Atención Primaria y Salud Mental

 

 Nt`ij fúi ]r ]rfk fkn nrfrfn n y sn snouh ouh k`it itn no  Nt`ijfúi

Jgij`ptg h` nt`ijfúi prfknrfn `i snouh y `i snouh k`itno J gij` gij`pt ptg g h` h` nt` nt`ijf ijfúi úi pr pr f kn knrr f n1  Pi

sfst`kn sniftnrfg dnsnhg `i on nt`ijfúi prfknrfn h` snouh grf`itn sus `strujturns y euijfgi`s bnjfn ogs vnogr`s h` on `qufhnh y on  sgofhnrfhnh sgjfno, y `o h`r`jbg h` tghg s`r buknig n lgznr h`o lrnhg kîxfkg h` snouh qu` s` pu`hn oglrnr sfi hfstfijfúi h` rnzn, r`oflfúi, fh`goglën pgoëtfjn g jgihfjfúi `jgiúkfjn g sgjfno.   On Nt`ijfúi ]rfknrfn h` (N]Z). Znouh Jgij`ptg h` nt`ijfúi prfknrfn`i`i`osnouh k`itno1  K`itno (N]ZK) `stî fijoufhn jgij`ptg h` Nt`ijfúi ]rfknrfn h` Znouh  H` nju`rhg n on GKZ on N]Z `s ui k`hfg prîjtfjg pnrn pgi`r pgi`r no nojnij` h` tghgs ogs fihfvfhugs y enkfofns h` uin jgkuifhnh on nsfst`ijfn h` snouh fihfsp`isndo`, h`  egrkn qu` r`suot` nj`ptndo` y prgpgrjfginhn n sus r`jursgs y jgi su po`in  pnrtfjfpnjfúi.

`i`rr nof nofhn hnh` h`ss h`o sfst`k sf st`kn n h` h` nt` nt`ijf ijfúi úi `i `i snouh snouh k`itn k`itnoo L `i`

 

] goë goëtftfjns, jns, igrkn igr kns, s, pon poni`s i`s y pr pr glr glrnk nkns ns `i `i snouh k` k`itno Pin pgoë pgoëtftfjn jn h` h` snouh k` k`itn itno1o1

`s ui jgiauitg grlnifznhg h` vnogr`s, prfijfpfgs y gda`tfvgs pnrn k`agrnr on snouh k`itno y r`hujfr on jnrln h` trnstgrigs k`itno`s h` on  pgdonjfúi. H`efi` uin efogsgeën pnrn `o euturg y nyuhn n `stndo`j`r ui kgh`og h` njtunjfúi. Pin pgoëtfjn tnkdfæi `stfpuon `o ifv`o h` prfgrfhnh qu` ui lgdf`rig nsflin n on snouh k`itno `i r`onjfúi n gtrns pgoëtfjns sniftnrfns y sgjfno`s. Pin pgoëtfjn s` egrkuon  l`i`rnok`it` pnrn judrfr ui nkpofg p`rfghg h` tf`kpg, pgr `a`kpog, `itr` jfijg y hf`z nþgs.  N k`iuhg, ogs tærkfigs ‟poni`s‛ ‟poni`s‛ y ‟prglrnkns‛ ‟prglrnkns‛ s` usni h` kni`rn fit`rjnkdfndo`. fit`rjnkdfndo`. @i `st` kúhuog sgi jgisfh`rnhgs jgkpo`k`itnrfgs h` on pgoëtfjn y prgpgrjfgini ogs k`hfgs  pnrn oo`vnr n jndg ons njtunjfgi`s.

] oni h` snouh k` k`itno1  @s ui h`tnoonhg `squ`kn egrkuonhg pr`vfnk`it` pnrn pgi`r `i knrjbn njtunjfgi`s `strntælfjns qu` envgr`zjni on prgkgjfúi h` on snouh k`itno, on  pr`v`ijfúi h` ogs trnstgrigs k`itno`s, k`itno`s, `o trntnkf`i trntnkf`itg tg y on r`bndfoftnjfúi. Pi poni h` `stn inturno`zn p`rkft` npofjnr on efogsgeën, ogs vnogr`s, ogs prfijfpfgs y ogs gda`tfvgs h`efifhgs `i on pgoëtfjn. Pi poni fijouy` bndftunok`it` ons `strnt`lfns, ogs ponzgs, ogs r`jursgs i`j`snrfgs, gda`tfvgs, ogs fihfjnhgr`s y ons njtfvfhnh`s. Pi poni pu`h` jgfijfhfr jgi on kfskn hfvfsfúi nhkfifstrntfvn y jgi `o kfskg knrjg t`kpgrno h` on pgoëtfjn h` snouh k`itno. @stg ig tf`i` pgr quæ s`r sf`kpr` nsë1 s` pu`h` h`snrrgoonr ui poni pnrn uin hfvfsfúi nhkfifstrntfvn k`igr g pnrn ui p`rëghg h` tf`kpg fie`rfgr no h` on pgoëtfjn. uin fit`rv`ijfúi g s`rf` s`rf` h` fit`rv`ijfgi`s jgi jgi ui ui gda`tfvg gda`tfvg glrnk nkn n h` h` snouh k` k`itno1 @s uin ] r glr notnk`it` `sp`jëefjg qu` tf`i` qu` v`r jgi on prgkgjfúi h` on snouh k`itno, on pr`v`ijfúi h` ogs trnstgrigs k`itno`s, `o trntnkf`itg y on r`bndfoftnjfúi. Pi prglrnkn s` su`o` j`itrnr sgdr` uin prfgrfhnh `sp`jëefjn h` on snouh k`itno y, no fluno qu` ons pgoëtfjns y  poni`s, h`d` s`r jgrr`jtnk`it` hfs`þnhg, pr`supu`stnhg, jgitrgonhg y `vnounhg. @i jgitrnst` jgi on pgoëtfjn g ogs poni`s, ogs prglrnkns s` su`o`i pgi`r `i prîjtfjn `i uin hfvfsfúi nhkfifstrntfvn kîs p`qu`þn g hurnit` k`igs tf`kpg.

Grlnifznjfúi h` ogs s`rvfjfgs h` snouh k`itno J `it itrr g U f hn y En E nkf ofofn n1  @o J`itrg Ufhn y Enkfofn tf`i`

jgkg prgpúsftg nyuhnro` jgi grf`itnjfgi`s nprgpfnhns pnrn sus i`j`sfhnh`s `kgjfgino`s. ]nrn `sg `xfstfkgs. X`i`kgs ons b`rrnkf`itns i`j`snrfns pnrn qu` su vfhn jnkdf` pgsftfvnk`it`. Ju`it` jgi iu`strn jgkpr`isfúi, njglfhn y grf`itnjfúi prge`sfgino.

J`ittrg h` Znouh Znouh K`it K`itn no E nkf ofofn nr , ZN ZNK K@ E N1 J`i

J`itrg `sp`jfnofznhg `i drfihnr  s`rvfjfgs h` snouh k`itno pnrn nyuhnr n k`agrnr `o euijfginkf`itg hfnrfg h` ons ons p`rsgins p`rsgins i`j`sftnhns h` npgyg `kgjfgino, t`rnpfn h` pnr`an, nhfjjfgi`s, t`rnpfn enkfofnr, trntnkf`itg psfjgoúlfjg y psfqufîtrfjg.

J `itrg h` N t` t`ijf ijfú úi F it` it`ll r no E nkf ofofn nr 1   J`itrg

h`hfjnhg n drfihnr nt`ijfúi fit`lrno  p`rsginofznhn n1 enkfofns, pnr`ans, nhgo`sj`it`s y ifþgs/ns3 pgr k`hfg h` t`rnpfns, ns`sgrëns, `vnounjfgi`s psfjgoúlfjns y egrknjfúi psfjg`hujntfvn.

strnt nt``lf ns h` h` nt nt``ijf ijfúi úi pr pr f kn knrr f n `i `i snouh k` k`itno itno @ str

 

 Ogs s`rvfjfgs fit`lrno`s fit`lrno`s h` nt`ijfúi prfknrfn v`oni pgr qu` on p`rsgin p`rsgin r`jfdn trntnkf`itg `i egrkn fit`lrno, qu` sntfsenln ons i`j`sfhnh`s h` snouh k`itno h` ons p`rsgins jgi hgo`ijfns eësfjns, nsë jgkg ons i`j`sfhnh`s h` snouh eësfjn h` ons p`rsgins jgi trnstgrigs k`itno`s.  Ons `strnt`lfns `kpo`nhns bnstn `o pr`s`it` pnrn pnrn on nt`ijfúi h` on snouh k`itno, bni bni sfhg fisuefjf`it`s pnrn k`agrnr on kgrdfofhnh psfqufîtrfjn y psfjgsgjfno h` on pgdonjfúi. Ogs  s`rvfjfgs psfqufîtrfjgs trnhfjfgino`s ig bni dnstnhg sfquf`rn pnrn nt`ih`r ons `ie`rk`hnh`s psfqufîtrfjns lrnv`s1 tnkpgjg `i @urgpn, `i hgih` on Grlnifznjfúi  Kuihfno h` on o n Znouh nefrkú, bnj` >4 nþgs, qu` "ogs jufhnhgs prfknrfgs h` snouh sgi on  pf`hrn euihnk`itno h` on psfqufntrën h` h` jgkuifhnh".  Ogs prfijfpfgs euihnk`itno`s pnrn `o h`snrrgoog h` ui prglrnkn h` nt`ijfúi prfknrfn h` snouh, s` dnsni `i qu` ogs s`rvfjfgs tf`i`i qu` s`r pr`stnhgs h` kni`rn pr`jgz, fit`lrnhn, jgitfiun, p`rsginofznhn yn ifv`o ogjno, `i jgondgrnjfúi `str`jbn jgi on jgkuifhnh. Zúog nsë s` nt`ih`rîi n ogs `ie`rkgs h`itrg h` uin jgij`ptunofznjfúi dfgpsfjgsgjfno.

H f nliúst nliústff jg Jgkuif Jgkuiftn tnrr f g `i `i snouh k` k`itn itnoo  @o hfnliústfjg jgkuiftnrfg `s ui prgj`h`r `pfh`kfgoúlfjg qu` igs p`rkftn jgigj`r `o  prgj`sg snouh-`ie`rk`hnh snouh-`ie`rk`hnh `i uin pg pgdonjfúi donjfúi hnhn y `i ui p`rëghg p`rëghg h`t`rkfinhg, h`t`rkfinhg, p`rg qu` n su v`z fijouy` on `vnounjfúi h` ui jgiauitg h` prgdo`kns h` on snouh k`itno h`o bgkdr` jgij`dfhgs `i ui s`itfhg kîs fit`lrno y nkpofg, y qu` vn kîs nooî h`o prgj`sg kgrdgsg `i së. @vnounr junitfjunoftntfvnk`it` ons i`j`sfhnh`s sgjfno`s h` on snouh `s `i `s`ijfn  su gda`tfvg euihnk`itno.

Jnkpnþns y `strnt`lfns h` prgkgjfúi y pr`v`ijfúi `i snouh k`itno Jnkpnþns n ons nhfjjfgi`s Jnkpnþns h` on vfgo`ijfn Jnkpnþns sgdr` `o sufjfhfg Jnkpnþns h` trnstgrigs

nkpn pnþns þns n ons nhf nhf jjf jjfgi` gi`s1 s1 J nk  Ogs juntrg kgh`ogs qu` `i knt`rfn h` pr`v`ijfúi prgpgi` on Grlnifznjfúi h` ons  Injfgi`s Pifhns pnrn on @hujnjfúi, @hujnjfúi, on Jf`ijfn y on Juoturn (PI@ZJG) sgi sgi11

kgh`og og psf psfjgsg jgsgjf jfno1 no1   bnj` @ o kgh`

æiensfs `i `o jgit`xtg h`o fihfvfhug y s` j`itrn `i on `hujnjfúi jgkg `o jnkfig pnrn prgkgv`r `stfogs h` vfhn snigs.

æiensfs `i ogs `e`jtgs `e`jtgs g jgis`ju`ijfns pnrn on @ o kgh kgh``og kæhf hfjg-snif jg-sniftn tnrr f g1  bnj` æiensfs

snouh k`hfnit` on trniskfsfúi h` fiegrknjfúi fie grknjfúi y utfofzn on hfsunsfúi jgkg on b`rrnkf`itn kîs `efjnz.

@ o kgh`og ætfjg-a ætfjg-aur urëë hf jg jg11   s` j`itrn

`i `o nsp`jtg o`lno h` ons hrglns jgkg jnkfig  pnrn oglrnr `o grh`i sgjfno. Ons njtfvfhnh`s h` pr`v`ijfúi s` `iegjni `i `o kfskg  s`itfhg. 

 

@ o kgh` h`og og sgjf sgjfgj gjuotur uoturno no11  vfsunofzn ons jgihfjfgi`s sgjfg`jgiúkfjns y sgjfgjuoturno`s jgkg vnrfndo`s n jgisfh`rnr pnrn pnrn on pr`v`ijfúi pr`v`ijfúi h` ons nhfjjfgi`s. nhfjjfgi`s. Ons njtfvfhnh`s  prgpu`stns s` grf`itni bnjfn on prgkgjfúi y `o h`snrrgoog jgkuiftnrfg.

Igtn1  No fluno qu` ogs kgh`ogs ndgrhnhgs, `o gda`tfvg h` `stgs prfijfpfgs `s nyuhnr n ogs  prgkgtgr`s, pnhr`s h` enkfofn y oëh`r`s jgkuiftnrfgs n pgih`rnr, ponifefjnr ` fitrghujfr prglrnkns h` pr`v`ijfúi h`o ndusg h` hrglns, jgi dns`s jf`itëefjns n ifv`o jgkuiftnrfg.

 Knrfn ogss Îil` Îil`o` o`ss h` on Jr Jruz uz L u` u`rr rr``rg >= >==0 =02: 2:64 6455  Knrf n h` og