957 resultados para Funcionamento familiar - Family functioning
Resumo:
Family cohesion and adaptability, as operationalised in the Family Adaptability and Cohesion Scales III (FACES III), are two hypothesised dimensions of family functioning. We tested the properties of a French version of FACES III in school-children (mean age: 13 years; S.D:0.85) recruited from the general population and their parents. Separate confirmatory factor analyses were performed for adolescents and adults. The results of both analyses were compatible with a two-factor structure similar to that proposed by the authors of the original instrument. However, orthogonality between the two factors was only supported in the adult data. Internal reliability estimates were 0.78 and 0.68 in adolescents and 0.82 and 0.65 in adults, for cohesion and adaptability respectively.
Resumo:
The aims of this study were 1) to clarify the factors associated with family functioning in cancer patients families with dependant children, 2) to examine children mental health when they are exposed to parental cancer, 3) to explore the subjective experience of having cancer during pregnancy, and finally, 4) to describe the implementation of a childcentred family intervention for cancer patients families with dependant children in an adult oncology setting. The study groups were collected between May 1st 2002 and April 30th 2004. They consisted of one European group collected from six different countries (N = 381) and two Finnish clinical groups (N = 85 and N = 2). The first Finnish clinical group of 85 cancer patient families with dependant children included a sub-sample of 54 families with children aged 11-17 years. The second Finnish clinical group consisted of two pregnant cancer patients. Additionally, a control group (N = 59) consisting of a sub-sample of 49 families with children aged 11-17 years was used. Quantitative methods (FAD, BDI, YSR, SOC, SF-8) and qualitative methods (observation, interviews, diaries, videotapes) were used exclusively and/or in combination. The results can be summarised as follows: 1) cancer per se did not impair family functioning, childrens mental health, early interaction between ill mothers and their infant, 2) maternal depression or the ill parents depression were significantly associated with impairment in family functioning, 3) the individuals good sense of coherence was associated with improvement in family functioning, and 4) a child-centred family intervention, which aims to give space for elaborating on cancer in the family, validates the sense of coherence and childrens feelings, and promotes open communication was welcomed. It is important to note that in the European study group, the prevalence of depression was 35 % (BDI > 16) among ill mothers, and 28% among healthy mothers, 28% among ill fathers, and 13% among healthy fathers. Early screening and effective treatment of depression in cancer patients and their partners is of paramount importance for the mental health of children and the well-being of the family. Pregnant cancer patients are in need of psychosocial support.
Resumo:
The aim of the present dissertation was to capture a picture of child and adolescent mental health in Romania, in the context of almost 25 years of changes following the Romanian Revolution of December 89. A three-part study was carried out in order to provide consistent answers to the pre-defined objectives: to appraise the development of child and adolescent mental health services in Romania (Part I), to explore the characteristics of clinically-referred patients in a Romanian child and adolescent psychiatry department (Part II), to examine the childrens mental health state and its connections with family functioning and associated risk factors (Part III). A multi-method research approach was used, comprising one qualitative analysis and two quantitative research studies. Part I consisted of a comparative qualitative analysis of the answers given by 10 mental health professionals at a 12-questions open ended interview about the current situation in child and adolescent mental health in Romania, on three topics: changes, challenges, solutions. Part II involved a descriptive quantitative analysis of certain variables (e.g. age, gender, primary diagnosis, co-morbidities, time of hospitalization) conducted on the patients who had been admitted to the Child and Adolescent Psychiatry Department at Prof. Dr. Alexandru Obregia Psychiatry Hospital, Bucharest in 1991 and in 2013. Part III was conducted on 342 subjects enrolled in two clinical groups and one school group, this study being performed through a cross-sectional analysis on multi-informant child and adolescent mental health problems and competencies (CBCL, YSR, SDQ P, SDQ SR) and their interrelation with household information (HQ) and family functioning (FAD). Outlining the results it can be stated that: 1) The CAMH System in Romania is definitely set on the path of reorganization, including a higher involvement of beneficiaries and of the community. 2) The characteristics of the admitted patients have changed significantly during the last almost 25 years since `89 December Revolution, under the influence of word wide trends in child psychiatry and of administrative aspects of the mental health network in Romania. 3) The rates of main diagnoses and co-morbidities confirm the reports in literature, with Autism Spectrum Disorder being the most frequent childhood psychiatric disorders in this study. 4) The childrens mental health problems in the psychiatry group are comparable to those reported for other clinical populations. 5) Significant score differences were observed according to various household features and also meaningful associations between a childs clinical status and different aspects of family functioning. The Romanian Child and Adolescent Psychiatry has started to adopt the norms and standards of the European Union. In the 25 years that have elapsed after the 1989 Revolution, many changes have occurred in Romanian CAMH, but many unresolved issues have also risen. Therefore, the major contribution of this thesis is that it provides a coherent and updated overview of the present-day situation from three different perspectives- those of mental healthcare professionals, the one observed in clinical patients and the one reported by childrens families.
Resumo:
The parents of premature infants, especially the mothers, are at increased risk for distress. Infants born prematurely are at risk for developmental problems. The aim of this study was to investigate whether the psychological well-being of both parents is associated with child development in very low birth weight (VLBW, 1500g) children. The burden of prematurity-related morbidity to the children and to the family was also assessed. A cohort of 201 VLBW infants born during 20012006 in the Turku University Hospital, Finland, and their parents were studied (IIV). One study included a control group (n=166) of full-term infants (IV). The psychological well-being of the parents was evaluated by assessments of depressive symptoms, parenting stress, the sense of coherence and general family functioning. Cognitive, behavioral, and socio-emotional development, and the health-related quality of life (HRQoL) of the children were determined when the children were 2 to 8 years old. The psychological well-being of the parents was associated with the cognitive, behavioral and social development of the VLBW children. The VLBW infants with prematurity-related morbidities had a poorer HRQoL and the general functioning of the family was inferior compared to the control children and their families. 64.5% of the VLBW children survived without morbidities. Most of the VLBW children did not have significant behavior problems (93%), had normal social skills (63%), had no emotional problems (64%), and had no problems in executive functioning (62%). Only 3% of the surviving VLBW infants had significant cognitive delay. In conclusion, the depressive symptoms and stress of the parents can be risk factors for disadvantageous child development, while a strong sense of coherence can be protective. Parents of the premature children with developmental delays might also experience more depressive symptoms and stress than other parents. Prematurity-related morbidities were a burden to the VLBW child as well as to the family.
Resumo:
Changes within the family unit have resulted in changes in interactions between grandparents and older grandchildren. Existing research indicates that these relationships can result in positive outcomes. A relevant task for researchers is to continue to explore th~se intergenerational relationships. This qualitative phenomenological study explores the question: What functional patterns exist when grandparents interact with older grandchildren? Six grandparent-older grandchild pairs agreed to be involved. Kennedy's (1992) formulation of grandparent-older grandchild activity clusters was reviewed and revised. Activities were clustered related to socialization, companionship, support, entertainment, and education. Findings unique to this study indicate that shared activities were mutually chosen with consideration of activity tolerance, and were consistently evaluated as enjoyable. Partners were chosen because of a comfortable relationship established through frequent past and present interactions, and not because of family lineage preferences. Both grandparents and older grandchildren stated a desire to have a generation peer share activities with them. Exploration of dimension concepts for the "McMaster Model of Family Functioning" indicated that these relationships have potential to contribute to healthy family functioning. The implications for practice, theory development and further research are suggested.
Resumo:
Les parents denfants aux prises avec un trouble dficitaire de lattention avec ou sans hyperactivit (TDA/H) sont risque de dpression. Ces parents rapportent aussi des relations familiales plus problmatiques, des expriences plus stressantes, un sentiment dauto-efficacit plus faible lgard de leur rle parental et des pratiques parentales plus coercitives ou inadquates en comparaison aux parents denfants sans ce diagnostic. Plusieurs recherches ont relev que les parents denfants ayant un TDA/H qui ont particip un programme dentranement aux habilets parentales (PEHP) rapportent une amlioration gnrale des difficults numres prcdemment. Le changement dattitude et de pratiques parentales est souvent reli une diminution des symptmes du TDA/H chez les enfants. Lintervention peut donc contribuer amliorer la condition du parent et par le fait mme celle de son enfant. Toutefois, le TDA/H est un trouble chronique qui peut affecter certaines caractristiques personnelles du parent pouvant interfrer avec la capacit de ce dernier bnficier dune intervention. Peu dtudes sattardent aux caractristiques du parent pouvant affecter lefficacit de lintervention. Le but de la prsente tude est dtudier le lien bidirectionnel entre certaines caractristiques personnelles (dpression, stress, sentiment dauto-efficacit) et les pratiques parentales dans un contexte dintervention qui sadresse aux parents denfants ayant un TDA/H. Les rsultats dmontrent que le sentiment dauto-efficacit initial du parent est prdicteur dune discipline inconstante, et ce, indpendamment de la condition exprimentale. De plus, les pratiques positives initiales sont prdicteurs dun sentiment dauto-efficacit lev au post-test et ce, indpendamment de la condition exprimentale.
Resumo:
Les crits rapportent quentre 10% et 40% des personnes atteintes de troubles mentaux ont prsent des comportements agressifs depuis ltablissement du diagnostic, et quentre 50% et 65% de ces comportements sont perptrs envers les membres de la famille (Estroff et al., 1998). Or, les aidants naturels se sentent frquemment dmunis devant le comportement impulsif et agressif de leur proche atteint dun trouble de sant mentale (Bonin & Lavoie-Tremblay, 2010) et la majorit des proches aidants ne reoivent pas de soutien professionnel (Doornbos, 2001). cet effet, une quipe de chercheurs et dorganismes communautaires ont mis sur pied un projet de formation adapte par et pour les familles relativement la gestion des comportements agressifs de leur proche atteint dun trouble de sant mentale sappuyant sur lapproche OMEGA communautaire (Bonin et al., 2011). La prsente recherche est inspire du modle de Fresan et ses collaborateurs (2007), qui inclut les familles et leur proche atteint dans la prvention de la rechute et le rtablissement de ce dernier. Cette tude avait donc pour but de dcrire et analyser, par un devis mixte, les perceptions de lagressivit, du fonctionnement familial ainsi que de lobservance au traitement mdical de personnes atteintes de troubles mentaux, suite une formation de gestion des comportements agressifs adapte par et pour des membres de familles, et suivie par leur proche aidant. Des questionnaires auto-administrs ont t remis et complts par 25 personnes atteintes et comprenaient trois instruments qui taient : 1. un questionnaire sociodmographique; 2. le Basis-24 (Eisen, 2007) permettant dvaluer la condition mentale de la personne atteinte; 3. lchelle de perception de lagressivit permettant de mesurer la frquence et le niveau des comportements agressifs (De Benedictis et al., 2011); et 4. l'chelle du fonctionnement familial permettant de mesurer le fonctionnement familial (Epstein, Baldwin, & Bishop, 1983). Des questions supplmentaires au questionnaire portaient sur lobservance au traitement mdical et sur les changements observs. Des analyses descriptives et corrlationnelles bivaries ont t ralises pour analyser les donnes quantitatives. Par la suite, des entrevues individuelles ont t ralises auprs de huit personnes atteintes de troubles mentaux dont le membre de famille avait suivi la formation de gestion des comportements agressifs. La mthode danalyse classique de Miles et Huberman (2003) a t utilise pour raliser lanalyse des donnes. Lanalyse des donnes a permis de dgager les perceptions des personnes atteintes de troubles mentaux au regard de la formation de gestion des comportements agressifs que leur membre de famille avait suivi. Ainsi, le programme de formation OMGA adapte par et pour les familles permettrait dune part de diminuer lagressivit et, dautre part, damliorer le climat familial. De plus, selon les personnes atteintes, leur membre de famille tait plus lcoute et faisait moins preuve dintrusion, ce qui diminuaient les conflits et favorisaient une meilleure dynamique familiale. Cette tude a mis en vidence quil est ncessaire dimpliquer les familles dans les programmes de prvention de la rechute de la maladie mentale dans les soins de premire ligne. Cette tude contribue ainsi lamlioration des connaissances sur la dynamique famille-patient et sur le rtablissement des personnes atteintes de troubles mentaux. Aussi, cette recherche propose des recommandations pour la recherche, la pratique, la formation et la gestion en sciences infirmires.
Resumo:
Essai doctoral prsent la Facult des arts et des sciences en vue de lobtention du grade de doctorat en psychologie, option clinique
Resumo:
Au Qubec, le trouble du dficit de lattention/hyperactivit (TDA/H) est celui qui requiert le plus grand nombre de consultations en pdopsychiatrie (50 % 75 %). ce jour, lintervention multimodale (traitement pharmacologique, programme dentranement aux habilets parentales (PEHP) et programme dintervention cognitive comportementale (PICC) auprs des enfants ayant un TDA/H) a obtenu de bons rsultats long terme. Dans cette tude, nous avons valu les changements dans le fonctionnement familial suite un PEHP. La conception de ce PEHP repose sur les deux approches : lapproche systmique familiale de Calgary (Wright & Leahey, 2013) et lapproche de solution collaborative et proactive (Greene, 2014). Le Family Assessment Device (FAD; Epstein, Baldwin, et Bishop, 1983), version courte, a t utilis pour mesurer le fonctionnement gnral (FG) de la famille. La collecte de donnes a t ralise auprs de deux groupes (groupe participant et groupe tmoin) et deux temps de mesure (avant et aprs le PEHP). Lchantillon contient 28 familles participantes et 18 familles tmoins. Lanalyse de variance mesures rptes (ANOVA) a t utilise pour tester leffet des variables indpendantes (Temps et Intervention) sur la variable dpendante (FG). Les rsultats indiquent que les parents qui participent un PEHP peroivent un fonctionnement familial gnral amlior par rapport au groupe tmoin. Linterprtation des changements la suite du PEHP donne des pistes dintervention infirmires ces familles afin dviter les impacts de ce trouble sur le fonctionnement familial long terme.
Resumo:
Trata-se de um estudo descritivo do tipo exploratrio que utilizou uma abordagem combinada quantitativa e qualitativa para caracterizar as famlias de crianas em situao de violncia intrafamiliar, atendidas pela Equipe de Proteo s Crianas Vtimas de Maus-tratos e Violncia Sexual, no Hospital de Clnicas de Porto Alegre (HCPA), no ano de 1999. A coleta de dados foi realizada por um roteiro estruturado elaborado pela pesquisadora, constitudo de quatro dimenses pr-estabelecidos scioeconmica, estrutura e funcionamento familiar, situao atual do abuso do contexto familiar e histria pregressa da famlia preenchido atravs dos pronturios e protocolos das crianas atendidas no HCPA. Os dados quantificveis foram analisados com auxlio da estatstica descritiva, e os qualitativos pelo mtodo de anlise de contedo, segundo Bardin (2000). Assim formaram sete categorias: organizao familiar, relacionamento familiar, percepo dos adultos sobre a criana vtima de violncia, justificativas de utilizao da violncia, aes maternas frente violncia, motivos da procura do servio de sade e a trajetria da famlia na instituio hospitalar. A maioria das famlias pesquisadas possuam precria insero scioeconmica com baixo nvel de escolaridade, desempregadas, inseridas no mercado formal e/ou informal. Eram predominantes da regio central de Porto Alegre, demonstrando uma diversidade de arranjos e fragilidade nas relaes familiares, com confuso de papis e disputa de autoridade. Algumas famlias registraram ausncia da figura paterna Caractersticas importantes constatadas entre os adultos: progenitores adolescentes, jovens, vivendo responsabilidade de adulto, o elevado padro do uso abusivo de drogas, presena de aleitamento materno e gravidez no desejada. Houve um predomnio de negligncia em relao a outras formas de violncia praticadas, sendo que o ato violento foi cometido de forma intencional, mas o agressor no apresentava justificativa para o fato. A me configurou-se como a maior agressora e, simultaneamente, a principal cuidadora da criana. Nesse estudo, a criana mais atingida foi a do sexo masculino, raa branca, evidenciando leso e apresentando longo perodo de convivncia com o agressor que sempre era algum muito prximo a ela. As famlias envolvidas procuraram atendimento de forma espontnea, mas a queixa de violncia estava implcita. A pesquisa permitiu contextualizar a violncia como social e histrica, presente em larga escala na sociedade brasileira uma sociedade desigual na qual se pratica violncia dentro da famlia contra a criana, legitimando uma forma de poder estruturante nas relaes sociais e na interao com fatores individuais econmicos e culturais. Assim, verificou-se a fundamental importncia da atuao do enfermeiro no enfrentamento da problemtica questo da violncia intrafamiliar contra a criana.
Resumo:
Objetivos: A evaso escolar um importante problema social, educacional e de sade nos pases em desenvolvimento. Este estudo tem como objetivos: a) realizar uma reviso sistemtica da literatura mundial sobre evaso escolar, focalizando em fatores de risco e possveis intervenes; b) avaliar a efetividade de uma interveno abrangente planejada para reduzir a evaso de escolas pblicas em uma cidade no Brasil; c) descrever as barreiras encontradas na implementao dessa interveno; e d) comparar os estudantes em risco para evaso escolar que responderam a essa interveno com os que abandonaram a escola. Mtodos: 1) Para a reviso, foram acessadas as bases de dados computadorizadas mais importantes para a psiquiatria, psicologia e pesquisa comunitria. Os estudos relevantes publicados em revistas cientficas so descritos; 2) duas escolas pblicas com taxas similares de evaso nas sries fundamentais foram selecionadas. Em uma delas, um programa de intervenes universais de preveno em diferentes nveis foi implementado durante um ano letivo. Para os alunos que permaneceram ausentes durante dez dias consecutivos sem justificativa, foram oferecidos avaliao de sade mental e encaminhamento para servios de sade mental disponveis na comunidade. Na segunda escola, no foi implementado nenhum tipo de interveno As variveis de desfecho eram as taxas de evaso escolar e de abstenes no ltimo trimestre; e 3) as barreiras implementao da interveno so descritas. Os estudantes que responderam interveno retornando para a escola e aqueles que evadiram so comparados quanto a variveis demogrficas, QI, transtornos mentais, psicopatologia materna e funcionamento familiar. Resultados: Na reviso sistemtica da literatura, 37 estudos realizados em cinco pases so descritos. Aps a interveno, houve diferenas significativas entre as duas escolas nas taxas de evaso escolar (p < 0,001) e de absteno no ltimo trimestre (p < 0,05). De 40 alunos em risco para evaso, 18 (45%) retornaram para a escola aps a interveno. O principal problema na implementao da interveno foi o pequeno comprometimento da equipe escolar. Na regresso logstica multivariada, apenas uma tendncia para diferena entre os grupos nos escores de hierarquia familiar do FAST foi detectada (p = 0,06). ). Concluses: Nossos achados sugerem a eficcia de uma interveno abrangente, que combina aspectos de preveno primria com outros focados em estudantes em risco para evaso escolar, em pases em desenvolvimento. necessria a preparao intensiva da equipe escolar antes da implementao da interveno. Intervenes abordando aspectos do funcionamento familiar devem ser includas no programa. So necessrios mais estudos envolvendo a populao dos pases em desenvolvimento.
Resumo:
Este estudo teve como objetivo descrever a trajetria de empresas pioneiras na prestao de servios em psicologia organizacional e do trabalho no Rio Grande do Sul, investigando as relaes entre as prticas de consultoria e as configuraes polticas, histricas e socioeconmicas do contexto de trabalho das ltimas dcadas. A pesquisa foi desenvolvida dentro da abordagem qualitativa, fundamentada pelas orientaes do estudo de caso. A primeira etapa da pesquisa consistiu na realizao de um levantamento sobre os registros de pessoa jurdica do Conselho Regional de Psicologia do Rio Grande do Sul (CRPRS), investigando dados referentes s atividades desenvolvidas pelas empresas e ao tempo de atuao no mercado Foram escolhidas para estudo de caso duas empresas, pioneiras na prestao de servios em psicologia organizacional e do trabalho, criadas na dcada de 1970 e que ainda se dedicam ao mesmo campo de atividades. Foram realizadas entrevistas semi-estruturadas com os proprietrios das duas empresas e com os demais funcionrios que trabalham com atividades vinculadas psicologia. Procedeu-se ainda o exame de documentos das empresas, como material publicitrio impresso, manuais de treinamento e sites na internet. Constatou-se que a prestao de servios em psicologia clnica o ramo de atividades escolhido pela maioria dos proprietrios das empresas em psicologia com registro no CRPRS. Entre as empresas pioneiras, registradas na dcada de 1970, apenas duas se dedicam prestao de servios em psicologia organizacional e do trabalho e continuam atualmente em atividade na mesma rea. As empresas estudadas surgem no mesmo perodo, na mesma cidade, com proprietrios com a mesma formao acadmica e assumem trajetrias distintas. No existe um processo linear de construo das prticas dos profissionais dessas empresas, embora possam ser identificadas algumas regularidades nas suas trajetrias. As prticas de recrutamento e seleo predominavam entre os servios disponibilizados na dcada de 1970, amplamente favorecidas pelo contexto poltico e socioeconmico do perodo do milagre brasileiro. Nos ltimos anos, as transformaes no contexto produtivo promoveram o fortalecimento das prticas de consultoria, que assumem, para os participantes do estudo, concepes bastante diversificadas. Ambas as empresas apresentam funcionamento familiar, mas permanecem profundamente vinculadas imagem e ao trabalho dos fundadores, psiclogos do sexo masculino. A questo de gnero aparece como um fator importante para a longevidade das empresas no mercado. A adaptao ao mercado, atravs da diversificao de atividades e da reproduo dos processos de enxugamento e terceirizao de servios tambm figuram como estratgias importantes para a sobrevivncia das organizaes.
Resumo:
OBJETIVO: Este estudo qualitativo teve por objetivo descrever como um sistema familiar reage perante a situao de dependncia em um membro idoso, quais recursos utiliza para manter sua estabilidade e a assistncia de enfermagem disponibilizada neste contexto. MTODOS: Utilizou-se como referencial terico a abordagem dos sistemas familiares e como mtodo a pesquisa-ao. Os dados foram colhidos de novembro de 2004 a janeiro de 2005, utilizando-se o genograma, o ecomapa e o levantamento de problemas. RESULTADOS: Principais demandas familiares: luto antecipado, sobrecarga do papel de cuidador, falta de conhecimento sobre a doena e desajustamento familiar perante a crise. Principais intervenes: incentivar a narrativa da enfermidade, oferecer sugestes e informaes, elogiar as foras familiares e assegurar pronto atendimento. CONCLUSES: Com o atendimento famlia sob o enfoque sistmico foi possvel propor as intervenes de ajuda para a melhoria da qualidade de vida familiar, de maneira que ela tambm vislumbrasse suas prprias solues para o enfrentamento das adversidades.
Resumo:
Marital conflicts have been largely investigated in research, especially because of its impact on child development. Based on a literature review, this article aims to present some reflections about marital conflicts and its possible associations with children's behavior, particularly through parental practices. Emphasis is made on a systemic view of causality between marital conflict and child behavior, which offers a better comprehension of the family functioning. This perspective also allows us to enlarge the analysis scope beyond linear correlations between both variables.
Resumo:
LInserimento Eterofamigliare Supportato di Adulti (IESA) sofferenti di disturbi psichici consiste nellaccogliere persone in cura presso i servizi psichiatrici territoriali, nel proprio domicilio, integrandole nelle proprie relazioni famigliari. Obiettivo migliorare la qualit di vita dellutente e favorirne lintegrazione nella comunit. Obiettivo. Valutare gli esiti dello IESA, con un disegno di ricerca longitudinale, considerando: psicopatologia, benessere psicologico, funzionamento sociale e familiare. Metodologia. 40 soggetti: 20 pazienti e 20 ospitanti. La valutazione clinica stata effettuata allinizio della convivenza e al follow-up di 1, 3, 6 e 12 mesi. Strumenti utilizzati: BPRS, VGF, PWB, SQ, FAD. Analisi statistica: Modello Lineare Generale (GLM) con lAnalisi della Varianza per prove ripetute e calcolo delleffect-size. Risultati. 15 pazienti maschi e 5 femmine, 17 italiani. 11 soddisfano i criteri diagnostici (DSM-IV-TR) per schizofrenia e disturbi psicotici, 5 per i disturbi dellumore e 4 per i disturbi di personalit. Dopo linserimento 3 sono stati i ricoveri e 4 le visite psichiatriche urgenti. 8 pazienti modificano/diminuiscono la terapia e 3 la sospendono. Aumenta il benessere psicologico (PWB); diminuiscono i sintomi psicopatologici (BPRS ed SQ) e migliora il funzionamento globale (VFG). Il gruppo dei famigliari composto da 11 uomini e 9 donne, 19 di nazionalit italiana; con et media di 55 anni. 8 sono coniugati, 6 celibi/nubili, 4 divorziati e 2 vedovi. 9 hanno figli, 11 lavorano e 8 sono pensionati. Nei famigliari aumenta il benessere psicologico (PWB), migliora il funzionamento famigliare (FAD) e la valutazione del funzionamento globale (VGF) rimane costante nel tempo. Discussioni e conclusioni. Il progetto IESA sembra migliorare la psicopatologia, con una diminuzione dei comportamenti maladattativi e un aumento delle capacit relazionali dellospite favorendone lintegrazione. Inoltre, lo IESA sembra diminuire i costi della cronicit psichiatrica: diminuzione degli accessi al Pronto Soccorso, delle visite psichiatriche urgenti e delle giornate di ricovero.
