ABSTRACT
The units for difficult patients are secure psychiatric wards that receive mentally ill people who could have committed or have committed dangerous acts. As part of the overall care of these patients, the treatment of their social problems by social workers plays an essential role. These interventions provide the psychosocial benefits necessary for the stabilisation and evolution of these subjects.
Subject(s)
Mental Disorders , Dangerous Behavior , Humans , Mental Disorders/psychology , Mental Disorders/therapy , Social SupportABSTRACT
The units for difficult patients are secure psychiatric wards that receive people suffering from mental illnesses with a risk of dangerous behaviour. Within the framework of the global care of these patients, the intervention of social service assistants plays an essential role. The objective is to induce the psychosocial benefits necessary for the stabilization and evolution of these patients.
Subject(s)
Mental Disorders , Humans , Mental Disorders/psychology , Dangerous Behavior , Social Support , Social Work , Psychiatric Department, HospitalABSTRACT
Social workers play a pivotal role in the care of domestic violence victims. Their support consists in facilitating access to housing, health services, justice and helping the victims obtain suitable assistance. Social services are present in hospitals and across the territories. One of the social worker's missions is to guarantee the protection of children.
Subject(s)
Domestic Violence , Nursing Care , Child , Humans , Social WorkersABSTRACT
Cet article analyse l´accueil dans les services de santé et sociaux au Brésil et en France. L'accueil s'appuie sur des collectes d'informations qui amènent les personnes à livrer une part d'intimité de leur vie personnelle, de leur quotidien et de leur territoire. Il est souvent attribué à des agents peu ou surqualifiés mais des statuts d'agents administratifs ou d'animation de base. Dans les deux pays mis en regard, les équipes des secteurs de la Santé et du Social sont cloisonnées professionnellement entre service technique et service social. Les salariés sont alors divisés en fonction de leurs compétences professionnelles et de leur expertise. Les travailleurs ont des responsabilités différentes et la division n'est pas seulement liée à l'activité de travail, elle revêt aussi un caractère social reproduisant le clivage entre les classes sociales et leur hiérarchie professionnelle, dans une activité de travail peu valorisée.(AU)
Este artigo analisa o acolhimento em serviços de saúde e social no Brasil e na França. O acolhimento se apoia em coletas de informações que leva as pessoas a revelarem aspectos íntimos sobre a vida da família, sobre seu cotidiano e sobre os territórios nos quais estão inseridas. Na França esse procedimento é frequentemente atribuído aos agentes do trabalho com menor qualificação profissional, mas com status de agentes administrativos ou formados em animação. Nos dois países analisados, as equipes do setor de saúde e do setor social estão "presas" entre dimensões técnicas e dimensões sociais. Os trabalhadores são divididos em função de suas competências profissionais e também de suas especialidades. Esses trabalhadores têm responsabilidades diferentes e a divisão não é somente ligada ao trabalho, mas é revestida também de um caráter social, reproduzindo a clivagem entre as classes sociais e suas hierarquias no cotidiano de trabalho, em uma atividade pouco valorizada.(AU)
This article analyzes the user embracement in health and social services in Brazil and France. User embracement is based on information gathering that brings people to share intimacy with family life, their daily lives and the territory in which they live. It is often awarded to low or overqualified agents but on the status of basic administrative or animation agents. In both countries, the teams teams from the health and social sectors are professionally separated between technical and social services. Employees are then divided according to their professional skills and expertise. The workers have different responsibilities and the division is not only related to the activity of work, it also has a social character reproducing the cleavage between the social classes and their hierarchies in everyday work, in an activity that is not very valued.(AU)
Subject(s)
Humans , Patient Care Team , Social Class , User Embracement , Health Services , Brazil , FranceABSTRACT
The release of the report of the Commission d'étude des hôpitaux psychiatriques (Bédard report) in 1962 was long considered a transformative moment in the history of Québec psychiatry. But recent historiography suggests that deinstitutionalization in Québec features initiatives dating back to the early 20th century. Following this line of argumentation, we suggest that the Bédard report was primarily a political tool to obtain funding in the wake of the 1961 Hospital Insurance Act, and that the report's recommendations built upon ongoing changes. This article proposes a new reading of the commission's report on Beauport's Hôpital Saint-Michel-Archange, and offers a new perspective on deinstitutionalization in Québec. Data gathered from medical records help illustrate the organizational changes that occurred between 1962 and 1972 through new public funding.
La parution du rapport de la Commission d'étude des hôpitaux psychiatriques (rapport Bédard) en 1962 fut longtemps considérée comme un point de rupture dans l'histoire de la psychiatrie québécoise. L'historiographie récente propose une nouvelle interprétation du phénomène de la désinstitutionnalisation au Québec en s'intéressant à des initiatives datant du début du 20e siècle. Dans cette perspective, nous proposons l'hypothèse que le rapport Bédard constitue un levier politique pour obtenir un financement après l'entrée en vigueur de la Loi de l'assurance-hospitalisation en 1961 et que ses recommandations s'appuient sur les changements en cours. Cet article offre une relecture du rapport de la commission en ce qui concerne l'Hôpital Saint-Michel-Archange de Beauport et jette un éclairage différent sur la désinstitutionnalisation au Québec. Pour illustrer les changements organisationnels qui se produisent entre 1962 et 1972, notamment grâce à un nouveau financement public, nous nous appuyons sur les informations contenues dans un dossier médical spécifique.
ABSTRACT
An individual's emotional and/or sex life all too often remains taboo in social and medical-social facilities. However, institutions must to a certain extent be its guarantor, as intimated by the user's intimacy. In this context, it is important to consider the cardinal principal of the person's consent, which is a prerequisite and necessary condition of emotional and/or sexual relations.
Subject(s)
Emotions , Sexual Behavior , Sexuality , Health Facility Environment , HumansABSTRACT
In Europe, the quality of coastal bathing waters improved considerably in the last decades, mainly due to the more demanding legislation and the adoption of water sanitation plans. In the Nerbioi estuary (North Spain), the Wastewater Treatment Plan implemented between 1990 and 2001 resulted on an abrupt decrease in microbial concentration; thus, complying with bathing waters legislation and allowing recreational activities again in the three beaches of the estuary. However, little is known about how improvements in bathing waters influences the provision of cultural ecosystem services and human well-being. A questionnaire was used to study beach users' behaviour and perceptions and compared with environmental time-series data (microbial concentration and water transparency). Most respondents perceived an improvement in bathing waters quality and linked it to the estuarine sanitation. Nerbioi beaches are important recreational areas, mainly for local visitors, and water quality improvement was found to be a critical factor for deciding to visit these beaches. Furthermore, most visitors answered that they would not return if water conditions deteriorate. Significant differences existed between beaches, with the most inner beach presenting worse environmental conditions than the other two beaches; and matching user's perceptions. Our findings highlight that water sanitation actions are important for the recovery of degraded coastal environments and for the maintenance of ecosystem services. Also, that multidisciplinary research is necessary to better comprehend the links between environmental recovery and the provision of ecosystem services.
