ABSTRACT
El Programa API (Apoyo Psiquiatría Infantil), es un sistema colaborativo multimodal (telefónico y presencial), entre nivel primario (7 Consultorios) y secundario (Hospital Salvador, Valparaíso) de salud. Se presentan los resultados del estudio descriptivo prospectivo del Programa API durante 12 meses de funcionamiento, obtenidos desde los registros de consultoría telefónica y presencial. En un periodo de 12 meses se recibieron 105 llamadas telefónicas. De estas, 87% fueron hechas por psicólogos/as. Se indicó atención conjunta en 59% y derivación a nivel secundario en 16% de los llamados. Los psicólogos de los equipos de salud mental participantes, coinciden en ser quienes dirigen y recurren más a este sistema. Se resuelven la mayoría de las dudas, a través de sugerencia de hipótesis diagnósticas y de manejo. Se concluye que los profesionales de los CESFAM les interesa el apoyo del programa, facilitando el trabajo con niños y adolescentes con problemas de salud mental. Palabras claves: programa colaborativo, salud mental, telepsiquiatría, psiquiatría infantojuvenil
The API PROGRAM (Child Psychiatry Support) is a multimodal collaborative program (giving phonecall support and face-to-face collaboration), between 7 primary healthcare centers (PHC) and secondary level healthcare centers (Hospital del Salvador, Valparaiso. The objective of this study is to describe the API Program after 12 months of implementation. This is a descriptive and prospective study with follow up calls and face to face collaboration. After 12 months, 105 phone calls were received. Of these , 87% were made by psychologists. Joint consultation in PHC was suggested in 59% of calls and referral to secondary level was indicated in 16% of the incoming calls. Psychologists belonging to mental health teams were the professionals with the highest disposition to use the program. Most doubts are solved by telephone, through the suggestion of diagnostic hypotheses and management. PHC professionals seem very interested in the support provided by the API Program, facilitating their work with children and adolescents with mental health problems.Key words: mental Health, collaborative program, telepsychiatry, Child-juvenil Psychiatry
ABSTRACT
Healthcare professionals need to understand the operational mechanisms that drive the team-care model. Although such concepts should be integrated into the education of healthcare students, but current methods of teaching such a model of care are unsatisfactory. In 2007 the Faculty of Medicine and Health Science of Kobe University introduced an early clinical exposure program focusing on team care for first-year students. In 2008, students of the school of pharmacy joined this program. We have developed a collaborative program, the Interprofessional Work tutorial program, for the fourth year of the undergraduate curriculum. As the history of collaborative education for healthcare students is relatively short, we faculty members continuously discuss how to develop this tutorial program. Simulated multidisciplinary team conferences have been introduced into this program to increase students’ understanding of the scenario. During the course of this program, students, as well as faculty members, come to understand the roles of other professionals and to consider collaboration to be fundamental for patient-centered treatment and care. Interprofessional education is essential for human resource development and for preparing future healthcare professionals to participate in interdisciplinary team care. We must integrate the community-based aspects of health and welfare into interprofessional education for health professional students.