Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 106
Filtrar
Mais filtros










Filtros aplicados
Base de dados
Intervalo de ano de publicação
1.
West Indian med. j ; 65(Supp. 3): 47-48, 2016.
Artigo em Inglês | MedCarib | ID: med-18116

RESUMO

OBJECTIVE: To analyse mental health, sexual and reproductive health (SRH) and substance use behaviours and outcomes among adolescents in the overseas Caribbean territories and their association with family and school connectedness. SUBJECTS AND METHOD: The data were collected through aschool-based survey administered to secondary school students in Aruba, British Virgin Islands (BVI), Cayman Islands, Montserrat, St Eustatius and St Maarten. Multi country analysis was conducted through pooling and weighting of the data from the six territories. Data analysis included descriptive analysis and odds ratios to examine associations between family and school connectedness and mental health, SRH and substance use. RESULTS: Data on 4883 respondents in the age group 15–19years were used for the analysis, equally divided in males(49%) and females (51%). More than half (58.8%) of the girls reported feelings of sadness or hopelessness for more than a day and 31.2% seriously considered suicide. Approximately one-third (34.9%) made a suicide plan and 70.6% of these girls attempted suicide at least once. A quarter (23.2%) of the girls and 30.1% of the boys initiated sex before age 15 years; 58.2% of the females and 57.7%of the males used alcohol in the past 30 days and 44% ofthe boys got very drunk at least once. More than half of the adolescents reported lifetime marijuana use. Statistically significant associations were found between low family and school connectedness, and feeling sad or hopeless, suicidal thought, sexual initiation before age 15years, pregnancy, alcohol and substance use. CONCLUSIONS: The results highlight the critical importance of connectedness for adolescents to be healthy and thrive.


Assuntos
Adolescente , Humanos , Saúde Sexual e Reprodutiva , Saúde Mental , Detecção do Abuso de Substâncias , Transtornos Relacionados ao Uso de Substâncias , Região do Caribe
2.
West Indian med. j ; 65(Supp. 3): 48-49, 2016.
Artigo em Inglês | MedCarib | ID: med-18118

RESUMO

OBJECTIVES: In this study, we examined how counselling of students and their parents can change youth misbehavior and reduce school violence and crime. Our primary objective was to derive empirical data on successful counselling therapies for at-risk secondary school students within Trinidad and Tobago. SUBJECTS AND METHODS: Participants included 145 secondary school students from selected secondary schools in one school district in Trinidad and Tobago. Of these, 49(17.3%) participants were referred by the school principals as suspended or at risk of being suspended. Participants had to complete a 12-week counselling programme consisting of individual, group and parent guidance sessions. RESULTS: After controlling for demographic characteristics, results indicate that a 12-week counselling intervention and participation in multi-modal therapeutic counseling sessions was statistically significant in changing at-risk youth negative mood states and student misbehaviour and school violence. CONCLUSION: The results of this study show that the socioeconomic environmental factors present in high-risk communities contribute to hopelessness and depression which manifest themselves in physical and mental health problems. In our study, more than 50% of school youth involved in school crime and violence are afflicted with health problems. These health problems include maladies such as depression, emotional, verbal, or physical abuse, unresolved grief and loss. Research is needed to determine the potential causal nature of the relationships between mental health problems (ie hopelessness, depression) on youth violence and crime and its potential effects on health and well-being.


Assuntos
Adolescente , Humanos , Adolescente , Intervenção na Crise , Comportamento Social , Saúde Mental , Fatores Socioeconômicos , Violência/psicologia
3.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17958

RESUMO

OBJECTIVE: The DASH longitudinal study found better mental health for ethnic minorities compared to White British adolescents in the UK, despite more disadvantage. This paper investigates the impact of parenting style and attendance at a place of worship on mental well-being from adolescence to young adulthood. DESIGN AND METHODS: In 2002/03, 6643 11-13 year olds in London, ~80% ethnic minorities, participated in the baseline survey. In 2005/06 4,782 were followed-up. In 2012-14 665 took part in a pilot follow-up aged 21-23y, including 42 qualitative interviews. Measures of socio- economic and psychosocial factors and health were collected. RESULTS: In adolescence, ethnic minorities generally experienced more adversity but reported better mental health. Regardless of ethnicity, low parental care vs. high parental care (e.g. males coefficient: 1.32, 95% confidence interval 0.94-1.70), high parental control vs. low parental control (males: 1.37, 1.00-1.74), and attendance to a place of worship vs. no attendance were independently associated with mental health. At 21-23y, the ethnic patterning of mental health appeared to track, with increasing parental care, but not religious involvement, continuing to have a protective effect on mental health. Education levels signalled potential for socio-economic parity across ethnic groups, and family support appeared to reduce stress of transitions to adulthood. CONCLUSIONS: DASH provides evidence for a protective effect from parenting styles and religious involvement for young people growing up in ethnically diverse and deprived urban contexts. This suggests the value of cultural and social resources for psychological well- being.


Assuntos
Saúde Mental , Grupos Étnicos , Poder Familiar , Religião , Adolescente
4.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17960

RESUMO

OBJECTIVE: This study addressed the psychoeducational approach to understand mental illness, illness self-management and social skills. It evaluated the effects of a structured-mannualized psychoeducation programme that taught inpatients about their illness and how to maintain remission after discharge and avoid re-admissions. DESIGN AND METHODS: A total of 505 inpatients admitted with mental disorders were randomly assigned to either an experimental group or control group. The psychoeducation programme consisted of six teaching modules distributed in 219 sessions of 45-minute-sessions in each of 5 wards, on a continuous, five-day-a-week schedule. The effects were measured reviewing the records of admissions and re-admissions after discharge. RESULTS: Results indicated that inpatients of the experimental group significantly improved their knowledge and performance of the skills taught in sessions, compared with the control group who did not participate in the educational group sessions. Re-admissions of participants of the experimental group were significantly less than the control group (2.1 percent versus 16.6 percent). CONCLUSIONS: Not only can patients learn relatively complex material during a typical inpatient stay despite the acuteness of their illness, but they can also meaningfully improve the continuity of their own care by participating in brief and highly structured teaching programmes in inpatient and outpatient settings.


Assuntos
Pessoas Mentalmente Doentes , Gerenciamento Clínico , Saúde Mental , Readmissão do Paciente/tendências , Hospitais Psiquiátricos , Trinidad e Tobago
5.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17998

RESUMO

OBJECTIVE: The study examined the mental and physical health of U.S. Caribbean Black women using a nationally representative sample, with a special emphasis on the role of severe intimate partner violence. DESIGN AND METHODS: Data from the National Survey of American Life, the largest and the only known representative study on 1621 non- institutionalized Caribbeans residing in the United States, were used. The mental health (i.e., mood, substance, anxiety, eating) of participants was based on structured mental health assessments (DSM-IV) and physical health was based on self-report of physician-diagnosed conditions (i.e., arthritis, high blood pressure, liver problem, HIV or AIDS). Chi-square tests of independence were used to address differences in rates of mental and physical health conditions between severely abused and non-severely abused women. RESULTS: Rates of mental and physical health problems were generally higher among women experiencing severe intimate partner violence in comparison to women who had not experienced intimate partner violence. This was apparent for conditions such as bipolar disorder (12.4% vs. 1.3%), panic disorder (11.9% vs. 1.9%), alcohol abuse (5.5% vs. 1.8%), suicide attempts (12.7% vs 1.4%), kidney problem (6.0% vs. 1.8%), liver problem (3.7% vs. 0.8%), and HIV or AIDS (1.3% vs. 0.1%). CONCLUSIONS: The study had intervention and preventative implications for both detecting and addressing the health needs of women who are abused by an intimate partner.


Assuntos
Saúde Mental , Saúde , Mulheres Maltratadas , Violência Doméstica , Violência contra a Mulher , Região do Caribe , Estados Unidos
6.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18004

RESUMO

OBJECTIVE: To explore the experiences of mental health professionals counseling young survivors of sexual abuse in the Cayman Islands; how they navigated challenges in their experiences and sustained themselves through their work with young survivors of sexual abuse. DESIGN AND METHODS: The present study incorporated a qualitative approach using a phenomenological design to elicit a description of the experiences of mental health professionals who counseled young survivors of sexual abuse in the Cayman Islands. Five mental health professionals were recruited using purposive sampling methods. Semi-structured interviews were facilitated to answer the research questions centered on describing their experiences in counseling young survivors of sexual abuse in the Cayman Islands. Data analysis resulted in four core themes that described their lived experiences as notably punctuated with both significant systemic challenges and significant posttraumatic growth. RESULTS: The findings indicated that mental health professionals compensated for the systemic influences such as patriarchal belief systems and oppressive and complicit attitudes objectifying children by diversifying and expanding their interventions. CONCLUSION: The present study supported recent literature from the Caribbean region that described the embedded oppressive belief systems and traditional patriarchal attitudes that have perpetuated abusive treatment of children. Furthermore, the study provided a greater understanding of mental health professionals’ experiences in the Cayman Islands that also supported expanding the scope of the mental health professions to include social justice and advocacy efforts.


Assuntos
Aconselhamento , Saúde Mental , Delitos Sexuais , Região do Caribe
7.
In. Maharajh, Hari D. ; Merrick, Joav. Social and cultural psychiatry experience from the Caribbean Region. New York, Nova Science Publishers Inc, 2010. p.39-50, tab. (Health and human development).
Monografia em Inglês | MedCarib | ID: med-17512

RESUMO

There is an ethnic pattern of mental and physical diseases associated with the export of Indian labor overseas between the period of 1830-1920. The establishment of Indian communities overseas emerged from the culture and civilization of the Indian sub-continent and was a direct consequence of mainly British exploitation of economic wealth overseas. This movement of Indians from their homeland with the maintenance of the practice of their religion, culture and lifestyle is referred to as the Indian diaspora. This chapter looks at the effects of the 'coolie migration' particularly to Trinidad, but with reference to other Caribbean islands and at least a dozen countries across the seas. Information is gathered from published reports but more importantly, from dozens of immigrants and hundreds of first generation Indians with whom the author has been in contact during their treatment. There appear to be a commonality of social, psychological and physical diseases in these migrant groups within the diaspora. A possible explanation is the similarity of the genetic pool and environmental influences experienced by the migrants overseas.


Assuntos
Humanos , Saúde Mental , Pessoas Mentalmente Doentes , Trinidad e Tobago , Região do Caribe
8.
In. Maharajh, Hari D. ; Merrick, Joav. Social and cultural psychiatry experience from the Caribbean Region. New York, Nova Science Publishers Inc, 2010. p.201-209, tab, ilus, graf. (Health and human development).
Monografia em Inglês | MedCarib | ID: med-17522

RESUMO

Consultation-liaison psychiatry (C-LP) has been defined as the area of clinical psychiatry that encompasses clinical, teaching and research activities of psychiatrist and allied mental health professionals in the non psychiatric divisions of a general hospital. Over the years, consultation-liaison services have expanded to provide care in health care facilities other than the general hospital, such a community health clinics, rehabilitation centers, convalescent hospitals, nursing homes and doctors' private offices. The term Consultation-Liaisons reflects two interrelated roles of the consultant. Consultation refers to the provision of expert diagnostic opinion and advice on management regarding a patient's mental state and behavior at the request of another health professional. Liaison refers to a linking up of groups for the purpose of effective collaboration. The present chapter reviews how these roles are addressed in Trinidad and Tobago.


Assuntos
Humanos , Psiquiatria , Suicídio , Saúde Mental , Serviços de Saúde Mental , Trinidad e Tobago
9.
Nyam news ; (September): 1-4, September 2008. ilus
Artigo em Inglês | MedCarib | ID: med-17856

RESUMO

In this final issue of Nayam News in this physical activity series we attempt to collate the main evidence for the various health indicators. Clearly, physical activity is positively related to health. However to reap maximum benefits from physical activity, individuals (2yrs and older) are recommended to participate in a minimum of 30 minutes or more on most or all the days of the week. Health can be defined as a state of physical, emotional, social and psychological well-being. In promoting health, one must take into consideration the importance of psychological well-being. It can therefore be assumed that , in an effort to improve health and wellness, physical activity is of major imortance.


Assuntos
Exercício Físico , Atividade Motora , Saúde , Saúde Mental , Qualidade de Vida
10.
Rev. panam. salud pública ; 23(1): 26-33, Janurary 2008. tab
Artigo em Inglês | MedCarib | ID: med-17806

RESUMO

OBJECTIVES. The culture of stigma associated with mental illness is particularly intense when persons who are normally victims of that stigmatization (mentally ill persons and their family members) themselves act negatively toward others whom they associate with mental illness. We attempt to determine the extent of this internalization and assimilation of stigmatizing attitudes, cognitions, and behaviors in persons who are at risk for such stigmatization in Jamaica. METHODS. Data from a 2006 national survey on mental health were analyzed. Demographic variables, the presence or absence of mental illness in respondents and in their family members, and responses pertaining to behaviors and attitudes toward mentally ill persons were examined. Subsamples (respondents with mental illness, respondents with a family member with mental illness, respondents with neither) were compared using the chi-square test. RESULTS. Respondents with family members with mental illness were less likely to demonstrate a number of different manifestations of stigmatization than others (P = 0.009–0.019). Respondents with mental illness showed no difference in the demonstration of a number of different manifestations of stigmatization from other respondents (P = 0.069–0.515). CONCLUSIONS. The small number of mentally ill respondents resulted in low statistical power for demonstrating differences between that subgroup and other respondents. The significantly more positive attitudes and behavior of respondents with family members with mental illness suggest that some benefit may be gained by creating more opportunities for the general public to interact with persons with mental illness.


Assuntos
Saúde Mental , Preconceito , Jamaica
11.
Rev. panam. salud p£blica ; 18(4/5): 359-365, Oct.- Nov. 2005.
Artigo em Inglês | MedCarib | ID: med-17040

RESUMO

The nations of Latin America and the Caribbean (LAC) have many countrasts in the advances that they made in the areas of child and adolescent mental health policy, research, and training. Within the LAC countries there exist the most sophisticated of child mental health programs based on comprehensive primary care models (Chile), strong advocacy programs with government support at the highest levels (Brazil and Costa Rica), and state-of-the-art research and training programs (Argentina, Brazil, and Chile). Of particular note is the strong understanding and utilization of a rights-based framework for services development throughout LAC. On the other hand, the LAC nations have some of the most intractable child mental health problems seen anywhere on the globe. Inhalant use is endemic in parts of Brazil and Mexico, street children with overt mental health problems go totally unattended in Brazil and elsewhere, and youth crime is epidemic in some LAC cities (AU)


Assuntos
Humanos , Criança , Adolescente , Saúde Mental , Transtornos Mentais , Criança , América Latina , Saúde do Adolescente , Serviços de Saúde Mental , Região do Caribe
12.
Rev. panam. salud p£blica ; 18(4/5): 229-240, Oct.- Nov. 2005. tab
Artigo em Espanhol | MedCarib | ID: med-17036

RESUMO

OBJECTIVE: The growing burden of mental disorders in Latin America and the Caribbean has become too large to ignore. There is a need to know more about the prevelance of mental disorders and the gap between the number of individuals with psychiatric disorders and the number of those persons who remain untreated even though effective treatments exist. Having that knowledge would make it possible to improve advocacy, adopt better policies, formulate innovative intervention programs, and apportion resources commensurate with needs. METHODS: Data were extracted from the community-based psychiatric epidemiological studies published in Latin America and the Caribbean from 1980 through 2004 that used structured diagnostic instruments and provided prevalance rates. Estimates of the crude rates in Latin America and the Caribbean for the various disorders were determined by calculating the mean and median rates across the studies, by gender. In addition, data on service utilization were reviewed in order to calculate the treatment gap for specific disorders. RESULTS: Non affective psychosis (including schizophrenia) and an estimated mean one-year prevalence rate of 1.0 percent; major depression, 4.9 percent; and alcohol use abuse or dependence, 5.7 percent. Over one-third of individuals with nonaffective psychosis, over half of those with an anxiety disorder, and some three-fourths of those with alcohol use abuse or dependence did not receive mental health care from either specialized or general health services. CONCLUSIONS: The current treatment gap in mental health care in Latin America and the Caribbean remains wide. Further, current data likely greatly underestimate the number of untreated individuals. The epidemiological transition and changes in the population structure will further widen the treatment gap in Latin America and the Caribbean unless mental health policies are formulted or updated and programs and services are expanded (AU)


Assuntos
Humanos , Saúde Mental , Transtornos Mentais , Serviços de Saúde Mental , Região do Caribe , Recursos em Saúde , Política de Saúde , América Latina
13.
Rev. panam. salud p£blica ; 18(4/5): 256-262, Oct.- Nov. 2005.
Artigo em Inglês | MedCarib | ID: med-17037

RESUMO

OBJECTIVE: To report on the epidemiology of schizophrenia and other mental health disorders in the English-speaking Caribbean. METHODS: The MEDLINE, MEDCARIB and West Indiana electronic databases were searched with phrases Caribbean AND psychiatry OR mental OR suicide, and items with specific reference to epidemiology were culled and reviewed. RESULTS: The age-corrected incidence rate for schizophrenia per 10 000 is 2.09 in Jamaica, 2.2 per 1000 in Trinidad, and 2.92 in Barbados. These rates are lower that the incidence rates reported for white British people, and significantly lower that the 6- to 18-fold higher risk ratio incidence reported for African Caribbeans living in Britain. A comparative diagnostic study carried out in the United Kingdom (UK) suggests that misdiagnosis plays a significant role in this difference. Relatively low incidence figures for affective disorders, anxiety states, suicide and attempted suicide have been reported for Jamaica, Trinidad, and Barbados. DISCUSSION: Most published epidemiological studies of Caribbean populations center on schizophrenia, because of the startling findings of a large increase in risk ratios for African Caribbean people living in England compared to the white native British people. The etiological evidence is shifting toward factors or racism and social alienation experienced by black people in the UK, and to misdagnosis by white British psychiatrists. Studies of the role of colonial enslavement and social engineering raise the etiological possibility of a role for social and structural community organization in the genesis of schizophrenia. The Caribbean thus represents a rich crucible for research in the epidemiology and etiology of mental health disorders (AU)


Assuntos
Masculino , Esquizofrenia/epidemiologia , Saúde Mental , Jamaica , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Trinidad e Tobago , Transtornos Mentais/patologia , Barbados , Transtornos Mentais/psicologia , Região do Caribe
14.
The British journal of psychiatry ; 186(4): 290-296, Apr 2005. tab
Artigo em Inglês | MedCarib | ID: med-17573

RESUMO

Background Previous research has found that African–Caribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We soughtto investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. Method We included all White British, other White, African–Caribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. Results Compared with White British patients, general practitioner referral was less frequent for both African–Caribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. Conclusions These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.


Assuntos
Humanos , Serviços de Saúde Mental , Saúde Mental , Origem Étnica e Saúde , Grupo com Ancestrais do Continente Africano , Região do Caribe
15.
St. Augustine; s.n; Oct. 2004. i,75 p. tab.
Tese em Inglês | MedCarib | ID: med-17205

RESUMO

Today a large percentage of children in Trinidad and Tobago are growing up in homes without their biological fathers. This situation is also present in the rest of the Caribbean, North America and Europe. This is a trend that is thought to have some psychological, behavioural and academic effects on these children. Several studies have shown that children whose fathers are absent are more likely to show disruptive behaviours, poor academic performance and poor psychological outcomes. When fathers exhibit high antisocial behaviours, their children are at a higher risk of exhibiting behavioural problems. This study compared fathers of children between the ages of five and eighteen who attended a Child and Adolescent Psychiatric Clinic and a Paediatric Medical Clinic in Trinidad and Tobago. The results showed that children who attend the Child and Adolescent Psychiatric Clinic were more unlikely to live with their biological fathers when compared to those who attend the Paediatric Medical Clinic. Fathers of children who attended the Child and Adolescent Psychiatric Clinic also exhibited higher levels of antisocial behaviours (AU)


Assuntos
Estudo Comparativo , Humanos , Criança , Adolescente , Adulto , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/psicologia , Saúde Mental , Criança , Adolescente , Relações Pai-Filho , Trinidad e Tobago , Região do Caribe
16.
17.
Mona; s.n; Oct. 1999. i,59 p. ilus, tab, gra.
Tese em Inglês | MedCarib | ID: med-17215

RESUMO

Pain (including headache, neckache, backache, chest pain, abdominal pain or pain in the limbs) that is not managed properly in young adults results in decreased productivity and poor work attendance. Multiple diagnostic and therapeutic interventions can cost the health care system excessively and can lead to iatrogenic disease. Negative reactions in caregivers can ensue and overall, individuals can be left with a sense of hopelessness for recovery. Mental and physical health are inextricably linked. Neglect of the psychosocial components in the sea-i-rch for the etiology and management of physical pain at the primary level may be reducing the opportunity for speedy recovery. This study was done to determine the relationship between recent and remote stressful life events and the development of pain. A case-control study was conducted among adults age 20-34 years attending one private, one government and one university clinic in Kingstom, Jamaica. 46 cases with pain and 70 controls who were pain-free were chosen. The findings suggest no relation between the actual number of life events and pain but there is a clear association between the preception of a negative impact of a series of life changes on the development of physical pain. The findings also show that of overriding significance in the development of pain is the perceived lack of social support available to the patient. A significant relationship was also found between the perception of a tumultuous childhood and pain although no relationship was found between specific remote childhood stressors and pain. This study highlights the need for greater attention to the integration of mental health and primary care beginning with the training of health workers and education at policy level, service delivery level and of the public (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Dor/diagnóstico , Dor/psicologia , Acontecimentos que Mudam a Vida , Saúde Mental , Jamaica , Região do Caribe
18.
Rev. panam. salud publica ; 3(2): 121-3, Feb.1998.
Artigo em Inglês | MedCarib | ID: med-16898

RESUMO

Sixty years after its introduction into psychiatry, the use of electroconvulsive therapy (ECT) still fuels scientific, ideological, and ethical debate. One well-informed proponent has observed that ECT is probably more enshrouded in myth than any other procedure in medicine. Among the population at large, and especially patients and their family members, ECT may be the psychiatric intervention that arouses the most anxiety-although some authors dispute this assertion. This paper reports the results of a mail survey conducted in 1995 to obtain precise and authoritative data concerning the use of ECT in Latin American and the Caribbean. The objective was to facilitate the identification of psychiatric, administrative, and bioethical issues that will provide, if needed, the basis for action to ensure that ECT is used appropriately (AU)


Assuntos
Humanos , Eletroconvulsoterapia/métodos , América Latina , Psiquiatria/métodos , Região do Caribe , Saúde Mental
19.
Caribbean health ; 1(3): 12-13, 1998.
Artigo em Inglês | MedCarib | ID: med-17326

RESUMO

Mental health is a term that is seldon used, but mental illness and mental disorder are expressions used by everyone. The phrase 'he/she is mental' is an indication that a person has a disturbed mind and may be in need or hospitalization, whether at a general hospital or a mental institution. There is no doubt that each country must deal with those psychotic individuals who have become a public nuisance, but we need to consider mental health and not just severe mental illness. Only a very small part of the general population suffers from psychotic illness but mental health issues cover a wide range of psychosocial factors and are of major importance in the development of any country. More emphasis must be put on developing community mental health programmes and less on institutional care. The areas of greatest concern to the public - drug abuse, childhood disorders and the increase in suicide - should be handled by specialist, who would then be responsible for building up appropriate services though use of the team approach (AU)


Assuntos
Humanos , Saúde Mental , Hospitais Psiquiátricos , Barbados , Transtornos Relacionados ao Uso de Substâncias , Serviços Comunitários de Saúde Mental
20.
In. Anon. Health conditions in the Caribbean. Washington, D.C, Pan American Health Organisation, 1997. p.204-20, tab.
Monografia em Inglês | MedCarib | ID: med-559
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA