The construction that will support the global escalation expansion of the SARS-CoV-2 has just one year and its visible consequences in the physical health of the population, with hundreds of miles of failure in the world and the disembarked ones, this is the best emotional of the permanent population in a second plan during months. But if we can learn from this pandemic, in addition to taking care of our fragility, it is necessary to implement an integral model of health care that incorporates the psychosocial risks in sanitary treatment.
During the year 2019, the SEM (Medical Emergency Medical Assistance System) of the Generalitat de Catalunya has been waiting for 061 media outlets for 2,500 llamadas to me for mental health consultations. This volume has been doubled over the last year, reaching a peak of 6,500 monthly reports in April and May of 2020, coinciding with the home confinement period. With the descending decreases the number of people who contact emergencies for emotional problems, but during the second of October the new will be launched the 3,425 petitions for help, an increase of 36% with respect to the previous year. The numbers are ido in crescendo in the last months we have read the 5,000 monthly monthly reports (one in 170 today), a 62% more than in 2020, when the virus was acquired by us at the time.
Psychologists from SEM work in the new telephone waiting room of 061 in the Spanish Hospital of Llobregat Hospital
The main objective is the early detection of mental alterations grafte
The effect of the mobility restrictions transforms the period of inequality and the avoidance of the first impact on despair and hastiness of the vernacular. “The epidemic has taken its toll on our main vital anguish, the death to kill”, explains Andrés Cuartero, coordinator of the SEM psychologists’ team, as the opera in the new telephone booth at the Espoo Bital of the Llobregat Hospital ( Barcelona). The service of 061 has tripled its capacity to attend calls this year before the sound of careful consultations.
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The main function of the psychologists that hold the SEM telephone is the early detection of possible strains. “The goal is to prevent and support them in a way that communal emotional turmoil does not derive from serious interactions,” Cuartero said. The pandemic has served to launch a model that has been in operation and has been revealed to be effective during this year. The resolution level of the consultations is 85%.
The protocol is based on the “single session mentality”. In a media that lasts 30 minutes and no more than 45, the mayor solves the problem of adaptive type problems (situations involving viruses, attention to duels, physical sequences, etcetera). “It is not uncommon for the patient to perform a patient follow-up or recommend that personal attention be paid,” said the person in charge.
User profile
The men do not help, but can recover more from abuse of health
The directive is that there is continuity in the psychological attention and no one is allowed to attend. In the first evaluation, there is a need to discriminate against and discriminate against persons who require specialized treatment in the process of obtaining redress from the public. All interventions finalize with the possibility of scheduling a visit with the doctor of cabecera in the CAP (24% of cases) or giving the patient a mental health service (19%). In 6% of cases, the case is for social services or domestic violence. If an intruder is detected moving a SEM unit.
061 covers mental health issues with six positions of psychologists on weekdays between 8 and 22 hours
As a universal way, the profile of the psychological help applicant is an adult female (between 41 and 55 years old), ‘n menudo con antedecentes. “It’s a cultural patron. Los hombres no lloran nunca ni piden ayuda ”, ironiza Cuartero. That does not mean that affection distinguishes itself from another. “The prevalence is Mayor in women, but they are more willing to help themselves or their husbands, while they recover more from abuse of drugs, medicines or alcohol”. Other public groups that are particularly satisfied this year are the sanitary professionals, especially the health workers and basic health care providers.
The psychosocial impact of the pandemic
The confinement is celebrated with the women and the girls
Numerous Indian investigations show that the mental health of the population has increased significantly during the year of the pandemic, especially during the period of domestic confinement. But the psychological and social impact of the encroachment was unequal for the gender segregation groups. The problems of anxiety and depression affect many more women than men, and the young women between 18 and 35 years old present a mayor with a wealth of emotional sources in the middle and wide space.
One of the studies analyzing the psychosocial impact of covid-19 on the Spanish population, conducted by the Instituto Universitari d’Investigació en Atenció Primària (IDIAP) Jordi Gol, reflects that 31.2% of women and 17, 7% of the male reporters are ten years old. In the case of depression, the proportion is 28.5% in women and 16.7% in men. The results show a significant increase compared to the mental health survey of Spain in 2017, in which only 9.1% of women and 4.3% of men present symptoms of anxiety.
The three main elements that are related to the mental health of the population are the perception of residing in an inadequate life, the socio-economic factors and the preoccupation with counteracting the virus. “It is urgent to increase the resources in mental health and sobriety that will lead to greater health care emergencies”, claims Constanza Jacques, IDIAP investigator Jordi Gol, who is currently leading the second phase of this study.
One of the most significant dates of the study is that only women dedicated to essential activities should be considered. In exchange, for men with these offices continue with their rhythm of life and work usually a protective factor of depression. “I have to deal with the imbalance in informal areas such as the health of the home and the houses. The masculine identity assumes its role as a provider, while they accumulate external and domestic work, ”reflects Jacques. In addition, the essential work type that owns the women is much more exposed to the contagion. 84% of nurses and 87% of employees in the major cities and dependents correspond to women.
As for the young, the onset of anxiety is especially related to the structural conditions in which the path passes (even the most youthful is the population, less metric meters per person available in his hogar) and the future time for his future. “The presence has much to do with the excessive preoccupation with the future, and the working conditions and living conditions of the young people in Spain are very preoccupied. The traumas heredados of the pandemic are not acaban, mejoran and se olvidan, sino que quedarán in the biography y in the body of women the hayan padecido. And it will probably have an impact on the adult, ”said the investigator.
Otra of the lessons that tell us the pandemic is the protective factor for the anxiety and depression that count against speeches of social and communal support. “Focus on communal spaces in which people can feel the response of others is fundamental. It is therefore critical that the social services and mental health services improve this pandemic, ”concludes Jacques.
The callers at 061 for hundreds of hours are required to increment a 300% during the confinement
The most recent available dates, corresponding to January, show that the provision of relationship consultations with the highest prevalence crisis (37% of total), followed by depression (16%), pandemic derivatives (management of the duel , temores for persons looking for incarcerated, etcetera) and the idea of autolithic (a 10% of the total expression of his disposition to self-study or suicidal thoughts), These figures give a significant increment with respect to previous years, especially in the year of 2020, although there will be an increase of 300% during the confinement) and in which reference will be made to persons who manifestly want to kill the lesion (70% more).
Atención en el 061 por trastornos mentales
Main points of entry
1
Direct callers on 061 (350 cases per month): a nurse consultant or case management doctor; if it is possible to receive psychological attention from the SEM team of psychologists
2
List of people who have had contact with a positive person at Covid (500 cases per month): The SEM conducts a test to evaluate the psychological state; if the point is high, a psychologist is in contact with the person
3
“Suicide risk code” (420 llamadas al mes): Lammadas de seguimiento a persona with antecedents for suicide attempts
4
Users of the Gestioemocional.cat app: Readers who have taken the psychological evaluation test and completed the webapp attention form
5
Support for SEM staff (15 months); attention to sanitary professionals
Optimism
The covid will serve to promote the integral attention model of SEM health
Aun asi, the psychological attention model of 061 avoids the composition. “It is a valiant and innovative project. No hay muchos servicios and Europe tan avanzados. We have the base that everyone has the resilience to help in stressful situations. The instruction is that the psychologist does not know what to do with the patient. We will facilitate autonomy and teach us to increase tolerance for emotions. And it works. The level of satisfaction of users is very high. And with this creed model we are planting an integral attention span that will germinate in the next months and years ”, reflects Cuatero.
Andrés Cuartero, responsible for the SEM psychologists team, during a training session
This year will be some positive lessons for the future. The stigma attached to mental health definitely disappears. The pandemic has demonstrated that all strains are exposed to mental disorders, even though we may have cardiovascular diseases or some other type. Nowadays, the OMS estimates that one in four people will suffer a mental breakdown during their lifetime. That now has been invisible does not mean that we are less common. “I am surprised by the number of people in all the capacities that people are willing to help psychologists. It is a paradigm shift, ”concluded the SEM manager.