Navegando por Palavras-chave "mental health services"

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    Stress, trauma, and posttraumatic stress disorder in migrants: a comprehensive review
    (Assoc Brasileira Psiquiatria, 2018) Bustamante, Lineth H. U. [UNIFESP]; Cerqueira, Raphael O. [UNIFESP]; Leclerc, Emilie [UNIFESP]; Brietzke, Elisa [UNIFESP]
    Objective: There is growing evidence supporting the association between migration and posttraumatic stress disorder (PTSD). Considering the growing population of migrants and the particularities of providing culturally sensitive mental health care for these persons, clinicians should be kept up to date with the latest information regarding this topic. The objective of this study was to critically review the literature regarding migration, trauma and PTSD, and mental health services. Methods: The PubMed, SciELO, LILACS, and ISI Web of Science databases were searched for articles published in Portuguese, English, Spanish, or French, and indexed from inception to 2017. The following keywords were used: migration, mental health, mental health services, stress, posttraumatic stress disorder, and trauma. Results: Migration is associated with specific stressors, mainly related to the migratory experience and to the necessary process of acculturation occurring in adaptation to the host country. These major stressors have potential consequences in many areas, including mental health. The prevalence of PTSD among migrants is very high (47%), especially among refugees, who experience it at nearly twice the rate of migrant workers. Conclusions: Mental health professionals must be trained to recognize and provide appropriate care for posttraumatic and/or stress-related disorders among migrants.
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    WPA guidance on steps, obstacles and mistakes to avoid in the implementation of community mental health care
    (Elsevier B.V., 2010-06-01) Thornicroft, Graham; Alem, Atalay; Dos Santos, Renato Antunes [UNIFESP]; Barley, Elizabeth; Drake, Robert E.; Gregorio, Guilherme [UNIFESP]; Hanlon, Charlotte; Ito, Hiroto; Latimer, Eric; Law, Ann; Mari, Jair [UNIFESP]; McGeorge, Peter; Padmavati, Ramachandran; Razzouk, Denise [UNIFESP]; Semrau, Maya; Setoya, Yutaro; Thara, Rangaswamy; Wondimagegn, Dawit; Kings Coll London; Univ Addis Ababa; Universidade Federal de São Paulo (UNIFESP); Dartmouth Psychiat Res Ctr; Natl Ctr Neurol & Psychiat; Douglas Mental Hlth Univ Inst; McGill Univ; New Zealand Mental Hlth Commiss; Schizophrenia Res Fdn SCARF
    This paper provides guidance on the steps, obstacles and mistakes to avoid in the implementation of community mental health care. The document is intended to be of practical use and interest to psychiatrists worldwide regarding the development of community mental health care for adults with mental illness. The main recommendations are presented in relation to: the need for coordinated policies, plans and programmes, the requirement to scale up services for whole populations, the importance of promoting community awareness about mental illness to increase levels of help-seeking, the need to establish effective financial and budgetary provisions to directly support services provided in the community. The paper concludes by setting out a series of lessons learned from the accumulated practice of community mental health care to date worldwide, with a particular focus on the social and governmental measures that are required at the national level, the key steps to take in the organization of the local mental health system, lessons learned by professionals and practitioners, and how to most effectively harness the experience of users, families, and other advocates.