Benedetto Saraceno | Universidade Nova de Lisboa (original) (raw)
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Papers by Benedetto Saraceno
Preface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia P... more Preface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia Patients in China: The Shanghai Model D. Chang, et al. 2. Enhancing Adherence: The Role of Group Psychotherapy in the Treatment of MDR-TB in Urban Peru A. Sweetland, et al. 3. Mental Health Promoter Training with Guatemalan Refugee Women in Mexico City and the Camps of Southern Mexico D.L. Billings, I. Saenz. 4. Mental Health Services in Primary Care: The Case of Nepal S. Acland. 5. 'Our Lives Were Covered in Darkness': The Work of the National Literacy Mission in Northern India A. Cohen. 6. The Risk of Freedom: Mental Health Services in Trieste A. Cohen, B. Saraceno. 7. Indigenous Models for Attenuation of Postpartum Depression: Case Studies from Fiji and Hong Kong A.E. Becker, D.T.S. Lee. About the Contributors. Index
... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que ... more ... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que existe entre ser o no atendido con calidad ... Pero frente a estudios que solo cuentan camas como su éxito o fracaso yo me permito apoyar a Matt Muijen, Asesor en Salud Mental ...
BMC Psychiatry
Background Research suggests that economic recessions might be associated with a higher use of ps... more Background Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes in the use of psychotropic drugs due to the economic recession in Portugal, by comparing self-reported consumption in 2008/09 and 2015/16. Methods Data from the World Mental Health Survey Initiative Portugal (2008/09) and the National Mental Health Survey Follow-Up (2015/16) were used (n = 911). McNemar’s tests were performed to estimate changes in consumption of any psychotropic drug and of antidepressants, anxiolytics, and hypnotics/sedatives. Multiple Generalised Estimating Equations models with interaction effects were used to estimate the population odds of consuming psychotropic drugs according to year, gender and age. Results An increase of 6.74% was estimated in the consumption of psychotropic drugs from 2008/09 to 2015/16. Population ...
International Journal of Mental Health Systems
In 1978 Italy implemented Law Number 180, the reform law that blocked all new admissions to publi... more In 1978 Italy implemented Law Number 180, the reform law that blocked all new admissions to public mental hospitals. After 40 years without mental hospitals, we aim at understanding the consequences of the Italian reform in terms of mental health care facility and staff availability. We compared the organization of the Italian mental health system with that of countries belonging to the Group of 7 (G7) major advanced economies. Italy has nearly 8 psychiatrists, 20 nurses, 2 social workers and less than 3 psychologists per 100,000 population, while for example in France there were 22 psychiatrists, in Japan 102 nurses, in the United States 18 social workers, and in Canada and France more than 45 psychologists per 100,000 population. In terms of inpatient facilities, no beds in mental hospitals were available in Italy, while in the other G7 countries mental hospital beds ranged from 8 in the United Kingdom to 204 in Japan per 100 000 population. In Italy there were fewer beds for acute care in general hospitals but more beds in community residential facilities than in the other G7 countries. Service use data showed variability in the provision of mental health care throughout the country. Soon after the implementation of the Italian reform the absolute number of compulsory admissions progressively declined, from more than 20,000 in 1978 to less than 9000 in 2015. Alongside the progressive decline of psychiatric beds imposed by Law 180, the age-adjusted suicide rate remained stable, ranging from 7•1/100,000 population in 1978 to 6•3/100,000 population in 2012. The population of psychiatric patients placed in Italian forensic psychiatric hospitals progressively declined. During the last 40 years without mental hospitals, Italy has seen a progressive consolidation of a community-based system of mental health care. We highlighted, however, reasons for concern, including a decreasing staffing level, a potential use of community residential facilities as long-stay residential services, a still too high variability in service provision across the country, and lack of national data on physical restraints. At a national level, the resources allocated to mental health care are lower in Italy than in other high-income countries.
International journal of law and psychiatry
Involuntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency... more Involuntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency of compulsory admissions is assumed to be alarmingly high; however, no study has systematically investigated this issue. In line with this, the present study aims to estimate the frequency of compulsory admissions in a psychiatric hospital and to explore its underpinnings. All individuals who were admitted to the Psychiatric Hospital of Attica during June-October 2011 were included into the study. Information about their socio-demographic and clinical characteristics as well as their previous contact with mental health services was obtained from interviewing the patient and his/her physician. Furthermore, information about the initiation of the process of compulsory admission as well as patient's referral upon discharge was retrieved from patients' administrative record. Out of the 946 admissions 57.4% were involuntary. A diagnosis of unipolar depression, high social support and...
Ciência & Saúde Coletiva, 2011
Farmacos, 1991
Base de dados : LILACS. Pesquisa : 169581 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 169581 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 169581. ...
Giornale Di Medicina Militare, May 20, 2009
Rev Ter Ocup, Apr 1, 1998
World Psychiatry Official Journal of the World Psychiatric Association, Mar 1, 2004
Mental disorders represent a major challenge to global development worldwide. Effective (and in s... more Mental disorders represent a major challenge to global development worldwide. Effective (and in some cases cost-effective) interventions are available for almost all of them. However, these interventions are often not implemented. Unknown variables, quite similar among themselves across the world, can have a strong influence in increasing the service quality in spite of the differences in resources and technologies. These unknown variables often result from the adoption of paradigms which are relatively independent from resources and technologies. We examine here four such paradigms.
Bulletin of the World Health Organization, Nov 1, 2004
Information Psychiatrique, 2005
Lorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations ... more Lorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d'investir dans la sante mentale. D'ou la necessite d'avoir des arguments solides pour convaincre, dans divers secteurs, de l'importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu'ils constituent un defi majeur au developpement mondial.
L Information Psychiatrique, Apr 1, 2005
Lorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du ra... more Lorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d’investir dans la sante mentale. D’ou la necessite d’avoir des arguments solides pour convaincre, dans divers secteurs, de l’importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu’ils constituent un defi majeur au developpement mondial.
La Continuidad De Cuidados Y El Trabajo En Red En Salud Mental 2006 Isbn 84 95287 30 7 Pags 13 16, 2006
Preface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia P... more Preface A. Cohen, A. Kleinman. Introduction A. Cohen, et al. 1. Rehabilitation of Schizophrenia Patients in China: The Shanghai Model D. Chang, et al. 2. Enhancing Adherence: The Role of Group Psychotherapy in the Treatment of MDR-TB in Urban Peru A. Sweetland, et al. 3. Mental Health Promoter Training with Guatemalan Refugee Women in Mexico City and the Camps of Southern Mexico D.L. Billings, I. Saenz. 4. Mental Health Services in Primary Care: The Case of Nepal S. Acland. 5. 'Our Lives Were Covered in Darkness': The Work of the National Literacy Mission in Northern India A. Cohen. 6. The Risk of Freedom: Mental Health Services in Trieste A. Cohen, B. Saraceno. 7. Indigenous Models for Attenuation of Postpartum Depression: Case Studies from Fiji and Hong Kong A.E. Becker, D.T.S. Lee. About the Contributors. Index
... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que ... more ... de una etapa posterior de enfoque en la OMS (2004–2006) fue brecha, exponiendo la brecha que existe entre ser o no atendido con calidad ... Pero frente a estudios que solo cuentan camas como su éxito o fracaso yo me permito apoyar a Matt Muijen, Asesor en Salud Mental ...
BMC Psychiatry
Background Research suggests that economic recessions might be associated with a higher use of ps... more Background Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes in the use of psychotropic drugs due to the economic recession in Portugal, by comparing self-reported consumption in 2008/09 and 2015/16. Methods Data from the World Mental Health Survey Initiative Portugal (2008/09) and the National Mental Health Survey Follow-Up (2015/16) were used (n = 911). McNemar’s tests were performed to estimate changes in consumption of any psychotropic drug and of antidepressants, anxiolytics, and hypnotics/sedatives. Multiple Generalised Estimating Equations models with interaction effects were used to estimate the population odds of consuming psychotropic drugs according to year, gender and age. Results An increase of 6.74% was estimated in the consumption of psychotropic drugs from 2008/09 to 2015/16. Population ...
International Journal of Mental Health Systems
In 1978 Italy implemented Law Number 180, the reform law that blocked all new admissions to publi... more In 1978 Italy implemented Law Number 180, the reform law that blocked all new admissions to public mental hospitals. After 40 years without mental hospitals, we aim at understanding the consequences of the Italian reform in terms of mental health care facility and staff availability. We compared the organization of the Italian mental health system with that of countries belonging to the Group of 7 (G7) major advanced economies. Italy has nearly 8 psychiatrists, 20 nurses, 2 social workers and less than 3 psychologists per 100,000 population, while for example in France there were 22 psychiatrists, in Japan 102 nurses, in the United States 18 social workers, and in Canada and France more than 45 psychologists per 100,000 population. In terms of inpatient facilities, no beds in mental hospitals were available in Italy, while in the other G7 countries mental hospital beds ranged from 8 in the United Kingdom to 204 in Japan per 100 000 population. In Italy there were fewer beds for acute care in general hospitals but more beds in community residential facilities than in the other G7 countries. Service use data showed variability in the provision of mental health care throughout the country. Soon after the implementation of the Italian reform the absolute number of compulsory admissions progressively declined, from more than 20,000 in 1978 to less than 9000 in 2015. Alongside the progressive decline of psychiatric beds imposed by Law 180, the age-adjusted suicide rate remained stable, ranging from 7•1/100,000 population in 1978 to 6•3/100,000 population in 2012. The population of psychiatric patients placed in Italian forensic psychiatric hospitals progressively declined. During the last 40 years without mental hospitals, Italy has seen a progressive consolidation of a community-based system of mental health care. We highlighted, however, reasons for concern, including a decreasing staffing level, a potential use of community residential facilities as long-stay residential services, a still too high variability in service provision across the country, and lack of national data on physical restraints. At a national level, the resources allocated to mental health care are lower in Italy than in other high-income countries.
International journal of law and psychiatry
Involuntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency... more Involuntary hospitalization has long been a contentious issue worldwide. In Greece, the frequency of compulsory admissions is assumed to be alarmingly high; however, no study has systematically investigated this issue. In line with this, the present study aims to estimate the frequency of compulsory admissions in a psychiatric hospital and to explore its underpinnings. All individuals who were admitted to the Psychiatric Hospital of Attica during June-October 2011 were included into the study. Information about their socio-demographic and clinical characteristics as well as their previous contact with mental health services was obtained from interviewing the patient and his/her physician. Furthermore, information about the initiation of the process of compulsory admission as well as patient's referral upon discharge was retrieved from patients' administrative record. Out of the 946 admissions 57.4% were involuntary. A diagnosis of unipolar depression, high social support and...
Ciência & Saúde Coletiva, 2011
Farmacos, 1991
Base de dados : LILACS. Pesquisa : 169581 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 169581 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 169581. ...
Giornale Di Medicina Militare, May 20, 2009
Rev Ter Ocup, Apr 1, 1998
World Psychiatry Official Journal of the World Psychiatric Association, Mar 1, 2004
Mental disorders represent a major challenge to global development worldwide. Effective (and in s... more Mental disorders represent a major challenge to global development worldwide. Effective (and in some cases cost-effective) interventions are available for almost all of them. However, these interventions are often not implemented. Unknown variables, quite similar among themselves across the world, can have a strong influence in increasing the service quality in spite of the differences in resources and technologies. These unknown variables often result from the adoption of paradigms which are relatively independent from resources and technologies. We examine here four such paradigms.
Bulletin of the World Health Organization, Nov 1, 2004
Information Psychiatrique, 2005
Lorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations ... more Lorsque l'OMS a commence a elaborer une strategie pour la mise en oeuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d'investir dans la sante mentale. D'ou la necessite d'avoir des arguments solides pour convaincre, dans divers secteurs, de l'importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu'ils constituent un defi majeur au developpement mondial.
L Information Psychiatrique, Apr 1, 2005
Lorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du ra... more Lorsque l’OMS a commence a elaborer une strategie pour la mise en œuvre des recommandations du rapport sur la sante dans le monde 2001. Nous avons ressenti le besoin de sensibiliser tous nos partenaires, reels ou potentiels, d’investir dans la sante mentale. D’ou la necessite d’avoir des arguments solides pour convaincre, dans divers secteurs, de l’importance fondamentale de reconnaitre que les problemes de sante mentale affectent la societe dans son ensemble et non seulement quelques petits segments isoles, et qu’ils constituent un defi majeur au developpement mondial.
La Continuidad De Cuidados Y El Trabajo En Red En Salud Mental 2006 Isbn 84 95287 30 7 Pags 13 16, 2006