465 research outputs found

    The challenge of healthcare for vulnerable and marginalized populations

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    A psicoterapia baseada na mentalização para o tratamento da depressão na adolescência

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    O objetivo deste estudo foi investigar a possibilidade de desenvolvimento da capacidade de mentalização na psicoterapia de uma adolescente de 18 anos que apresentava sintomas depressivos. O estudo foi pautado pela abordagem qualitativo-exploratória, adotando procedimento de estudo de caso único. A psicoterapia ocorreu durante o período de seis meses, sendo que antes e depois da mesma a adolescente foi avaliada com o Children’s Depression Inventory para o levantamento dos indicadores de depressão e com uma entrevista estruturada, sobre a qual foi aplicado um Checklist para avaliação da mentalização. Os resultados obtidos apontaram que a adolescente apresentava uma capacidade de mentalização comprometida no início do tratamento, mas que pôde ser desenvolvida ao longo deste, contribuindo para a diminuição dos sintomas depressivos.O objetivo deste estudo foi investigar a possibilidade de desenvolvimento da capacidade de mentalização na psicoterapia de uma adolescente de 18 anos que apresentava sintomas depressivos. O estudo foi pautado pela abordagem qualitativo-exploratória, adotando procedimento de estudo de caso único. A psicoterapia ocorreu durante o período de seis meses, sendo que antes e depois da mesma a adolescente foi avaliada com o Children’s Depression Inventory para o levantamento dos indicadores de depressão e com uma entrevista estruturada, sobre a qual foi aplicado um Checklist para avaliação da mentalização. Os resultados obtidos apontaram que a adolescente apresentava uma capacidade de mentalização comprometida no início do tratamento, mas que pôde ser desenvolvida ao longo deste, contribuindo para a diminuição dos sintomas depressivos.O objetivo deste estudo foi investigar a possibilidade de desenvolvimento da capacidade de mentalização na psicoterapia de uma adolescente de 18 anos que apresentava sintomas depressivos. O estudo foi pautado pela abordagem qualitativo-exploratória, adotando procedimento de estudo de caso único. A psicoterapia ocorreu durante o período de seis meses, sendo que antes e depois da mesma a adolescente foi avaliada com o Children’s Depression Inventory para o levantamento dos indicadores de depressão e com uma entrevista estruturada, sobre a qual foi aplicado um Checklist para avaliação da mentalização. Os resultados obtidos apontaram que a adolescente apresentava uma capacidade de mentalização comprometida no início do tratamento, mas que pôde ser desenvolvida ao longo deste, contribuindo para a diminuição dos sintomas depressivos.The aim of this study was to investigate the possibility of developing the mentalization capacity in the psychotherapy of an adolescent aged 18 who presented with depressive symptoms. The study had a qualitative and exploratory approach, adopting the single case study procedure. The psychotherapy lasted six months, and before and after that the patient was assessed with the Children's Depression Inventory to survey depression indicators and a structured interview, on which we applied a Checklist to assess her mentalization capacity. The results showed that the patient had an impaired mentalization capacity at the beginning of treatment, and that capacity could be developed over the psychotherapy, contributing to the reduction of depressive symptoms

    Evaluation of a Gypsy/Traveller Community Health Worker service:Final Report

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    This report evaluates the two-year Community Health Worker (CHW) service in Scotland delivered by a third sector organisation, Minority Ethnic Carers of People Project (MECOPP), which provided training to Gypsy/Travellers to advocate for their community on health and social care issues. The service, which was created as part of the Scottish Government and COSLA's joint action plan to address inequalities faced by Gypsy/Travellers , was designed with the intention to improve their health and wellbeing. Funding for the service was secured by The Scottish Public Health Network and the Directorate for Chief Medical Officer. The evaluation was conducted by the Mother and Infant Research Unit (MIRU) at the School of Health Sciences, University of Dundee, and covered the initial two-year period from August 2021 to August 2023.There has been extensive evidence showing that Gypsy/Travellers residing in the UK tend to face significant health disparities, resulting in outcomes that are not as favourable as those of the general population and other similarly disadvantaged groups.Gypsy/Travellers face high rates of homelessness, inadequate education, unemployment, poverty, and regular experiences of racism and discrimination . This profoundly affects their mental health and overall well-being. Additionally, the potential for lack of trust between Gypsy/Travellers and healthcare professionals impacts health seeking behaviour and health service provision, as there are also barriers in accessing responsive health services and preventative care interventions.Evidence indicates that community-based lay roles can improve healthcare access, reduce costs, and promote knowledge exchange between communities and health services through trusted individuals . This project aimed to evaluate the implementation of the Gypsy/Traveller CHW service, including barriers and facilitators, and make recommendations for its future scale-up. Objectives included describing the roles and activities of the CHWs, exploring the acceptability and feasibility of the service, identifying implementation barriers and facilitators, describing any modifications made, and examining the perceived benefits and disadvantages of the CHW service

    Evaluation of a Gypsy/Traveller Community Health Worker service:Final Report

    Get PDF
    This report evaluates the two-year Community Health Worker (CHW) service in Scotland delivered by a third sector organisation, Minority Ethnic Carers of People Project (MECOPP), which provided training to Gypsy/Travellers to advocate for their community on health and social care issues. The service, which was created as part of the Scottish Government and COSLA's joint action plan to address inequalities faced by Gypsy/Travellers , was designed with the intention to improve their health and wellbeing. Funding for the service was secured by The Scottish Public Health Network and the Directorate for Chief Medical Officer. The evaluation was conducted by the Mother and Infant Research Unit (MIRU) at the School of Health Sciences, University of Dundee, and covered the initial two-year period from August 2021 to August 2023.There has been extensive evidence showing that Gypsy/Travellers residing in the UK tend to face significant health disparities, resulting in outcomes that are not as favourable as those of the general population and other similarly disadvantaged groups.Gypsy/Travellers face high rates of homelessness, inadequate education, unemployment, poverty, and regular experiences of racism and discrimination . This profoundly affects their mental health and overall well-being. Additionally, the potential for lack of trust between Gypsy/Travellers and healthcare professionals impacts health seeking behaviour and health service provision, as there are also barriers in accessing responsive health services and preventative care interventions.Evidence indicates that community-based lay roles can improve healthcare access, reduce costs, and promote knowledge exchange between communities and health services through trusted individuals . This project aimed to evaluate the implementation of the Gypsy/Traveller CHW service, including barriers and facilitators, and make recommendations for its future scale-up. Objectives included describing the roles and activities of the CHWs, exploring the acceptability and feasibility of the service, identifying implementation barriers and facilitators, describing any modifications made, and examining the perceived benefits and disadvantages of the CHW service

    The challenge of healthcare for vulnerable and marginalized populations

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    Saberes e sabores de memória e a qualidade de vida

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    Trabalho apresentado no 31º SEURS - Seminário de Extensão Universitária da Região Sul, realizado em Florianópolis, SC, no período de 04 a 07 de agosto de 2013 - Universidade Federal de Santa Catarina.A importância do resgate dos saberes e sabores arquivados na memória dos indivíduos desencadeia uma reação afetiva associada às experiências vivenciadas ao longo do curso de suas vidas, desta maneira permitindo um aliar dos conhecimentos empíricos ao caráter científico dentro da ótica da qualidade de vida. O objetivo desta oficina é incentivar a produção de microrrelatos sobre a memória de hábitos alimentares propiciando uma resignificação da identidade cultural e de valorização dos fazeres, bem como a manipulação segura e a prática de exercícios. Esta ação será desenvolvida como uma Oficina e consistirá de etapas como um
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