without nurses, aid is halved

Without nurses, there is no mental health care.

The latest report from the Ministry of Health dated the end of 2021 and which reports on the 2020 surveys is clear: in psychiatric services the services provided in 2020 by the territorial services were 8,299,120 with an average of 12.3 services per user . Overall, 79.6% of interventions are carried out on site, 8.9% at home and the rest on an external site.

And the main operators are represented by nurses (42.7%) and doctors (34.7%).

33.0% of the interventions are represented by nursing care at home and on the territory, 22.8% by psychiatric activities, 11.4% by territorial activities of rehabilitation and resocialization, 6.6% by activities of coordination and 6.3% through support activities for daily living, 6.2% through psychological activities. – psychotherapeutic activities; the rest are for family and support activities.

nursing staff is the most represented professional figure (44.8% of the 28,807 units in public psychiatric operating theatres) followed by doctors (18.4%, psychiatrists and other specialties), OTA/OSS (11.2% ), professional educators and psychiatric rehabilitation technicians (7.5%), psychologists (6.7%), social workers (4.0%).

In 2020, the number of operators engaged in mental health services amounted to 40,983 units, of which 70.3% were in public services. Overall, at the national level, the ratios between nurses and doctors and between doctors and psychologists are respectively equal to 2.5 and 2.3.

In health institutions affiliated with the Department of Mental Health, 12,176 staff units are working and of these, 27% are OTA / OSS, 23.1% nurses, 18.9% professional educators and technicians in psychiatric rehabilitation, 7.1% of doctors, 5.8% of psychologists.

Doctors are particularly present at the headquarters of the DSM (39.0% of the total workforce), while at home the services refer for 70.0% to nurses.

In general, 33.0% of interventions are represented by nursing activities at home and on the territory, 22.8% by psychiatric activities, 11.4% by rehabilitation and territorial resocialization activities,
6.6% coordination activities and 6.3% daily life assistance activities, 6.2% psycho-psychotherapeutic activities; the rest are for family and support activities.

Regarding the treatment of patients diagnosed with schizophrenia and other functional psychoses, the services most provided in 2020 were home and community nursing care (39.1%), rehabilitation and local resocialization (13.8%) and psychiatric activity (17.0%).

For treatments relating to patients diagnosed with depression, the most frequent services are psychiatric activity (31.6%), home and community nursing care (28.0%), rehabilitation and territorial resocialization (8, 6%), psychological and psychotherapeutic activity (8.4%). For the diagnosis of mania and bipolar affective disorders, the services most provided are home and community nursing care (35.7%), psychiatric activity (23.4%), rehabilitation and local resocialization (9.7%).

For the diagnosis of personality and behavioral disorders, the most common services are home and community nursing (30.7%), psychiatric activity (22.3%), rehabilitation and resocialization local (11.4%).

For the diagnosis of neurotic and somatoform syndromes, the most widely provided services are psychiatric activity (31.9%), nursing care at home and in the city (21.5%), psychological and psychotherapeutic activity (13 .9%), and finally territorial rehabilitation and resocialization. activities (8.1%).

For the other diagnoses (alcoholism and drug addiction, other psychiatric disorders, dementias and organic mental disorders, personality and behavioral disorders, mental retardation), higher frequencies are generally observed for nursing care at home and in the city and for nursing. psychiatric activity.

The Report also highlights the large share of psychological and psychotherapeutic services for “other mental disorders” (20.7%) and home and community nursing care for “mental retardation” (34.9%) and for “personality and behavioral disorders” (30.7%). ).

ON THIS LINK THE REPORT OF THE MINISTRY OF HEALTH

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