First VA Community Psychiatrists Seminar

Este sábado 4 de junio a las 8AM el Sistema de Salud de Veteranos de Puerto Rico lleva a cabo un seminario sobre recuperación, prevención del suicidio, documentación y privacidad de los servicios psiquiatricos para Veteranos en Puerto Rico.

Seminario esta limitado a psiquiatras que tienen contrato con esta institución federal.

Cuatro horas de educación continua. Segundo piso del Hospital de Veteranos en San Juan.

Sin costo alguno. Estacionamiento gratis disponible.

La invitacion formal fue enviada a los psiquiatras contratistas por correo general.

Invitación enviada por la Jefa del Servicio de Psiquiatría Dra María L Reyes Rabanillo

Los cinco conferenciantes y consultores trabajan a tiempo completo con el Hospital de Veteranos.

Coordinador de la actividad Néstor J Galarza Diaz

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This Saturday, June 4 at 8AM the Veterans Health System of Puerto Rico will hold a seminar on recovery, suicide prevention, documentation and health privacy of mental health services to veterans in Puerto Rico.

This seminar is limited to psychiatrists who have contracts to serve Veterans through this federal institution.

Four hours of continuing education. Second floor of the Veterans Hospital in San Juan.

No cost. Parking is available.

A formal invitation was sent to psychiatrists.

Invitation sent by the Chief of Psychiatry Dr. Maria L. Reyes Rabanillo.

The five speakers and consultants who work full time at the VA Hospital.

Activity Coordinator Nestor J Galarza Diaz

Superación o recuperación?

El movimiento hacia los servicios de salud basados en los conceptos y los fundamentos de recuperacion de las personas con trastornos mentales es lento, pero es. Yo los utilizo en mi practica y estoy mas feliz que antes.
http://pn.psychiatryonline.org/content/44/22/11.full?sid=e4a25d0a-7d1f-4975-94eb-c88c8b46e6aa


Estos son los elementos para mejorar la Calidad de vida a pesar de la enfermedad mental
http://njgalarza.blogspot.com/2008/12/calidad-de-vida-y-enfermedad.html#links

Esta es una linda pagina http://recoveryhope4all.com/ de donde obtuve la imagen que ven arriba.





Podemos evitar que una persona llegue a estas condiciones

Mutual relevance..........in mental health

Coming up:


Mutual relevance of suicide prevention and mental health recovery services
Background and history
Ethical principles
Suicide Statistics
Puerto Rico
USA
Risk factors
Protective factors
The 10 fundamental components of Recovery
Recovery readiness assessment
Attitude towards care
Readiness to change
Summary




Muy pronto:


Relevancia mutua de los servicios para la prevención del suicidio y los servicios de recuperación en salud mental
Antecedentes e historia
Principios éticos
Estadisticas del suicidio en
Puerto Rico
EE.UU.
Los factores de riesgo
Los factores de protección
Los diez componentes fundamentales de la recuperación
Preparacion para la recuperación
Actitud hacia la atención clnica y tratamiento
La disposición para el cambio
Resumen

¨Pura and Recupero on a psychiatrists learning

Pura: "tengo las preguntas que le hice al Dr. Galarza. El está aprendiendo sobre los conceptos de recuperación. Se trata de eso que tu estas haciendo en tu propia vida, Recu. Yo copié lo que el me dijo sobre como esto impacta la vida de un psiquiatra.

Recupero: "Dime que tienes ahi escrito"

Pura: "Bueno...dejame empezar. Los tengo en inglés y español para un artículo que voy a escribir en el periódico".

Challenges and opportunities for psychiatrists in the theory and practice of mental health recovery principles

Decreased reliance on prescribing but continuing use of medications in individual patients
Decreased control over patients who are really persons in patient roles
Increased reading in the psychology and social work fields
Staying up-to-date in psychopharmacology
Learning how difficult it is to decrease dependence on others.
Learning how able disabled people are or can become with your help.
Applying the principles to increase quality of life for yourself.
Learning to say to patients: "No, you can do that yourself".
Realizing how the practice or a recovery-oriented practice contributes to prevent suicides.


Desafíos y oportunidades para los psiquiatras en la teoría y la práctica de los principios de recuperación en salud mental
Disminución de la dependencia de la prescripción, pero el uso continuo de medicamentos en pacientes individuales

Disminución del control sobre los pacientes que son realmente personas en los roles de paciente.
El aumento de la lectura en psicología y los campos de trabajo social
Mantenerse todavía al día en psicofarmacología
Aprender lo difícil que es disminuir la dependencia de los demás.
Aprender cuan capaces las personas con discapacidad son o pueden convertirse… con su ayuda.
Aplicación de los principios de recuperación para mejorar la calidad de vida para usted mismo.
Aprender a decir a los pacientes: "No, usted tiene la capacidad de hacer eso usted mismo".
Darse cuenta de cómo la práctica orientada por los conceptos de recuperación contribuye a prevenir los suicidios.

Recupero goes on T.V.

Just yesterday evenig the famous T.V personality had been talking on his feet about political figures and their apparent shortcomings. It was then my turn to be interviewed. He asked about the recent press conference on the College of Physicians policy on management of perople with substance disorders.

I decided it was time to introduce Recupero Seguro to the public. I told how this 60 year old man with a diagnosis of bipolar disorder and many psychiatric hospitalizations had become dependent on drugs, both cocaine and heroin during a long hyperactive period in his life. But how he is now off drugs for months and in the way to recover.
I also suggested that news media look for more examples of people achieving sobriety and control over their mental disorders or addictions.

Pura y Recupero: dos personalidades

Pura es persistente, empatica, llena de confianza en la vida y en los demas.
Recupero es depresivo a veces, suspicaz la mayor parte del tiempo, erratico en sus metas.

La siguientes notas son citas directas de un libro que trata sobre el desarrollo de la personalidad.
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Puras is persistent, empathetic, trusting person. Recupero is depressive but mostly suspicious and erratic in his goals for life.

The following direct quotations on the topic of personality development may be of interest to you.
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Notes from Paths to Successful Development: Personality in the Life Course
Book by Lea Pulkkinene, Avshalom Caspi, Cambridge University Press, 2002, 422, pgs.



"Development is defined as “selective age-related
change in adaptive capacity” (Baltes, Staudinger, and Lindenberger,
1999) and special attention is given to the developing person's con­
tribution to the creation of his or her own development (Brandtstädter,
1998). Individuals steer their physical, cognitive, social, and personality
development by constructing strategies for coping with various develop­
mental challenges, by setting goals, and by making choices. According
to Brandtstädter (this volume), such intentional self development over
the life span is geared to the realization and maintenance of normative
representations that individuals construct of themselves and their future".

..........................................

"The function and significance of goals and choices in successful deve­
lopment is especially apparent beyond childhood, and several chapters in
this volume are explicitly concerned with these topics in their efforts to
study successful development. Pulkkinen, Nurmi, and Kokko (this vol­
ume) discuss how individuals steer their development by setting goals
and making choices as responses to developmental challenges. On the
one hand, personal goals reflect major age-graded transitions and nor­
mative demands. On the other hand, individual differences in personal
goals reflect motivational orientations, such as security seeking or aim­
ing at personal growth, which result in intraindividual coherence in goal
patterns. With data from the Jyväskylä Longitudinal Study of Personality
and Social Development, Pulkkinen and her colleagues show that some
personal goals are so pervasive that they operate as unifying life themes
that define long-term successful and unsuccessful development".

.......................................

"Bouchard (1995) correctly argued that a purely sociocultural perspec­
tive on the life course “ignores the fact that life-histories themselves are
complex evolved adaptations, ” and suggests that an evolutionary perspec­
tive may complement the sociocultural perspective by exploring how per­
sonality variation is related to those adaptively-important problems with
which human beings have had to repeatedly contend".


.......................................

"An agentic conception of human nature is also central in Heckhausen's
work on control. Heckhausen (this volume) proposes that humans strive
to maximize primary control of their environment throughout life. How­
ever, control capacities undergo radical changes and losses and indivi­
duals have to disengage from unattainable goals and manage their own
emotional responses to such loss experiences. This type of control that
is directed at the internal world of the individual is referred to as sec­
ondary control. Heckhausen shows how the age-normative structure of
life-course transitions allows individuals to anticipate decremental
changes in the opportunities to attain developmental goals. For example,
an individual can increase primary control striving when approaching
“developmental deadlines” (e.g., union formation, health-maintenance
in old age) and use secondary control to compensate for potential neg­
ative affect and self-evaluation associated with failure to meet or resolve
developmental deadlines successfully."


Que cree usted?

What do you think?

elevator speech Pura et al

Hi there. What's your floor?

15th...thanks.

Hey, don't I know you from somewhere?
Yes, now I remember. We met last year in the training on recovery from emotional problems. You were in the company of a gentleman who said he was in treatment for many years.

Oh. yes. I am Pura. He is Recupero. He is not doing to well lately.....

You must the the social worker that told us about the consumer council and how patients have discovered how assertive they can be in their own care.

Yes. How are you doing?

Ok. Here is my floor. Can I speak to you some more?

Sure. let's sit by the window.

So...I tell you...has been a long time for me to get used to this movement that began in late 2006. There are hundreds of coordinators in healthcare systems that have become experts and other people are consulting them.

Right Pura. Actually I am a coordinator too but I have a lot to learn. I just completed this 3 day training and was impressed with the harmonious relationships and the mutual support of all the coordinators.

I heard about that and came here although I am only a volunteer in the hospital. I enjoy helping these patients and am now also meeting with staff and families of these patients. They suffer as much.

I have to go now to see this family in room 15A. Hope to see you soon again.
...........and thanks for the conversation.