鼓励家庭医学住院医师的精神卫生保健。

PRiMER (Leawood, Kan.) Pub Date : 2022-07-19 eCollection Date: 2022-01-01 DOI:10.22454/PRiMER.2022.147530
Anneke Nair Wilson, Emily Dow, Dylan Hanami, Monisha Vasa, John Billimek
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摘要

住院医师培训与压力和倦怠有关,这可能导致心理健康状况不佳。然而,由于缺乏时间和担心保密等感知障碍,居民不太可能利用心理健康服务在住院医师培训期间,有必要促进寻求帮助的行为,并改善获得精神卫生服务的机会。方法:为了减少住院医师寻求心理健康护理的障碍,提高他们的幸福感,加州大学欧文分校家庭医学住院医师项目(UCI FMRP)实施了一项计划,其中包括住院医师与精神科医生之间的保密、定期的心理健康检查。我们从2020年6月对29名居民进行的内部电子调查中收集了寻求帮助行为的数据,该调查涉及寻求精神卫生保健的感知障碍。结果:在29名住院医师中,有24名被调查者的内部调查结果表明,该项目支持住院医师寻求帮助的行为,33%的住院医师要求与精神科医生进行额外的会议,另有13%的住院医师寻求外部心理健康资源。结论:提供额外的、保密的、现场支持可能是减少耻辱感、增加护理机会和使住院医师关于心理健康的对话正常化的一种方法。
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Encouraging Mental Health Care in Family Medicine Residents.

Introduction: Residency training is associated with stress and burnout that can contribute to poor mental health. However, residents are less likely to utilize mental health services due to perceived barriers such as lack of time and concerns about confidentiality, among others.1 There is a need to promote help-seeking behavior and improve access to mental health services during residency training.

Methods: In order to decrease barriers to seeking mental health care and promote well-being among residents, the University of California Irvine Family Medicine Residency Program (UCI FMRP) implemented a program that included confidential, regular, mental health check-ins between residents and a psychiatrist. We gathered data on help-seeking behavior from an internally conducted electronic survey of 29 residents regarding perceived barriers to seeking mental health care in June, 2020.

Results: The internal survey results from 24 respondents out of 29 residents demonstrated that the program supported help-seeking behavior among the residents, with 33% of the residents requesting additional sessions with the psychiatrist and another 13% seeking external mental health resources.

Conclusion: Providing additional, confidential, on-site support may be one method of decreasing stigma, increasing access to care, and normalizing conversations around mental health in residency.

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