Evaluative research of a mental health urgences protocol for the primary care level

Julia Martin, Julieta L De Battista, Nicolás A Maugeri, Maximiliano Azcona
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Abstract

Introducción: Materiales y métodos: Resultados:

Introduction: This research stems from certain obstacles in the implementation of the National Mental Health Law, especially at the primary care level and regarding emergency management, with or without certain and imminent risk. The scarcity of mental health intervention protocols and the perception that they could limit the clinical understanding of each critical situation are challenges identified in practice. However, protocols can be valuable organizational tools in complex circumstances. The literature emphasizes the need to accompany their implementation with training to prevent exclusively bureaucratic and dehumanized approaches.

Materials and methods: The purpose of this work was to address this gap, by developing an emergency mental health action protocol and training for first-level healthcare personnel in a territory of the metropolitan area of Buenos Aires. The research aimed to evaluate its effectiveness. Qualitative and quantitative methods were used to characterize interventions before the protocol's implementation, comparing them with those after training and protocol application.

Results: It was found that this device facilitated more appropriate responses in critical contexts and improved knowledge about resolution strategies that can be implemented within the framework of the National Mental Health Law. Additionally, it strengthened protective factors for the mental health of healthcare workers, such as the possibility to access to a strategy that aids in task organization, and teamwork.

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对一级护理中的精神健康紧急情况协议进行评估研究。
导言:这项研究的出发点是《国家心理健康法》在实施过程中遇到的一些障碍,尤其是在一级护理和紧急状况管理方面,无论是否存在确定和迫在眉睫的风险。心理健康干预规程的缺乏,以及认为这些规程可能会限制对每种危急情况的单独解读,都是在实践中发现的挑战。然而,在复杂的情况下,协议可以成为有价值的组织工具。文献强调,在实施协议的同时,还需要进行培训,以避免完全官僚化和非人性化的方法。材料与方法:为了弥补这一不足,我们开展了这项研究,制定了精神健康紧急情况下的行动规程,并对布宜诺斯艾利斯大都会地区的一级医疗机构的医务人员进行了相应的培训。研究的目的是评估其有效性。研究采用了定性和定量相结合的方法,对协议实施前的干预措施进行描述,并与培训和协议实施后的干预措施进行比较。结果:研究发现,协议的实施有利于在危急情况下做出更适当的反应,并提高了对解决策略的认识,这些策略可以在《国家心理健康法》的框架内实施,同时也加强了对医务工作者心理健康的保护因素,如在组织任务和团队合作时采取合作策略。
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