Acerca de la relación entre resiliencia y salud mental en un dispositivo neuropsiquiátrico de la Ciudad Autónoma de Buenos Aires, Argentina

ResumenEste informe corresponde al estudio realizado en el Hospital Moyano [5] en Buenos Aires, Argentina, en el que se efectuaron entrevistas con operadores de diversas disciplinas. El objetivo del estudio fue explorar la relación entre resiliencia y salud mental, en el contexto del vínculo entre los operadores de salud mental y los pacientes.Su objetivo principal se centró en logar el refinamiento de la comprensión de la relación entre resiliencia y salud mental en sujetos que fueron diagnosticados con padecimientos   mentales graves (psicosis esquizofrénica, trastornos de la personalidad crónica, adicciones, enfermedad maníaco-depresiva, trastornos del desarrollo). Asimismo, se procuró detectar cuáles eran los elementos que favorecían la promoción de salud mental en pacientes con enfermedades psiquiátricas severas.El estudio también se ocupó de la relación entre la capacidad resiliente de los operadores y la mejoría de los pacientes.AbstractThis is a report of a study conducted at Moyano Neuropsychiatric Hospital in Buenos Aires, Argentina, which involved interviews with mental health clinicians from various disciplines. The purpose of the study is to explore the relationship between resilience and mental health in the context of a therapeutic relationship between clinician and patient, in order to gain a better understanding of how to promote mental health in individuals who have been diagnosed with serious mental illness.The study is also concerned with clinician resilience and explores the connection between clinician and patient resilience.ResumoEste relatório corresponde ao estudo realizado no Hospital Moyano em Buenos Aires, Argentina, no qual foram realizadas entrevistas com operadores de diversas disciplinas. O objetivo do estudo foi explorar a relação entre resiliência e saúde mental, no contexto da ligação entre operadores de saúde mental e pacientes.Seu principal objetivo foi alcançar uma compreensão refinada da relação entre resiliência e saúde mental emindivíduos com diagnóstico de doença mental grave (psicose esquizofrênica, disturbios crônicos da personalidade, vícios, doença maniaco-depressiva, distúrbios do desenvolvimento).Do mesmo modo, foi feito um esforço para detectar os elementos que favoreceram a promoção da saúde mental em pacientes com doenças psiquiátricas severas.O estudo também abordou a relação entre a capacidade resiliente dos operadores ea melhora dos pacientes.Palabras claveResiliencia, resiliencia vicaria, stress, satisfacción, salud mental, patologías psíquicas severas  Key wordsResilience, vicarious resilience, stress, satisfaction, mental health, serious mental illnessPalavras chaveResiliência, resiliência vicária, stress, satisfação, saúde mental, doenças psiquiátricas severas

Exploring resilience and mental health in services users and practitioners in Ireland and Canada

Social work practitioners face significant challenges in their professional lives when advocating for marginalised and disadvantaged people who face deep structural inequalities, lack of resources and inaccessibility to social and health care services. Many service users are long-suffering, dispirited, and demoralised without hope for a better future. This is particularly the case in community based mental health services where social workers provide frontline counselling and advocacy to individuals with serious and persistent mental illness. Prolonged adversity takes a toll on the resilience of the service user while social work practice, aimed at counteracting such structural adversity, takes a toll on the resilience of the practitioner. Too often, community mental health agencies fail to recognise this toll and do little to support the resilience of social work practitioners. This study looks at practitioner perspectives on resilience and explores the idea of relational resilience as a buffer against burnout and compassion fatigue. The paper identifies themes from qualitative interviews with social workers on community mental health teams (CMH) in Ireland and assertive community treatment teams (ACT) in Canada who are involved in front line mental health services. The words ‘service user’ and ‘client’ are used interchangeably to reflect common usage in the two locations

Child welfare practice and policy related to the impact of children experiencing physical victimization and domestic violence

The impact of family violence on children seen in a children's aid society was investigated. Three groups of maltreated children were investigated: those exposed to domestic violence against women, physically abused, and children who experienced both. Child outcomes reflected behavioral and school-related problems, delinquency, and elevation in overall risk. There was considerable variability on the effects of exposure to children. Children exposed to domestic violence against women and children who were physically abused did not differ on a variety of child outcomes. Children experiencing the combined effects of physical maltreatment and exposure to domestic violence experienced the poorest adjustment reflected in grade repetition, involvement in delinquency, and on overall risk compared to physically abused or children exposed to domestic violence against women alone. Implications for child welfare practice and policy are discussed.

Perception of risk among child protection workers

Differences in ratings of the severity of risk for children involved in the child welfare system among less experienced and more experienced social workers are examined. Sixty-three social workers from a south western Ontario CAS participated: twenty-seven with less than three years of experience and thirty-six with more than three years of experience. Social workers read two scenarios and were asked to determine the extent of risk present to the child and indicate if that child should be taken into care. The findings indicate that social workers with different levels of experience do not differ in their perceptions of risk and in their decisions with regards to managing risk in the community. Increases in the number of children taken into care is not attributable to differential decision making based on experience.