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      Halfway houses for alcohol dependents: from theoretical bases to implications for the organization of facilities

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          Abstract

          The purpose of this paper is to supply a narrative review of the concepts, history, functions, methods, development and theoretical bases for the use of halfway houses for patients with mental disorders, and their correlations, for the net construction of chemical dependence model. This theme, in spite of its relevance, is still infrequently explored in the national literature. The authors report international and national uses of this model and discuss its applicability for the continuity of services for alcohol dependents. The results suggest that this area is in need of more attention and interest for future research.

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          Mental health systems in countries: where are we now?

          K S Jacob, P. Sharan, I. Mirza … (2007)
          More than 85% of the world's population lives in 153 low-income and middle-income countries (LAMICs). Although country-level information on mental health systems has recently become available, it still has substantial gaps and inconsistencies. Most of these countries allocate very scarce financial resources and have grossly inadequate manpower and infrastructure for mental health. Many LAMICs also lack mental health policy and legislation to direct their mental health programmes and services, which is of particular concern in Africa and South East Asia. Different components of mental health systems seem to vary greatly, even in the same-income categories, with some countries having developed their mental health system despite their low-income levels. These examples need careful scrutiny to derive useful lessons. Furthermore, mental health resources in countries seem to be related as much to measures of general health as to economic and developmental indicators, arguing for improved prioritisation for mental health even in low-resource settings. Increased emphasis on mental health, improved resources, and enhanced monitoring of the situation in countries is called for to advance global mental health.
          Article 0 comments Cited 179 times – based on 0 reviews     Review now
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            A pesquisa clínica no Brasil

            Marco Zago (2004)
            O fortalecimento da pesquisa clínica no Brasil implica a criação, expansão ou consolidação de novos centros, em especial na recuperação dos hospitais universitários e do fortalecimento do vínculo entre ensino e pesquisa. A interação entre pesquisa biomédica e básica é indispensável para geração de conhecimento nacional em questões específicas e para estruturar o setor produtivo de tecnologia ligada à saúde. As mudanças do perfil demográfico e epidemiológico do país trouxeram para a lista de prioridades de pesquisa em saúde doenças cardiovasculares, neoplasias, doenças mentais, doenças associadas a urbanização, acidentes e violência, e doenças do envelhecimento. O Brasil ainda apresenta endemias importantes no seu quadro epidemiológico: dengue, malária, esquistossomose, hanseníase e hepatites virais, entre outras. A consolidação da pesquisa em biologia celular e molecular aplicada à medicina é indispensável para que a prática médica no país se mantenha atualizada e competitiva, e para permitir interações com o setor produtivo e implantação de um parque biotecnológico nacional.
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              An examination of main and interactive effects of substance abuse recovery housing on multiple indicators of adjustment.

              R. Ferrari, John M Majer, Josefina Alvarez … (2007)
              To assess the effectiveness of community-based supports in promoting abstinence from substance use and related problems. Individuals (n = 150) discharged from residential substance abuse treatment facilities were assigned randomly to either an Oxford House recovery home or usual after-care condition and then interviewed every 6 months for a 24-month period. Oxford Houses are democratic, self-run recovery homes. Hierarchical linear modeling was used to examine the effect of predictive variables on wave trajectories of substance use, employment, self-regulation and recent criminal charges. Regressions first examined whether predictor variables modeled wave trajectories by condition (Oxford House versus usual after-care), psychiatric comorbidity, age and interactions. At the 24-month follow-up, there was less substance abuse for residents living in Oxford Houses for 6 or more months (15.6%), compared both to participants with less than 6 months (45.7%) or to participants assigned to the usual after-care condition (64.8%). Results also indicated that older residents and younger members living in a house for 6 or more months experienced better outcomes in terms of substance use, employment and self-regulation. Oxford Houses, a type of self-governed recovery setting, appear to stabilize many individuals who have substance abuse histories.
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                Author and article information

                Journal
                Journal ID (publisher-id): clin
                Title: Clinics
                Abbreviated Title: Clinics
                Publisher: Faculdade de Medicina / USP (São Paulo, SP, Brazil )
                ISSN (Print): 1807-5932
                ISSN (Electronic): 1980-5322
                Publication date (Print and electronic): 2008
                Volume: 63
                Issue: 6
                Pages: 827-832
                Affiliations
                [02] São Paulo SP orgnameFederal University of São Paulo orgdiv1Escola Paulista de Medicina Brazil
                [01] São Paulo SP orgnameAlcohol and Drugs Research Unit orgdiv1Psychiatry Department Brazil
                Article
                Publisher ID: S1807-59322008000600020 Publisher ID: S1807-5932(08)06300620
                SO-VID: 09077f5f-1af1-4543-aa68-1dab76001330
                License:

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                Date received : 19 June 2008
                Date accepted : 23 July 2008
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 42, Pages: 6
                Product

                SciELO Brazil

                Categories
                Subject: Review

                Keywords: Administration,Organization,Alcohol-Related Disorders,Halfway Houses
                Data availability:
                Keywords: Administration, Organization, Alcohol-Related Disorders, Halfway Houses

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