Recovery Enik College
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This document discusses the author's personal recovery journey after experiencing severe mental health challenges for many years. It describes recovery as a unique, lifelong process of changing one's perspective and developing a new sense of purpose beyond the effects of disability. The author draws a comparison to the fall of the Berlin Wall in 1989, and describes how their mental health challenges led to a "wall of despair" through loss of identity, hope, and social roles. The document outlines dimensions of recovery including health, functioning, participation, and identity. It emphasizes empowerment, advocacy, and gaining control over one's life and treatment.
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- The goal of the theory is for nurses to incorporate a patient's cultural beliefs, values and preferences
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“Reduzir a saúde pública a uma perspectiva biomédica é um erro comum em muitos países de baixa e média renda. As tentativas de reduzir as taxas nacionais de suicídio são feitas através do fornecimento de antidepressivos aos centros de saúde periféricos, deixando misérias diárias, como pobreza, falta de segurança social, falta de saneamento, fome e escassez de água, sem tratamento.” Essa “medicalização do suicídio” eles dizem, “subestima a importância de fatores socioeconômicos associados. A medicalização de todo sofrimento humano tenta promover soluções médicas simplistas para o problema do suicídio.”
Política de saúde mental infantojuvenil
A nova concepção de criança e adolescente, possibilitada pelo marco dos Direitos Humanos, permitiu que fossem reconhecidos como questões relevantes para as políticas públicas aspectos fundamentais da sua condição de sujeitos psíquicos.
Como implementar um grupo ouvidores de vozes na comunidade
A empresa de tecnologia anunciou um novo sistema operacional para computadores pessoais. O novo sistema operacional tem uma interface simplificada e recursos aprimorados de segurança e privacidade para proteger os usuários. A nova versão será lançada globalmente no próximo ano e espera-se que seja bem recebida pelos consumidores preocupados com a segurança online.
Experiências em Gestão Autônoma de Medicação
O documento discute a estratégia da Gestão Autônoma da Medicação (GAM) no contexto dos direitos humanos e da saúde mental no Brasil. A GAM surgiu no Canadá como uma abordagem participativa para o uso de medicamentos psiquiátricos e agora está sendo experimentada no Brasil. O texto descreve os princípios e etapas da GAM para promover a autonomia dos usuários e melhorar a qualidade de vida por meio do gerenciamento compartilhado de medicamentos.
Manifesto: Os Direitos Humanos dos Ouvidores de Vozes
Ouvidores de Vozes: uma longa história de patologização, estigmatização e violação dos direitos humanos. Ouvir vozes na ausência de sons vocais externos é visto por muitos como um sinal de loucura, doença ou transtorno.
Na psiquiatria tradicional, ouvir vozes tem sido
tratado como um sintoma de esquizofrenia. Nesta visão, assume-se que a esquizofrenia é uma doença crônica e que as vozes precisam ser removidas com tratamento. O tratamento tradicional consiste da prescrição de “antipsicóticos”.
Antipsicóticos são substâncias que podem levar a riscos de saúde moderados,
severos e até mesmo letais. Por muito tempo havia pouco ou nenhum espaço para
falar da experiência de ouvir vozes e sobre experiências traumáticas que frequentemente são (parte da) causa das vozes.
Medicalização: o que ela faz para uma nova abordagem em saúde mental?
O documento discute a necessidade de uma nova abordagem para a saúde mental focada nos direitos humanos e na recuperação, ao invés do modelo biomédico atual. Ele argumenta que a saúde mental deve ser definida mais amplamente do que a ausência de doença e que os determinantes sociais devem ser levados em conta. Também defende uma mudança no foco da medicalização para tratamentos baseados na comunidade e na autonomia do paciente.
Suporte em Pares - Open Dialogue
Um tratamento significativo e diferente em saúde mental
Satisfaz usuários e profissionais
Linha de trabalho bem planejada e estruturada (treino,desenvolvimento e pesquisa)
Diretrizes bem definidas para visualizar, agir e lidar com situações
Concede às organizações ferramentas para a desinstitucionalização
Reduz a medicalização (neurolépticos)
Autoajuda e Suporte em pares: Enik Recovery College
- O documento discute a importância do suporte em pares e da inclusão social para a recuperação da saúde mental.
- O Enik Recovery College oferece cursos desenvolvidos por participantes e ensinados por treinadores de suporte em pares para promover a autoajuda, a reciprocidade e a esperança.
- A abordagem educacional do College visa o empoderamento em vez da terapia, tratando todos como iguais e ajudando-os a guiar seu próprio caminho para a recuperação.
A estratégia da Gestão Autônoma da Medicação
O documento discute a Estratégia da Gestão Autônoma da Medicação (GAM) no Brasil. A GAM promove a reflexão sobre o papel da medicação na vida do usuário, que é o protagonista na decisão sobre seu tratamento. Os grupos GAM estimulam o diálogo e a construção compartilhada do conhecimento sobre medicação entre usuários e profissionais de saúde.
Medicalização na infância
O documento discute a Lei 13.438/2017 que obriga a aplicação de protocolos para detecção de risco para o desenvolvimento psíquico em crianças de até 18 meses. Vários autores criticam a abordagem de "detecção de risco" e defendem que a promoção da saúde deve considerar os determinantes sociais, focando na equidade e participação comunitária, não na medicalização precoce. A experiência do Centro de Orientação Infantil de Paris mostra a importância de considerar as demandas ocultas e contextos familiares das
Revisitando princípios da clínica
[1] O documento discute os princípios da clínica em saúde mental infantojuvenil, propondo abordagens não manicomiais que foquem no sujeito e no território social. [2] Defende a desinstitucionalização e a construção de instituições no território que promovam a sociabilidade. [3] Aponta desafios como sustentar a singularidade dos sujeitos, inventar formas criativas de acolhimento e dar voz às crianças nos processos de medicação.
A EXPERIÊNCIA DA GESTÃO AUTÔNOMA DA MEDICAÇÃO
A Profa Vera Pasini da UFRGS fala sobre o GAM. espaços de diálogo e formação acerca da GAM,
especialmente junto à rede de serviços alternativos e grupos
de defesas de direitos, incluindo familiares e usuários de
saúde mental, e, em algumas regiões, também a rede pública
de serviços.
Emotional CPR
[1] O documento descreve o Emotional CPR (eCPR), um programa de educação em saúde pública que treina pessoas a ajudar outras passando por crises emocionais. [2] O eCPR usa três fases - Conectar com compaixão, (em)Poderar para fortalecer a paixão e o propósito, e Revitalizar para renovar a energia e esperança. [3] O programa é acessível mundialmente para ajudar pessoas a se sentirem emocionalmente conectadas e poderosas.
Uma nova abordagem sobre ouvir vozes
DIVERSIDADE DE EXPERIÊNCIA: de uma voz a muitas, de positivas a negativas, de falar diretamente para a pessoa até falar com ninguém em particular, de algo claro para de difícil compreensão, de palavras para frases e assim por diante
Medicalização no contexto da atenção psicossocial
O documento discute a medicalização no contexto dos Centros de Atenção Psicossocial (CAPS) no Brasil. Aborda como os grupos podem (1) promover a participação dos pacientes no manejo da medicação, (2) transformar o uso de medicamentos em questão refletida por todos, e (3) favorecer a socialização e troca de experiências sobre tratamentos.
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Recovery Enik College
- 1. My Berlin wall of recovery “the journey of the self” Brazil Rio de Janeiro june 2017
- 2. •Long history of severe mental health challenges •Lister: Community based MHS in Utrecht •Co-Founder of Enik recovery college (14 peers) •Focus on recovery •Advisor board of directors Lister •Lectures and workshops at conferences actively change your perspective of “care”. Introduction
- 3. Recovery is a deeply personal, unique process changing one’s attitude, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful, and contributing life. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of psychiatric disability” (Anthony, 1993) Recovery:
- 4. •change your perspective of “care”. My sense of self? Do I feel part of society?
- 5. •change your perspective of “care”. 28 years after the fall of the Berlin wall (November 1989)
- 6. •change your perspective of “care”.
- 7. •The loss of bearing and purpose •Losing hope •No valuable social roles •I am my illness: becoming the Schizophrenic •Swallowed up by the MHC •Mental health care without treatment •Losing the ability to dream A wall of despair
- 8. •cha •Recovery of health •Recovery of daily functioning •Recovery of participation •Recovery of identity (sense of self) Recovery: multiple dimensions
- 10. Empowerment is the belief that one has power and control in their life, including their illness. Empowerment also involves taking responsibility for self and advocating for self and others. As consumers grow in their recovery journeys, they gain a greater sense of empowerment in their lives. Anthony, W. A. (1993). •e your perspective of “care”. Empowerment
- 11. • The ability to act and shape your own life • Becoming more a subject (unique human being) and less an object (user/patient) • Enlarging your environment • From user of care to pro active “ more a director of care”. Empowerment
- 15. Bringing down the wall
- 17. Thank you very much!
- 18. Welkom! Zelfhulp en Peersupport: een academie waard? September 2015 Door: Ton Verspoor Enik Recovery College Vaartscherijnstraat 51, te Utrecht E: enik@lister.nl Enik twittert: @Enik_RC