RESUMO
BACKGROUND: According to the World Health Organization, approximately 15% of the global population is affected by mental health or substance use disorders. These conditions contribute significantly to the global disease burden, which has worsened because of the direct and indirect effects of COVID-19. In Mexico, a quarter of the population between the ages of 18 and 65 years who reside in urban areas present a mental health condition. The presence of a mental or substance abuse disorder is behind a significant percentage of suicidal behaviors in Mexico, where only 1 in 5 of those who have these disorders receive any treatment. OBJECTIVE: This study aims to develop, deploy, and evaluate a computational platform to support the early detection and intervention of mental and substance use disorders in secondary and high schools as well as primary care units. The platform also aims to facilitate monitoring, treatment, and epidemiological surveillance ultimately helping specialized health units at the secondary level of care. METHODS: The development and evaluation of the proposed computational platform will run during 3 stages. In stage 1, the identification of the functional and user requirements and the implementation of the modules to support the screening, follow-up, treatment, and epidemiological surveillance will be performed. In stage 2, the initial deployment of the screening module will be carried out in a set of secondary and high schools, as well as the deployment of the modules to support the follow-up, treatment, and epidemiological surveillance processes in primary and secondary care health units. In parallel, during stage 2, patient applications to support early interventions and continuous monitoring will also be developed. Finally, during stage 3, the deployment of the complete platform will be performed jointly with a quantitative and qualitative evaluation. RESULTS: The screening process has started, and 6 schools have been currently enrolled. As of February 2023, a total of 1501 students have undergone screening, and the referral of those students presenting a risk in mental health or substance use to primary care units has also started. The development, deployment, and evaluation of all the modules of the proposed platform are expected to be completed by late 2024. CONCLUSIONS: The expected results of this study are to impact a better integration between the different levels of health care, from early detection to follow-up and epidemiological surveillance of mental and substance use disorders contributing to reducing the gap in the attention to these problems in the community. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/44607.
RESUMO
Introducción: el clima organizacional se compone de características percibidas por los trabajadores en el ambiente laboral, variable que mediará entre los factores del sistema organizacional y el comportamiento individual en el área laboral. Objetivo: evaluar el clima organizacional y la satisfacción del personal en un centro de rehabilitación y educación especial. Métodos: se realizó un estudio observacional, transversal y descriptivo entre 2013 y 2014, en Tepic, Nayarit, México, en 86 trabajadores pertenecientes a todas la áreas de un centro de rehabilitación especial. La evaluación del clima se hizo mediante la aplicación del instrumento denominado Escala de Clima Organizacional. Resultados: el nivel del clima organizacional tuvo un valor promedio de 153,4 y una baja satisfacción del personal que labora en la institución. El 31,4 y 33,7 por ciento de los trabajadores, respectivamente, valoraron con alta satisfacción las relaciones interpersonales y la retribución por su trabajo. El 32,6 por ciento no está satisfecho con el estilo de dirección y el mismo porcentaje no está satisfecho con el sentido de pertenencia. Conclusiones: la evaluación realizada indica que los trabajadores se sienten medianamente satisfechos en el centro de rehabilitación, asimismo, su satisfacción está relacionada directamente con el desarrollo que él tenga en la institución y de las repercusiones de un centro con constantes cambios directivos, que deja como consecuencia la falta de seguimiento a sus procesos administrativos que puede generar un desequilibrio en la institución(AU)
Introduction: the organizational climate consists of characteristics perceived by workers within the work environment and it is a variable that will mediate between the organizational system factors and individual behavior in the working area. Objective: to evaluate the organizational climate and the staff´s satisfaction in a Center for rehabilitation and special education. Methods: observational, cross-sectional and descriptive study conducted, in Tepic, Nayarit, Mexico. Eighty six employees working in all the areas of the institution were studied from 2013 to 2014. The climate assessment was made through the application of EDCO scale. Results: the organizational climate level averaged 153.4 and the staff´s satisfaction working in the institution was low. Personal relationships and payment was highly assessed by 31.4 percent and 33.7 percent of the staff, respectively whereas 32.6 percent were dissatisfied with the managing style and the same percentage with the sense of belonging. Conclusions: in general, the workers feel fairly satisfied in their rehabilitation center; the level of satisfaction is directly linked to their own development in the institution and the repercussions of the repeated changes of management in the center, all of which may lead to inadequate follow-up of the center´s administrative processes and generate imbalances in the institution(AU)
