Saúde mental: o modelo clínico-comunitário numa unidade socio-ocupacional

Trabalho de projeto apresentado à Escola Superior de Educação de Paula Frassinetti, para obtenção do grau de mestre em Intervenção Comunitária

Uma caracterização dos imigrantes no distrito de Évora

Uma vez que existe uma grande necessidade de se obter um maior conhecimento das comunidades imigrantes residentes no Distrito, este trabalho tem como principal objectivo caracterizar a população de imigrantes comunitários residentes no distrito de Évora. Em particular, procuramos analisar os casamentos realizados não só entre os não nacionais e portugueses, bem como entre os nãos nacionais entre si. Consideramos os 354 imigrantes que constituem os imigrantes comunitários inscritos legalmente nos Serviços Estrangeiros e Fronteiras de Évora entre 2006 a 2009. Por outro lado, analisamos, para o mesmo período, os casamentos dos imigrantes que casaram com os portugueses num total de 165 indivíduos. Começamos por levar a efeito uma investigação básica de tipo descritivo para uma caracterização dos imigrantes relativamente a diferentes variáveis e investigamos algumas associações entre elas via tabelas de contingência. Refira-se que a maioria dos imigrantes é do sexo feminino, sendo a nacionalidade mais representativa a brasileira. Com base no modelo de regressão de Cox identificamos factores de risco e diferentes perfis associados à rotura do casamento. Mostramos que há evidência estatística para considerar que um menor nível de escolaridade, o pertencer a um país da União Europeia e o ter entrado à procura de trabalho são níveis de factores que aumentam o risco de rotura do casamento. Analisam-se, ainda, de uma forma crítica, a abordagem paramétrica, procurando modelar os dados através dos modelos Exponencial, Weibull, Lognormal e Log-logístico. ABSTRACT: There is a need to obtain a greater understanding of immigrant communities in the district; this work has as main objective to characterize the population of immigrant community residing in the district of Évora. ln particular, we analyze not only marriages between Portuguese and non-nationals, as well as among non-nationals among themselves. We consider the 354 immigrants who are legally registered immigrants in the Community Service of Foreigners and Frontiers of Évora, from 2006 to 2009. Moreover, we analyze, for the same period, the marriages of immigrants who intermarried with the Portuguese for a total of 165 individuals. We start by carrying out a basic descriptive research in order to characterize the immigrants in relation to several variables and investigated some associations between them by contingency tables. It should be noted that most immigrants are women, and the more representative the Brazilian nationality. Based on the Cox regression model, were possible to identify risk factors and identify profiles of high and low risk associated with the rupture of the marriage. We show that there is statistical evidence to conclude that a less educated levels, belonging to a country inside the European Union and have gone looking for work are factors that increase the risk of rupture of the marriage. The parametric approach is analyzed also, in a critical way, seeking to model the data using exponential, Weibull, Lognormal and Log-logistic.

A psicologia aplicada no treino de crianças em risco

This paper presents the answers of Psychology to three urgent tasks related to children at risk, namely, a theoretical comprehension on the origins of disorders, diagnosis procedures and treatment procedures for children with disorders. To attain these goals, the paper explains the concept of deviated development and the contributions of Applied Behavior Analysis (ABA) for diagnosis and training of children at risk, as well as the work made by the author with slum children; some cases are shown. It is concluded that ABA techniques can be applied in the rehabilitation, training and special education of children with intellectual, sensorial or motor disabilities; these techniques are efficient and can be applied successfully by non professional persons. Finally, the paper proposes a model to teach Psychology in the special conditions of developing countries, uniting teaching, research and community service.

The First Steps Program : a case study of a new model of community child health service

Community Child Health Nursing Services provide support for new mothers; however, the focus has often been on individual consultations, complemented by a series of group sessions soon after birth. We describe a new model of community care for first-time mothers that centres on group sessions throughout the whole contact period. The model was developed by practicing child health nurses for a large health service district in south-east Queensland, which offers a comprehensive community child health service. Issues identified by clinicians working within existing services, feedback from clients and the need for more resource-efficient methods of service provision underpinned the development of the model. The pilot program was implemented in two community child health centres in Brisbane. An early individual consultation to engage the family with the service was added in response to feedback from clinicians and clients. The modified model has since been implemented service-wide as the ‘First Steps Program’. The introduction of this model has ensured that the service has been able to retain a comprehensive service for first-time parents from a universal population, while responding to the challenges of population growth and the increasing number of complex clients placing demands on resources.

Problems with a great idea : referral by prehospital emergency services to a community-based falls-prevention service

Background and aim Falls are the leading cause of injury in older adults. Identifying people at risk before they experience a serious fall requiring hospitalisation allows an opportunity to intervene earlier and potentially reduce further falls and subsequent healthcare costs. The purpose of this project was to develop a referral pathway to a community falls-prevention team for older people who had experienced a fall attended by a paramedic service and who were not transported to hospital. It was also hypothesised that providing intervention to this group of clients would reduce future falls-related ambulance call-outs, emergency department presentations and hospital admissions. Methods An education package, referral pathway and follow-up procedures were developed. Both services had regular meetings, and work shadowing with the paramedics was also trialled to encourage more referrals. A range of demographic and other outcome measures were collected to compare people referred through the paramedic pathway and through traditional pathways. Results Internal data from the Queensland Ambulance Service indicated that there were approximately six falls per week by community-dwelling older persons in the eligible service catchment area (south west Brisbane metropolitan area) who were attended to by Queensland Ambulance Service paramedics, but not transported to hospital during the 2-year study period (2008–2009). Of the potential 638 eligible patients, only 17 (2.6%) were referred for a falls assessment. Conclusion Although this pilot programme had support from all levels of management as well as from the service providers, it did not translate into actual referrals. Several explanations are provided for these preliminary findings.

Beyond broadcasting: customer service, community and information experience in the Twittersphere

What opportunities does a channel like Twitter offer to libraries, beyond the realm of marketing? We would like to highlight three roles for Twitter in the academic library environment: Twitter as a service delivery and service recovery channel; Twitter as a community builder; Twitter as a site for information experience.

The feasibility of a community pharmacy delivered in-pharmacy influenza vaccination service

Pharmacist-administered vaccination is a reality in many counties including USA, Canada, UK, Portugal, Ireland and New Zealand. In Australia the role of pharmacist administered vaccination has long been supported by the profession particularly the Pharmaceutical Society of Australia and Pharmacy Guild of Australia, however legislation prohibits this practice in each state and territory. In 2013 the only available in-pharmacy vaccination services are those delivered by an immunization nurse, nurse practitioner or general practitioner.

Exploring university-community partnerships in arts-based service learning with Australian First Peoples and Arts Organizations

In this chapter we focus on the importance of partnerships in arts-based service learning with Australian First Peoples and community arts organizations. Drawing on six years of our own partnership and a wide body of literature, this chapter aims to act as a trigger for further reflection on ways to engage in meaningful partnerships with First Peoples and arts organizations. In particular, the continuum between transactional and transformational types of relationships provides a useful means for understanding our work and for positioning the various benefits and challenges associated with university-community partnerships more broadly.

How to develop an online community for pre-service and early career teachers

This paper contributes a number of design principles for developing large-scale online communities of pre-service and early career teachers (PS&ECTs). It presents the paradigms of connected learning, networked learning and communities of practice and contrasts them. It describes the potential for online communities to meet the needs of PS&ECTs and it identifies gaps that exist within certain types of existing online communities that currently support PS&ECTs. The paper proposes design principles for a new type of online community for PS&ECTs. These principles are drawn from the literature and from the preliminary outcomes of a pilot study.

Establishing a regional, multisite database for quality improvement and service planning in community-based palliative care and hospice.

BACKGROUND: Outpatient palliative care, an evolving delivery model, seeks to improve continuity of care across settings and to increase access to services in hospice and palliative medicine (HPM). It can provide a critical bridge between inpatient palliative care and hospice, filling the gap in community-based supportive care for patients with advanced life-limiting illness. Low capacities for data collection and quantitative research in HPM have impeded assessment of the impact of outpatient palliative care. APPROACH: In North Carolina, a regional database for community-based palliative care has been created through a unique partnership between a HPM organization and academic medical center. This database flexibly uses information technology to collect patient data, entered at the point of care (e.g., home, inpatient hospice, assisted living facility, nursing home). HPM physicians and nurse practitioners collect data; data are transferred to an academic site that assists with analyses and data management. Reports to community-based sites, based on data they provide, create a better understanding of local care quality. CURRENT STATUS: The data system was developed and implemented over a 2-year period, starting with one community-based HPM site and expanding to four. Data collection methods were collaboratively created and refined. The database continues to grow. Analyses presented herein examine data from one site and encompass 2572 visits from 970 new patients, characterizing the population, symptom profiles, and change in symptoms after intervention. CONCLUSION: A collaborative regional approach to HPM data can support evaluation and improvement of palliative care quality at the local, aggregated, and statewide levels.