Knowledge of mental health diagnosis among patients and their family members: an inpatient survey in China.

BACKGROUND: Patient-oriented information disclosure has been advocated by the National Mental Health Law (NMHL) in China since 2012; however, reporting on diagnostic disclosure to patients with mental disorders after the NMHL is limited. AMIS: This study aims to investigate and compare the knowledge of mental health diagnosis among patients and their family members in China. METHODS: An inpatient survey was conducted among 205 patients with mental disorders and their family members. Group differences of the correctness of self-reported mental health diagnosis were compared, and logistic regression was performed to investigate correlates among both patients and their family members. RESULTS: Overall, 76.7% patients and 80.6% of their family members reported a correct diagnosis. Only 46.2% patients with psychotic disorders correctly knew their diagnosis, significantly lower than their family members and patients with non-psychotic disorders. Multivariate regression analysis found that the diagnosis of psychotic disorders was a risk factor of patients' diagnostic knowledge (AOR = 0.137; 95% CI = 0.044-0.429), while family members' diagnostic knowledge was associated with their employment (AOR = 6.125, 95% CI = 1.942-19.323) and parent-child relationship with patients (AOR = 3.719; 95% CI = 1.057-13.086). CONCLUSIONS: The majority of patients with non-psychotic disorders know their diagnosis correctly and informing family members of patients' diagnosis remains a common practice in psychiatric setting after the implementation of China's NMHL.

El rol del psicólogo en la guardia del HIGA Eva Perón: una mirada desde lo histórico ­ institucional ­ particular / Psychologyst role in HIGA´S Eva Perón emergency room: from historical, institutional and particular views

La Ley Nacional de Salud Mental exige que "la atención en salud mental esté a cargo de un equipo interdisciplinario integrado por profesionales, técnicos y otros trabajadores capacitados con la debida acreditación de la autoridad competente"; y que "se incluyen las áreas de psicología, psiquiatría, trabajo social, enfermería, terapia ocupacional y otras disciplinas o campos pertinentes". En octubre de 2011 se inició una experiencia interdisciplinaria que tendrá implicancias en los modelos clásicos de abordaje y en la formación de los nuevos profesionales. Los tiempos actuales han dado lugar al surgimiento de patologías mentales cada vez más complejas que exigen ampliar las herramientas de atención. Las nuevas formas de abordaje determinan el trabajo psicoterapéutico con el paciente en crisis, la orientación familiar y la constitución de redes de contención alternativas que faciliten la superación de la situación que determinó la consulta. Resulta prioritario favorecer el trabajo conjunto entre disciplinas diferentes y complementarias como son la medicina y la psicología con el fin de trabajar en forma integral sobre las aristas mencionadas. En esta presentación se sintetiza la experiencia lograda con la incorporación del especialista en psicología a la sala de emergencias de un Hospital General y sus eventuales proyecciones

A Lei Nacional de Saúde Mental exige que "o atendimento em saúde mental fique por conta de uma equipe interdisciplinar integrada por profissionais, técnicos e outros trabalhadores capacitados e com a acreditação correspondente da autoridade competente"; e que "sejam inclusas as áreas de Psicologia, Psiquiatria, Trabalho social, Enfermagem, Terapia ocupacional e outras disciplinas ou campos pertinentes". Em outubro de 2011, iniciou-se una experiência interdisciplinar que terá implicações nos modelos clássicos de abordagem e na formação dos novos profissionais. Nos tempos atuais tem surgido patologias mentais cada vez mais complexas que exigem ampliar as ferramentas do atendimento. As novas formas de abordagem determinam o trabalho psicoterapéutico com o paciente em crise, a orientação familiar e a formação de redes de contenção alternativas que tornem possível a superação da situação que determinou a consulta." Resulta prioritário favorecer o trabalho conjunto entre disciplinas diferentes e complementares como a Medicina e a Psicologia com o intuito de trabalhar integradamente sobre as aristas mencionadas. Nesta apresentação, sintetiza-se a experiência atingida com a incorporação do especialista em Psicologia à sala de emergências de um Hospital Geral e suas eventuais projeções.

Argentine National Mental Health Law establishes that "mental health attention must be in charge of interdisciplinary teams integrated by professionals, technicians and other trained workers with adequate accreditation given by competent authorities". It includes "people pertaining to different areas of psychology, psychiatry, social work, nursery, occupational therapy and other pertinent disciplines". On October of 2011 began an interdisciplinary experience that will change classical models of facing new aspects of mental health and training professionals for its care. Our time has given place to new and more complex mental pathology that obliges to widen the attention tools. New ways of facing patient´s care determine psychotherapeutic work in crises, familiar orientation, and building up alternative contention networks that will facilitate bettering conditions that determined the consultation. It is a priority to favor team activities among different and complementary disciplines such as medicine and psychology to treat the patient as a whole. This presentation sintesizes experiences gained by incorporating psychologists in Emergency Room assistance and future projection of the proceeding.