RESUMO
The "Écoute Défense" helpline was launched on 23rd January 2013. This freephone number, available 24/7, is aimed at soldiers, former soldiers and their families. The main objective of the service is to listen, provide information and guide those suffering from psychological traumas which have arisen during service. Carried out by clinical psychologists from the military health service, the mission raises discussion around the challenges of this new channel for accessing care for soldiers.
Assuntos
Campanha Afegã de 2001- , Distúrbios de Guerra/enfermagem , Distúrbios de Guerra/reabilitação , Linhas Diretas , Militares/psicologia , Transtornos de Estresse Pós-Traumáticos/enfermagem , Transtornos de Estresse Pós-Traumáticos/reabilitação , Adulto , Cuidadores/psicologia , Distúrbios de Guerra/psicologia , França , Humanos , Psiquiatria Militar , Equipe de Assistência ao Paciente , Psicologia Clínica , Transtornos de Estresse Pós-Traumáticos/psicologia , Suicídio/psicologia , Prevenção do SuicídioAssuntos
Terapias Complementares/estatística & dados numéricos , Medicina de Família e Comunidade/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde/estatística & dados numéricos , Escócia , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Prevention of infection with the blood-borne pathogens (BBPs) HIV and hepatitis B and C remains a major public health challenge. The aim of this study was to assess the activity, knowledge and attitudes of community pharmacists in Grampian in prevention of HIV and hepatitis B and C. METHOD: A questionnaire survey of community pharmacies was carried out in Grampian, a mixed urban-rural Health Board area in NE Scotland with a population of 532,432. RESULTS: Ninety-nine out of 128 (77 per cent) community pharmacies responded. Many pharmacies were providing services for drug misusers. Nearly all pharmacies stocked condoms, 57 pharmacists stated that they stocked extra-strong condoms, and two stocked dental dams. Two-thirds had leaflets relating to safer sex, HIV or hepatitis. Less than half stated that they had lists of local agencies dealing with drug-related or sexual health problems. Knowledge of the BBPs, and confidence in giving advice, were greater for HIV than for hepatitis B and C. Few were aware of recommendatons for hepatitis B vaccination. The majority felt that in the future pharmacists could have a greater role in prevention of these infections. Principal barriers to preventive activity were described as time pressure, lack of a private area and lack of training. CONCLUSIONS: There is untapped potential for community pharmacists to be a focus for advice and information relating to prevention of HIV and hepatitis B and C; however, resources are needed to address the current barriers identified field.