Study on the development of mental health services for the elderly in community

With the aging of the population and the change of family structure, the physical and mental health of the elderly has become the focus of attention at home and abroad. The traditional mental health service in our country is narrow and the form is single, which can not meet the needs of the elderly. This paper based on the analysis of characteristics of community, community mental health services with respect to the unique advantages of Chinese traditional psychological service mode in the maintenance of the mental health of the elderly, with a unique entry point to analyze the problems of psychological services in community elderly, puts forward a sound proposal, summed up the community mental health service is suitable to China＇s national conditions, the practical significance of the road,

The Management of Mental Health, and Service Networks in Italy

Madness has attracted and frightened for centuries,and talking about this means discussing how this diversity was built and managed in different social contexts and historical periods.Not all societies have had,and still have,the same relationship with madness.It is only with the affirmation of the Modern State,and of Capitalism,that the idea of“normality”indispensable to be able to conceive diversity as something dangerously distant and different from the norm takes over.In our post-modern society,people with mental illness in Italy can resort to specialists and social-health services.But the heterogeneous answers given after the approval of law 180 appear to be increasingly diversified.In this research,much attention will be paid to how the social and health services,located in different areas of Italy(Messina,Rome,Trento)face the current growing risk of social,housing and economic isolation of these fragile subjects.The aim of the research is to explore the possibility of a new relationship between the social-health service and the local community.On the one hand,research investigates what the contribution of the services could be.On the other what the spaces of protagonism and participation of the community could be in inclusion process account.In order to better understand the differences between these two dimensions,a qualitative research approach was chosen through the conduct of in-depth interviews.In this way it was possible to investigate:(1)the partial representations characteristic of the single individual,family members,operators and stackholders in general;(2)the services around the topic dealt with is articulated.From the first results of the research it emerges that the territory can no longer be considered as an abstract entity,but becomes the social space within which the construction of a new community welfare can and must take place.

The current status of community mental health services in three northern areas of China

Objective:This study investigated and discussed the current status of community mental health service in three northern areas of China(Beijing,Harbin,and Karamay)in an effort to improve the community mental health services in China.Methods:In this study 176 residents from communities of the three northern areas of China were involved and divided into 18 groups.The study was conducted according to a self-prepared structured interview outline.Results:The analysis was conducted based on the following four perspectives:1.commu-nity residents’understanding of the mental health problems and how they treated psychiatric patients;2.community residents’access to and application of mental health information;3.com-munity residents’attitude to accept mental health services and the factors influencing community residents to seek help from mental health services;and 4.community residents’attitude and will-ingness to participate in the activities of community mental health services.Conclusion:Based on the investigation and analysis regarding the current status of the com-munity mental health services in three northern areas of China,it is concluded that the residents do not have s clear and complete understanding of mental health.The characteristics of mental health services had a regional correlation.Currently,the mental health services do not work effectively,and the residents are somewhat passive in obtaining information about mental health.Community mental health services should be offered according to different individual needs of the residents and the actual situations of each region.

The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities

This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the mental health reform in Sweden in 1995 where the communities (in Sweden called municipalities) were given the responsibility to establish service and support to people with severe psychiatric disabilities, they have struggled in finding suitable forms of these kinds of areas. In 2010, this led to the creation and development of a new center aiming to provide services and support based on the expressed needs of people with physchiatric disability in a community located in southern Sweden. During 2011, a total of three group interviews were performed to capture the employed nurses’ perceptions of this newly established SC. The interview texts were analyzed by way of qualitative content analysis. A first reading of the interview texts revealed that the nurses’ perceptions of the service center were unwaveringly positive but that their beliefs about who the specific target group were differed. The main finding was summarized by the theme: Making a difference—on an individual, professional, and organizational level. The sub themes were: 24-hour availability, unclear assignment, and preventing mental illness. The findings indicate a need for a community round-the-clock service center in this Swedish community and a more clear definition of the target group.

Efficacy of a Community-Based Trauma Recovery Program after a Fire Disaster

As industries develop,fire disasters and their associated damage are increasing.Investigating the mental health of victims is imperative because this is an essential issue for community recovery after a disaster.This study was conducted to determine the efficacy of a program implemented by a community mental health center based on the investigation of the victims’depression and post-traumatic stress disorder(PTSD)levels immediately after the disaster and at one-year follow-up.As a result,victims’depression and PTSD recovered over time,and more changes were confirmed.In particular,the high-risk group for PTSD showed a high program participation rate,and there was significant recovery over time compared with the group without PTSD.Based on these results,community mental health programs are an effective way to increase community mental health after disasters.In the future,community-based recovery programs after disasters should be expanded,and administrative support for them should be developed.

2016年重庆市严重精神障碍患者管理治疗信息分析

目的分析2016年重庆市各区县社区严重精神障碍患者的管理治疗信息,为重庆市各级政府部门有针对性地出台救治救助政策及如何实施严重精神障碍防治工作提供基础信息。方法分析截至2016年底重庆市各区县开展严重精神障碍患者管理治疗工作情况,国家信息管理系统中在册患者一般人口学特征、社区随访管理以及居家服药情况等。结果截至2016年12月31日,重庆市38个区县、万盛经济开发区和两江新区所辖乡镇(街道)均使用国家严重精神障碍信息系统,系统覆盖率100%,信息系统注册用户1 271名;全市在册患者128 971例,报告患病率4. 31‰;在管患者121 402例,管理率94. 13%;规范管理患者103 099例,规范管理率79. 94%;服药患者62 086例,服药率51. 14%,规律服药患者39 078例,规律服药率32. 19%。结论重庆市所有区县均开展了严重精神障碍患者居家随访和治疗等管理服务,工作效果较好,部分区县尚有差距,仍需进一步加强患者报告发现、规范管理和服药治疗等方面工作。

The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.