det fanns vissa förbättringsmöjligheter. Till följd av att hälsocenters arbete bedömdes ligga i linje med grundprinciperna för hälsofrämjande arbete drogs även slutsatsen att verksamheten kan vara ett gott exempel för andra vårdorganisationer som önskar arbeta hälsofrämjande. / WHO recommend health services to become more health promoting. Yet, research indicates that health services don’t fulfill these recommendations. The county Landstinget Västmanland however, has made a commitment to work health promoting. Due to this commitment four Health facilities has been established in the county. The aim of this study was to investigate how the staff at these health facilities experienced their premises to work health promoting with diet- and physical activity habits. A qualitative method was used to answer this. Six semistructured interviews was performed to collect data. Five health counselors and one person with administrative responsibility for the health facilities was interviewed. An inductive and manifest qualitative content analysis was used to analyze the collected data. The result indicated that the health facilities was working health promoting according to the fundamental principles for health promotion. The result also showed that a supportive organization and the individual competence was two factors among others that made the work easier. Inadequate facilities and collaboration issues for example was on the other hand factors that the respondents felt complicated their work. The conclusions drawn from the result is that parts of the health facilities, health promotion work is working well, but that there is room for improvements. Also the conclusion that the health facilities can set an example for other health services that wishes to become more health promoting was drawn.

Baggrund: Patientbehandling på sygehuse sker i et højt specialiseret tempo, hvor flere patienter modtager kompliceret pleje og behandling, som ofte fortsætter i kommunerne efter udskrivelsen. Efter strukturreformen skal aftaler om infektionshygiejnisk bistand fra sygehus til kommune indskrives i sundhedsaftaler. Formål: Formålet med studiet var at udforske og analysere samarbejde på tværs af sektorer, og få en øget forståelse for fænomenet tværsektorielt samarbejde i relation til patient/borger med behov for ydelser, hvori der indgår infektionshygiejnisk bistand. Metode: Studiet er et kvalitativt multiple casestudie, hvor empirien hentes via semistrukturerede interviews. Teorigrundlaget er perspektivet på tværsektorielt samarbejde, eksempler på modeller for samarbejde, og styrker og svagheder i samarbejde. Resultat: Studiet viste, at motiverende faktorer for tværsektorielt samarbejde i praksis var: fokus på organisering og struktur i organisationerne, at arbejde sammen i netværk, bevidsthed om klare kommunikationsveje og fokus på faglighed og kompetencer i forhold til infektionshygiejne. Struktureret samarbejde mellem kommune og sygehus med oprettelse af hygiejneorganisation mellem sektorer, gav adgang til ekspertviden, tryghed hos plejepersonalet og motivere til at arbejde med infektionshygiejne som indsatsområde. Konklusion: Nosokomielle infektioner hos patienter og borgere i sektorovergange, kan sandsynligvis forebygges ved dels at tilføre viden om infektionshygiejne til personale på alle niveauer i organisationerne, og dels ved at indgå et formelt samarbejde mellem kommune og sygehus omkring etablering af en tværsektoriel hygiejneorganisation. / Background: Today, patient care in hospitals is highly specialised and undertaken at high speed. Many patients receive complex treatment and care, which often continues in the primary-care sector after the patient is discharged. Structural reform of the health care sector requires infection control measures in intersectoral health agreements. Aim: This study aimed to investigate and analyse intersectoral collaboration and gain better understanding of collaboration across health sectors in relation to the treatment and care of patients requiring treatment and care for infection control. Method: This is a qualitative, multiple-case study, wherein semi-structured interviews form the basis of the empirical knowledge. The theory underpinning the study is the perspective on intersectoral collaboration, examples of models of collaboration, and the strengths and weaknesses of collaboration. Results: The findings showed that the motivational factors for intersectoral collaboration include focus on organisational structure and organisation, collaboration through networks, awareness of the importance of clear communication, and focus on the relationship between professional competencies and infection hygiene. Structured collaboration with the establishment of an actual infection control organisation resulted in access to expert knowledge, security among personnel, and motivation to work with infection control as an area of focus. Conclusion: Patient transference of nosocomial infections from one health sector to another likely can be prevented by increasing workers’ knowledge of infection control in all sectors, and by formalised collaboration across health sectors to establish an intersectoral, infection control organization. / <p>ISBN 978-91-86739-26-3</p>

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.