Social Rehabilitation Center Research Articles

Triangular Assessment of the Etiology of Induced Abortion in Iran: A Qualitative Study

BackgroundAbout 46 million induced abortions occur in the world annually. The studies have reported 80000 cases of induced abortions in Iran annually.ObjectivesThis qualitative study was conducted to identify the causes of unsafe abortion in Iran from the standpoint of three groups of experts, women with a history of abortion or unwanted pregnancy and service providers.Patients and MethodsA total of 72 in-depth semi structured interviews were conducted in 2012 in Tehran and Shahroud. After coordination with 8 experts, sampling from them was done using the Snowballing method in their offices. Sampling from 28 married and 10 engaged women with a history of unwanted pregnancy or unsafe abortion and 12 providers was done in health care centers and a in number of gynecologists’ and midwives’ offices. Sampling from women with a history of unwanted pregnancy or unsafe abortion such as single women, HIV positive women and drug users, and women who had sexual intercourse for money was started by referring to the social rehabilitation center for women and continued using the snowballing method due to difficulties in accessing them. Participants were from different ethnic groups including Fars, Gilaks, Mazandarani, Arab, Azerbaijani, and Lor. Content analysis was performed on collected data.ResultsBased on the results of the interviews, participants have abortion for following reasons: 1. Wanted pregnancy (sub categories: fetal abnormalities, Concern about fetal health and lack of trust to prenatal diagnostic methods, Fetal sex, Lack of independent and free decision making regarding pregnancy in women, 2. Unwanted pregnancy (sub-categories: Socio-economic factors, Beliefs and feelings, Lack of information about family planning) 3. Predisposing factors (sub-categories: Lack of information on religious aspects of abortion, Easy access to easy abortion methods). Some people, despite having unwanted pregnancy due to social, economic, cultural and family grounds, continued their pregnancy and did not have an abortion for the following reasons: Religious beliefs, Beliefs (fear of punishment in the afterlife and believing in fate) , Attachment to the unborn baby, Influence of the other people’s opinions (physician, mother or spouse) Late diagnosis of pregnancy, Unsuccessful abortion attempts (Self-treatment, Unsuccessful medical abortion), Economic weakness and arbitrary treatment.ConclusionsIn the present study, women who continued their pregnancy despite being unwanted were also interviewed. Although they had the same social, economic, cultural, and family problems as women with a history of unsafe abortion and had easy access to abortion, analysis showed that the difference in religious beliefs between the two groups was the most important factor that led women to choose two different approaches. The authors believe that in-depth analysis of people’s beliefs and opinions in this regard and correction of false beliefs plays a crucial role in decreasing the rate of unsafe abortion.

The benefits of autonomy support for adolescents with severe emotional and behavioral problems

The benefits of autonomy support in the domain of education have been well established within the general population, but have yet to be demonstrated within clinical populations. The present study investigated the benefits of an autonomy-supportive interpersonal style on teenage girls’ internalization of a tedious clinical workshop and their subjective experience during this task. Participants were female teenagers placed in a social rehabilitation center for their severe emotional and behavioral problems (n = 29). An experimental design allowed comparing the impact of learning a tedious, but important workshop with or without autonomy support on internalization and experiential outcomes. Results demonstrate that autonomy support leads to higher perceived task’s value, task liking as well as less negative affect compared to a condition without autonomy-support. Participants in the autonomy-supportive condition also perceived the instructor as more competent. By uncovering benefits of autonomy support to a clinical population of adolescents, the present study supports self-determination theory’s tenet that the benefits of autonomy support are universal.

Attitudes to prenatal diagnosis and termination of pregnancy for 30 conditions among women in Saudi Arabia and the UK

The aim of this research was to compare attitudes between women from different cultural and/or religious backgrounds toward prenatal diagnosis (PND) and termination of pregnancy (TOP) for 30 different conditions. A questionnaire examining parents' attitudes toward PND and TOP for 30 different conditions was completed by 100 Saudi, 222 UK-White, and 198 UK-Pakistani women. Comparison of overall attitudes with PND and TOP between groups was carried out, and a total score reflecting attitudes was obtained. In general, there were positive attitudes toward PND among the three groups surveyed. The attitudes of Saudi and UK-Pakistani women toward PND were more favorable than UK-White women. Overall, acceptance of TOP was lower than for PND. For the majority of conditions, acceptance of TOP was highest in Saudi women and lowest in UK-Pakistani women. Attitudes toward TOP were significantly different between the three groups and may be influenced by cultural and/or religious factors. Availability of social services, genetic counseling, and rehabilitation centers may also influence attitude toward PND and TOP.

취업한 정신장애인의 직업유지에 영향을 미치는 요인

Purpose: This study tried to explore factors influencing on job maintenance of the mentally disabled who employed before. The subjects of this study were the mentally disabled who participated in community mental health center and social rehabilitation center, there had experienced a job in the past. Methods: The number of community centers were 27 places, there were located in different region. The number of participants were 221 persons agreed to this study. Data was analyzed by Mean, SD and logistic regression analyzation using SPSS/WIN 14.0. Results: General character such as age was significant factor. Monthly pay and working a day in the midst of job related factors were significant. Moreover, job rehabilitation program satisfaction rate and social support revealed significant factors. Conclusion: On the basis of results, Job rehabilitation programs for job maintenance of the mentally disabled should be development and establish mediate strategies to improve social support to them.

A Study on the Residential Relational Factors and Residential Service Needs of Persons with a Mental Disability.

PURPOSE: The purpose of this study was to explore residential needs of the mentally disabled which reflect residential relational factors and residential service needs. METHODS: The instrument used to measure residential needs of mentally disabled persons was the questionnaires reformed previous questionnaires. The instrument was tested with a sample of 307 participants who were registered in a day hospital, mental health center or social rehabilitation center. RESULTS: The needs for a residential facility for the mental disabled were significantly related with paying the entrance cost, monthly living cost and the decision making of the residents. The needs for residential services were independent living skills and an occupational rehabilitation program. CONCLUSION: The needs for residential services of the mentally disabled were varied because their diagnosis, symptom, functional level, treatment and personal priority are different. Therefore, we should develop various residential types and living services based on the needs and priorities of the mentally disabled.

Factors Influencing Job Stress in Work Experience of employees with Mentally Disabled

Purpose:This studywas done toidentify thedegreeof job stressfor workerswith mentally disabled and factors influencing their job stress. Methods: The participants in this study were employees with mental disabilities employedin jobprogramssponsoredbycommunity mental health centersand social rehabilitation centers. For this study, researchers conducted a survey with structured questionnaires with 221 employees. Data were analyzed using t-tests, ANOVA, Pearson's correlation coefficients and multiple regression analysis with SPSS/WIN 14.0. Results: There were no significant differences in job stress according to general characters. However, thereweresignificant differences in job stress according to typeof employment andmonthly-income. Multi-regression analysis showed that type of employment and social support affected job stress. Conclusion: The findings of this study indicate that following should be emphasized: conditions of employment such as type of employment and social support should be improved to decrease job stress and help the employee to remain in the job.

Prevalence of Neisseria meningitidis carriers in children under five years of age and teenagers in certain populations of Mexico City

To carry out a pilot study to discover the frequency of colonization in healthy children under five years old and teenagers, as well as the distribution of the different N. meningitidis serogroups isolated from nasopharyngeal samples collected from the population under study. The population included youth between 15 and 19 years old living in social rehabilitation centers (SRC) and university teenagers (UT) as well as children under the age of five attending day care centers (DCC) in Mexico City. Nasopharyngeal exudates were processed using standard microbiological techniques in order to identify Nm, the serogroup, type and subtype of these isolates. A total of 2 310 samples (774 SRC, 800 UT and 736 DCC) were taken. Total prevalence of Nm was 1.6 per cent. In teenagers living in SRC the prevalence was 2.9%. The most frequent serogroups were Y (29.7%), C (24.3%) and B (10.8%). The prevalence of carriers in the study environment was significant (1.6%) and similar to countries in which the invasive illness is much more frequent.

Queixas osteomusculares relacionadas ao trabalho relatadas por mulheres de centro de ressocialização

Considering work-related complaints as a public health problem, the current study aimed to analyze the frequency of musculoskeletal complaints and the association between their occurrence and severity and anthropometric and work variables. The sample included 146 women from a social rehabilitation center who answered a validated questionnaire with anthropometric data and history of work-related musculoskeletal complaints. The Goodman test was used to analyze the association between and within variables. We observed a high rate of complaints after beginning work activity (94.19%). Subjects that required sick leave showed higher mean age and weight. The most severe complaints related to back pain. Sick leave was more common among women who had worked longer. The study concluded that there was a high frequency of work-related complaints and an association between: higher weight and height values and severity; higher age and sick leave; more serious complaints and back pain; and longer time on the job and need for sick leave.

The role of feedback in Swedish human service organizations

This paper investigates some organizational conditions for providing quality in service delivery in human service organizations (HSOs): that is organizations that partly take over functions that formerly were carried out by families. The consequences of feedback for role ambiguity, job satisfaction and organizational commitment were investigated. Survey data were obtained from 604 human service workers in three different Swedish organizations: public insurance agency, social rehabilitation center and a psychiatric hospital. Positive feedback was found to reduce role ambiguity, while negative feedback contributed to role ambiguity. Role ambiguity was negatively related to job satisfaction and organizational commitment. However, there was no support for a direct relationship between the feedback factors and job satisfaction or organizational commitment. Instead the relationships between feedback and work attitudes were mediated by role ambiguity. Conclusions of the study were: positive feedback that clarifies the work role has favorable outcomes that may contribute to good service quality. Therefore, organizational structures and routines that enhance the prevalence of positive feedback should be supported (e.g. professional supervision, evaluation procedures). Negative feedback has unfavorable outcomes only when it induces uncertainty about the work role. Therefore, when delivering negative feedback, it should be accompanied with role clarifying information.

Población penal en frontera: la expresión de una realidad social en desintegración

Este trabajo tiene como objetivo presentar el perfil de los internos en el Cereso de Mexicali según lugar de nacimiento en relación con los delitos que motivaron su reclusión y con el consumo de drogas. Los datos utilizados provienen de las entrevistas realizadas a 928 reclusos (35.9% de la población total del penal). Los resultados parecen indicar cierta especialización: los inmigrantes en delitos del fuero federal (asociados al narcotráfico y al tráfico de personas) y los nativos en aquellos del fuero común. También se observa un incremento en el consumo de drogas dentro del penal y un mayor consumo por parte de los nacidos en Baja California.

Psychiatric Mental Health Professionar Perception of Recovery State from the Psychiatric Disability

Purpose: This study was performed to explore psychiatric mental health professionar perception of recovery state from psychiatric disability.Methods: Data were collected from 50 psychiatric mental health professionals who worked in 21 diverse clinical settings; 18 Community mental health centers, 2 Public mental health offices, 1 Social rehabilitation center in Korea. Data were analyzed using content analysis method. Results: The attributes of recovery state from psychiatric disability were categorized into 12 hierarchies in order of 'maintain job functioning'(12.63%). 'symptom alleviation'(12.11%), 'treatment compliance'(10.52%), 'insight formation'(10.52%), 'maintain ADL’ (10.00%). 'maintain satisfied interpersonal relationship'(9.47%), 'independent role performance r(8.95%). 'improvement in social functioning' (8.42%), 'regain ego function'(6.32%). 'symptom management ability'(6.32%), 'maintain family relationship and family life’(3.68), 'returning to functioning state before ill’(2.63).Conclusion: we can assume the psychiatric mental health professional’ recovery views and criteria from the psychiatric disability and can compare and figure out similarities and differences between professional’s and patient's view points. It may help for professionals and patients to set agreeable ideas of recovery concept, clear treatment goals and expectations along the recovery process. Finally. we suggested further repeated study developing a recovery state assessment tool for psychiatrically mentally ill patients in community settings. The recovery perceptions of the patients and the family suggest is also needed to be explored.

The assessment of posttraumatic stress disorder: with the Clinician Administered PTSD Scale: Dutch results.

The Clinician Administered PTSD Scale was employed with 76 traumatized Dutch subjects from different treatment centers and one social rehabilitation center. Subjects were traumatized either in childhood, in adolescence, or in early adulthood. The CAPS showed an overall agreement with clinical diagnosis of 79%, with a kappa coefficient of .58. Interrater agreement on the CAPS subscales of intensity (intrusion, avoidance, and hyperarousal) varied from .93 to .98. The internal consistency for all core symptoms of DSM-III-R at the CAPS intensity level for current PTSD was .89, and for lifetime PTSD .86. Concurrent validity was established by correlating the CAPS with the Mississippi Scale, the MMPI, and the Impact of Event Scale. All correlations were significant beyond .001. Finally, the CAPS items, both core symptoms and associative features, are discussed in detail at item level.

Hydrotherapy for Varicose Veins: A Randomized, Controlled Trial

Objective: To assess the effectiveness of regular hydrotherapy in primary varicose veins. Design: Randomized, single blind, prospective, controlled trial. Setting: Social security system related rehabilitation center for employees (nationwide assignment of inpatients). Patients: 122 patients with primary varicose veins. Interventions: Group A (n=60) received daily treatments during 24 days that consisted of external application of alternating cold and warm water to both lower extremities. Group B (n=62) served as controls and was not treated with hydrotherapy. Both groups were comparable in terms of concomitant diseases and treatments. Main outcome measures: Foot volume, ankle circumference and venous re-fill time, using light reflex rheo-graphy, served as objective variables, while a number of typical symptoms were recorded as subjective parameters. Results: A more pronounced improvement in all objective signs in group A compared to B was observed. Four out of seven subjective symptoms improved more frequently in group A than in B. Conclusions: Hydrotherapy is effective in treating primary varicose veins. It can be considered as an adjunct measure to compression therapy and other conservative treatments.

A low-cost social rehabilitation center for chronic patients.

A low-cost social rehabilitation center for chronic patients.

Characteristics of clients and continuity of care into the community.

Two-thirds of the patients referred from psychiatric hospitals to a posthospital social rehabilitation center did not follow through on the referral. Patients who participated in the rehabilitation service were more dependent in several areas of functioning than were those who did not participate. Implications of these findings are discussed in terms of the continuity of care into the community.