Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Centro de Estudos e Pesquisas em Emergências e Desastres em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2020 Sep 18;36(9):e00132120. doi: 10.1590/0102-311X00132120. eCollection 2020.
Brazil is the country of the world with the second most COVID-19 cases and deaths, and the pandemic's impacts pose multiple challenges for mental health. This paper reports on experience with the emergency organization of the volunteer and collaborative Working Group (GT, in Portuguese) on mental health and psychosocial care aimed at producing rapid responses for health services in the context of COVID-19. The study involved the identification and systematization of current evidence in the scientific literature on mental health and psychosocial care in public health emergencies and pandemics, with the establishment of a network involving 117 researchers and 25 institutions, and the organization of themes for the elaboration of materials, referenced on the response phases in public health emergencies and pandemics. In less than 60 days, 18 technical documents were produced, ranging from services organization and management for different vulnerable groups. The materials became references in health institutions and services. A national course on mental health and psychosocial care in COVID-19 was also organized, with more than 60,000 people registered. The experience provides food for thought and a contribution for future experiences involving knowledge translation in the current pandemic and in future public health emergencies and pandemics, with the following: (1) combination of volunteer and collaborative work involving professionals with experience in the organization of services and care in past events; (2) reliance on institutional support and resources; (3) speed and credibility of work involving the establishment of networks of professionals and institutions; and (4) responses to the urgent needs with the capacity to shape paths for care in mental health and psychosocial care.
巴西是世界上 COVID-19 病例和死亡人数第二多的国家,大流行对心理健康造成了多重挑战。本文报告了在紧急情况下组织志愿者和协作工作组(GT)的经验,该工作组致力于精神卫生和心理社会保健,旨在为 COVID-19 背景下的卫生服务提供快速反应。该研究涉及在突发公共卫生事件和大流行中的精神卫生和心理社会保健方面的当前科学文献中的证据的识别和系统整理,建立了一个涉及 117 名研究人员和 25 个机构的网络,并组织了主题,以制定有关突发公共卫生事件和大流行中应对阶段的材料。在不到 60 天的时间里,编写了 18 份技术文件,涵盖了为不同弱势群体组织和管理服务。这些材料成为卫生机构和服务的参考依据。还组织了一次关于 COVID-19 中的精神卫生和心理社会保健的全国性课程,注册人数超过 60000 人。这次经验提供了一些思考和启示,并为未来涉及当前大流行和未来突发公共卫生事件和大流行中的知识转化的经验提供了贡献,包括:(1)结合志愿者和协作工作,涉及在过去事件中组织服务和护理方面有经验的专业人员;(2)依靠机构支持和资源;(3)快速和可信的工作,涉及建立专业人员和机构网络;(4)应对紧急需求的能力,为精神卫生和心理社会保健中的护理塑造道路。