Promoting voluntary help-seeking among doctors with mental disorders

• Authors: María Braquehais , Sergi Valero , Josep Matalí , Miquel Bel , José Montejo , Viviana Nasillo , Antoni Arteman , Jaume Padrós , Eugeni Bruguera , Miquel Casas

Abstracts

EN

Objectives: To explore if the Barcelona Integral Care Program for Doctors with mental disorders (PAIMM, in Catalan) has achieved its goal of enhancing earlier and voluntary help-seeking amongst sick doctors. Material and Methods: We conducted a retrospective chart review of 1363 medical records of physicians admitted to the inpatient and outpatient units of the PAIMM from February 1st, 1998 until December 31st, 2011. The sample was divided into 3 time periods: 1998-2004, 2005-2007 and 2008-2011 (477, 497, and 389 cases, respectively). Results: The mean age at admission decreased (F = 77.57, p < 0.001) from the first period (x = 54.18; SD = 10.28 years) to the last period (x = 44.81; SD = 10.65 years), while voluntary referrals increased from 81.3% to 91.5% (Chi² = 17.85, p < 0.001). Mental disorders other than substance use disorders grew from 71% during the 1998-2003 period, to 87.4% (2004-2007), and 83.9% in the last period (Chi2 = 29.01, p < 0.001). Adjustment disorders increased their prevalence, while inpatient treatment progressively represented less of the overall clinical activity. Conclusions: Sick doctors may feel encouraged to seek help in non-punitive programs specially designed for them and where treatment becomes mandatory only when there is risk or evidence of malpractice.

Keywords

EN

Mental Disorders; sick doctors; physicians’ health programs; mental health services

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2014
• Volume: 27
• Issue: 3
• Pages: 435-443

Dates

published

2014

Contributors

author

María Braquehais

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain
• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Sergi Valero

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain
• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Josep Matalí

• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Miquel Bel

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain
• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

José Montejo

• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Viviana Nasillo

• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Antoni Arteman

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain

author

Jaume Padrós

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain

author

Eugeni Bruguera

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain
• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

author

Miquel Casas

• Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain
• Department of Psychiatry and Legal Medicine, Vall d’Hebron University Hospital, CIBERSAM, Autonomous University of Barcelona, Barcelona, Spain

Identifiers

DOI

10.2478/s13382-014-0271-y

Biblioteka Nauki

2178852