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Humanization in mental health plans in Spain
David Fraguas1, Julio Zarco2, Vicent Balanzá-Martínez3
1Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, IdISSC, CIBERSAM, Facultad de Medicina, Universidad Complutense, Madrid, Spain.
Spanish mental health (MH) plans partially include humanization measures. Implementing identified priorities is crucial for enhancing the quality of MH care and promoting user participation.
Area of Science:
- Public Health
- Healthcare Management
- Mental Health Services Research
Background:
- Mental health (MH) care faces significant challenges, particularly concerning humanization.
- There is a need to assess current humanization efforts within Spanish MH plans.
Purpose of the Study:
- To identify humanization measures in the MH plans of Spanish autonomous communities (AC).
- To analyze the implementation status of these measures.
- To determine priorities for future humanization development in MH care.
Main Methods:
- A modified Delphi method incorporating "design thinking" was used.
- A multidisciplinary group of MH care professionals participated in a three-phase consensus process.
- Methods included identifying measures, analyzing implementation, and prioritizing future actions.
Main Results:
- 14 out of 17 AC have current MH plans containing humanization measures.
- Measures focused on quality improvement, user participation, anti-stigma campaigns, and vulnerable population care.
- Implementation varied widely (6.3% to 100%), averaging 64.1%; priority proposals include campaigns, forums, support platforms, education, and curriculum integration.
Conclusions:
- While some MH plans address humanization, their inclusion is often partial.
- Implementing identified humanization strategies is essential for achieving high-quality MH care.
- Further development is needed to fully integrate humanization into MH services.
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