Psychological Complaints at Psychological Emergency Service Associated with Referral to Extended Screening in a Psychology School Clinic

The Psychological Emergency Service(PES)at psychology school clinics is an unscheduled and free psychological service to meet urgent demands.From this service,some patients whose complaints require more time for clinical work are referred to the Extended Screening(ES),a modality composed of six extra appointments.This study aims to analyze the sociodemographic profile of patients seen on PES in a Brazilian Psychology School Clinic,and to identify the demands that motivated referral to the ES,for better qualification of the care offered.This is a descriptive analysis research,carried out based on data from the medical records of 46 patients who went through the PES and were referred to the ES at the institution,between the years 2019 and 2021.Sociodemographic data were collected and,from the session reports,a content analysis of the thematic analysis modality was performed to identify the complaints.The participants’age ranged from 18 to 65 years,with a mean of 32.28 years(sd=10.95).There was a predominance of female participants(71.74%),that completed High School(39.14%)and had an income from one to two Brazilian minimum wages(32.61%).The most frequent complaints were depressive symptoms(56.52%)and difficulties in interpersonal relationships(32.61%).The results obtained,besides allowing the survey of the social and demographic profile of the clientele of the PES at the Psychology School Clinic,and demonstrating its social relevance by providing free psychological care,also show to be of great importance for the definition of more accurate criteria for referral to the ES of patients seen on PES.

上海市精神卫生专科医院心理应急管理现状研究

目的 了解新型冠状病毒肺炎疫情影响下上海市精神卫生专科医院心理应急管理现状及面临的主要问题,为建立健全精神卫生专科医院心理应急管理体系提供对策和建议。方法 采用定量研究和定性研究相结合的方法,面向上海市18家精神卫生中心的心理危机干预管理人员及272名心理危机干预队伍成员开展问卷调查,选取24名心理危机干预相关工作人员进行访谈。结果 (1)管理设置方面,18家医院中仅上海市精神卫生中心设置了独立的心理危机干预办公室,15家(83.3%)已制定心理应急总体干预方案或预案,11家(61.1%)已建立健全心理应急管理相关制度,12家(66.7%)配备心理危机干预工作经费。(2)队伍建设方面,心理危机干预队员以兼职为主(84.9%),年龄主要在35~<45岁(47.8%),96.3%的队员具有大学本科及以上学历,所学专业以精神医学为主(40.4%),85.7%的队员具有心理咨询师资格证书,40.1%的队员具有突发公共卫生事件心理危机干预经验,81.3%的队员能够有效处理创伤后心理问题。(3)心理应急管理过程中存在的主要问题包括队员压力过大、能力水平参差不齐、队伍人手不足和保障机制不完善4个方面。结论 目前,上海市已初步形成心理危机干预体系,但在管理机制和队伍建设方面仍存在不足。建议进一步完善心理危机干预体系管理机制和人才队伍建设。