Información para Personas que Han Experimentado Síntomas Psiquiátricos
¿Qué es el Programa del Manejo de las Enfermedades Mentales y la Recuperación?
http://mentalhealth.samhsa.gov/cmhs/CommunitySupport/toolkits/illness/espanol2.asp
El programa del Manejo de las Enfermedades Mentales y la Recuperación consiste en una serie de sesiones semanales en las cuales profesionales de la salud mental, especialmente entrenados, ayudan a las personas que han experimentado síntomas psiquiátricos a desarrollar estrategias personales para enfrentarse con la enfermedad mental y salir adelante con sus vidas. El programa se puede proveer de una manera individual o en grupo, y generalmente dura de 3 a 6 meses.
¿Cuáles son algunos de los beneficios del Programa del Manejo de las Enfermedades Mentales y la Recuperación para las personas que han experimentado síntomas psiquiátricos?
Aprendizaje sobre la enfermedad mental y las estrategias para el tratamiento
Disminución de los síntomas
Reducción de las recaídas y las rehospitalizaciones
Progreso hacia las metas personales y hacia la recuperación
¿Qué es lo que se va a enseñar en el Programa del Manejo de las Enfermedades Mentales y la Recuperación?
Los siguientes temas son cubiertos en las hojas educativas:
Estrategias para la Recuperación
Hechos Prácticos sobre la Enfermedad Mental
El Modelo sobre la Vulnerabilidad al Estrés y Estrategias para el Tratamiento
Creando Apoyo Social
Reduciendo las Recaídas
Usando las Medicinas Eficazmente
Enfrentándose al Estrés
Enfrentándose a los Problemas y a los Síntomas
Consiguiendo que sus Necesidades sean Satisfechas en el Sistema de la Salud Mental.
¿Cómo pueden ayudar los miembros de la familia y otros grupos de apoyo?
Con el permiso de la persona que ha experimentado los síntomas psiquiátricos, usted puede ayudar de la siguiente manera:
Leyendo las hojas educativas usadas en el programa
Asistiendo a algunas sesiones con los profesionales de la medicina y la persona que ha experimentado los síntomas psiquiátricos
Revisando las hojas educativas con la persona que ha experimentado los síntomas psiquiátricos
Ayudando a la persona a desarrollar e implementar planes para enfrentarse a los síntomas, reduciendo las recaídas, y buscando metas hacia la recuperación.
¿Cómo puede uno aprender más de como participar en el programa?
Visite nuestro sitio en la red del internet: www.mentalhealthpractices.org
Póngase en contacto con su centro comunitario local de salud mental
Este documento es parte del equipo de los recursos de implementación de la práctica basada en la evidencia desarollado por medio de un contrato (núm. 280-00-8049) de la Administración de los Servicios de la Salud Mental y Abuso de Substancias (SAMHSA)(siglas en inglés), el Centro para los Servicios de la Salud Mental (CMHS) (siglas en inglés) y una subvención de la Fundación de Robert Wood Johnson (RWJF)(siglas en inglés). Estos materiales están en forma de borrador para ser usados en un estudio piloto. Nadie puede reproducir, copiar, o distribuir esta publicación con fines lucrativos sin la autorización específica del SAMHSA (siglas en inglés).
Back to Illness Management and Recovery
Wednesday, February 11, 2009
Thursday, August 21, 2008
Pura and Recupero again
She sat quietly in the back of the room. She was enthused about what she had never seen before and was in front of her eyes now. The well-lighted room was missing only one thing. It had no window to the ocean. She could imagine the blue sky outside with some cotton-like clouds, perhaps a jet booming away. If she closed her eyes she could hear the waves.
But she was sitting right there for the longest time. The group of about 30 people had arrived in two waves, the larger one about 30 minutes into the meeting. The had been listening to this guy in white gown showe good humor and give interesting information about what they were about to do for the first time ever.
One person came in and left inmediately noticing she was in the wrong meeting. She hesitated to leave, though perhaps impressed by the speaker or maybe by the quiet, attentive audience.
Pura saw Recupero come in, wave her "Hi" and sit in front.
Then, one by one they read different articles of what the speaker called a model Mission Statement of a Patient Council. They had questions about some of the terms in the document but seemed to agree with the main purpose of the document. They were being asked if they had interest in establishing a group of patients that could formally advise the mental health care system! Amazing but not unheard of.
Well...they even nominated an executive committte or board, voted on four candidates. they chose them apparently to satisfaction. No body complained. The original speaker sat down and became part of the audience as the newly-elected President of the Council took over and gave his own pep talk.
The Council members decided to have the second meeting within one month and to include what they called rules of behavior for Council members in the agenda.
Within two hours they had organized another valuable source of information and feedback for caregivers and administrators of the mental health system.
Pura was sorry that Recupero did not get nominated for any position. (In private he told Pura he thought there were very few people from the clinic that he attends. He wished it had been different).
Pura said: "Well.. this is only the first meeting. Watch and see this organization grow".
But she was sitting right there for the longest time. The group of about 30 people had arrived in two waves, the larger one about 30 minutes into the meeting. The had been listening to this guy in white gown showe good humor and give interesting information about what they were about to do for the first time ever.
One person came in and left inmediately noticing she was in the wrong meeting. She hesitated to leave, though perhaps impressed by the speaker or maybe by the quiet, attentive audience.
Pura saw Recupero come in, wave her "Hi" and sit in front.
Then, one by one they read different articles of what the speaker called a model Mission Statement of a Patient Council. They had questions about some of the terms in the document but seemed to agree with the main purpose of the document. They were being asked if they had interest in establishing a group of patients that could formally advise the mental health care system! Amazing but not unheard of.
Well...they even nominated an executive committte or board, voted on four candidates. they chose them apparently to satisfaction. No body complained. The original speaker sat down and became part of the audience as the newly-elected President of the Council took over and gave his own pep talk.
The Council members decided to have the second meeting within one month and to include what they called rules of behavior for Council members in the agenda.
Within two hours they had organized another valuable source of information and feedback for caregivers and administrators of the mental health system.
Pura was sorry that Recupero did not get nominated for any position. (In private he told Pura he thought there were very few people from the clinic that he attends. He wished it had been different).
Pura said: "Well.. this is only the first meeting. Watch and see this organization grow".
Tuesday, March 25, 2008
Albergar y expresar la esperanza contribuye a la prevencion del suicidio
parte noticioso parcial tomado de El Nuevo Dia
24 de marzo del 2008
Joven se lanza de octavo piso
El nuevo caso de suicidio se reportó anoche en un condominio de San Juan.
Por ELNUEVODIA.COM
Un joven de 19 años se quitó la vida anoche lanzándose desde el balcón de su apartamento, en un octavo piso, en San Juan.
Opinion de un lector de esta noticia en la versiòn internet del periòdico.
¨La depresión es una enfermedad tan dolorosa, es una tristeza constante, un dolor en el pecho frecuente inexplicable. No sólo los siquiatras están para medicar, deben orientar, dar seguimiento a sus pacientes. Pero, lamentablemente muchos siquiatras y especialistas están totalmente comercializados y un paciente es un número más $$$$$. La Depresión es una enfermedad progresiva, que sino se atiende adecuadamente, puede complicarse y covertirse en algo más serio. Mucha gente tiene información de esta enfermedad, que si es falta de la sustancia serotonina en el cerebro, que si por herencia, vulnerabilidad, STRESS etc. etc. Pero nadie puede entenderla si no la vive en carne propia.La familia del paciemte es un apoyo vital para su recuperación, los medicamentos, psicoterapias, visitas al siquitra. Si es que tienes la suerte de encontrar uno que "EN VEZ DE HONRAR EL JURAMENTO DE HIPOCRATES" " HIZO EL JURAMENTO DE HIPOCRITA" y de hacerse millonario a costa deldolor ajeno. Lamentablemente he conocido muchos "HIPOCRITAS" o DIZQUE MEDICOS y en Puerto Rico están choretos. OJO AL PILLO
¨Mi opinion en el periodico
"Una golondrina no hace verano.
Yo conozco muchas personas que han padecido de depresiòn intensa y ha recibido ayuda efectiva de sacerdotes, de pastores, de psiquiatras o de psicologos y consejeros o de trabajadores sociales y profesionales de enfermeria. Esas personas afectadas emocionalmente dan testimonio de la ayuda que recibieron y de como una pizca de esperanza para recuperarse fue la clave para levantarse de su depresion.
Mis condolencias a la familia de este joven que muriò.
Mi abrazo fraternal a Golita porque sì hay esperanza de superar una depresiòn y que hay muchas personas ayudando a los que sufren. Invito a las personas que estan en el proceso de recuperarse a dar su testimonio positivo. Eso va a ayudar a muchas otras personas. "
24 de marzo del 2008
Joven se lanza de octavo piso
El nuevo caso de suicidio se reportó anoche en un condominio de San Juan.
Por ELNUEVODIA.COM
Un joven de 19 años se quitó la vida anoche lanzándose desde el balcón de su apartamento, en un octavo piso, en San Juan.
Opinion de un lector de esta noticia en la versiòn internet del periòdico.
¨La depresión es una enfermedad tan dolorosa, es una tristeza constante, un dolor en el pecho frecuente inexplicable. No sólo los siquiatras están para medicar, deben orientar, dar seguimiento a sus pacientes. Pero, lamentablemente muchos siquiatras y especialistas están totalmente comercializados y un paciente es un número más $$$$$. La Depresión es una enfermedad progresiva, que sino se atiende adecuadamente, puede complicarse y covertirse en algo más serio. Mucha gente tiene información de esta enfermedad, que si es falta de la sustancia serotonina en el cerebro, que si por herencia, vulnerabilidad, STRESS etc. etc. Pero nadie puede entenderla si no la vive en carne propia.La familia del paciemte es un apoyo vital para su recuperación, los medicamentos, psicoterapias, visitas al siquitra. Si es que tienes la suerte de encontrar uno que "EN VEZ DE HONRAR EL JURAMENTO DE HIPOCRATES" " HIZO EL JURAMENTO DE HIPOCRITA" y de hacerse millonario a costa deldolor ajeno. Lamentablemente he conocido muchos "HIPOCRITAS" o DIZQUE MEDICOS y en Puerto Rico están choretos. OJO AL PILLO
¨Mi opinion en el periodico
"Una golondrina no hace verano.
Yo conozco muchas personas que han padecido de depresiòn intensa y ha recibido ayuda efectiva de sacerdotes, de pastores, de psiquiatras o de psicologos y consejeros o de trabajadores sociales y profesionales de enfermeria. Esas personas afectadas emocionalmente dan testimonio de la ayuda que recibieron y de como una pizca de esperanza para recuperarse fue la clave para levantarse de su depresion.
Mis condolencias a la familia de este joven que muriò.
Mi abrazo fraternal a Golita porque sì hay esperanza de superar una depresiòn y que hay muchas personas ayudando a los que sufren. Invito a las personas que estan en el proceso de recuperarse a dar su testimonio positivo. Eso va a ayudar a muchas otras personas. "
Friday, December 14, 2007
The American Psychiatric Association and Recovery from Mental Illness
from the
AMERICAN PSYCHIATRIC ASSOCIATION ANNUAL MEETING
MAY 19-24, 2007 - San Diego, Calif.
The William C. Menninger Memorial Convocation LectureNobel laureate John Nash Jr., Ph.D., at the age of 30, descended into the debilitating blackness of severe paranoid schizophrenia. Despite the odds, however, his perseverance and genius eventually led to his winning the 1994 Nobel Prize for Economics for landmark work he had begun in the 1950s on the mathematics of game theory. Yet, this is no fairytale ending; it provides powerful support for the growing movement within psychiatry to help patients with severe mental illness focus on recovery, not pathology.
Lecture given by Professor John F. Nash, Jr.
----------------------------------------------------------------------------
From a 1998 PSYCHIATRIC NEWS
"The philosopher Henry James once said that three things in human life are important: "The first is to be kind, the second is to be kind, and the third is to be kind,"Joel Feiner, M.D., in a lecture on the evolution of community psychiatry at APA's 1998 Institute for Psychiatric Services last month in Los Angeles.
Feiner's belief that proper attachments in rehabilitation are critical to recovery from psychiatric illness.
The therapist's positive view of the patient allows the patient to feel valued. "When a person feels valued, he is willing to risk new things and try new behaviors," Feiner said.
The interaction between case manager and patient is critical, but high turnover means that case managers often leave, severing the patient's link to the psychiatric clinic. It is therefore risky to let patients invest a great deal emotionally in their relationship with the case manager, he added.
The relationship between the clinician and the patient should take precedence over the relationship between the caseworker and the patient, since in most cases, the clinician is far more likely to remain accessible than is the caseworker, observed Feiner. When a good relationship between clinician and patient is not established, compliance is undermined. Mental Health Connections has a high level of compliance, although noncompliance in most mental health programs is a huge problem, said Feiner.
About half the patients in most other programs are medication noncompliant in the first year after discharge, he observed. Noncompliance is costly in both human and economic terms, resulting in unnecessary hospitalization, lost productivity, additional treatment, and death, Feiner noted. Another cost of noncompliance is "compassion fatigue," sometimes called "burnout," among overworked psychiatrists".
AMERICAN PSYCHIATRIC ASSOCIATION ANNUAL MEETING
MAY 19-24, 2007 - San Diego, Calif.
The William C. Menninger Memorial Convocation LectureNobel laureate John Nash Jr., Ph.D., at the age of 30, descended into the debilitating blackness of severe paranoid schizophrenia. Despite the odds, however, his perseverance and genius eventually led to his winning the 1994 Nobel Prize for Economics for landmark work he had begun in the 1950s on the mathematics of game theory. Yet, this is no fairytale ending; it provides powerful support for the growing movement within psychiatry to help patients with severe mental illness focus on recovery, not pathology.
Lecture given by Professor John F. Nash, Jr.
----------------------------------------------------------------------------
From a 1998 PSYCHIATRIC NEWS
"The philosopher Henry James once said that three things in human life are important: "The first is to be kind, the second is to be kind, and the third is to be kind,"Joel Feiner, M.D., in a lecture on the evolution of community psychiatry at APA's 1998 Institute for Psychiatric Services last month in Los Angeles.
Feiner's belief that proper attachments in rehabilitation are critical to recovery from psychiatric illness.
The therapist's positive view of the patient allows the patient to feel valued. "When a person feels valued, he is willing to risk new things and try new behaviors," Feiner said.
The interaction between case manager and patient is critical, but high turnover means that case managers often leave, severing the patient's link to the psychiatric clinic. It is therefore risky to let patients invest a great deal emotionally in their relationship with the case manager, he added.
The relationship between the clinician and the patient should take precedence over the relationship between the caseworker and the patient, since in most cases, the clinician is far more likely to remain accessible than is the caseworker, observed Feiner. When a good relationship between clinician and patient is not established, compliance is undermined. Mental Health Connections has a high level of compliance, although noncompliance in most mental health programs is a huge problem, said Feiner.
About half the patients in most other programs are medication noncompliant in the first year after discharge, he observed. Noncompliance is costly in both human and economic terms, resulting in unnecessary hospitalization, lost productivity, additional treatment, and death, Feiner noted. Another cost of noncompliance is "compassion fatigue," sometimes called "burnout," among overworked psychiatrists".
Sunday, October 28, 2007
Psychiatrists can contribute to the Recovery paradigm
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bird nest
According to a recent article in Psychiatric News to make a significant contribution for patient's recovery psychiatrists need to,
1. Establish more standardized training on the principles of recovery for medical students, residents, and practicing psychiatrists.
2. Expose psychiatry residents and practicing psychiatrists more consistently to patients who have achieved recovery.
3. Redefine the role of community psychiatrists to emphasize their importance in supporting recovery to ensure that they have more time to spend with patients working on recovery issues and reintegrating them into the community.
4. Contribute to the development of best-practice guidelines that describe a range of approaches that support recovery goals.
5. Specify recovery-oriented outcomes within federal, state, and local mental health systems to ensure that psychiatrists focus on practical recovery-oriented goals.
6. Continue to establish partnerships with consumer mental health advocates and groups to further policies that support recovery-oriented systems of care.
7. Transform the public mental health system to emphasize recovery and principles of integrated community care.
8. Advocate for increased funding for a wide range of services in community settings for people with serious mental illness.
9. Lead community education campaigns to highlight the discrimination and stigma encountered by those with serious mental illness.
10. Advocate for elimination of discriminatory policies such as zoning exclusions and custody arrangements that penalize people with mental illness and for increased public funding for services that help to eliminate stigma-based policies.
references:
Promoting Recovery: Recommendations for Psychiatrists, Psychiatric News September 7, 2007 Volume 42, Number 17, page 10, American Psychiatric Association.
Two-Way Street Crucial to Fostering Recovery, Eve Bender, Psychiatr News 2007 42: 10.
Tuesday, October 16, 2007
Recovery from Mental Illness Ethics 101
PATIENT EMPOWERMENT IS ONE OF THE WAYS WE CAN HELP PATIENTS HELP THEMSELVES.
BUT THERE ARE RISKS IN DOING SO. READ BELOW:
--------------------------------------------------------------------------------
On the subject of patient self-management the authors of this article published in Bioethics Volume 21 Issue 5 Page 243-250, June 2007 point out that,
“Four central ethical issues can be identified:
1) insufficient patient/family access to preparation that will optimize their competence to SM without harm to themselves,
2) lack of acknowledgement that an ethos of patient empowerment can mask transfer of responsibility beyond patient/family competency to handle that responsibility,
3) prevailing assumptions that preparation for SM cannot result in harm and that its main purpose is to deliver physician instructions, and
4) lack of standards for patient selection, which has the potential to exclude individuals who could benefit from learning to SM. Technology assessment offers one framework through which to examine available data about efficacy of patient SM and to answer the central question of what conditions must be put in place to optimize the benefits of SM while assuring that potential harms are controlled.
Reference: BARBARA K. REDMAN from the Wayne State University, and University of Pennsylvania Center for Bioethics
Barbara K. Redman, PhD, RN, FAAN, Dean and Professor, College of Nursing, Wayne State University, Cohn Building, Suite 12, 5557 Cass Avenue, Detroit, MI 48202.
RESPONSIBILITY FOR CONTROL; ETHICS OF PATIENT PREPARATION FOR SELF-MANAGEMENT OF CHRONIC DISEASE, Wayne State University, and University of Pennsylvania Center for Bioethics
Web reference of the summary: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1467-8519.2007.00550.x
BUT THERE ARE RISKS IN DOING SO. READ BELOW:
--------------------------------------------------------------------------------
On the subject of patient self-management the authors of this article published in Bioethics Volume 21 Issue 5 Page 243-250, June 2007 point out that,
“Four central ethical issues can be identified:
1) insufficient patient/family access to preparation that will optimize their competence to SM without harm to themselves,
2) lack of acknowledgement that an ethos of patient empowerment can mask transfer of responsibility beyond patient/family competency to handle that responsibility,
3) prevailing assumptions that preparation for SM cannot result in harm and that its main purpose is to deliver physician instructions, and
4) lack of standards for patient selection, which has the potential to exclude individuals who could benefit from learning to SM. Technology assessment offers one framework through which to examine available data about efficacy of patient SM and to answer the central question of what conditions must be put in place to optimize the benefits of SM while assuring that potential harms are controlled.
Reference: BARBARA K. REDMAN from the Wayne State University, and University of Pennsylvania Center for Bioethics
Barbara K. Redman, PhD, RN, FAAN, Dean and Professor, College of Nursing, Wayne State University, Cohn Building, Suite 12, 5557 Cass Avenue, Detroit, MI 48202.
RESPONSIBILITY FOR CONTROL; ETHICS OF PATIENT PREPARATION FOR SELF-MANAGEMENT OF CHRONIC DISEASE, Wayne State University, and University of Pennsylvania Center for Bioethics
Web reference of the summary: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1467-8519.2007.00550.x
Monday, October 15, 2007
Excerpt from an important review of an important book
Read the entire story at http://psychservices.psychiatryonline.org/cgi/content/full/58/8/1128
"Psychiatry is in an era of change not only in terms of new scientific models of mental health but also in values-based models of psychiatric service. Our nation's first two commissions on mental health were appointed by President Kennedy in 1963 and by President Carter in 1978. The third commission, the New Freedom Commission appointed by George W. Bush, sets a vision for recovery in its budget-neutral document, Achieving the Promise"
.....
"If recovery is a scientific model, then more review could have been invested not only in those areas of the field where recovery easily informs our understanding of illness and outcome but also in areas where recovery has challenges in explaining service provision and certain other phenomena. If recovery is a values-based model, then additional attention to the ethics of recovery or the complex issues of how recovery is balanced by public and personal safety would have helped".
Reference:
Jabbarpour, Yad. M. (Book review) Psychiatr Serv 58:1128, August 2007 American Psychiatric Association
Book Reviewed
Recovery From Severe Mental Illnesses: Research Evidence and Implications for Practice, Volumes 1 and 2
edited by Larry Davidson, Courtenay Harding, and LeRoy Spaniol; Boston, Center for Psychiatric Rehabilitation, 2005, 511 pages and 448 pages, $49.95 each, softcover
"Psychiatry is in an era of change not only in terms of new scientific models of mental health but also in values-based models of psychiatric service. Our nation's first two commissions on mental health were appointed by President Kennedy in 1963 and by President Carter in 1978. The third commission, the New Freedom Commission appointed by George W. Bush, sets a vision for recovery in its budget-neutral document, Achieving the Promise"
.....
"If recovery is a scientific model, then more review could have been invested not only in those areas of the field where recovery easily informs our understanding of illness and outcome but also in areas where recovery has challenges in explaining service provision and certain other phenomena. If recovery is a values-based model, then additional attention to the ethics of recovery or the complex issues of how recovery is balanced by public and personal safety would have helped".
Reference:
Jabbarpour, Yad. M. (Book review) Psychiatr Serv 58:1128, August 2007 American Psychiatric Association
Book Reviewed
Recovery From Severe Mental Illnesses: Research Evidence and Implications for Practice, Volumes 1 and 2
edited by Larry Davidson, Courtenay Harding, and LeRoy Spaniol; Boston, Center for Psychiatric Rehabilitation, 2005, 511 pages and 448 pages, $49.95 each, softcover
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