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Original
Available online 1 October 2021
Humanization in mental health plans in Spain
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David Fraguasa,
Corresponding author
davidfraguas@gmail.com

Corresponding author.
Julio ZarcobVicent Balanzá-MartínezcJuan Francisco Blázquez GarcíadCecilia Borràs MurciaeAna CabrerafJulián CarreterogAgustina CrespohMarina Díaz-MarsáaVicente GasuliMiguel A. GonzálezjIria GrandekCarmen MuelalElena de las Heras LiñeromFermín MayoralnGuadalupe Morales CanooJosé Ramón Pagés-LluyotpJosé RomoqBibiana Serrano MarínrAntonio Lozano SaucedasCelso Arangoq
a Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, IdISSC, CIBERSAM, Facultad de Medicina, Universidad Complutense, Madrid, Spain
b Hospital Clínico San Carlos, Facultad de Medicina, Universidad Complutense, Madrid, Spain
c Departamento de Medicina, Universitat de València, CIBERSAM, Valencia, Spain
d Coordinación de RSC, Hospital Clínico San Carlos, Madrid, Spain
e Presidenta fundadora de «Después del Suicidio-Asociación de Supervivientes» (DSAS)
f Asociación Madrileña de Amigos y Familiares de Personas con Esquizofrenia (AMAFE)
g Recursos Humanos, Gestor y Desarrollo de Profesionales de Enfermería, Hospital Universitario Infanta Leonor, Madrid, Spain
h Centro de Salud Mental Puente de Vallecas, Hospital Universitario Infanta Leonor-Hospital Virgen de la Torre, Colegio Oficial de Trabajo Social de Madrid, Madrid, Spain
i Centro de Salud Torrent 2, Coordinador Grupo de Salud Mental SEMERGEN, Valencia, Spain
j Departamento de Neurociencias, Universidad del País Vasco, Servicio de Psiquiatría, Hospital Universitario de Basurto, Bilbao, Vizcaya, Spain
k Unidad de Trastornos Bipolares y Depresivos, Instituto de Nerociencias, Hospital Clínic, Universidad de Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
l Asociación Nuevo Horizonte, Federación Autismo Madrid, Madrid, Spain
m Servicio de Psiquiatría, Complejo Hospitalario Universitario de Vigo, SERGAS, Grupo de Neurociencias Traslacional, Instituto de Investigación Sanitaria Galicia Sur, CIBERSAM, Vigo, Pontevedra, Spain
n Hospital Regional Universitario de Málaga, IBIMA, Málaga, Spain
o Fundación Mundo Bipolar, Madrid, Spain
p Fundación Asistencia Nacional de Ayuda a Enfermos de Depresión (ANAED)
q Servicio del Niño y el Adolescente, Instituto de Psiquiatría y Salud Mental, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, Facultad de Medicina, Universidad Complutense, Madrid, Spain
r Fundación ASAM Familia y Asociación Salud y Ayuda Mutua (ASAM)
s FEAFES Salud Mental Extremadura
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Tables (2)
Table 1. Perspectives on humanisation in MH: a survey of those responsible for MH plans in the Autonomous Regions.
Table 2. Main humanisation actions in MH plan.
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Abstract
Introduction

Mental health (MH) care has important challenges, especially in the field of humanization. Our objectives were to identify the humanization measures in MH plans of the Spanish autonomous communities (AC) and the priorities to be developed in this area.

Material and methods

A large and multidisciplinary group of people involved in MH care participated in a consensus, according to a modified Delphi method, based on «design thinking», in three phases: (1) identification of humanization measures in MH plans of AC; (2) analysis of the implementation of these measures; and (3) identification of humanization priorities in MH.

Results

Fourteen of the 17 AC have current MH plans. They contained four types of humanization measures: (1) improvement of the quality of care; (2) promotion of user participation; (3) campaigns against stigma and discrimination; (4) caring for especially vulnerable people. Implementation of measures ranged from 6.3% (i.e.: specific budget) to 100%, with an average of 64.1%. We identified priority issues, operationalized in 5 proposals: (1) information campaigns; (2) multidisciplinary meeting forums; (3) platforms of support entities; (4) strategies on MH education; (5) humanization in study plans.

Conclusions

Some MH plans include humanization among their objectives, but partially. The implementation of humanization proposals such as those identified in this study is essential to achieve a high-quality MH care.

Keywords:
Humanization
Mental health
Psychiatry
Consensus
Delphi
Health care quality

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