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Promoting voluntary help-seeking among doctors with mental disorders.

María Dolores Braquehais1, Sergi Valero, Josep Lluís Matalí

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The Barcelona Integral Care Program for Doctors with mental disorders (PAIMM) successfully encouraged earlier and voluntary help-seeking among physicians. This non-punitive approach led to younger doctors seeking treatment and increased voluntary referrals over time.

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Area of Science:

  • Medical Ethics
  • Psychiatry
  • Physician Health

Background:

  • Physicians experiencing mental health issues often face unique challenges in seeking timely and voluntary care.
  • The Barcelona Integral Care Program for Doctors with mental disorders (PAIMM) was established to address these specific needs.

Purpose of the Study:

  • To evaluate the effectiveness of the PAIMM in promoting earlier and voluntary help-seeking among sick doctors.
  • To assess changes in physician demographics and referral patterns over time within the PAIMM.

Main Methods:

  • A retrospective chart review of 1363 physicians treated by PAIMM between 1998 and 2011.
  • Data analysis across three distinct time periods: 1998-2004, 2005-2007, and 2008-2011.

Main Results:

  • The mean age of physicians seeking treatment decreased significantly over the study period (p < 0.001).
  • Voluntary referrals to the program increased from 81.3% to 91.5% (p < 0.001).
  • The prevalence of mental disorders other than substance use increased, with adjustment disorders becoming more common.

Conclusions:

  • The PAIMM demonstrates success in encouraging physicians to seek help voluntarily.
  • Specialized, non-punitive programs can effectively support doctors with mental health conditions.
  • Treatment mandates are best reserved for cases with clear risks of malpractice.