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Community Ment Health J ; 57(3): 438-441, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33400048


The COVID-19 pandemic has disrupted community mental health center (CMHC) operations by limiting in-person access to patients and contributing to staff absenteeism. States adjust social distancing levels over time in response to changes in economic needs, healthcare system utilization, and COVID-19 virus transmission levels. Community mental health centers also need to balance service needs with infection risk, which requires adjusting social distancing levels in response to changes in the local conditions. This article will: (1) briefly describe epidemiological indicators most useful for judging the local infection trends, (2) describe a strategy for organizing specific agency clinical functions on a social distancing level scale, (3) propose a set of agency phases to inform administrative responses to changes in the risk to operations, and (4) discuss the role of psychiatrists as physicians in a mental health agency during a pandemic.

COVID-19/psicologia , Psiquiatria Comunitária , Pandemias/prevenção & controle , Papel do Médico , Médicos/psicologia , Psiquiatria , Adulto , COVID-19/epidemiologia , COVID-19/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distanciamento Físico , SARS-CoV-2
Psychiatriki ; 31(4): 289-292, 2020.
Artigo em Inglês, Grego Moderno | MEDLINE | ID: mdl-33361058


During the coronavirus disease 2019 (COVID-19) pandemic, all European countries were hit, but mortality rates were heterogenous, with some countries being hit very hard, while others including Greece had a much lower death rate during the first wave of spring 2020. The ultra-fast application of measures was probably the reason of this outstanding success. This outbreak is expected to trigger feelings of fear, worry, and stress, as responses to an extreme threat for the community and the individual. In addition, changes in social behavior, as well as in working conditions, daily habits and routine, are expected to impose further stress, especially with the expectation of an upcoming economic crisis and possible unemployment. In Greece, where the lockdown was extremely successful in terms of containing the outbreak, worries concerning the possible adverse effects on mental health were also predominant. A collaboration concerning mental health during the COVID-19 outbreak was established, between the Aristotle University School of Medicine, the Panhellenic Medical Association and the World Psychiatric Association. Two large multinational studies were launched, one concerning the general population and one university students. Students' mental health is an area of special interest, both because of the vulnerability of this age group as well as because any disruption during the time of the studies has profound long-term consequences in the lives of the individuals, and this might trigger feelings of fear, worry, and stress. According the results from the Greek arm of the students' study, during the lockdown, two-thirds of university students reported at least 'much' increase in anxiety, one third in depressive feelings and in 2.59% concerning suicidal thoughts. There was also a worsening of quality of life and deterioration of lifestyle issues. Major depression was present in 12.43% with an additional 13.46% experiencing severe distress. Beliefs in conspiracy theories enjoyed wide acceptance ranging from 20-68%, with students of law, literature, pedagogics, political sciences and related studies manifesting higher acceptance rates. Female sex and depression/dysphoria both independently but also in interaction were related to higher rates of such beliefs. The results of the Greek arm of the general population study suggested that during the lockdown, clinical depression was present in 9.31%, with an additional 8.5% experiencing severe distress. Increased anxious and depressive emotions (including subclinical cases) were present in more than 40% of the population. In persons with a previous history of depression, 23.31% experienced depression vs. 8.96% of cases without previous history, who were experiencing their first depressive episode. Family dynamics suggested that fewer conflicts and better quality of relationships were surprisingly related to higher anxiety and depressive emotions, higher rates of depression and distress, and greater rates of suicidal thoughts. Eventually, spiritual and religious affiliation could protect the individual from the emerging suicidal thoughts. As correlation does not imply causation, the results suggest that conspiracy theories could be either the cause of depression or on the contrary a coping mechanism against depression. After taking into consideration that also in the family environment the expression of anger seemed to be a protective factor, the most likely explanation could be that the beliefs in conspiracy theories are a coping and 'protective' mechanism against the emergence of depression. These studies were among the first published, they went deeper in the data collection and even led to the creation of a model with distinct stages for the development of mental disorders during the lockdown. The analysis of the international data will probably provide further insight into the prevalence of mental disorders and the universal but also culturally specific models and factors pertaining to their development. At the time this editorial was in press, more than 40 countries representing more than two thirds of earth's population were participating with more than 45,000 responses already gathered.

Adaptação Psicológica , COVID-19 , Psiquiatria Comunitária , Saúde Mental/tendências , Angústia Psicológica , Pesquisa Comportamental/organização & administração , Pesquisa Comportamental/tendências , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Controle de Doenças Transmissíveis/métodos , Psiquiatria Comunitária/métodos , Psiquiatria Comunitária/tendências , Saúde Global , Grécia/epidemiologia , Humanos , Cooperação Internacional , SARS-CoV-2 , Comportamento Social
Soins Psychiatr ; 41(328): 26-29, 2020.
Artigo em Francês | MEDLINE | ID: mdl-33039088


The care programmes are medical-legal and therapeutic systems that showcase different spaces, the law, the patient's clinic, their freedom and their rights. In this context, the patient preserves their freedom to come and go. In applying the care programme, the doctor must acquire their approval, not to say consent. Outside hospitalisation, the care programmes bring patients and teams together within the city. The matter of social and community psychiatry, a vector of catchment-area psychiatry, then makes full sense.

Transtornos Mentais/terapia , Psiquiatria Comunitária , Liberdade , Humanos , Direitos do Paciente
Psychiatr Serv ; 71(9): 969-970, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32867611
Psychiatry Res ; 288: 112939, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32304928


BACKGROUND: Homeless experts and some federal housing officials are sounding the alarm that the patchwork of government efforts to address the coronavirus outbreak risks leaving out one group of acutely vulnerable people: the homeless. In terms of isolation, it is too unclear what that looks like if you normally sleep on the streets. In this tough moment, when people should be turned away, not only it feels inhumane, but it is also a big public health risk, because where are they going to go? METHOD: The studies were identified using large-sized newspapers with international circulation RESULTS: With more cities suspecting community transmission of the novel coronavirus, people who sleep in shelters or hunker down outside already have a lower life expectancy and often have underlying health conditions that put them at greater risk if they develop COVID-19 (Global News, 2020). These people face lack of sleep, malnutrition, and "extreme stress levels just to meet their daily needs", all of which weakens the immune system. Along with mental illness or substance abuse disorders, they are "incredibly vulnerable to this virus". CONCLUSIONS: Health organizations are well aware of the risks involved in mental health. A large population of homeless people experience their pain and psychological distress intermittently. For low-income patients, the various borderline situations related to health/illness involve growing expectations regarding the basic needs. This is a serious concern when linked to the pandemic.

Infecções por Coronavirus , Pessoas em Situação de Rua , Transtornos Mentais , Saúde Mental , Pandemias , Pneumonia Viral , Adulto , Betacoronavirus , Psiquiatria Comunitária , Coronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Feminino , Pessoas em Situação de Rua/psicologia , Humanos , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Isolamento Social , Estresse Psicológico
Clín. salud ; 31(1): 47-53, mar. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-191915


The identification of transdiagnostic mediating processes involved in a therapeutic change and their relationship with personality can contribute to a better adjustment of a therapeutic technique, enhancing its effectiveness. In a sample of 158 adults diagnosed with personality disorder who complete an inpatient therapeutic community program for 6 months, the hypothesis of a differential reduction in symptom intensity according to the externalizer/internalizer typology is tested, and cognitive variables mediating change are explored. A pre-post change (p = .000, etap2 = .50) is observed, along with a difference between externalizers and internalizers (p = .002, etap2 = .06), and an interaction effect (p = .037, etap2 = .03). The effect of personality type on symptom change (Beta = .43, p = .009) is no longer significant when negative automatic thoughts and dysfunctional attitudes are considered as mediators (Beta = .06, p = .549). Findings are discussed from the perspective of personality disorder as a vulnerability factor

La identificación de procesos mediadores transdiagnósticos intervinientes en el cambio terapéutico y su relación con la personalidad puede contribuir a un mejor ajuste de la técnica terapéutica, potenciando su eficacia. En una muestra de 158 adultos diagnosticados de trastorno de personalidad inscritos en un programa de comunidad terapéutica hospitalaria durante 6 meses se pone a prueba la hipótesis de una reducción diferencial de laintensidad sintomatológica según la tipología externalizador/internalizador y se exploran las variables cognitivas mediadoras del cambio. Se observa un cambio pre-post (p = .000, Etap2 = .50), la diferencia entre externalizadores e internalizadores (p = .002, Etap2 = .06) y el efecto de interacción (p = .037, Etap2 = .03). El efecto del tipo de personalidad sobre el cambio en los síntomas (Beta = .43, p = .009) deja de ser significativo cuando se consideran los pensamientos automáticos negativos y las actitudes disfuncionales (Beta = .06, p = .549) como mediadores. Se discuten los resultados desde la perspectiva del trastorno de personalidad como factor de vulnerabilidad

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos da Personalidade/terapia , Psiquiatria Comunitária , Terapia Cognitivo-Comportamental , Avaliação de Resultados em Cuidados de Saúde
Gac. sanit. (Barc., Ed. impr.) ; 34(supl.1): 81-86, ene. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-201184


La transición legislativa e ideológica producida en los últimos años en España ha favorecido el desarrollo del modelo comunitario de atención a la salud mental. No obstante, aún persiste una fuerte resistencia a la inclusión de abordajes comunitarios en la atención de las personas con problemas de salud mental y a la implementación de una atención y unos cuidados integrados de enfoque salutogénico. El propósito del siguiente artículo es describir la evolución del modelo comunitario de atención a la salud mental en el sistema nacional de salud español y evaluar su estado actual. Inicialmente se realizó una revisión de los planes y estrategias de salud mental nacional publicados y luego se evaluaron tomando como referencia el Documento de consenso sobre los principios fundamentales y elementos clave de la salud mental comunitaria, que establece los criterios de valoración de la calidad de la atención comunitaria. Ante la falta de planes o estrategias actualizados, se incluyeron informes y recomendaciones internacionales. Los resultados se agruparon en: 1) perspectiva social, en la que se evidencia la controversia sobre la capacidad de las personas usuarias para tomar decisiones a pesar del reconocimiento de sus derechos como agentes morales autónomos; 2) perspectiva de la centralidad de las personas usuarias de los servicios de atención a la salud mental, en la que se plasma la resistencia a la implementación de una atención y unos cuidados comunitarios integrados; y 3) perspectiva profesional en relación con la efectividad de las intervenciones y la red comunitaria de principios de atención, que señala la necesidad de transformar las instituciones para realizar intervenciones comunitarias en salud mental basadas en la evidencia y de manera intersectorial, integral, integrada e integradora

The legislative and ideological transition produced in recent years in Spain has favoured the implementation of the community model of mental health care. However, there is still strong resistance to the inclusion of community approaches in the care of people with mental health problems and to the implementation of integrated care and attention with a salutogenic approach. The purpose of the following report is to describe the evolution of the community model of mental health care in the Spanish National Health System and to assess its current status. Initially, a review of the published national mental health plans and strategies was carried out. Subsequently, the evaluation was carried out taking as reference the Consensus Document on the Fundamental Principles and Key Elements of Community Mental Health, which establishes the criteria for evaluating the quality of community care. In the absence of updated plans or strategies, international reports and recommendations were included. The results were grouped into: 1) social perspective, where the controversy about the capacity of the users to make decisions despite the recognition of their rights as autonomous moral agents is evident; 2) perspective of the centrality of the users of mental health care services, where the resistance to the implementation of integrated community care and attention is expressed; and 3) professional perspective in relation to the effectiveness of the interventions and the community network of care principles, which highlights the need to transform the institutions to carry out community interventions in mental health based on evidence and in an intersectoral, comprehensive, integrated and integrating manner

Humanos , Centros Comunitários de Saúde Mental/organização & administração , Assistência à Saúde Mental , Transtornos Mentais/epidemiologia , Espanha/epidemiologia , Modelos Organizacionais , Assistência Centrada no Paciente/organização & administração , Psiquiatria Comunitária/organização & administração , Direitos do Paciente/legislação & jurisprudência
Psychiatr Serv ; 71(1): 28-34, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31522631


OBJECTIVE: High clinician turnover in community behavioral health settings can lead to increased costs and can have a negative impact on care quality. Few studies have examined the implications of clinician turnover for client outcomes. This study investigated changes in client outcomes associated with clinician turnover. METHODS: The study used prospective observational data collected as part of a larger randomized controlled trial. Clients (N=328) from two community behavioral health centers identified the clinician (N=121) whom they saw most often. Clients completed measures of depression, anxiety, mental and physical health functioning, and patient activation at baseline, 6 months, and 12 months. Clinician turnover during the 12-month study was obtained from agency records. Latent growth curve modeling was used to analyze the data. RESULTS: Of the 328 clients, 24% experienced clinician turnover. For all outcomes except depression, the association with turnover was moderated by baseline status on the outcome measure. Turnover tended to be associated with clinical decline for clients who at baseline had low to moderate anxiety, high patient activation, or high physical health functioning. Surprisingly, turnover was associated with increased mental health functioning for clients who at baseline had very low mental health functioning. For physical health functioning, the association with turnover was also moderated by age. Turnover was associated with a sharper decline in functioning for older clients. CONCLUSIONS: Results suggest that clinician turnover was associated most strongly with decline for higher functioning or older clients, but it was not uniformly associated with worsening clinical outcomes.

Serviços Comunitários de Saúde Mental/normas , Transtornos Mentais/terapia , Reorganização de Recursos Humanos/estatística & dados numéricos , Garantia da Qualidade dos Cuidados de Saúde , Adulto , Psiquiatria Comunitária , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Estudos Prospectivos
Rev. Asoc. Esp. Neuropsiquiatr ; 39(136): 89-116, jul.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-192349


Este es el primero de una serie de dos artículos que tratan de hacer una valoración crítica de los principales aspectos teóricos y técnicos relacionados con la atención en salud mental que se han desarrollado en las 6 o 7 últimas décadas. Se intenta con ello situar los problemas de la atención en salud mental, y, dentro de ellos, los de la psiquiatría, por contraposición a dos tipos de posiciones consideradas inadecuadas: las del reduccionismo biomédico dominante y las de algunas tendencias "antipsiquiátricas", formalmente opuestas pero que, a mi entender, simplifican excesivamente la visión alternativa, con el riesgo de dejar de lado aspectos básicos de nuestras disciplinas y prácticas profesionales. En este primer artículo se hace una presentación general del conjunto, se exponen algunas posiciones filosóficas previas y se analizan críticamente distintos aspectos de la integración de la salud mental en el campo sanitario

This is the first of two papers that seek to make a critical assessment of the main theoretical and technical aspects related to mental health care developed in the last six or seven decades. It attempts to situate the problems of mental health care, and, within them, those of psychiatry, as opposed to two types of positions considered inadequate: the dominant biomedical reductionism and those of some new "antipsychiatric" tendencies, both of which, although formally opposite, oversimplify, in my opinion, the alternative vision, with the risk of leaving aside basic aspects of our disciplines and professional practices. In this first paper, a general overview is provided, some previous philosophical positions are reviewed, and some of the main implications of integrating mental health in the health field are critically analyzed

Humanos , Serviços de Saúde Comunitária , Saúde Mental , Medicina Baseada em Evidências , Psiquiatria Comunitária , Atenção Primária à Saúde , Esquizofrenia/epidemiologia
Am Psychol ; 74(8): 868-881, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31697124


The Eromin Center was founded in Philadelphia in 1973, aiming to provide lesbian, gay, bisexual, and transgender (LGBT) affirmative mental health treatment 6 months before the American Psychiatric Association voted to remove homosexuality from the Diagnostic and Statistical Manual of Mental Disorders (DSM-II; American Psychiatric Association, 1968). This study of archival records and oral histories with Eromin Center staff and volunteers reveals an iterative and improvisational approach to community-based affirmative care. Rather than waiting for national leadership or institutional change, they aimed to respond directly to otherwise unrecognized needs of LGBT people through psychotherapy and social services-what we are calling clinical activism. Without training or guidance from research, they tended to base their work on their own experiences, an approach with inherent limitations in particular because most of the staff were White, cisgender, and identified as gay and lesbian. They attempted to address these limitations until Eromin's closing in 1984. Largely overshadowed by the broader policy changes in mental health care, Eromin's work provides a crucial case study in community-based clinical activism and affirmative practice with continuing salience today. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Psiquiatria Comunitária/história , Psicoterapia/história , Minorias Sexuais e de Gênero/psicologia , Serviço Social em Psiquiatria/história , Feminino , História do Século XX , História do Século XXI , Humanos , Masculino , Philadelphia
Psychiatr Serv ; 70(10): 963-966, 2019 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-31434559


Caseload and daily volume requirements present clinical and administrative challenges in organized settings primarily serving the public sector. These challenges are examined through lenses of systems-level fiscal viability, population health, and patient experience. Framed by previous efforts in caseload methodology, illustrative data collected from members of the American Association of Community Psychiatrists are discussed, with consideration of issues of professional effort and burnout. A systematic effort is needed to develop guidelines for caseload and volume expectations that support recovery outcomes, account for practitioner skills, and promote high-quality clinical encounters.

Esgotamento Profissional/etiologia , Psiquiatria Comunitária/estatística & dados numéricos , Padrões de Prática Médica , Carga de Trabalho , Humanos , Satisfação no Emprego , Transtornos Mentais/terapia , Setor Público/estatística & dados numéricos , Estados Unidos , Recursos Humanos
Medicina (Ribeiräo Preto) ; 52(3)jul.-set. 2019.
Artigo em Português | LILACS | ID: biblio-1025640


RESUMO Objetivo: Apresentar o perfil dos pacientes atendidos por tentativas de suicídio atendidas pelo Hospital Geral Dr. Oswaldo Brandão Vilela (HGE) da cidade de Maceió, Alagoas, Brasil. Métodos: Trata-se de um estudo do tipo documental, descritivo e retrospectivo com abordagem quantitativa. A amostra da pesquisa foi todo o universo de pacientes atendidos e diagnosticados por tentativa de suicídio no HGE no período de 2015 a 2017. Resultados:A amostra investigada foi constituída de 824 usuários, 50,1% dos pacientes tem a faixa etária entre 15 a 29 anos e 63% são do sexo feminino, 82,1% utilizou o meio de envenenamento, desses, 58,9% utilizou o agente medica-mento. Conclusão: De 2015 a 2017 a distribuição de ocorrências por atendimentos de suicídio cresceu ao longo dos anos entre os jovens. Infere-se que são necessárias ações que permitam e incentivem a prevenção desse dano à população (AU)

ABSTRACT Objective: Presenting the profile of patients treated for suicide attempts at the Oswaldo Brandão Vilela General Hospital (HGE) in the city of Maceió, Alagoas, Brazil. Methods: This is a documentary, descriptive, and retrospective study with a quantitative approach. The research sample was the entire universe of patients assisted and diagnosed at the HGE for suicide in the period from 2015 to 2017. Results: The sample investigated consisted of 824 users, 50.1% of the patients had the age range between 15 to 29 years and 63% are female, 82.1% used the means of poisoning, of these, 58.9% used the drug agent. Conclusion: From 2015 to 2017, the distribution of occurrences due to suicide calls increased among young people. It is inferred that actions are necessary that allow and encourage the prevention of this damage to the population (AU)

Humanos , Masculino , Feminino , Adolescente , Adulto , Tentativa de Suicídio , Perfil de Saúde , Saúde Mental , Psiquiatria Comunitária
Community Ment Health J ; 55(8): 1275-1278, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31076982


Psychiatry residents are required to be exposed to community psychiatry. Historically, this occurred in public hospitals or assertive community treatment (ACT) teams. A new model of psychiatric care delivery, integrated care, has become prevalent. While integrated care shares some features with traditional community psychiatry rotations, no research exists to demonstrate if integrated care rotations can accomplish the aims of traditional rotations. This pilot study compared learning outcomes in ACT team rotations versus integrated care rotations. Pre- and post-rotation surveys were disseminated to third-year psychiatry residents (N = 8) who were randomized to complete a rotation with an ACT team or an integrated care team. By rotation end, many in both settings changed how conservative they were in treatment philosophies, but this did not result in a difference between groups. Residents in both groups were satisfied with their rotations. Training in integrated care may be a reasonable alternative to traditional community psychiatry rotations.

Psiquiatria Comunitária/educação , Prestação Integrada de Cuidados de Saúde , Internato e Residência , Psiquiatria/educação , Acreditação , Serviços Comunitários de Saúde Mental , Humanos
Environ Health Prev Med ; 24(1): 37, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31138144


BACKGROUND: The gender-specific characteristics of individuals at an increased risk of developing depression currently remain unclear despite a higher prevalence of depression in women than in men. This study clarified socioeconomic and lifestyle factors associated with an increased risk of subclinical depression in general Japanese men and women. METHODS: Study participants were residents not receiving psychiatric treatments in 300 sites throughout Japan in 2010 (1152 men, 1529 women). Multivariable-adjusted odds ratios (OR) and 95% confidence intervals (95%CIs) for socioeconomic factors and lifestyle factors were calculated using a logistic regression analysis. RESULTS: Risk of depressive tendencies was significantly higher in men who were single and living alone (OR, 3.27; 95% CI, 1.56-6.88) than those married. The risk was significantly lower in women who were not working and aged ≥ 60 years (OR, 0.39; 95% CI, 0.22-0.68) and higher in men who were not working and aged < 60 years (OR, 3.57; 95%CI, 1.31-9.72) compared with those who were working. Current smoking was also associated with a significantly increased risk of depressive tendencies in women (OR, 2.96; 95% CI, 1.68-5.22) but not in men. CONCLUSIONS: Socioeconomic and lifestyle factors were associated with an increased risk of depressive tendencies in general Japanese. Related factors were different by sex.

Psiquiatria Comunitária/estatística & dados numéricos , Psiquiatria Comunitária/tendências , Depressão/epidemiologia , Adulto , Idoso , Feminino , Inquéritos Epidemiológicos , Humanos , Japão/epidemiologia , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Fatores de Risco , Fatores Socioeconômicos
Psychiatr Prax ; 46(S 01): S60-S68, 2019 03.
Artigo em Alemão | MEDLINE | ID: mdl-30743307


Giving appointments to semiotics and social psychiatry the framework of semiotics is characterized with regard to fields of application in social psychiatry. From that point an interdisciplinary cooperation could be achieved with benefit for both sides. By means of the theory of semiosis (sign process) it could be shown, in which way the communicative meaning of all speech acts (illocutionary forces) could be formally represented. Against this background the SRZP-research concepts of structure (PART II), dynamics (PART III) and modelling (PART V) of jeopardizing situations could be unfolded retrospectively.

Coerção , Psiquiatria , Psiquiatria Comunitária , Alemanha , Humanos , Relações Interpessoais , Estudos Retrospectivos
Rev. salud pública ; 21(1): 122-127, ene.-feb. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1139432


RESUMEN Debido a la necesidad de reformar la asistencia psiquiátrica y trascender de un modelo centrado en la asistencia clínica a un modelo más comunitario, surge Mentalmente Sanos como una iniciativa desde la academia bajo el convenio de docencia servicio entre la Universidad del Valle y la Red de Salud ESE Ladera. Este grupo de apoyo, conformado desde el 2009 por personas con discapacidad mental que participan de manera libre y voluntaria, funciona con el fin de promover procesos de inclusión social y habilidades sociales en vida cotidiana. Cuenta con la participación de estudiantes y docentes de terapia ocupacional, medicina y psiquiatría. Metodológicamente, es un espacio de construcción conjunta, se trabaja desde dos enfoques, el de las capacidades y el comunitario. Las actividades se planean y desarrollan semanalmente garantizando la participación de todos, teniendo en cuenta los intereses, inquietudes y capacidades. Mentalmente Sanos, además de posibilitar procesos de inclusión social y la puesta en marcha de un abordaje con la comunidad, se convierte en una oportunidad para reflexionar en torno a la construcción del sujeto desde un modelo social de la discapacidad y la importancia de la vinculación de los actores institucionales para garantizar la implementación de estrategias de atención comunitaria.(AU)

ABSTRACT Due to the need to transform psychiatric care and transcend from a model focused on clinical care towards a community model, Mentalmente Sanos (Mentally Healthy) emerges as an initiative from the academy under the teaching services agreement between the Universidad del Valle and the State Social Enterprises Health Network E.S.E Ladera. This support group, created in 2009 by people with mental disabilities who participate freely and voluntarily, promotes processes of social inclusion and social skills in everyday life. It convenes students and professors of Occupational therapy, Medicine and Psychiatry. Methodologically speaking, it is a space of joint construction based on the approach of the capacities and the community. Activities are planned and developed weekly ensuring the participation of all parties involved, taking into account their interests, concerns and capacities. Mentalmente Sanos, besides enabling social inclusion processes and the implementation of a community approach, is an opportunity to reflect on the construction of the individual from a social model of disability and the importance of linking institutional actors to ensure the implementation of community care strategies.(AU)

Humanos , Saúde Mental/tendências , Psiquiatria Comunitária , Participação da Comunidade/métodos , Terapeutas Ocupacionais , Colômbia