RESUMO
The authors compared data on 2,860 residents gathered by means of questionnaire responses by residency directors with data on 288 residents found in an earlier similar survey to have emotional difficulties. They found that age, marital status, previous psychiatric treatment, substance abuse, and previous nonpsychiatric medical practice differentiated the "problem" residents from the total residency population surveyed. However, sex, ethnicity, foreigh medical graduation, and transfer from other residency programs did not differentiate the two groups.
Assuntos
Internato e Residência , Transtornos Mentais/epidemiologia , Psiquiatria , Adulto , Fatores Etários , Alcoolismo/epidemiologia , Feminino , Humanos , Masculino , Casamento , Transtornos Mentais/terapia , Grupos Minoritários , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Estados UnidosRESUMO
The schools can help to ease mental health problems in several ways--preventing them from occurring and minimizing their severity and chronicity, and in assisting with the management of students who have problems. However, the most important role of the school lies in providing the best possible education. A given purpose must be examined to see where it falls within educative, socializing, classifying, or therapeutic roles. Some tasks, such as drug education, have been poorly, carried out because they are called "education," although actually they involve socialization. The school must be an integrated institution providing the best environment for the development of its pupils. This aim means providing the best education, but it also requires roles be clearly defined and followed out with a minimum of convert conflict.
Assuntos
Serviços de Saúde Mental , Serviços de Saúde Escolar , Criança , Classificação , Educação , Educação em Saúde , Humanos , Transtornos Mentais/prevenção & controle , Serviços Preventivos de Saúde , Encaminhamento e Consulta , Serviços de Enfermagem Escolar , Socialização , Estudantes , EnsinoRESUMO
The authors used a questionnaire technique to determine the magnitude of the problem of emotional illness and poor performance during psychiatric residency, the procedures that are used to screen for or help disturbed residents, and characteristics that differentiate residents who are at risk. The data indicated that residents who have problems that lead to termination are rarely free of emotional disturbance. The general belief that women, foreign medical graduates, and minority group members are at higher risk for problems during residency was not supported; however, younger residents and transfers from other programs appeared to be at risk. A disturbing finding was the high rate of suicide reported. The authors stress the need for further work with the "marginal" resident and for research on screening and supportive procedures.
