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Promoting voluntary help-seeking among doctors with mental disorders.
María Dolores Braquehais1, Sergi Valero, Josep Lluís Matalí
1Galatea Clinic, Galatea Foundation, Barcelona Medical Council-Association, Integral Care Program for Sick Doctors, Barcelona, Spain, mdbraquehais@vhebron.net.
Summary
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.
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.
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