The International journal of social psychiatry最新文献

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Perceived human rights violation in persons with mental illness: role of education. 认为精神疾病患者的人权受到侵犯:教育的作用。
IF 7.5
The International journal of social psychiatry Pub Date : 2013-06-01 Epub Date: 2012-03-08 DOI: 10.1177/0020764012437322
Poreddi Vijayalakshmi, Ramachandra, Konduru Reddemma, Suresh Bada Math
{"title":"Perceived human rights violation in persons with mental illness: role of education.","authors":"Poreddi Vijayalakshmi,&nbsp;Ramachandra,&nbsp;Konduru Reddemma,&nbsp;Suresh Bada Math","doi":"10.1177/0020764012437322","DOIUrl":"https://doi.org/10.1177/0020764012437322","url":null,"abstract":"<p><strong>Background: </strong>People with mental illness are vulnerable to human rights violations and people with illiteracy and mental illness are at a double disadvantage.</p><p><strong>Objective: </strong>To determine the role of education in ascertaining human rights needs of people with mental illness.</p><p><strong>Methodology: </strong>This was a descriptive study carried out among randomly selected (N = 100) recovered psychiatric patients with mental illness in the past based on the Clinical Global Impression-Improvement scale at a tertiary care centre. Data were collected through face-to-face interview using structured needs assessment questionnaire comprising two sections related to family and community domains. Data were analysed and interpreted using descriptive and inferential statistics.</p><p><strong>Findings: </strong>Our findings revealed that human rights needs in the physical needs dimension--i.e., access to electricity (χ2 = 5.523, p < .019) and safe drinking water facilities (χ2 = 9.665, p < .022)--were rated higher in illiterates than in literates. The human rights needs in emotional dimension - i.e. feeling separated from their families because of their illness (χ2 = 13.118, p < .004), afraid of family members (χ2 = 13.388, p < .004) and called filthy nicknames (χ2 = 17.759, p < .000) - were rated higher in literates than in illiterates. The human rights needs in the religious needs dimension - i.e. allowed to go to temple, church, mosque etc. (χ2 = 12.000, p < .007) - and in the social needs dimension - i.e. friendliness with family members -were rated higher in illiterates than in literates (χ2 = 9.661, p < .022).</p><p><strong>Conclusion: </strong>Empowering people with mental illness by providing adequate opportunity to pursue education will play an important role in fulfilling the obligation of the United Nations Convention on the Rights of Persons with Disabilities.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"351-64"},"PeriodicalIF":7.5,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764012437322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40156542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Gender differences in the psychological impact of tsunami. 性别差异对海啸心理的影响。
IF 7.5
The International journal of social psychiatry Pub Date : 2013-03-01 Epub Date: 2011-11-02 DOI: 10.1177/0020764011423469
Biju Viswanath, Ami S Maroky, Suresh B Math, John P John, Anish V Cherian, Satish C Girimaji, Vivek Benegal, Ameer Hamza, Santosh K Chaturvedi
{"title":"Gender differences in the psychological impact of tsunami.","authors":"Biju Viswanath,&nbsp;Ami S Maroky,&nbsp;Suresh B Math,&nbsp;John P John,&nbsp;Anish V Cherian,&nbsp;Satish C Girimaji,&nbsp;Vivek Benegal,&nbsp;Ameer Hamza,&nbsp;Santosh K Chaturvedi","doi":"10.1177/0020764011423469","DOIUrl":"https://doi.org/10.1177/0020764011423469","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this observational study was to explore gender-related differences in psychiatric morbidity during the initial three months following the December 2004 earthquake and tsunami involving the Andaman and Nicobar Islands, India.</p><p><strong>Methods: </strong>There were 12,784 survivors sheltered across 74 relief camps with 4,684 displaced survivors in Port Blair and 8,100 non-displaced survivors in Car-Nicobar Island. All persons who accessed mental health assistance within the camps constituted the study sample. Diagnoses were made by qualified psychiatrists using the ICD-10. There were 475 patients: 188 (40%) men and 287 (60%) women.</p><p><strong>Results: </strong>There were significant gender differences in terms of displacement. There were significantly higher levels of panic disorder, unspecified anxiety disorder and somatic complaints in the displaced women while the non-displaced population showed more adjustment disorder.</p><p><strong>Conclusions: </strong>Displacement was a significant factor in the manifestations of observed pathology. Displaced women had greater psychiatric morbidity. In addition, the fact that adjustment disorder (a self-limiting disorder form of psychopathology) was more prevalent in the non-displaced group may be a reflection of the findings of overall lesser morbidity in non-displaced women. Hence, women may have to be rehabilitated in their own habitats after major disasters.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"130-6"},"PeriodicalIF":7.5,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764011423469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40128995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Social acknowledgement as a predictor of post-traumatic stress and complicated grief after witnessing assisted suicide. 社会认同作为目击协助自杀后创伤后压力和复杂悲伤的预测因子。
IF 7.5
The International journal of social psychiatry Pub Date : 2012-07-01 Epub Date: 2011-05-19 DOI: 10.1177/0020764011400791
Birgit Wagner, Valerie Keller, Christine Knaevelsrud, Andreas Maercker
{"title":"Social acknowledgement as a predictor of post-traumatic stress and complicated grief after witnessing assisted suicide.","authors":"Birgit Wagner,&nbsp;Valerie Keller,&nbsp;Christine Knaevelsrud,&nbsp;Andreas Maercker","doi":"10.1177/0020764011400791","DOIUrl":"https://doi.org/10.1177/0020764011400791","url":null,"abstract":"<p><strong>Background: </strong>In Switzerland, right-to-die organizations such as Exit Deutsche Schweiz offer suicide assistance to their members. However, there is limited knowledge of the impact that witnessing assisted suicide has on the post-traumatic stress severity or the grief process of family members. Low perceived social acknowledgement may affect mental health.</p><p><strong>Methods: </strong>A cross-sectional survey of 85 family members who were present at an assisted suicide was conducted in December 2007. The Inventory of Complicated Grief and the Impact of Event Scale were used to assess symptoms of post-traumatic stress disorder (PTSD) and complicated grief (CG) at 14 to 24 months post-loss. Further, the Social Acknowledgement Questionnaire was used to examine the impact that the social environment's acknowledgement of the end-of-life decision had on respondents' mental health.</p><p><strong>Results: </strong>As expected, social acknowledgement as a survivor was related to PTSD symptoms and CG. In particular, perceived general disapproval was strongly correlated with all outcome measures, whereas recognition was not significantly related to PTSD or CG (intrusion and avoidance).</p><p><strong>Conclusion: </strong>Family members of patients who use assisted suicide may hesitate to disclose the manner of death, and the community and societal environment may express strong views concerning the end-of-life decision. This can lead to increased levels of PTSD and CG.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"381-5"},"PeriodicalIF":7.5,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764011400791","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40095929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 43
The components of helping relationships with professionals in psychiatry: users' perspective. 帮助与精神病学专业人员建立关系的组成部分:使用者的观点。
IF 7.5
The International journal of social psychiatry Pub Date : 2012-07-01 Epub Date: 2011-05-20 DOI: 10.1177/0020764011406811
Anne Denhov, Alain Topor
{"title":"The components of helping relationships with professionals in psychiatry: users' perspective.","authors":"Anne Denhov,&nbsp;Alain Topor","doi":"10.1177/0020764011406811","DOIUrl":"https://doi.org/10.1177/0020764011406811","url":null,"abstract":"<p><strong>Background: </strong>The quality of the relationship between professional and user is one of the important factors in the recovery process. However, more knowledge is needed concerning the components of helping relationships and characteristics of the helping professional. The aim of this study was to explore users' experiences of helping relationships with professionals.</p><p><strong>Data and methods: </strong>This was a grounded theory analysis of 71 qualitative interviews to explore users' experience of helping relationships and their components, in psychiatric care in Sweden.</p><p><strong>Discussion: </strong>Within the three main categories - interpersonal continuity, emotional climate and social interaction - two core themes were found that described vital components of helping relationships: a non-stigmatizing attitude on the part of the professionals and their willingness to do something beyond established routines.</p><p><strong>Conclusions: </strong>The focus in psychiatric treatment research needs to be broadened. In addition to research on the outcome of particular methods and interventions, the common factors also need to be investigated, above all, what is the effect of the quality of the relationship between user and professional. Greater attention needs to be paid, as well, to how helping respective obstructive relationships in psychiatric services arise, are maintained or are modified.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"417-24"},"PeriodicalIF":7.5,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764011406811","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40100431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 85
The characteristics of people with mental illness who are under treatment in traditional healer centres in Sudan. 在苏丹传统治疗中心接受治疗的精神病患者的特征。
IF 7.5
The International journal of social psychiatry Pub Date : 2012-03-01 Epub Date: 2011-05-24 DOI: 10.1177/0020764010390439
Ehab Ali Sorketti, Nor Zuraida Zainal, Mohamad Hussain Habil
{"title":"The characteristics of people with mental illness who are under treatment in traditional healer centres in Sudan.","authors":"Ehab Ali Sorketti,&nbsp;Nor Zuraida Zainal,&nbsp;Mohamad Hussain Habil","doi":"10.1177/0020764010390439","DOIUrl":"https://doi.org/10.1177/0020764010390439","url":null,"abstract":"<p><strong>Aims: </strong>To determine the general characteristics of people with mental disorders in traditional healers centres in Sudan in terms of sociodemographic profile, common clinical presentations and diagnostic features, and to look at the treatment methods and intervention procedures used in these centres for treating people with mental illness.</p><p><strong>Methods: </strong>This is a descriptive cross-sectional study using both quantitative and qualitative research methods. All inpatients with mental illness (405) from 10 selected traditional healers centres in Sudan who gave consent were interviewed, using a specially designed questionnaire and the Mini International Neuropsychiatric Interview (MINI).</p><p><strong>Results: </strong>Most of the visitors to the centres were from central Sudan with a mean age of 31 years, illiterate or with only a primary basic education, male and jobless. The average mean duration of stay in the traditional healer centre was five months and the mean duration of untreated illness before coming to the centre was 13 months. Only 17% reported a history of alcohol abuse and only 11% of drug abuse. The most common prevalent diagnosis was psychotic disorder.</p><p><strong>Conclusion: </strong>This study improves the understanding about what types of people with mental illness are treated at these traditional healer centres and gives recommendations that can help in improving the quality of services in these centres. It can probably be used in building bridges of collaboration between these centres and the available mental health and psychiatric services in Sudan, especially at primary healthcare level.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"204-16"},"PeriodicalIF":7.5,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764010390439","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40107203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 44
Lost in interpretation: the use of interpreters in research on mental ill health. 迷失在翻译中:口译员在精神疾病研究中的使用。
IF 7.5
The International journal of social psychiatry Pub Date : 2012-01-01 Epub Date: 2010-09-10 DOI: 10.1177/0020764010382693
Karin Ingvarsdotter, Sara Johnsdotter, Margareta Östman
{"title":"Lost in interpretation: the use of interpreters in research on mental ill health.","authors":"Karin Ingvarsdotter,&nbsp;Sara Johnsdotter,&nbsp;Margareta Östman","doi":"10.1177/0020764010382693","DOIUrl":"https://doi.org/10.1177/0020764010382693","url":null,"abstract":"<p><strong>Background: </strong>The literature concerning interpretation in research primarily concentrates on rigorous techniques to eliminate bias. This article analyses other significant issues that arise when interpreters participate in research.</p><p><strong>Material: </strong>Empirical examples are drawn from a research project concerning mental ill health in a multicultural neighbourhood.</p><p><strong>Discussion: </strong>Interpreters influence interview data in ways commonly unnoticed by researchers. One often-overlooked factor is that languages are dynamic and interpreters are not instruments.</p><p><strong>Conclusion: </strong>Research conducted with an interpreter is a complex undertaking. Solely relying on checklists to improve methodological rigour can result in a false sense of the material's validity.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"34-40"},"PeriodicalIF":7.5,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764010382693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40062237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 51
Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: a report from the UK AeSOP study. 不同种族对首发精神病住院治疗的满意度:一份来自英国AeSOP研究的报告
The International journal of social psychiatry Pub Date : 2012-01-01 Epub Date: 2010-09-17 DOI: 10.1177/0020764010382691
Jane Boydell, Craig Morgan, Rina Dutta, Barry Jones, Fana Alemseged, Paola Dazzan, Kevin Morgan, Gillian Doody, Glynn Harrison, Julian Leff, Peter Jones, Robin Murray, Paul Fearon
{"title":"Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: a report from the UK AeSOP study.","authors":"Jane Boydell, Craig Morgan, Rina Dutta, Barry Jones, Fana Alemseged, Paola Dazzan, Kevin Morgan, Gillian Doody, Glynn Harrison, Julian Leff, Peter Jones, Robin Murray, Paul Fearon","doi":"10.1177/0020764010382691","DOIUrl":"10.1177/0020764010382691","url":null,"abstract":"<p><strong>Background: </strong>There is concern about the level of satisfaction with mental healthcare among minority ethnic patients in the UK, particularly as black patients have more compulsory admissions to hospital.</p><p><strong>Aims: </strong>To determine and compare levels of satisfaction with mental healthcare between patients from different ethnic groups in a three-centre study of first-onset psychosis.</p><p><strong>Method: </strong>Data were collected from 216 patients with first-episode psychosis and 101 caregivers from South London, Nottingham and Bristol, using the Acute Services Study Questionnaire (Patient and Relative Version) and measures of sociodemographic variables and insight.</p><p><strong>Results: </strong>No differences were found between ethnic groups in most domains of satisfaction tested individually, including items relating to treatment by ward staff and number of domains rated as satisfactory. However, logistic regression modelling (adjusting for age, gender, social class, diagnostic category and compulsion) showed that black Caribbean patients did not believe that they were receiving the right treatment and were less satisfied with medication than white patients. Black African patients were less satisfied with non-pharmacological treatments than white patients. These findings were not explained by lack of insight or compulsory treatment.</p><p><strong>Conclusions: </strong>The study found that black patients were less satisfied with specific aspects of treatment, particularly medication, but were equally satisfied with nursing and social care. Understanding the reasons behind this may improve the acceptability of psychiatric care to black minority ethnic groups.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"98-105"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40078553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychiatric and somatic health in relation to experience of parental divorce in childhood. 儿童时期父母离婚经历与精神和躯体健康的关系。
IF 7.5
The International journal of social psychiatry Pub Date : 2012-01-01 Epub Date: 2010-09-17 DOI: 10.1177/0020764010382372
Teresia Angarne-Lindberg, Marie Wadsby
{"title":"Psychiatric and somatic health in relation to experience of parental divorce in childhood.","authors":"Teresia Angarne-Lindberg,&nbsp;Marie Wadsby","doi":"10.1177/0020764010382372","DOIUrl":"https://doi.org/10.1177/0020764010382372","url":null,"abstract":"<p><strong>Background: </strong>The outcome of studies about the experience of parental divorce and its effects on mental and physical health differs, a result possibly caused by the use of different questionnaires and instruments, varying length of time since the divorce and divergent drop-out of participants.</p><p><strong>Aims: </strong>To study the presence of psychiatric records and number of diagnosed somatic and mental healthcare visits in a group of young adults with childhood experience of parental divorce in comparison to a group without this experience.</p><p><strong>Methods: </strong>The presence of records at public psychiatric clinics and 10 years of administrative healthcare data (somatic and mental) were checked for both groups.</p><p><strong>Results: </strong>Significantly more persons from the divorce group appeared in child and adolescent psychiatric care; this was most pronounced in females. However, there were no significant differences between the groups in the number of persons seeking adult psychiatry or in the number of psychiatric consultations. Experience of parental divorce was not found to be an indicator of larger somatic health problems.</p><p><strong>Conclusion: </strong>Experience of parental divorce in childhood is not an indicator of adult psychiatric or somatic need of care.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"16-25"},"PeriodicalIF":7.5,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764010382372","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40078617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Migrants referring to the Bologna Transcultural Psychiatric Team: reasons for drop-out. 提到博洛尼亚跨文化精神科小组的移民:辍学的原因。
IF 7.5
The International journal of social psychiatry Pub Date : 2011-11-01 Epub Date: 2010-09-17 DOI: 10.1177/0020764010382368
Ilaria Tarricone, Anna Rita Atti, Mauro Braca, Graziano Pompei, Michela Morri, Francesca Poggi, Saverio Melega, Elisa Stivanello, Lorenza Tonti, Maria Nolet, Domenico Berardi
{"title":"Migrants referring to the Bologna Transcultural Psychiatric Team: reasons for drop-out.","authors":"Ilaria Tarricone,&nbsp;Anna Rita Atti,&nbsp;Mauro Braca,&nbsp;Graziano Pompei,&nbsp;Michela Morri,&nbsp;Francesca Poggi,&nbsp;Saverio Melega,&nbsp;Elisa Stivanello,&nbsp;Lorenza Tonti,&nbsp;Maria Nolet,&nbsp;Domenico Berardi","doi":"10.1177/0020764010382368","DOIUrl":"https://doi.org/10.1177/0020764010382368","url":null,"abstract":"<p><strong>Background: </strong>Recent immigrants face various difficulties in adjusting to western countries and show a high prevalence of mental disorders. Access to a culturally appropriate community mental health centre (CMHC) is crucial for immigrants (Bhui et al., 2007). The Bologna West Transcultural Psychiatric Team (BoTPT, Tarricone et al., 2009) is one of the first projects in Italy that prioritizes cultural competence care. This paper aims to evaluate the effectiveness of this service and to describe what characteristics of patient and psychiatric intervention are related to 'drop-out'.</p><p><strong>Method: </strong>All migrants who consecutively attended the BoTPT between 1 July 1999 and 30 June 2008 were included and evaluated at first contact and again six months later.</p><p><strong>Results: </strong>After six months we followed up 162 patients; 32 (17.9%) of these had interrupted treatment. Non-Asian origin, a recent history of migration and not receiving social intervention were the strongest predictors of drop-out cases.</p><p><strong>Conclusion: </strong>Psychiatric consultation services to migrants could be made more effective by enhancing: (a) cultural competence, through cultural mediator involvement; and (b) social support from the first psychiatric contact. These two characteristics of psychiatric consultation could be developed from resources ordinarily present in the context of a CMHC and could then become a cost-effective strategy for addressing mental health needs among first-generation immigrants.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"627-30"},"PeriodicalIF":7.5,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764010382368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40078554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 30
Outcomes for street children and youth under multidisciplinary care in a drop-in centre in Tegucigalpa, Honduras. 洪都拉斯特古西加尔巴一个收容中心接受多学科护理的街头儿童和青年的结果。
IF 7.5
The International journal of social psychiatry Pub Date : 2011-11-01 Epub Date: 2010-09-14 DOI: 10.1177/0020764010382367
Renato Souza, Klaudia Porten, Sarala Nicholas, Rebecca Grais
{"title":"Outcomes for street children and youth under multidisciplinary care in a drop-in centre in Tegucigalpa, Honduras.","authors":"Renato Souza,&nbsp;Klaudia Porten,&nbsp;Sarala Nicholas,&nbsp;Rebecca Grais","doi":"10.1177/0020764010382367","DOIUrl":"https://doi.org/10.1177/0020764010382367","url":null,"abstract":"<p><strong>Background: </strong>There is little evidence to describe the feasibility and outcomes of services for the care of street children and youth in low-income countries.</p><p><strong>Aims: </strong>To describe the outcomes of a multidisciplinary case management approach delivered in a drop-in centre for street children and youth.</p><p><strong>Methods: </strong>A longitudinal study of street children and youth followed in an urban drop-in centre. Four hundred (400) street children and youth received a multidisciplinary case management therapeutic package based on the community reinforcement approach. The main outcomes were changes in psychological distress, substance abuse and social situation scores.</p><p><strong>Results: </strong>The median follow-up time for the cohort was 18 months. There were reductions in the levels of psychological distress (p = 0.0001) and substance abuse (p ≤ 0.0001) in the cohort as well as an improvement in the social situation of street children and youth (p = 0.0001). There was a main effect of gender (p < 0.001) and a significant interaction of gender over time (p < 0.001) on improvements in levels of psychological distress. Survival analysis showed that the probability of remaining on substances at 12 months was 0.76 (95% CI: 0.69-0.81) and 0.51 (95% CI: 0.42-0.59) at 24 months. At 12 months, fewer female patients remained using substances compared to male (p < 0.01).</p><p><strong>Conclusion: </strong>To be most effective, programmes and strategies for children and youth in street situations in developing countries should target both their health and social needs.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"619-26"},"PeriodicalIF":7.5,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764010382367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40069256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
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