Gênero, violência e saúde mental: relato de experiência no sertão pernambucano

Improving Health Equity for Women Involved in the Criminal Legal System.

Opportunities in mental health services research.

Research into the co-occurrence of problem gambling, familial violence, and alcohol misuse is limited. While these issues have been considered in combination (i.e. violence and alcohol misuse, problem gambling and alcohol misuse, problem gambling and violence), within Australia, in particular, there has been an absence of exploration of this triad. The current research attempts to fill the gap in the literature, to establish whether there is any difference between problem gamblers with co-occurring violence and problem gamblers who had not experienced violence in terms of their alcohol misuse and gambling behaviours. Interviews were conducted with 81 treatment-seeking problem gamblers to explore how a history of victimization only, perpetration only, victimization and perpetration, or no history of family violence impacted on gambling behaviours (including baseline Victorian Gambling Screen), as well as alcohol misuse. Results indicated that in this treatment-seeking sample there were no significant differences for gambling behaviours or alcohol misuse between problem gamblers with issues of violence and those without. Males demonstrated (on average) a greater tendency toward hazardous drinking or disordered alcohol use. It would be prudent for treatment services to routinely examine problem gamblers' history of violence and alcohol misuse until research verifies the nature of this triad.

Impact of Intimate Partner Violence on Unmet Need for Mental Health Care: Results From the NSDUH

Objective: Psychosocial concerns are common among youth with Type I diabetes; psychosocial screening and integrated care models can address these concerns. Medical providers are key stakeholders, but their perspectives on the role of mental health within pediatric diabetes care represent a gap in the literature. This study aimed to describe pediatric diabetes care providers’ views on the relationship between psychosocial stress and diabetes, their experiences with psychosocial screening and psychological consultation within their clinic, and their suggestions for mental health professionals working with youth who have diabetes. Method: All endocrinologists, fellows, and diabetes educators involved with psychosocial screening and psychology consultations ( N = 7; 71.4% female, 42.9% Hispanic/Latinx White, 28.6% Non-Hispanic/Latinx White, 28.6% Asian) at a single outpatient pediatric diabetes clinic participated in semistructured interviews. Qualitative data were analyzed via thematic content analysis. Results: Providers described a bidirectional relationship between psychosocial stress and diabetes management. They expressed positive views of psychosocial screening and the clinic’s integrated psychology team, which allow them to focus on the medical aspect of care and gain comfort with mental health. Providers offered suggestions to improve coordination and communication with mental health professionals. Conclusions: Pediatric diabetes care providers valued psychosocial screening and benefited from collaboration with the clinic psychology team. Clinics without access to mental health professionals may struggle to sustain screening practices. Eliciting medical providers’ opinions and using other implementation science strategies are important for incorporating psychosocial screening and intervention within pediatric diabetes clinics, especially for clinics with unique models for psychological services. Implications for Impact Statement Medical providers in a pediatric diabetes clinic reported positive views of psychosocial screening and psychology consultations. Interdisciplinary collaboration with mental health professionals may promote medical providers’ comfort, confidence, and competence navigating their patients’ mental health concerns and ultimately improve care for youth with Type I diabetes mellitus. Obtaining medical providers’ perspectives is important for effective implementation of psychosocial screening procedures in diabetes clinics with varying models for access to mental health services.

This new column provides an overview of mental health reforms in Latin America and the Caribbean. Progress has been particularly visible in countries that have implemented policies with strong political support (Brazil, Chile, and Belize, among others). However, lessons may be learned from the collective experience of a region that has faced multiple obstacles to reform. Available resources are still insufficient and inequitably distributed, reform implementation is not complete in most countries, and high levels of unmet need exist. Countries face new challenges related to growing psychosocial problems affecting children and adolescents and increasing violence, which require new responses from mental health services.

To provide a model to estimate human resource needs for community-based mental health services in South Africa. A situation analysis was conducted of current community-based mental health service provision in South Africa, which comprise outpatient and emergency services, residential care and day care. Service utilisation rates and staffing needs were estimated for two levels of service coverage, using data from the situation analysis, local epidemiological studies and consultation with key stakeholders. For a population of 100,000 people, 7.3-23.8 full-time equivalent staff would be required to provide services in outpatient services, 14.9-41.6 in day care and 11.5-23.0 in residential care at minimum and full coverage levels respectively. The model can facilitate rational planning by requiring transparency and accountability in the assumptions used. This method can be adapted to a range of countries, by entering relevant country data. The model fills a gap, particularly in low- and middle-income countries, where community-based mental health services are sparse, and decisions regarding allocations to them are hampered by a lack of good quality data. The results of the model are limited by the quality of data and the assumptions upon which the modelling are based.

Mental health services and public mental health: challenges and opportunities.

Information about mental health systems is essential for mental health planning to reduce the burden of neuropsychiatric disorders. Unfortunately, many low- and middle-income countries lack systematic information on their mental health systems. The objectives, scope, structure, and contents of mental health assessment and monitoring instruments commonly used in high-income countries may not be appropriate for use in middle- and low-income countries. The World Health Organization (WHO) has recently developed the WHO Assessment Instrument for Mental Health Systems (WHO-AIMS), a comprehensive assessment tool for mental health systems designed for middle- and low-income countries. WHO-AIMS was developed through an iterative process that included input from in-country and international experts on the clarity, content, validity, and feasibility of the instrument, as well as a pilot trial. The resulting instrument, WHO-AIMS 2.2, consists of six domains: policy and legislative framework, mental health services, mental health in primary care, human resources, public information and links with other sectors, and monitoring and research. These domains address the ten recommendations of the World Health Report 2001 through 28 facets and 155 items. All six domains need to be assessed to form a basic, yet broad, picture of a mental health system, with a focus on health sector activities. WHO-AIMS provides essential information for mental health policy and service delivery. Countries will be able to develop information-based mental health policy and plans with clear baseline information and targets. Moreover, they will be able to monitor progress in implementing reform policies, providing community services, and involving consumers, families, and other stakeholders in mental health promotion, prevention, care and rehabilitation. This article provides an overview of the rationale, development process, and potential uses and benefits of WHO-AIMS.

Children Witnessing Domestic and Family Violence: A Widespread Occurrence during the Coronavirus Disease 2019 (COVID-19) Pandemic

This paper summarizes the findings for the European Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. The article presents a description of the region, an overview of mental health policies and legislation, a summary of relevant research in the region, a precis of community mental health services, a discussion of the key lessons learned, and some recommendations for the future.

Mental Disorders and Service Use Among Welfare and Disability Program Participants in Fee-for-Service Medicaid

This study utilized a sample of men (N = 340) charged with assault against a female partner to assess differences among IPV perpetrators with and without a history of childhood family violence on factors such as angry, controlling and violent behaviors, substance use related behaviors, and attitudes towards women. Over two-thirds of the sample reported childhood exposure to maltreatment or witnessing IPV. Chi-square analyses and t-tests indicated significant differences between perpetrators with and without a history of family violence on eight of eleven measures. Findings suggest perpetrators with a family violence history more strongly endorse ideas that present women and feminine attributes in a negative light. This research demonstrates that while exposure to family violence during childhood is not necessary for IPV to occur, its presence may be a marker for more severe attitudinal and behavioral problems. Findings highlight the need for primary prevention efforts and can inform secondary prevention strategies.

Introduction The issue of violence against women within the family, or as it is widely known domestic violence, is appearing now firmly as much in European policies as in Greek legislation in order to tackle and prevent this phenomenon. Unfortunately, European and Greek laws do not fully cover this important subject and as the respective studies show, domestic violence rates are increased. In the present review we are going to refer, briefly, to the historical background of the actions and the Greek legislation on this topic. Materials and Methods We investigated in libraries as well as on the web for “domestic violence”related articles and Greek court decisions on the matter in question for the last two decades. Access to sensitive data was obtained by every governmental body involved in our study. Results Before of the implementation of the proper legislation, no clear conceptual framework existed. We have to mention that the Greek law has become more specialized and sociallyorientated, aiming mostly at the cure of the revealed cases, rather than the punishment itself. Conclusion The issue of violence against women is very important and requires the participation of both the State, as well as the non-governmental non-profit organizations. Introduction The term of domestic violence is defined as violence in any form, whether it regards physical abuse, sexual abuse, neglect, gendered violence, emotional abuse (verbal), economic exploitation and trafficking. The complex nature of domestic violence, the various different interpretations of the phenomenon, the lack of sufficient recognition of the severity and several other factors led to the formation of stereotypes and the perpetuation of them, and as a result confusion about the nature and characteristics of the abuse within or outside the family1,2. The aim of this review was to discuss the history of actions as well as the evolution of legislation in Greece for domestic violence. Historical background Domestic violence is a very old phenomenon regarding its origins, while on the contrary, very recent as far as its social identification concerns. Social recognition of the phenomenon, its accession into the European agenda, the role of nongovernmental organizations as parts of the mechanism of influence and pressure and the feminist movement led to adoption of practices towards integration of the principle of equality in all EU policies. In particular, within the United Nations, one may identify International Research and Training Institute for the Advancement of Women (INSTRAW), United Nations Entity for Gender Equality and the Empowerment of Women (UNIFEM), Convention on the Elimination of all forms of Discrimination against Women (CEDAW), which in collaboration with the Division for the Advancement of Women (DAW) of the United Nations focus both on an effort to minimize the phenomenon and also to empower position of women in society3,4. The first draft of the Declaration of Violence against Women was constructed in 1992 and ratified in 1993. According to the United Nations any form of violence and circumvention of human rights, especially against women is condemned. Specifically in the article 1, the term violence against women means any act of violence based on gender and the article 2 includes physical or sexual violence within the family, rape within marriage as well as physical, sexual or emotional violence perpetrated or overlooked by the State in general5. At the same year, the United Nations Committee on the Elimination of Discrimination against Women (CEDAW) in accordance with the recommendation 19, condemned violence against women as the General Assembly of the United Nations in Vienna adopted the Declaration regarding the Elimination of Violence against Women6. In 1994, by decision of the Commission on Human Rights, specific measures to eliminate violence at national and international level were adopted through the causes and the consequences thereof, as well as the collection and analysis of data regarding to violence. The signalling that violence is no longer a private matter was established by the institution of the Special Rapporteur of the Commission on Human Rights on Violence against Women. According to article 4 of the UN Convention, the submission of national reports on government actions regarding the implementation of gender equality is *Corresponding author Email: kumusidi@doctors.org.uk 1 Family Planning Unit, 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Greece.

Mitigating the impacts of racism on Indigenous wellbeing through human rights, legislative and health policy reform.