Steering Group Meeting in Belgium 7th May 2015 MENTALPRAC PROJECT Erasmus +

1. SITUATION OF THE MENTAL HEALTH SYSTEM IN SPAIN. MENTALPRAC PROJECT

1.1. INTRODUCTION -The interest in mental health has been changing over the time. -Until the middle of the 20th century  madhouses. -In the second half of the 20th century: -Advances in medicine. -Movement for human rights. -Definition of health by the WHO. -Movement known as the Psychiatric Reform, which participated disciplines involved in mental health: medicine, psychology, sociology and anthropology. MENTALPRAC PROJECT

Many countries began to reform their care system through different initiatives: Reforms in the services and care systems, leaving behind the idea of institutionalizing people with severe mental disorders. Increased human and material resources. Creation of new lines and research priorities. Modification of legal regulation.. Development of family and users organizations. MENTALPRAC PROJECT 1.1. INTRODUCTION

Institutionalization policy was change into a Community model: organizing and keeping people with severe metal disorders in the community. In Spain, all of these changes started in 1985 with the report for Psychiatric Reform. It was the beginning of a legislative changes, budget reforms, social care and health systems reorganization that even it has not ended but continues today. MENTALPRAC PROJECT 1.1. INTRODUCTION

The competences of social services and health, are derived the 17 Autonomous Communities MENTAL HEALTH SERVICES STRUCTURE. MENTALPRAC PROJECT

1.2. MENTAL HEALTH SERVICES STRUCTURE. 2 types of resources involved in the field of mental health: health system and social services. HEALTH SERVICES: -Mental Health Services: mental health primary care. -Day Hospital: ambulatory treatments that allows people to be in their environment. -Crisis Units: impatient care for patients with acute episodes. Length of stay: 15 days. -Hospital treatment and rehabilitation unit: people with serius pathology who they need continuing care. MENTALPRAC PROJECT

1.2. MENTAL HEALTH SERVICES STRUCTURE. SOCIAL SERVICES: Set of services and benefits. Information, guidance, assessment, processing services and benefits. Home care services: home help, telecare. Day care services: specialized and specific centers for people with severe mental disorder, with significant performance and social environment deterioration. Residential care services: residences and flats. MENTALPRAC PROJECT

1.3. LEGAL REGULATIONS. Law on the Promotion of Personal Autonomy and Care for people in dependency situations. – Three degrees of dependency and benefits. People have different benefits depending on their dependency degree. General Law of rights of people with disabilities and their social inclusion. – Promoting equal opportunities, recognizing their rights and universal accessibility. MENTALPRAC PROJECT

2. SITUATION OF MENTAL HEALTH TRAINING IN SPAIN. MENTALPRAC PROJECT

2.1. QUALIFIED PROFESSIONALS. University Degrees: -Medicine- Psyquiatry. -Nursing- Mental Health Nursing. -Psychology- Clinical Psychology. -Occupational Therapy. -Social Work. Vocational training: -Care technician for dependent people. -Technical Assistants in Nursing Care. MENTALPRAC PROJECT

2.1. NON-QUALIFIED PROFESSIONALS. Professional certificate: it is a document certifying a professional qualification. Promotional and educational intervention with people with disabilities. (450 hours) Job placement of people with disabilities. (470 hours) MENTALPRAC PROJECT

3. SITUATION OF BURNOUT IN SPAIN. MENTALPRAC PROJECT

Burnout Syndrome: 3 symptoms (Maslach y Jackson, 1986) – Emotional exhaustion. – Depersonalization. – Personal accomplishment. In 1995  Law on Prevention of Occupational Risks It is necessary to evaluate psychosocial risks in order to create healthier work environments. 3. DEFINITION AND SITUATION OF BURNOUT IN SPAIN. MENTALPRAC PROJECT

3. DEFINITION AND SITUATION OF BURNOUT IN SPAIN. National Institute for Safety and Health at Work  procedures for assessing the burnout. The measures have focused on three levels of action: – Organizational level. – Interpersonal level. – Individual level. Specifically in the field of health professions, the prevalence of burnout syndrome in Spain is around 15% MENTALPRAC PROJECT

4. PRACTICES ON TRAINING FOR NON- QUALIFIED PROFESSIONALS MENTALPRAC PROJECT

Training was conducted from the Eduardo Benot European Institute, of Fundación Diagrama. Participants: Professionals working in residences and day centers for elderly people, mainly direct care workers. Duration: 40 hours. Type: on-line. EXPECTATIONS QUESTIONNAIRE: SWOT ANALYSIS MENTALPRAC PROJECT PRACTICE 1: MENTAL HEALTH AND GERONTOLOGY

Training was conducted from the Eduardo Benot European Institute. Participants: Professionals working in centers of minors in conflict with the law and child protection centers. Duration: 80 hours. Type: on-line EXPECTATIONS QUESTIONNAIRE: SWOT ANALYSIS MENTALPRAC PROJECT PRACTICE 2: Intervention with children with behavioral disorders.

5. CONCLUSIONS MENTALPRAC PROJECT

We consider important: Improving coordination between Social Services and Health System.. Establishing specific laws for people with severe mental disorders care. Promoting actions to increase the number of public health professionals. Performing specific training activities for mental health care workers to improve their knowledge and skills. Improving mechanisms for the burnout syndrome prevention from institutions and organizations. MENTALPRAC PROJECT