{"id":3240,"date":"2020-07-01T16:02:14","date_gmt":"2020-07-01T16:02:14","guid":{"rendered":"https:\/\/curesz.org\/?p=3240"},"modified":"2020-08-08T17:57:35","modified_gmt":"2020-08-08T17:57:35","slug":"a-view-from-the-bench","status":"publish","type":"post","link":"https:\/\/curesz.org\/pt_pt\/2020\/07\/01\/a-view-from-the-bench\/","title":{"rendered":"Uma vis\u00e3o do banco"},"content":{"rendered":"
\"\"

Carol Aiken, Comiss\u00e1ria de Sucess\u00f5es, 31\u00ba Circuito Judicial, Estado de Missouri<\/p><\/div>\n

CURESZ entrevistou a ju\u00edza Carol Aiken de Greene County, Missouri. Ao longo dos anos, o juiz Aiken viu muitos casos envolvendo pessoas com esquizofrenia. Ela notou uma mudan\u00e7a geral em dire\u00e7\u00e3o \u00e0 desinstitucionaliza\u00e7\u00e3o e uma diminui\u00e7\u00e3o do estigma.<\/em><\/p>\n

Sauda\u00e7\u00f5es do Missouri! Servi como juiz no tribunal de sucess\u00f5es em Greene County, Missouri, nos \u00faltimos 23 anos. No Missouri, o tribunal de sucess\u00f5es lida com casos de guarda de adultos. Muitos dos meus casos envolvem pessoas com diagn\u00f3stico de esquizofrenia, por isso me familiarizei com os recursos de sa\u00fade mental da \u00e1rea. Springfield, a sede do condado de Greene, \u00e9 uma cidade t\u00edpica do meio-oeste com cerca de 175.000 habitantes e \u00e9 amplamente respeitada por seus muitos programas para doentes mentais.<\/p>\n

Nas \u00faltimas duas d\u00e9cadas em que estive no tribunal, houve uma enorme mudan\u00e7a na institucionaliza\u00e7\u00e3o de indiv\u00edduos com doen\u00e7a mental. Praticamente todos os hospitais estaduais fecharam com \u00eanfase em op\u00e7\u00f5es de vida independente e programas ambulatoriais.<\/p>\n

No Condado de Greene, temos a sorte de ter servi\u00e7os de sa\u00fade mental muito progressivos. O principal fornecedor \u00e9 a Burrell Behavioral Health. Oferece v\u00e1rios programas, incluindo tratamento ambulatorial, op\u00e7\u00f5es de vida independente e atividades comunit\u00e1rias. Existem apartamentos projetados para residentes com diagn\u00f3sticos de sa\u00fade mental com conselheiros e gerentes de caso no local. Recentemente, um m\u00e9dico aposentado financiou o desenvolvimento de uma pequena comunidade dom\u00e9stica chamada Eden Village. Ele forneceu moradia est\u00e1vel para alguns dos sem-teto cr\u00f4nicos de Springfield, quase todos com diagn\u00f3stico de sa\u00fade mental.<\/p>\n

Tamb\u00e9m tem havido \u00eanfase na redu\u00e7\u00e3o do n\u00famero de pessoas internadas involuntariamente na unidade psiqui\u00e1trica de um hospital. O condado, juntamente com a Burrell Behavioral Health, est\u00e1 financiando uma nova unidade de sa\u00fade mental de acesso r\u00e1pido. O objetivo \u00e9 fornecer \u00e0s autoridades policiais e aos socorristas um centro de sa\u00fade mental 24 horas por dia para levar as pessoas, em vez de transport\u00e1-las para o hospital ou pris\u00e3o. Infelizmente, o estado recentemente fez cortes nos or\u00e7amentos para programas de tratamento e assist\u00eancia habitacional para doentes mentais. Temo que esses cortes afetem muito as op\u00e7\u00f5es de moradia para indiv\u00edduos com esquizofrenia e outras doen\u00e7as mentais.<\/p>\n

As leis de tutela no Missouri tamb\u00e9m foram recentemente alteradas para exigir que os ju\u00edzes imponham o m\u00ednimo poss\u00edvel de restri\u00e7\u00f5es a uma pessoa que precise de um tutor. Historicamente, quando uma pessoa \u00e9 colocada sob tutela, ela perde muitos de seus direitos pessoais. Isso inclui o direito de determinar onde eles v\u00e3o morar, o direito de votar, casar, dirigir e celebrar um contrato. A \u00eanfase agora \u00e9 esculpir muito estreitamente as restri\u00e7\u00f5es impostas a um indiv\u00edduo.<\/p>\n

Esta mudan\u00e7a \u00e9 de grande benef\u00edcio para aqueles com esquizofrenia. Isso reduz muito o estigma associado a um processo de tutela. O tribunal pode adaptar os poderes do guardi\u00e3o para serem usados apenas quando o doente mental precisar de hospitaliza\u00e7\u00e3o e se recusar a ir. Essa situa\u00e7\u00e3o geralmente surge quando a pessoa para de tomar a medica\u00e7\u00e3o. O guardi\u00e3o ent\u00e3o tem autoridade para internar o indiv\u00edduo no hospital para receber a assist\u00eancia necess\u00e1ria. Com tais restri\u00e7\u00f5es em vigor, as tutelas podem ser vistas de uma forma muito mais positiva, para serem usadas apenas em situa\u00e7\u00f5es de emerg\u00eancia.<\/p>\n

Tenho esperan\u00e7a de que, na pr\u00f3xima d\u00e9cada, grandes avan\u00e7os ser\u00e3o feitos n\u00e3o apenas no tratamento de indiv\u00edduos com esquizofrenia, mas tamb\u00e9m nos servi\u00e7os e assist\u00eancia prestados a eles.<\/p>\n

Carol Aiken
\nComiss\u00e1rio de Sucess\u00f5es
\n31st<\/sup> Circuito Judicial
\nEstado de Missouri<\/p>","protected":false},"excerpt":{"rendered":"

CURESZ interviewed Judge Carol Aiken from Greene County, Missouri. Over […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3240","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nA View from the Bench - CURESZ Foundation<\/title>\n<meta name=\"description\" content=\"CURESZ interviewed Judge Carol Aiken from Greene County, Missouri. 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