ABSTRACT
OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.
Subject(s)
COVID-19 , Anxiety/epidemiology , Anxiety/prevention & control , Brazil/epidemiology , Depression , Female , Health Personnel , Humans , Mental Health , Pandemics , SARS-CoV-2ABSTRACT
OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.
Subject(s)
Humans , Female , COVID-19 , Anxiety/prevention & control , Anxiety/epidemiology , Brazil/epidemiology , Mental Health , Health Personnel , Depression , Pandemics , SARS-CoV-2ABSTRACT
Os autores descrevem um caso de autismo através da metáfora do mito de Sísifo, fazendo uma interface com a falha do trabalho do negativo, conceito proposto por André Green.
The authors describe a case of autism through the metaphor of the myth of Sisyphus, making an interface with the failure of the work of the negative, concept proposed by André Green
Los autores describen un caso de autismo a través de la metáfora del mito de Sísifo, haciendo una interfaz con el fracaso del trabajo de lo negativo, concepto propuesto por André Green.
Subject(s)
Humans , Child , Denial, Psychological , Mythology/psychology , Psychoanalysis , Autistic Disorder/psychologyABSTRACT
Os autores descrevem um caso de autismo através da metáfora do mito de Sísifo, fazendo uma interface com a falha do trabalho do negativo, conceito proposto por André Green.(AU)
The authors describe a case of autism through the metaphor of the myth of Sisyphus, making an interface with the failure of the work of the negative, concept proposed by André Green(AU)
Los autores describen un caso de autismo a través de la metáfora del mito de Sísifo, haciendo una interfaz con el fracaso del trabajo de lo negativo, concepto propuesto por André Green.(AU)
Subject(s)
Humans , Child , Autistic Disorder/psychology , Denial, Psychological , Psychoanalysis , Mythology/psychologyABSTRACT
O autores descrevem a organizaçäo e o funcionamento de um grupo que atende pacientes em psicoterapia de tempo limitado, de orientacäo analítica, no serviço de Psicoterapia do IPQ do HC-FMUSP. Diagnóstico psiquiátrico e características demográficas dos pacientes triados e tratados säo analisados. Conclui-se que a psicoterpia breve é uma alternativa possível e importante para atendimento psicoterápico em instituiçöes que näo podem oferecer psicoterapia de longo prazo pelos seus custos e duraçäo e que o diagnóstico psiquiátrico influenciou a seleçäo dos pacientes, o que näo ocorreu com as características demográficas
Subject(s)
Humans , Male , Female , Psychotherapy, Brief , Psychotherapy, Brief/organization & administration , Surveys and QuestionnairesABSTRACT
As escalas de avaliacao em psicoterapia encontram sua utilidade principal no campo da pesquisa. O inicio de seu desenvolvimento data da decada de 60 e vem ganhando condicoes mais favoraveis de aplicacao com a formalizacao da psicoterapia dinamica breve. Didaticamente, podemos dividi-las em escalas de avaliacao de resultados e escalas de avaliacao de fatores preditivos de bom prognostico
Subject(s)
Humans , Psychotherapy , Psychiatric Status Rating Scales , Evaluation Study , Psychotherapy, Brief , Mental Disorders/diagnosis , Mental Disorders/therapy , Prognosis , Interpersonal RelationsABSTRACT
Os autores, mediante o emprego das bases teoricas da psicanalise e da psicoterapia aliadas a exemplos clinicos, procuram estabelecer o conceito de psicoterapia dinamica breve.
Subject(s)
Psychotherapy, Brief , Psychoanalysis , Anxiety , Countertransference , Psychotherapy, Brief , Psychoanalysis , CountertransferenceABSTRACT
Os autores descrevem a organizacao e o funcionamento de um grupo que atende pacientes em psicoterapia de tempo limitado, de orientacao analitica, no Servico de Psicoterapia do IPQ do HC-FMUSP. Diagnostico psiquiatrico e caracteristicas demograficas dos pacientes triados e tratados sao analisados. Conclui-se que a psicoterapia breve e uma alternativa possivel e importante para atendimento psicoterapico em instituicoes que nao podem oferecer psicoterapia de longo prazo pelos seus custos e duracao e que o diagnostico psiquiatrico influenciou a selecao dos pacientes, o que nao ocorreu com as caracteristicas demograficas.
Subject(s)
Psychotherapy, Brief , Anxiety , Psychotherapy, Brief , AnxietyABSTRACT
As autoras propöem um novo tipo de triagem institucional através da formaçäo de "Grupo de Espera". A experiência adquirida com tal trabalho no IPq-HCFMUSP demonstrou a utilidade desse instrumento para aperfeiçoamento do processo de triagem e para melhoria do grau de esclarecimento e mobilizaçäo dos pacientes. A relaçäo paciente-instituiçäo-terapeuta é analisa teoricamente à luz de algumas teorias psicodinâmicas
Subject(s)
Humans , Male , Female , Psychotherapy/standards , Triage/organization & administration , Hospital-Patient Relations , Patient Compliance , Physician-Patient Relations , Sensitivity Training GroupsABSTRACT
As autoras propoem um novo tipo de triagem institucional atraves da formacao de 'Grupo de Espera'. A experiencia adquirida com tal trabalho no IPq-HCFMUSP demonstrou a utilidade desse instrumental para o aperfeicoamento do processo de triagem e para a melhoria do grau de estabelecimento e mobilizacao dos pacientes. A relacao paciente-instituicao-terapeuta e analisada teoricamente a luz de algumas teorias psicodinamicas.
Subject(s)
Triage , Psychotherapy , Triage , PsychotherapyABSTRACT
O relato de um sonho contido na descrição do caso "Homem dos Lobos" analisado por Freud é examinado numa leitura lacaniana e como cena psicodramática. Na conclusão são apresentadas reflexões sobre o inconsciente em Lacan e Moreno
Subject(s)
Dreams , Freudian Theory , Internal-External Control , Psychoanalytic Therapy , Transactional Analysis , Unconscious, PsychologyABSTRACT
O relato de um sonho contido na descricao do caso 'Homem dos Lobos' analisado por Freud e examinado numa leitura lacaniana e como cena psicodramatica. Na conclusao sao apresentadas reflexoes sobre o inconsciente em Lacan e Moreno.
