Centro de Atención Integral al consumo de SPA fortalece la apuesta distrital por la salud mental

Foto Alcaldía de Cali

El Centro de Atención Integral al Consumo de Sustancias Psicoactivas, que estará ubicado en el Hospital Cañaveralejo, será el centro de excelencia y referencia en la ciudad, para atender y abordar la problemática asociada al consumo de SPA.

Por esta razón el mencionado Hospital, de la Red de Salud Ladera, será intervenido para adecuar y reforzar su infraestructura con nuevos espacios que permitan brindar servicios integrales.

María Piedad Echeverri Calderón, gerente de la Red de Salud Ladera, indicó que Cali tiene necesidad de trabajar en la prevención del consumo de drogas, pues esta problemática, aunque viene de atrás, ha incrementado en un 141 por ciento. De allí la necesidad de construir un sitio apropiado que permita no solo a hacer tratamiento clínico sino también un abordaje integral que inicie con la construcción o reconstrucción de un proyecto de vida.

“Estamos desarrollando una estrategia para fortalecer la prevención y todo lo que tiene que ver con las alteraciones de consumo y las derivaciones que se dan en violencia de género y en todo lo que los aspectos que tiene que ver con actos que nos están llevando a genera violencia”, dijo Echeverri.

Para la infraestructura ya existen los diseños: “es una construcción que abarca seis pisos en alturas que cumplen con todas las normas y que va a tener unos espacios verdes; también de poder reubicar al paciente, al usuario, al consumidor en un entorno de él y su familia, de tal manera que pueda prevenirle el consumo y de ayudarle a superarlo en caso de que su situación sea problemática”, dijo la funcionaria.

Este proyecto se convierte en el complemento de un modelo de salud denominado Tejiendo Sueños, que hace parte de la implementación de la Política Pública de Salud Mental, y un esfuerzo que integra a diferentes organismos de la Administración Distrital y otras entidades que trabajan en la búsqueda de mejorar la calidad de vida de los caleños afectados por el consumo problemático de drogas.

La Secretaria de Salud de Cali, Miyerlandi Torres Agredo, explicó que el proyecto movilizar del Centro de SPA hace parte de una estrategia en salud mental y abordaje del consumo de drogas que tiene dos componentes: “el primero es el componente comunitario, en el cual trabajan las redes protectoras o redes de apoyo iniciando desde la primera red que es la familia, involucrando la familia, los actores comunitarios, los diferentes sectores como el educativo, cultural, deportivo, entre otros; desde allí identificaríamos personas de alto riesgo de consumo problemático que se derivan al segundo componente que es el de la prestación de servicios de salud. Aquí, a través de las Empresas Sociales del Estado, se abordará el tratamiento clínico y medico de estas personas, pero que, además, tendrá un enfoque diferencial”.

La jefe de la cartera de Salud señaló, además, que desde la prestación de servicios de salud está la Línea 106, con el fortalecimiento de las plataformas virtuales y el inicio de las unidades de salud mental que estarán dispuestas en las ESE, con el recurso humano capacitado para brindar atención a las personas con consumo problemático, y en articulación con especialistas con un enfoque de reducción de riesgo y del daño.

“Las personas que estén en un estado avanzado de la adicción serán derivadas al Centro de Excelencia de Consumo de SPA. Este Centro va a tener desde la prevención hasta el tratamiento o rehabilitación, y va a tener un componente de experiencia donde, con el deporte y la cultura, se buscará la adherencia al tratamiento que estaremos implementando en este nuevo programa de salud mental”, puntualizó la secretaria.

Así es como la alcaldía de Cali le apuesta a la reducción y prevención al consumo de drogas en la ciudad.

Fuente: Jennifer Dorronsoro T / Alcaldía de Cali

Member of Congress Describes Continuing Mental Trauma From January 6 Riots

Images of the January 6 insurrection at the U.S. Capitol are seared into many Americans’ minds and remain especially vivid for members of Congress who witnessed the riot. One congressman has been especially forthcoming about the mental trauma he has been experiencing months after the riot. VOA’s Carolyn Presutti spoke with the lawmaker and filed this report.

Nariño: Milton tiene retardo mental, su madre que está enferma debe trabajar y cargarlo para atenderlo

La mujer pide ayuda para mejorar sus condiciones, señala que ya padece dolores por la compleja situación en la que viven y todo lo que debe hacer por su hijo.

Noticias Nariño

Un llamado a la solidaridad de todos los nariñenses fue la que hizo una madre de familia en el municipio de San Pablo, norte del departamento. Se trata de Alba, progenitora de Milton, un joven que padece un tipo de retardo mental.

De acuerdo con la madre, es ella quien debe encargarse de suplir todas sus necesidades.

“Milton es como si fuese un bebé. Por su enfermedad ni siquiera camina, por ello debo encargarme de todo, sin embargo, con el pasar de los días, la situación se ha vuelto insostenible”, dijo.

Explicó que por ello, ya padece muchos dolores físicos, debido a que siempre debe cargarlo para movilizarlo.

Señala que no tiene el apoyo de nadie y que ella sola debe encargarse de su hijo, razón por la cual se encuentra en precarias condiciones.

“Me gustaría salir a trabajar para mejorar la situación, pero no puedo dejar a mi hijo solo”, contó a Cazadenuncias La Cruz.

A esta situación se suma, que viven en una casa en pésimas condiciones,que es un lugar prestado, debido a que no cuentan con recursos económicos.

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Manifiesta que por ello decidió acudir a las autoridades locales, sin embargo todo ha sido en vano. Por tal razón y ante el desespero en que se encuentra decidió acudir al apoyo de la comunidad para afrontar su drama.

Añadió que quien desee brindarle algún tipo de apoyo, puede comunicarse al 3147696076, al tiempo que reiteró al llamado a las autoridades para que le brinden algún tipo de ayuda.

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Lingering Pandemic Takes Toll on Americans’ Mental Health

After two years, the COVID-19 pandemic seems to be taking a toll on Americans’ mental health, with a growing number of people suffering from a wide array of issues, from anxiety to depression. Lesia Bakalets has the story, narrated by Anna Rice.

Mental Health Hovers Over Olympics, on its Way to Mainstream

ZHANGJIAKOU, CHINA — 

At the Tokyo Olympics, mental health was the breakout star. Amplified by some of the world’s top athletes, it shook up those Games and made everyone take notice.

Six months later, in Beijing, the conversation has evolved: The subject pops up regularly, but no one is shocked when it does.

Many athletes have spoken about their struggles, but often in a no-biggie, nothing-to-see-here way. A difficulty is mentioned, then the conversation moves on. After star gymnast Simone Biles pulled out of competition in Tokyo because she wasn’t in the right headspace, retired Olympic swimming phenom Michael Phelps memorably said that “It’s OK to not be OK.”

And now, thanks in part to people like Biles, it seems it’s OK to talk about it, too.

“I think the biggest lesson I’ve learned after the last Olympics is being as open as possible,” snowboarding sensation Chloe Kim told reporters after she took the gold medal Thursday in the halfpipe competition.

It was Kim’s second Olympic gold. She initially threw that first one, earned in Pyeongchang four years ago, in the trash — a story that epitomizes the dissonance between the cheery face many champions show the world and the torments they face behind the scenes.

“After my last Olympics, I put that pressure on myself to be perfect at all times, and that would cause a lot of issues at home. I would be really sad and depressed all the time when I was home,” Kim told reporters after easily securing the top spot on the podium — but also failing to land a new trick she is working on.

“I’m happy to talk about whatever I’ve been experiencing,” she said. “Honestly, it’s really healthy for me.”

It wasn’t just Kim who was talking about it. After snowboarder Jamie Anderson, who came to Beijing as the two-time defending slopestyle champion, finished ninth, she posted on Instagram that her “mental health and clarity just hasn’t been on par.”

Skier Mikaela Shiffrin was particularly honest after she failed to finish either of her first two races in events that are specialties of hers. She said that she had been feeling pressure, something every elite athlete feels and is distinct from the more complicated mental health challenges many have been talking about.

But Shiffrin also plumbed greater depths, acknowledging that she was angry with her dad, who died in 2020, for not being there to support her.

FILE – Simone Biles of the United States waits to perform on the balance beam during the artistic gymnastics women’s apparatus final at the 2020 Summer Olympics, Aug. 3, 2021, in Tokyo.

After finally managing to complete a race Friday — shockingly, even that had become an open question for the star — she posted on Instagram about the ups and downs of competition.

“There’s a lot of disappointment and heartbreak going around in the finish area,” she wrote.

As several elite athletes stumbled in Beijing, they were often quick to remind the world that they’re human, too. Shiffrin even has a paid post on Instagram, in which the tagline is: “Yeah, I am human.” A far cry from the usual vaunting of athletes as something much more than that.

This is what many hoped for after Tokyo — that as more athletes acknowledged what they face behind the scenes, the stigma around talking about mental health would recede and the issue would merely become one more challenge in the mix.

“I think that it really has become normalized with so many athletes talking about their mental health, and there has been such a push for parity with mental health and physical health,” said Jess Bartley, director of mental health services for Team USA.

“I think, in the experience I’ve had with a lot of these athletes, it’s really relieving to be able to talk about it, to have folks understand, to have the audience understand what may be coming up that might have impacted their performance,” she said. “Just in the same way that you hear about a sprained ankle.”

Bartley works with athletes to prepare how they’ll respond to questions about their mental health just as she works with them on preparing their performance. Some feel comfortable revealing those struggles; others don’t.

United States’ Chloe Kim celebrates during the venue ceremony for the women’s halfpipe at the 2022 Winter Olympics, Feb. 10, 2022, in Zhangjiakou, China.

Louie Vito, a snowboarder who competed for Italy in Beijing, puts himself in the latter camp. He’s glad that mental health is being talked about more openly — he readily admits framing some of his struggles in that way was eye-opening for him — but he would prefer to keep much of that private.

“I think some people would rather deal with their mental battles in their inner circle,” he said. “To me, it’s not a right or a wrong on how you deal with it as long as you’re aware and it doesn’t become detrimental to you. I don’t think you have to talk about in public.”

And he acknowledged that many people are still embarrassed to talk about these issues.

Yet so many do keep talking — encouraged by a generation of younger athletes determined not only to be heard but to ensure that this subject is no longer something to be dramatically revealed, but simply addressed like anything else important.

Amanda Fialk, who is the chief clinical officer at The Dorm, a mental health treatment program for young people, is heartened by the increasingly open conversations happening. But she warns that true change will take much more time to take hold.

She underscores that there are vast cultural differences — across countries and between communities within any given country — that affect access to and the stigma around mental health care.

“I am also mindful that old habits die hard,” said Fialk, who was a competitive figure skater when she was younger. “It is going to take continued talking about these issues and continued efforts to normalize talking about all these issues for the change to not just be a change, but to become a new normal.”

85% of nursing has mental health affected by the pandemic

The impact of the coronavirus pandemic on nursing continues, 80% of these professionals are still dedicated to addressing covid. After two years of health crisis, 84.7% affirm that their mental health has been affected and almost half, 46.4%, have thought at some point of leaving their profession.

Campaign in support of nursing in a pandemic of the General Council of Nursing. Courtesy photo

This is reflected in the largest survey carried out to date by the General Nursing Council, “Radiography of the professional and emotional situation of the nursing profession” during the pandemic with 19,300 nurses (of the 275,000 who work in public and private centers of all Spain) who have answered between January 25 and February 1 of this year.

Most of the respondents belong to public health, 60%, and have 16 or more years of experience.

The study was presented by the president of the General Nursing Council from Spain, Florentino Pérez Raya, who highlighted that these are “shocking” data that show a greater affectation of these professionals compared to other sectors of society, together with “work hardship”.

The mental health of nursing during the pandemic

The study asked about the psychological and mental affectation that nurses may have experienced as a result of the COVID pandemic: depression, anxiety, insomnia, stress, and fear or fear, and 84.7% have been affected by one of the these disorders:

Graphic of the survey of the General Council of Nursing

Of all nursing, the most affected emotionally and psychologically are the nurses in critical care units -where the mortality rate is highest-, followed by emergencies and primary care.

The study shows that 16.5% of nurses have been forced to request sick leave due to anxiety, stress or mental exhaustion -especially in the socio-health area (19.1%)-, to which are added the derived from infections.

Close to half of the professionals (48%) have suffered from covid-19 and, of all of them, 14.5% have already been infected two or more times. Its incidence far exceeds that of the general population, around 21%.

Discontent and outrage

98.7% do not feel that their work is valued by politicians nor do they trust that they will give them solutions and as a consequence 91.7% believe that it is necessary to mobilize to achieve solutions to work overload and physical exhaustion and mental health, in addition to improving working conditions.

Thus, 46.4% have thought at some point of leaving their profession, a “shocking” fact that forces us to reflect and adopt improvement measures to provide immediate solutions, according to Pérez Raya.

The area in which more professionals have had this thought is critical care, although the General Nursing Council does not know the exact number of those who have finally taken the step in that direction.

Graph from the Nursing and Pandemic Survey of the General Nursing Council

In addition, 28.4% of those surveyed stated that they would not enroll in this career again, a percentage that reaches 30% in the case of those professionals who work in hospitals and ICUs.

And of the 9.3% who are in a position to take early retirement, 63% express their desire to do so. In absolute terms, around 15,000 nurses who, meeting the requirements to retire earlier, even if it means a reduction in their pension, would be willing to do so.

This x-ray of the profession reflects that reality is “very crude” and the lack of social recognition contributes to this.

“Nurses have gone from recognition to total oblivion. We are in an unsustainable situation and it is causing something unthinkable” due to the vocational nature of the profession: abandonment, according to the president of nursing in Spain who has announced mobilizations at the national level.

Covid and workload

Attention to covid is taking over an important part of the activity of the profession to the detriment of the rest of pathologies and patients.

Thus, 79.3% affirm that their health care has to do with covid patients to a greater or lesser extent at the end of each day: 27.1% dedicate almost completely (most of their daily work) and 52 .2% part of their tasks to this type of patient, and only 20.7 of the professionals say they have little or no relationship with the coronavirus.

Seven psychological virtues that explain Nadal's mental strength

Creativity, courage, persistence, self-control, prudence, perspective and humility: seven psychological virtues that explain Rafael Nadal’s mental strength

Rafael Nadal after winning his 21st Grand Slam by defeating Medvedev at the Australian Open/EFE/EPA/Joel Carrett

At the moment, Rafael Nadal is the tennis player who has won the most Grand Slams in the history of this sport: 21, one more than Novak Djokovic and Roger Federer, both with 20.

To date, he can be considered the greatest of all time.

At 35 years old, he has won Roland Garros 13 times, the US Open four times, two on the London grass at Wimbledon and, with the victory this Sunday, January 30, 2022, the Australian Open twice.

He was not the favorite in Melbourne, after a serious injury for months, but he has achieved it by coming back, in addition, two sets to the most fit tennis player until yesterday: the Russian Daniil Medvedev.

How is it possible? Can you explain why Nadal is able to overcome tests like Hercules?

We turn to psychology to lay out the foundations of your mental toughness.

The psychologist Pilar Conde, technical director of Clínicas Origen, has joined the debate to explain why Nadal has the “mental strength of a giant”.

“It is an example of optimal emotional management in situations of adversity,” says Conde, who collects the seven basic strengths stated by the father of positive psychology, Martin Seligman.

“These are qualities that complement each other and that Nadal has exhibited throughout his career,” says Pilar Conde, who briefly develops them in Nadal’s game and attitude.

Creativity: His ability to create new point opportunities on the track is notorious, without his rival being able to sense them.

Courage: Don’t shy away from commitment. Despite his latest injury, he went to Melbourne with hope, enthusiasm and enthusiasm, without fear of defeat.

Persistence: Never gives a ball for lost.

self control: In situations of adversity, he has and demonstrates the ability not to lose concentration or sink. He is aware of his strengths and knows how to take advantage of them.

Perspective: Planning of your career in all terms, short, medium and long, global work and vision of the whole in your career.

Prudence: Although the marker benefits her, she is cautious in expressions and celebrations. In his press conferences and interviews, he is cautious when making predictions and speculating about his rivals.

Modesty: Recognize your opponents and your own limitations.

Leadership on the track and in society

There are seven great support points on which Nadal’s mental strength stands, but also his social leadership, the psychologist emphasizes.

A leadership that Pilar Conde explains as follows: “Rafa generates motivation, provides energy to meet difficult challenges, opens awareness to the possibility of knowing that difficulties do not determine the result, but the management of them.”

«He does not avoid the commitment when responding to controversial issues such as Djokovic’s non-vaccination; He also does not hesitate to take a broom and start bailing out water in some floods together with his neighbors », he adds.

The leadership traits that the psychologist points out are civility, justice, humility, courage and integrity. “Values ​​backed by a great consistency that she maintains over the years under the spotlight of public opinion and serves as an example to all,” completes the expert.

Rafael Nadal poses for EFE with the cup of his second victory at the Australian Open, his 21st Grand Slam/EFE/EPA/Joel Carrett

"Plan Saludable Mente": Presidente Piñera promulga nueva Ley para la Protección de la Salud Mental

«Plan Saludable Mente»: Presidente Piñera promulga nueva Ley para la Protección de la Salud Mental

Estudio sobre la salud mental en Chile revela aumento del consumo de alcohol durante la pandemia - 24 Horas Data - 24horas

24Horas.cl Tvn

06.05.2021

Desde que el coronavirus llegó a nuestras vidas muchas cosas han cambiado. Las rutinas mutaron completamente, así como el comportamiento frente a diversas situaciones.

En este escenario mantener el control frente a la incertidumbre y el estrés no es tarea fácil; y así lo revela el Termómetro de la Salud Mental en Chile realizado por la Universidad Católica y la Asociación Chilena de Seguridad; que, entre otras cosas informa de un aumento en el consumo de alcohol durante la pandemia.

Para medir el consumo de alcohol en los encuestados se utilizó el Alcohol Use Disorder Identification Test (AUDIT-C). Los resultados arrojan un 12.5% de consumo de riesgo, superior al 9,5% reportado en noviembre 2020.

“Esta es la única de las dimensiones que vamos a ver dónde el hombre está más afectado que la mujer”, dijo David Muñoz, director del Centro de Encuestas y Estudios Longitudinales UC.

 

El índice también muestra que el consumo de alto riesgo es superior en la Región Metropolitana que en otras zonas del país y que son los jóvenes entre los 21 y 44 años quienes presentan mayores incidencias.

El médico psiquiatra de la Clínica Las Condes, Juan Meneses, señala a 24Data que el aumento del consumo de alcohol en pandemia se puede deber a distintos factores, tales como la incertidumbre, el aislamiento social y la preocupación frente a la situación económica.

“Las personas de ese rango de edad están en plena edad productiva laboralmente y vimos que en pandemia ha habido mucha incertidumbre económica y laboral, lo que podría aumentar los niveles de estrés y ansiedad». Estos factores, según lo explica el experto, generan en las personas la búsqueda de cosas para apaciguar la ansiedad “y lamentablemente uno de los ansiolíticos que es de fácil acceso es el alcohol”.

El informe también señala que el consumo clasificado como de alto riesgo es significativamente más alto en los grupos de mayor educación. Según las cifras, quienes poseen estudios universitarios presentan un consumo del 22%, superando ampliamente a quienes poseen educación básica (2%), media incompleta (5,5%) y media completa (9,0%).

El doctor Meneses indica que si bien la educación es un factor protector para la vida saludable en otras dimensiones, como el consumo de alcohol se vuelve “un arma de doble filo”.

“Según el informe de SENDA 2020, quienes dejaron el consumo de alcohol lo hicieron por temas económicos durante la pandemia. En este caso, vemos que suele ser que quienes tienen mayor nivel educacional tienen mayor nivel adquisitivo, por lo tanto pueden adquirir este tipo de bebidas para calmar la ansiedad y estrés”, explica.

Para el psiquiatra, también hay una relación con factores ambientales. “He visto en mi consulta muchos adultos jóvenes que han aumentado sus niveles de estrés producto del teletrabajo y la educación online de sus hijos. Estos pacientes han aumentado su carga laboral lo que genera mayor estrés, ansiedad y, al tener mayor nivel adquisitivo, se tiene a la mano poder comprar este tipo de sustancias”.

Otros factores que afectan

Quienes presentan consumo de alcohol de alto riesgo, también tienen aumento en otros indicadores de bienestar.

En términos de salud, las personas que tienen este tipo de consumo de alcohol presentan un estado de soledad que duplica a quienes no consumen o tienen un grado de consumo bajo.

En cuanto a la sospecha y presencia de problemas de salud mental o síntomas depresivos, quienes tienen un consumo de alcohol de riesgo presentan 13 puntos porcentuales más que aquellos que no beben o tienen bajo consumo.

El economista y director del centro que lideró el estudio, David Bravo señaló que “lo que estamos haciendo es relevar dimensiones del bienestar y creo que cada vez más tenemos que pasar de medir solamente aquellas cuestiones económicas, a medir en definitiva el bienestar. Aquí tenemos un conjunto de indicadores que han ido en declive”.

“Cuando no somos capaces con nuestras políticas de atender adecuadamente la magnitud de la crisis, esta no solo se traduce en tasas de desempleo o caídas en los ingresos, sino también se traduce en caídas en el bienestar”, concluye el experto.

 

*La encuesta permitió el seguimiento de 1.437 personas de un rango de edad entre los 21 y 68 años en los meses de abril del 2020, noviembre 2020 y abril 2021.

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Encuesta síntomas problema salud mental depresión chilenos - Nacional

Por otro lado, un 45,9% de las personas consideran que su estado de ánimo actual es peor o mucho peor en comparación con la situación anterior a la pandemia del coronavirus.

Al ser consultados por qué es lo que los mantiene estresados, un 69,7% por la posibilidad de ser víctima de la delincuencia, un 61,7% por la posibilidad de contagiarse de covid-19 y un 58,4% por la situación económica de los próximos meses.

Por último, el sedentario aumento en 10 puntos porcentuales si se compara con la misma cifra en noviembre de 2020, mientras que el 12,2% de los consultados presenta un consumo de alcohol problemático.

Cristóbal Cuadra, gerente de la división de Asuntos Jurídicos y Corporativos de la ACHS, manifestó su interés en que estos resultados «ayuden a aunar esfuerzos con otros actores del sistema de salud, para analizar mejoras a las políticas públicas y en nuestro caso particular como ACHS, para proponer formas en que el mundo empresarial y los empleadores y trabajadores en general puedan contribuir a la superación de esta problemática social”.

La investigación se hizo mediante entrevistas telefónicas a una muestra representativa de aproximadamente 1.400 personas -entre 21 y 68 años- durante los primeros diez días de abril de 2021.

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