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Latin American countries were hard hit by COVID-19 with rates of excess mortality above the OECD average. The pandemic brought additional stress to health systems already overstretched by a growing burden of chronic diseases, unequal access to health care services, overall under-investment in health and strong budgetary restrictions, and systemic inefficiencies.
El Manual de Atención de Familias para Profesionales de la Salud es un texto que pretende constituirse en una guía para el trabajo de distintos profesionales en temas relacionados con la familia. Un grupo de académicos de distintas áreas y/o de profesionales de la salud revisan diferentes tópicos que permiten profundizar en la comprensión de la familia para así otorgar una mejor calidad en la atención de los usuarios del sistema de salud. Este manual revisa temas tales como la evolución de la familia en Chile, legislación y familia, funciones de la familia, enfoque sistémico de la familia, estructura y dinámica familiar, ciclo vital familiar, instrumentos de evaluación familiar, diagnóstico de salud familiar y plan de cuidado, intervenciones efectivas en el trabajo con familias, impacto de la enfermedad en la familia, entre otros. Además presenta la experiencia la Facultad de Medicina de la Pontificia Universidad Católica de Chile a través del Proyecto ANCORA UC, en el diseño e implementación de un modelo de atención integral con enfoque familiar y comunitario y la experiencia de atención de familias en la Red de Centros de Salud Familiar UC. Este manual está orientado especialmente a estudiantes y profesionales del área de la salud, de las ciencias sociales y de otras profesiones que estén interesados en profundizar en el trabajo con familias.
This Research Topic is the second volume of the "Community Series In Mental-Health-Related Stigma and Discrimination: Prevention, Role, and Management Strategies". Please see the first volume here. Despite the tremendous progress and successes achieved in diagnostics, therapy, and rehabilitation in psychiatry over the past few decades, the stigma towards mental health patients, their relatives and caregivers, and healthcare professionals is still present. Social stigma, in particular, represents a major obstacle to maintaining adequate mental health care. This increases reluctance to seek help delays patients' diagnosis and limits their compliance and adherence to treatment. In the long term, this reduces psychiatric rehabilitation effectiveness and causes a burden to healthcare providers and society alike. The main goal of this Research Topic is to evaluate the impact and role of stigma, in all its forms, on individuals with psychiatric disorders, their caregivers, and mental health providers.
Guia que tiene el proposito de resolver los principales problemas con que se enfrenta el medico del primer nivel de atencion en una zona marginada, mismo que debe auxiliarse con la participacion de la comunidad. El documento se divide en: 1. El Modelo de Atencion Integral a la Salud 2. Aplicacion del Modelo en la unidad medica 3. Aplicacion del Modelo en la comunidad 4. Organizacion comunitaria para la salud 5. La interrelacion con la medicina tradicional 6. Integracion del medico a la comunidad 7. Diagnostico local de salud y programa de trabajo 8. Actualizacion del diagnostico de salud de la comunidad 9. Elaboracion del programa de trabajo 10. Informacion y evaluacion 11. Administracion de la unidad 12. Aspectos que debe cuidar el equipo de salud 13. Normas de referencia(AU).
A family orientation in health care can provide a wider understanding of illness and a broader range of solutions than the classic biomedical model. This volume thus offers practical guidance for the physician who would like to take greater advantage of this resource. The result is a readable guide, structured around step-by-step protocols that are vividly illustrated with case studies drawn from the authors extensive experience at the University of Rochester School of Medicine.
Volume numbers determined from Scope of the guidelines, p. 12-13.
Paradigms Lost challenges key paradigms currently held about the prevention or reduction of stigma attached to mental illness using evidence and the experience the authors gathered during the many years of their work in this field. Each chapter examines one currently held paradigm and presents reasons why it should be replaced with a new perspective. The book argues for enlightened opportunism (using every opportunity to fight stigma), rather than more time consuming planning, and emphasizes that the best way to approach anti-stigma work is to select targets jointly with those who are most concerned. The most radical change of paradigms concerns the evaluation of outcome for anti-stigma activities. Previously, changes in stigmatizing attitudes were used as the best indicator of success. Paradigms Lost and its authors argue that it is now necessary to measure changes in behaviors (both from the perspective of those stigmatized and those who stigmatize) to obtain a more valid measure of a program's success. Other myths to be challenged: providing knowledge about mental illness will reduce stigma; community care will de-stigmatize mental illness and psychiatry; people with a mental illness are less discriminated against in developing countries. Paradigms Lost concludes by describing key elements in successful anti stigma work including the recommended duration of anti-stigma programmes, the involvement of those with mental illness in designing programmes, and the definition of programmes in accordance with local circumstances. A summary of weaknesses of currently held paradigms and corresponding lists of best practice principles to guide future anti-stigma action and research bring this insightful volume to an apt conclusion.