bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nursing practice in mental health at family health strategy
Authors: Mussumeci P. Amaral , Rodrigues N. De Almeida Nassif , Aguiar B. Gerbassi Costa , Chaves S. Maria do Amaral , Ramos W. Maria Antunes , Louro T. Quinellato , Ribeiro Y. Cristiane , Conrad D. , Pinto C. Baptista 
Published: June 2017

The nurse practice model at the family health strategy is characterized by direct involvement in the patient's health-disease recovery process, deconstruction of social stigma involving mental health disorders, and the restoration of patient autonomy their social ties. This descriptive study follows a qualitative approach to document and analyse practices performed by mental health nurses at the family health strategy (FHS) in Rio das Ostras, Brazil. The study identifies practices implemented by Mental Health Nurses at FHS and the nurses’ own reflection and analysis on these mental health practices. Data was collected through semi-structured interviews. All interviewed nurses had worked in the primary mental health care for at least one year at the FHS units in Rio das Ostras. Data was analysed, grouped, and coded according to two categories: 1) The nurses’ professional practices in mental health at the FHS, and 2) The nurses’ view on mental health practices at the FHS. Results show that the main activities in mental health at FHS involve working with the matricial team, continuing education, reception, home visits, referrals, therapeutic workshops and community therapy. Nurse perspectives on professional practices involve prevention, establishment of bonds with patient, and nurses’ training to deliver care to patients who are suffering. The bond with and care for the patient, family and community, is one of the FHS differentiators. In that vein, the study looks at the link between health care delivery, territory and population attended. The health care based on territoriality, allows increased patient and family confidence.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Community mental health services in the eyes of community mental health centers staff
Authors: Attepe Ozden S. , Icagasioglu Coban A. 
Published: June 2017

IntroductionCommunity mental health centers (CMHC) are established for providing services to individuals with serious mental illness. In these centers, individual's need of treatment and care are expected to be met with a mental illness in the community as possible. The process of community mental health service creation in Turkey is relatively new and gaining popularity in last 7–8 years. First CMHC was established in 2008. After this date CMHCs’ have been opened and the target of 2016 is reaching across 236 CMHC in Turkey.ObjectivesIn this context, this study aims to provide views of psychiatrists, nurses, social workers, psychologists and occupational therapists who work in CMHC for the services that provided to individuals in these CMHC's and learn how to define their professional roles and responsibilities in CMHC.MethodsThis paper used qualitative research design. Data was collected from 7 CMHC in Ankara through in-depth interviews with a total of 30 people consisting of psychiatrists, nurses, social workers, psychologists and occupational therapists.ResultsThe participants look positively about given services, however, financial pressure in the creation process of services, problems in employee personal rights and lack of policies and services related to mental health forced employee and reduce the quality of services provided.ConclusionsThrough understanding perspectives of the professional staff toward community-based services will help to determine current problems in CMHC for policy makers.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Expanding the Role of Primary Health Care in the Provision of Mental Health Services to the Population of the Kyrgyz Republic
Authors: Galako T. 
Published: June 2017

Providing comprehensive, integrated services in the field of mental health in primary health care (PHC) is a component of the state mental health program for the population of the Kyrgyz republic (KR) in the 2017–2030 biennium. In order to develop an action plan in this area a situational analysis of resources of psychiatric care at PHC level was carried out. There was revealed a significant deficit of specialists, such as family doctors, mental health care professionals. In spite of the need for 3,300 family doctors, only 1706 work, and 80% of them are of retirement age.The results of a research showed a low level of knowledge and skills of family physicians for the early detection of mental disorders and provision of appropriate medical care. There are also a limited number of psychiatrists, especially in rural regions (77% of the required quantity).During recent years, there have been implemented significant changes in the system of mental health services, aimed at improving its quality, the approach to the place of residence of the patient and the prevalence of psychosocial services.Since 2016 in 8 southern regions in the Kyrgyz Republic has been introduced a new model for the provision of comprehensive health care services. Piloting this model involves psychosocial rehabilitation of patients with mental disorders, the help of mobile teams at the place of patient residence, as well as psychoeducation, training, and support to family doctors. These and other measures will help to optimise mental health care at PHC level.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Mental Health of College Students: Five-year Experience of the University Psychiatric Outpatient Clinic of São João Hospital Centre
Authors: Guedes R. , Mota-Oliveira M. , Pereira E. , Peixoto M.J. , Ferraz I. , Oliveira M. , Silveira C. 
Published: June 2017

IntroductionThe clinic of psychiatry and mental health of São João hospital centre (Oporto, Portugal) has implemented a psychiatric consultation to support college students since 2007. This consultation is open to all of the universities in the metropolitan area of Oporto.Aims/objectivesThis specific consultation aims to detect and intervene early in the treatment of psychiatric illness and to promote mental health in this specific population.MethodsRetrospective study conducted in the São João hospital centre, Oporto, Portugal. Patients attending university student's specific consultation between January 1st 2011 and March 31st 2016 were included. Data collection included sociodemographic variables, clinical diagnosis (ICD-10, WHO, 1992) and psychological scales (WAIS-III, BSI, HADS, SF-36 and NEO-PI-R). SPSS® software (v. 20.0, 2011) was used for statistical analysis.ResultsIn this study, 139 patients were included (66.2% female, medium age 23.1 years old). The majority of patients were medical, engineering or nursing students (respectively 20.9%, 18.0% and 17.9%). The most frequent diagnosis was adjustment disorders, anxiety disorders, mood disorders and personality disorders. 54.6% completed all the psychological scales.ConclusionsThe number of students with mental health issues is increasing. Early detection and treatment of these pathologies may allow improvements on the educational, economic and social levels, as well as in the quality of life.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Relationship between Happiness, General Health and Life Expectancy of Cancer Patients
Authors: Heydari S. 
Published: June 2017

IntroductionCancer is a disease that all human beings are afraid of it and anyone, of any age may be affected.ObjectiveThe objectives of this research are relationship between well-being and life expectancy in patients with cancer in Noshahr Shahid Beheshti hospital is the general purpose of this research.AimStudying the relationship between happiness, general health and life expectancy of cancer patients.MethodThe method used in this research is descriptive and correlation. Statistical population contains all the patients who were diagnosed with cancer in Shahid Beheshti hospital Noshahr. The panel sampling used as sampling method and the sample size was limited to 50 people.In order to collect the data, we used Oxford's happiness questionnaire containing 29 multiple-choice phrases, Life expectancy questionnaire by Schneider (1991) and general health questionnaire (GHQ-28). In descriptive review of the collected data the mean, standard deviation and frequency tables were used and in inferentially section in order to determine and compare the obtained scores in these 3 tests, according to the findings, parametric methods were used.ResultThe results show that the correlation between mental health, happiness and life expectancy was significant.ConclusionAs life expectancy increases accountability; Happiness and mental health in patients with cancer increases by the same amount.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Aspects of Recovery and Resilience–factors Enabling an Independent and Fulfilling Life
Authors: Krieger J. , Rößner-Ruff V. , Hoins D. , Graef-Calliess I.T. 
Published: June 2017

IntroductionThe concept “recovery” takes the position that individuals with severe chronic psychiatric disorders can recover and establish a certain degree of mental stability that can enable an independent and fulfilling life. To sustain recovery different variables and interdependent factors are needed, f.e. psychological resilience and empowerment. Actually, there are few studies focusing on the interdependency of recovery and resilience in patients with severe chronic psychiatric disorders, especially with an emphasis on overall psychiatric diagnosis and a longitudinal section.ObjectiveThe study examines residential patients with severe chronic psychiatric disorders who lived in a long-term care institution for psychiatric rehabilitation (SGB XII) in Lower Saxony and who were able to move out and live by themselves in 2016. Persons with mental retardation and patients who have spent more than 30 years in a long-term care institution will be excluded.MethodsRandomised controlled trial based on a mixed-methods-design and a longitudinal course (5 follow-ups within 24 months after the first interview).AimsInvestigate factors for independent living on different levels (like micro, meso, macro) with focus on recovery and resilience by patients with severe chronic psychiatric disorders.ResultsFirst results of a pilot study and focus groups will be presented.ConclusionResults of investigation should be used in different subject areas like identification of factors enabling independent living and creation of effective therapy interventions for patients with severe chronic psychiatric disorders who have lived in a long-term care institution.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Health Education in Caring for an Individual with Psychic Suffering: An Experience Report
Authors: Lira E.M.B. , Silva A.O. , Santos L.J.M. , Vasconcellos Y.L. , Paiva E.E.L. , Bittencourt G.K.G.D. , Silva F.P. , Teófilo T.J.S. , Vasconcelos S.C. 
Published: June 2017

IntroductionIntegral nursing for an individual with a mental disorder requires care, management and educational skills to improve the quality of life of the patient.ObjectivesDescribes a health education experience in caring for an individual with psychic suffering.MethodsActivities were developed at a psychosocial care center in the city of João Pessoa, Brazil, with students in the third year of nursing school. Three sessions were held on the topic “self-efficacy in the use of psychoactive drugs”. Related factors, such as motivation, self-esteem and support, were chosen by the participants and discussed at each weekly session.ResultsIn the discussion groups, the students were able to exercise care based on the exchange of knowledge with the patients who use the service. The ties established in each session enabled the identification of the specific needs of each individual, such as the desire to learn how to improve one's self-esteem, and the active participation of the patients.ConclusionsThe experiences assisted the students in developing the role of the nurse as an educator. The group actions underscored the importance of the skill of health education among nurses.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Community Based Mental Health Care in Bosnia and Herzegovina – an Overview of the Last Six Years
Authors: Racetovic G. , Slavica P. , Rosic B. , Grujic-Timarac S. 
Published: June 2017

IntroductionMental health care in Bosnia and Herzegovina (BH) is changing and shows the new trends more than 20 years. In last 6 years is established strong network of community mental health centers (CMHC) as a most important service in the prevention, treatment and rehabilitation of mental illnesses.ObjectivesProject of mental health in BH (PMH) is the largest reform project, supported by the Swiss Government and it is planned to be implemented in whole BH emphasizing importance of community mental health care and putting patients in the focus of the reform.Aims and methodTo show positive trends and practices in BH as well as obstacles in some fields of the reform.ResultsFor the last six years are made positive national mental health policies, established case management model in work with people with severe mental disorders, broad spectrum of services recognized by health insurance (validation of the work for all team members), user initiatives (organization), active role of primary mental health care, reduction of hospitalization, etc. On the other way, yet are not established protected housing, early interventions services and universal methodology or team structure in all CMHC.ConclusionsCommunity based mental health care shown as a good choice in the reform of the mental health in BH, confirming positive results from other countries. That is a reason to continue with improvements based on daily practices of the teams in CMHC.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Taking Care of People Suffering from Neuropsychiatric Illness Living at Home
Authors: Sæterstrand T.M. 
Published: June 2017

Content backgroundPeople suffering from neuropsychiatric illness are often in need of caring and nursing over a long period of time. Research shows that patients suffering from such illness do not very often get enough care in practice.AimTo gain knowledge about nurses experiences from taking care of older people living at home and suffering from chronic and neuropsychiatric illness.MethodQualitative analysis: fieldwork and qualitative interviews with 11 nurses who worked in four units in two different municipalities in Norway.ResultsChallenges in clinical nursing explain the process nurses work in when they take care of people with neuropsychiatric illnesses living at home. This is caring for patients, taking care of family members, managing complex patient situations and the need for coaching and cooperation.ConclusionTo gain a good cooperation with other health personnel to strengthen the competence is important, especially when the goal is caring. Nurses with education in neuropsychiatric care can strengthen the competence maybe and reach a better patient care. The organization of the community health system needs to be studied.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Impact of Change in the 2007 English Law on Mental Health Act Detentions
Authors: Beezhold J. , Mosa G. , Pandey A. , Pandey S. , Dyer M. , Kitromilidou C. 
Published: June 2017

BackgroundThe Mental Health Act (MHA) 2007 made some significant changes from the Mental Health Act 1983, including the fact that detention is now only allowed if an appropriate medical treatment is available to the patient at the time [1]. There was considerable concern at the time that the 2007 Act would lead to an increase in detentions.ObjectiveThe primary objective is to assess how the change in the English law with the MHA 2007 has affected the number of detentions under the MHA.MethodsA retrospective, observational and noninterventional study used anonymised and routinely collected data regarding 11,509 people who were formally assessed under the Mental Health Act during the period of 2001–2011 in the county of Norfolk. This included 7885 assessments before the 2007 MHA and 3620 done after implementation.ResultsThe proportion of people detained following assessment decreased from 53.2% before the 2007 MHA to 42.9% after implementation (P = .000). The total proportion of patients admitted (whether informally or detained) also decreased from 63.3% before the 2007 MHA to 52.8% thereafter (P = .000).ConclusionThese results show a significant decrease in the rate of detentions under the MHA since the 2007 Act became law.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Symposium: Mental Health Law Differences and Coercive Measures Over Four Countries
Authors: Noorthoorn E. , Lepping P. , Steinert T. , Flammer E. , Massood B. , Mulder N. 
Published: June 2017

In 2008, the UNHCR issued a convention on the rights of persons with disability. Since then, many countries were visited by the High Commissioner for Human Rights. In a number of countries, for example Germany and the Netherlands, mental health legislation was considered unsatisfactory and either regional variations in procedures or new legislation was drafted. In Germany, the final decision after different admission procedures is always made by a judge. In the Netherlands, detention on mental health ground with involuntary admission is decided by a Governmental administrator working for the local Major. In England and Wales, it is decided by three medical/psychiatric professionals. Currently, the Netherlands is drafting a law following the main principles of the Anglo-Saxon law. In Germany, all federal states are currently adopting their mental health laws to fulfil requirements of the Constitutional Court, which decided that coercive treatment is only admissible under very strict conditions after a judge's decision. Studies show the Dutch legislation is associated with higher seclusion rates, in numbers, and duration. Moreover, recent German findings show in a recent period when involuntary medication was not admissible, inpatient violence and coercive measures increased significantly. In this symposium, we discuss the several laws and regulations of four countries (Wales, Ireland, Germany, Netherlands), now and in the near future. Each presentation of a certain countries’ regulations is followed by a description of standard figures of the country, first by an expert in the respective country's law, and consequently by an expert in nationwide or regional figures.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Suicidal Ideation Among International Medical Students Studying Medicine in Romania
Authors: Buzoianu A.D. , Popescu C.A. 
Published: June 2017

BackgroundThe burden of mental health impairment in medical students is an important research subjects. Evidence shows that medical students have a higher prevalence of symptoms of depression and anxiety than the general population. A number of studies regarding suicidal ideation among medical students have been carried out, but this topic has largely been ignored in regard to international medical students coming from Western European countries studying medicine in Eastern European countries. Suicidal ideation is the early symptom of suicidal actions. The students are the most vulnerable and easily influenced by cases of suicide, especially in a closed group with little connections with the general population like the international students.ObjectivesFollowing 2 suicides in our university, we aim to measure the prevalence of suicidal ideations in international students.MethodsOverall, 150 medical students from the French section studying at the University of Medicine and Pharmacy “Iuliu Hatieganu”, Romania, were evaluated for symptoms of depression using BDI and for suicide ideation using Beck HS.ResultsSuicidal ideation was present in 28.57% of the French international medical students. Depression and the lack of social support had a significant relationship with suicidal ideation.ConclusionsSuicide is a serious issue that has to be dealt with immediately. It is important to assist medical students who are considering the possibility of committing suicide, so that they overcome their difficulties. There is a need to identify the prevalence of suicidal ideation among medical students and for student counselling.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Paradoxical Effect of Two Different Emotion Regulation Processes in the Association Between Shame and Depression
Authors: Mendes A.L. , Ferreira C. , Marta-Simões J. 
Published: June 2017

Experiential avoidance, considered a main process of psychological inflexibility, has been defined as the unwillingness to be in contact with particular unwanted inner experiences and the effort to control or avoid its form, frequency and the context in which they occur. On the other hand, decentering, conceptualized as the ability to deal with feelings, thoughts and emotions as subjective and ephemeral events, which occur in the mind, is considered an important protective process against psychopathology. The present study aimed to explore the moderator effect of two different emotional regulation processes, decentering and experiential avoidance, on the association between external shame and depression. The sample comprised 421 participants (131 males and 290 females), aged between 18 and 34-year-old. Results from two independent path analysis revealed that decentering abilities and experiential avoidance showed a significant moderator effect on the association between external shame and symptoms of depression. In fact, these findings allow to verify that decentering abilities were negatively linked to symptoms of depression. Through a path analysis, the buffer effect of decentering was confirmed. On the contrary, performed tests demonstrated that experiential avoidance exacerbates shame's impact on the severity of depressive symptoms. Taken together, these findings emphasize the importance of targeting maladaptive emotion regulation processes (such as experiential avoidance), and developing adaptive strategies (e.g., decentering abilities), as strategies to diminish depressive symptomatology in prevention and intervention programs.Disclosure of interestThe authors have not supplied their declaration of competing interest.