tag:blogger.com,1999:blog-56342436942811861272024-03-13T16:03:09.853-07:00Grupo de Investigación en Salud MentalGrupo salud mentalhttp://www.blogger.com/profile/16447618264368378652noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-5634243694281186127.post-47303753206284994952010-05-14T18:16:00.000-07:002010-05-14T18:21:15.243-07:00Evolving Models of Behavioral Health Integration in Primary Care<p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Chris Collins, Denise Levis Hewson, Richard Munger, and Torlen Wade</span></p><p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";"><span class="Apple-style-span" style=" ;font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";">The Milbank Memorial Fund - May 2010 </span></b></span></span></p><p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";"><span class="Apple-style-span" style=" ;font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"></span></b></span></span></p><b style="mso-bidi-font-weight:normal"><p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">PDF file [102p.] at:<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";"><a href="http://www.milbank.org/reports/10430EvolvingCare/EvolvingCare.pdf">http://www.milbank.org/reports/10430EvolvingCare/EvolvingCare.pdf</a></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">“…..This report offers an approach to meeting the unmet needs of the millions of Americans suffering from mental illness and substance abuse: the integration of primary care and behavioral health care.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">The report summarizes the available evidence and states’ experiences around integration as a means for delivering quality, effective physical and mental health care. For those interested in integrating care, it provides eight models that represent qualitatively different ways of integrating/coordinating care across a continuum—from minimal collaboration to partial integration to full integration—according to stakeholder needs, resources, and practice patterns</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">This report also provides an orientation to the field and, hopefully, a compelling case for integrated or collaborative care. It provides a concise summary of the various models and concepts and describes, in further detail, eight models that represent qualitatively different ways of integrating and coordinating care across a continuum—from minimal collaboration to partial integration to full integration. Each model is defined and includes examples and successes, any evidence-based research, and potential implementation and financial considerations.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Also provided is guidance in choosing a model as well as specific information on how a state or jurisdiction could approach integrated care through steps or tiers. Issues such as model complexity and cost are provided to assist planners in assessing integration opportunities based on available resources and funding. The report culminates with specific recommendations on how to support the successful development of integrated care. ….”</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";">Table of Contents</span></b></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Foreword <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"></p><ul><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Acknowledgments</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Executive Summary</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Introduction—Making the Case for Integrated Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Orientation to the Field</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Information Technology</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Models of Integration</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 1: Improving Collaboration between Separate Providers</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 2: Medical-Provided Behavioral Health Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 3: Co-location</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 4: Disease Management</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 5: Reverse Co-location</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 6: Unified Primary Care and Behavioral Health</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 7: Primary Care Behavioral Health</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Practice Model 8: Collaborative System of Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Considerations for Choosing a Model</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Incremental Steps in a Challenging Fiscal Environment</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Recommendations for Health Care Delivery System Redesign to Support Integrated Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Conclusion</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Resources <span style="mso-spacerun:yes"> </span>-- References</span></p></span></b></span></li></ul><p></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";"><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";">List of Tables</span></b></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"></p><ul><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 1: Four Quadrants of Clinical Integration Based on Patient Needs</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 2: Using Information Technology to Integrate Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 3: Collaborative Care Categorizations at a Glance</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 4: Examples of Practice Model 1—Improving Collaboration between Separate Providers</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 5: Examples of Practice Model 2—Medical-Provided Behavioral Health Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 6: Examples of Practice Model 3—Co-location</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 7: Examples of Practice Model 4—Disease Management</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 8: Examples of Practice Model 5—Reverse Co-location</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 9: Examples of Practice Model 6—Unified Primary Care and Behavioral Health</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 10: Examples of Practice Model 7—Primary Care Behavioral Health</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 11: Examples of Practice Model 8—Collaborative System of Care</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 12: Summary of Primary Care–Behavioral Health Integration Models</span></p></span></b></span></li><li><span class="Apple-style-span" style=" font-weight: normal; font-family:Georgia, serif;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US" style="Arial","sans-serif";mso-ansi-language:EN-USfont-family:";"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Table 13: Incremental Steps for Integrating Care</span></p></span></b></span></li></ul><p></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">*<span style="mso-spacerun:yes"> </span>*<span style="mso-spacerun:yes"> </span>* <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Information Technology - Virtual libraries; Research & Science issues.<span style="mso-spacerun:yes"> </span>[DD/ KMC Area]</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">and interpretations included in the Materials are those of the authors and not necessarily of The Pan American <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Health Organization PAHO/WHO or its country members”.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">PAHO/WHO Website<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"></p><p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="font-family:"Arial","sans-serif"; mso-ansi-language:EN-US">Equity List - Archives - Join/remove: <a href="http://listserv.paho.org/Archives/equidad.html">http://listserv.paho.org/Archives/equidad.html</a></span></p><p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal"><span lang="EN-US" style="font-family:"Arial","sans-serif"; mso-ansi-language:EN-US"><a href="http://listserv.paho.org/Archives/equidad.html"></a><span class="Apple-style-span" style="font-family: Georgia, serif; font-weight: normal; "><b style="mso-bidi-font-weight:normal"></b></span></span></p><b style="mso-bidi-font-weight:normal"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span class="Apple-style-span" style="font-weight: normal; "><b style="mso-bidi-font-weight:normal"></b></span></p><b style="mso-bidi-font-weight:normal"><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: normal; display: inline !important; "><span lang="EN-US" style="Arial","sans-serif"; mso-ansi-language:EN-USfont-family:";">Twitter </span><span style="Arial","sans-serif"font-family:";"><a href="http://twitter.com/eqpaho"><span lang="EN-US" style="mso-ansi-language: EN-US">http://twitter.com/eqpaho</span></a></span></p></b></b><b style="mso-bidi-font-weight:normal"><p></p></b><p></p><p></p></b><p></p>Grupo salud mentalhttp://www.blogger.com/profile/16447618264368378652noreply@blogger.com0tag:blogger.com,1999:blog-5634243694281186127.post-70469609535079733562009-09-25T13:32:00.000-07:002009-10-06T13:35:57.710-07:00Debate sobre los proyectos de Ley en relación al porte y consumo de psicoactivos, sus intervenciones...<div align="justify"> El pasado 25 de Septiembre en el Auditorio de la Facultad Nacional de Salud Pública se realizó un Debate sobre los proyectos de Ley en relación al porte y consumo de psicoactivos, sus intervenciones e implicaciones en Salud Pública.<br /><br /><a href="http://www.fileden.com/getfile.php?file_path=http://www.fileden.com/files/2009/9/17/2577769/Agenda_sustancias_psicoactivas.pdf">Ver la agenda del debate </a><br /><br /></div><p align="center"><a href="http://3.bp.blogspot.com/_UBf2bhSQPlM/SsPFiroHHDI/AAAAAAAAASc/SguJNutf7ME/s1600-h/Agenda_sustancias_psicoactivas_.JPG"></a></p><p align="justify">Ver todas las ponencias a través del programa Elluminate (se encuentran todas las presentaciones realizadas por los ponentes acompañados de audio).<br /></p><p align="center"><a href="https://sas.elluminate.com/site/external/jwsdetect/playback.jnlp?psid=2009-09-25.0647.M.7587B86F427AD30EA31D546F66DB5F.vcr"><img id="BLOGGER_PHOTO_ID_5389587872148947618" style="WIDTH: 242px; CURSOR: hand; HEIGHT: 118px" alt="" src="http://4.bp.blogspot.com/_UBf2bhSQPlM/SsupnU0xAqI/AAAAAAAAATM/TzOgquyYU_M/s400/Elluminate.JPG" border="0" /></a></p><p align="justify">A continuación se presenta la conferencia enviada por el Ex-magistrado de la Corte Constitucional, Dr. Carlos Gaviria Díaz. (Descargar cada video tarda aproximadamente 25 minutos)<br /><br /><a href="http://www.megaupload.com/?d=TAFFPPVE"><img id="BLOGGER_PHOTO_ID_5387668729558671714" style="WIDTH: 95px; CURSOR: hand; HEIGHT: 64px" alt="" src="http://4.bp.blogspot.com/_UBf2bhSQPlM/SsTYKhjTIWI/AAAAAAAAASk/T67vL8Qj_w8/s400/Psicoactivos1.JPG" border="0" /></a> <a href="http://www.megaupload.com/?d=6MK30L44"><img id="BLOGGER_PHOTO_ID_5387668874193954306" style="WIDTH: 94px; CURSOR: hand; HEIGHT: 64px" alt="" src="http://4.bp.blogspot.com/_UBf2bhSQPlM/SsTYS8XCZgI/AAAAAAAAASs/qMHJTnQbdLc/s400/Psicoactivos2.JPG" border="0" /></a> <a href="http://www.megaupload.com/?d=6MK30L44"><img id="BLOGGER_PHOTO_ID_5387669082854163986" style="WIDTH: 92px; CURSOR: hand; HEIGHT: 63px" alt="" src="http://3.bp.blogspot.com/_UBf2bhSQPlM/SsTYfFrghhI/AAAAAAAAAS0/dal6xT_g8IY/s400/Psicoactivos3.JPG" border="0" /></a> <a href="http://www.megaupload.com/?d=8AL4WJZV"><img id="BLOGGER_PHOTO_ID_5387669265614046946" style="WIDTH: 92px; CURSOR: hand; HEIGHT: 62px" alt="" src="http://4.bp.blogspot.com/_UBf2bhSQPlM/SsTYpug3BuI/AAAAAAAAAS8/Dy-MzPUv-gE/s400/Psicoactivos4.JPG" border="0" /></a> <a href="http://www.megaupload.com/?d=OL4T9L7W"><img id="BLOGGER_PHOTO_ID_5387669447778448930" style="WIDTH: 89px; CURSOR: hand; HEIGHT: 62px" alt="" src="http://3.bp.blogspot.com/_UBf2bhSQPlM/SsTY0VIPNiI/AAAAAAAAATE/sEa7uKvNlMc/s400/Psicoactivos5.JPG" border="0" /></a><br /><br /></p><br /><br /><p></p>Grupo salud mentalhttp://www.blogger.com/profile/16447618264368378652noreply@blogger.com0tag:blogger.com,1999:blog-5634243694281186127.post-80810828205295840222009-09-17T09:55:00.001-07:002009-09-22T09:04:23.825-07:0010 de Octubre: día mundial de la Salud Mental<a href="http://2.bp.blogspot.com/_UBf2bhSQPlM/Srj1fNwLkeI/AAAAAAAAAQ0/e39thoNBvNU/s1600-h/d%C3%ADa+de+la+salud+mental_.jpg"><img id="BLOGGER_PHOTO_ID_5384323271137923554" style="DISPLAY: block; MARGIN: 0px auto 10px; WIDTH: 320px; CURSOR: hand; HEIGHT: 153px; TEXT-ALIGN: center" alt="" src="http://2.bp.blogspot.com/_UBf2bhSQPlM/Srj1fNwLkeI/AAAAAAAAAQ0/e39thoNBvNU/s320/d%C3%ADa+de+la+salud+mental_.jpg" border="0" /></a><br /><div align="justify"><a href="http://www.fileden.com/getfile.php?file_path=http://www.fileden.com/files/2009/9/17/2577769/dia_mundial_SM_2009_salud_mental_en_atencion_primaria.pdf"></a><strong>"Salud mental en atención primaria: mejorando los tratamientos y promoviendo la salud mental"</strong><br /><br /><div align="justify">Es el documento de referencia de la Federación Mundial de la Salud Mental con el apoyo de la OMS para la celebración del día mundial de la salud mental que se celebrará el próximo 10 de Octubre</div><br /><br /><div align="justify">Descargue el documento completo dando click en la imágen</div></div>Grupo salud mentalhttp://www.blogger.com/profile/16447618264368378652noreply@blogger.com0tag:blogger.com,1999:blog-5634243694281186127.post-89488658058138501612009-09-04T13:37:00.000-07:002009-09-22T09:05:44.298-07:00Actividad precongreso: Atención Primaria en Salud Mental. Junio 11 de 2009<div align="justify"><a href="http://3.bp.blogspot.com/_UBf2bhSQPlM/SrPydlSrU7I/AAAAAAAAANQ/xE5CS1E5GeQ/s1600-h/ponentes.jpg"><img id="BLOGGER_PHOTO_ID_5382912569678451634" style="DISPLAY: block; MARGIN: 0px auto 10px; WIDTH: 320px; HEIGHT: 70px; TEXT-ALIGN: center" alt="" src="http://3.bp.blogspot.com/_UBf2bhSQPlM/SrPydlSrU7I/AAAAAAAAANQ/xE5CS1E5GeQ/s320/ponentes.jpg" border="0" /></a>Históricamente nuestro país ha evidenciado una serie de problemas en Salud Mental, problemas que trascienden la presencia de la enfermedad mental y se imbrican con los procesos políticos, sociales y culturales de nuestro tiempo. Dentro de esta compleja situación, un punto crítico ha sido la intervención de dichas problemáticas, su comprensión y solución. Para lo cual diferentes actores sociales: políticos, académicos, líderes comunitarios, deben articular esfuerzos. En este contexto la Estrategia de Atención Primaria en Salud es una herramienta multidimensional de gran relevancia para enfrentar los retos en Salud Mental; discutir esta relación entre Atención Primaria en Salud y Salud Mental es una responsabilidad social indelegable para los diferentes sectores intervinientes en la solución de dichas situaciones.<br /><br />En el marco del Sexto Congreso Internacional de Salud Pública, liderado por la Facultad Nacional de Salud Pública de la Universidad de Antioquia, el Área de Comportamiento Humano y Salud y el Grupo de Investigación en Salud Mental de la misma Facultad, organizan una Actividad Pre-congreso en “Atención Primaria en Salud Mental”; la cual tenía como objetivo reflexionar sobre la implementación de este modelo, teniendo como base las experiencias tanto a nivel local, nacional como internacional. Para su realización se contó con la financiación de la Universidad y de la Secretaria de Salud de Medellín.<br /><div align="justify"><br />La preparación de dicha actividad contempló la conformación de una comisión académica en Atención primaria y salud mental, -la cual propició una discusión juiciosa en torno al tema y brindó orientaciones en la planeación de la Jornada- y la invitación de una experta en el tema, la cual presentó a un grupo amplio de profesionales e Instituciones, que planean y/o ejecutan actividades en el campo de la Salud Mental-, la experiencia en Atención Primaria del Centro Comunitario de Salud Mental de la Playa, Habana, Cuba, esto con el fin de tener una perspectiva amplia del enfoque y poder poner en contraste otras experiencias en el mismo campo.<br /><br /><br /></div><div align="justify"></div><div align="justify"><a href="http://4.bp.blogspot.com/_UBf2bhSQPlM/SqGDLMtErlI/AAAAAAAAADw/RvLIlbBNP5o/s1600-h/Banderitas_precongreso.JPG"><img id="BLOGGER_PHOTO_ID_5377723658469158482" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; WIDTH: 193px; HEIGHT: 118px" alt="" src="http://4.bp.blogspot.com/_UBf2bhSQPlM/SqGDLMtErlI/AAAAAAAAADw/RvLIlbBNP5o/s320/Banderitas_precongreso.JPG" border="0" /></a>La Jornada pre-Congreso se llevó a cabo el día 11 de Junio de 2009 en el Centro de Convenciones Plaza Mayor en la Ciudad de Medellín, Colombia; ésta inicia con una breve reflexión acerca del modelo de Atención primaria y los avances en la construcción de un modelo conceptual para entender la relación Salud Mental (SM) y Atención Primaria en Salud (ATP), posteriormente, en la sesión de la mañana, se presentaron experiencias a nivel internacional, nacional, regional y local, con conferencista nacionales e internacionales. Finalmente en la sesión de la tarde se dio lugar a una reflexión en sub grupos, alrededor de tres temas que consideramos fundamentales para direccionar el debate acerca de la Atención Primaria en Salud Mental: (a) Legislación; (b) modelos de intervención y (c) educación e investigación. Participaron 117 personas, representando 41 Instituciones, de 8 Departamentos de Colombia y de 2 países.<br /><br />Como resultado de esta actividad, se propuso hacer una declaratoria conjunta para resaltar la necesidad de ampliar la discusión sobre este tema a nivel nacional y de tal manera sensibilizar a los actores clave para que prioricen la planificación y ejecución de acciones para fortalecer la integración entre APS y SM. Igualmente se propuso dar continuidad al debate a través de otros medios de comunicación, para lo cual la Facultad prepara un documento con Memorias del evento y diseña los dispositivos necesarios para la interlocución, los cuales se pondrán a consideración por parte de la Secretaria de Salud de Medellín con el fin de involucrar a este organismo en el liderazgo de dicho proceso. Estas iniciativas de interacción podrían tener como fin la conformación de una red de actores en Salud Mental, liderada tanto por la Facultad como por la Secretaría de Salud de Medellín.</div><br /><div align="justify">Ponentes: María Cristina Aitken de Taborda, Mabel Bertot González, Rodrigo Lopera Isaza, Álvaro Cárdenas, Aura Ruiz Granada<br /><br /></div></div><div style="TEXT-ALIGN: center"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='288' height='233' src='https://www.blogger.com/video.g?token=AD6v5dwpiPAm60OuqrjwW75yuNvO4H2ml_o7HSfA38bOTKP3RLRBWMNpyNfts5FxOga0b7CSc_A4zKd-WzOGU8Bm2g' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div>Grupo salud mentalhttp://www.blogger.com/profile/16447618264368378652noreply@blogger.com3