RESUMO
INTRODUCTION: The assessment of the needs for care for long term severe ill patients has been one of the areas of greatest interest since the community mental health system was established. OBJECTIVE: This study has aimed to describe the needs for care of a group of schizophrenic patients and to know if these needs are met by the public mental health network. METHODS: A cohort of 83 schizophrenic patients was selected. The diagnosis was confirmed by the SCAN method. The Needs for Care Assessment instrument was used to assess the needs for care of the patients. RESULTS: The positive psychotic symptoms (98%) followed by slowness and underactivity (71%) are the most common clinical problems between the patients of the cohort. In regards to skills and abilities, the most common are those related with work (49%) and house keeping (domestic work, getting meal and domestic shopping, with 42, 41 and 41%, respectively). In regards to the state of the need, 81% of the clinical problems are covered while this is only 40% in the social area. CONCLUSIONS: The clinical needs of the schizophrenic patients can be met by the mental health services established, oriented to the community care. However, attending social needs requires more rehabilitation, occupational and residential resources to be developed.
Assuntos
Serviços Comunitários de Saúde Mental/organização & administração , Avaliação das Necessidades , Esquizofrenia/terapia , Adolescente , Adulto , Idoso , Desinstitucionalização , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , EspanhaRESUMO
The possible influence of the family on school retardation was evaluated in the Cartuja quarter in Granada for the academic term 1988-89. The study was performed on 258 schoolchildren of the 7th and 8th primary courses in the four public schools from the quarter. Data were collected with a questionnaire including the following variables: school retardation, sex, number of siblings, ordinal number among siblings, educational level of the parents, and work of the mother outside the household. To evaluate family function the APGAR questionnaire was used. A remarkably high (45.7%) school retardation was found, higher than that in the rest of Spain. School retardation cannot be related with the family dysfunction detected by the familial APGAR. It was related, rather, with the child's sex, the educational level of the mother, the number of siblings and the ordinal place of the child among them.