ABSTRACT
El presente artículo de investigación tuvo como objetivo sistematizar el proceso de autogestión de la Red de Agentes Comunitarios en Salud Mental en las instituciones educativas del municipio de San Lorenzo (Nariño), a través de un estudio cualitativo y desde el enfoque histórico-hermenéutico. Inicialmente, se recopiló la experiencia de autogestión durante una serie de encuentros y se describieron las estrategias emergentes de estas experiencias. Luego se valoraron, interpretaron y clarificaron los resultados generados desde la autogestión de la Red de Agentes Comunitarios en Salud Mental mediante encuentros participativos en las instituciones educativas del municipio, con una propuesta política, sostenible y sustentable.
This research paper aimed to systematize the self-management process by the community mental health networks in educational institutions from San Lorenzo (Nariño), conducted through a qualitative study based on the historical-hermeneutic approach. Several self-management experience meetings were held and emerging strategies of the self-management process were described. Later, the results, based on the community of mental health networks, were assessed, interpreted and clarified, suggesting a political, sustainable, and viable proposal.
ABSTRACT
This case report emphasizes the role of Assertive Community Treatment (ACT)in managing a family with four members suffering from mental illness, mainly schizophrenia. We report a case of middle-aged lady who was diagnosed with treatment resistant schizophrenia (TRS) living with two other family members with the same illness and their carer who developed major depression from shouldering the burden of caring for mentally ill family members. ACT, through its holistic approach, proved to have reduced hospitalizations and improve symptom control and quality of life in this family.
Subject(s)
SchizophreniaABSTRACT
Introduction: Mental disorder has been becoming a well-known disease which affects the function of both individuals and societies; however, the majority of mental illness patients from low or middle income countries have very little access to the treatment due to limited resources. Community mental health teams, on the other hand, provide more accessible and efficient care for patients with mental diseases. Objectives: To elaborate the service of the community mental health team in Institute of Mental Health by summarizing the personnel composition, working target, inclusion/exclusion/discharge criteria, and main services. To explore the current achievement by reviewing the data regarding number of referrals, number of active cases, and patients' performance (number of admission and length of inpatient stay) from 2008 to 2012. To discuss illness management and recovery model and motivational interview which are started to use in our service recently. Results: The composition of the community mental health team and the role of team members, the working target and criteria, the main service and recent development have been elaborated in the article. From 2008 to 2012, we had received 852 to 471 new referrals and managed up to 986 active cases each year, at the same time, number of admission had been reduced between 60% to 77% and length of inpatient stay had been decreased between 61% to 79% every year. Conclusion: The community mental health team is a multidisciplinary team which provides rehabilitation, psycho-education and support to the patients and their family, works towards motivating and training patients to be independent living and working in community.
ABSTRACT
Objective: This case report highlights the psychosocial complications of chronic mania in a mother and the role of CMHT in improving the condition’s outcome. Methods: We report a case of a Malay mother who had underlying chronic mania for 20 years. Results: She was aggressive and abusive towards her children causing tremendous trauma in them, had lost her child custody and almost lost her husband to another woman. Lithium with multiple psychosocial interventions delivered to the patient and her family had improved her mood symptoms significantly and improved the family’s quality of life. Conclusion: Chronic mania causes tremendously high illness burdens, and with extra care, the outcome of the condition can be improved.