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BACKGROUND: Soteria houses and peer respites, collectively called Healing Houses, are alternatives to psychiatric hospitalisation. AIMS: The aim of this research is to review Healing Houses in relation to design characteristics (architectural and service), sustainability and development opportunities and barriers. METHODS: This systematic review followed a PROSPERO protocol (CRD42022378089). Articles were identified from journal database searches, hand searching websites, Google Scholar searches, expert consultation and backwards and forward citation searches. RESULTS: Eight hundred and forty-nine documents were screened in three languages (English, German and Hebrew) and 45 documents were included from seven countries. The review highlights 11 architectural design characteristics (atmosphere, size, soft room, history, location, outdoor space, cleanliness, interior design, facilities, staff only areas and accessibility), six service design characteristics (guiding principles, living and working together, consensual treatment, staff, supporting personal meaning making and power), five opportunities (outcomes, human rights, economics, hospitalization and underserved) and four types of barriers (clinical, economic and regulatory, societal and ideological). The primary sustainability issue was long-term funding. CONCLUSION: Future research should focus on operationalizing a "home-like" atmosphere and the impact of design features such as green spaces on wellbeing of staff and service users. Future research could also produce design guidelines for Healing Houses.
RESUMEN
Objetivou-se avaliar a qualidade microbiológica do peixe serra (S. brasiliensis) desembarcado no município de Raposa (MA) e do gelo utilizado na sua conservação. As amostras de gelo e de peixe serra foram submetidas às análises de determinação do Número Mais Provável (NMP) de Coliformes Totais, Termotolerantes e Escherichia coli. Para as amostras de peixe, realizou-se ainda pesquisa de Staphylococcus coagulase positivo, Salmonella spp. e Aeromonas spp. Aplicou-se aos pescadores um questionário com 20 perguntas referentes à manipulação do pescado. As amostras de gelo apresentaram qualidade microbiológica insatisfatória. O peixe serra encontrou-se contaminado por A. hydrophila, podendo veicular este agente ao ser consumido pela população.(AU)
This study aimed at evaluating the microbiological quality of the saw fish (S. brasiliensis) landed in the city of Raposa (MA) and the ice used in its conservation. Samples of ice and saw fish were subjected to analysis to determine the Most Probable Number (MPN) of coliforms, thermo-tolerants and Escherichia coli. Fish samples were also tested for Staphylococcus coagulase positive, Salmonella spp. and Aeromonas spp. Fishermen were given a questionnaire with 20 questions concerning the handling of the fish. The ice samples showed unsatisfactory microbiological quality. The saw fish was contaminated with A. hydrophila, which means it could convey this agent to be consumed by the population.(AU)