A Critical Analysis of Debates Around Mental Health Calls in the Prehospital Setting
| Autor: | Polly Christine Ford-Jones, Claudia Chaufan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Mental Health Services
Emergency Medical Services Ambulances Allied Health Personnel health care workers 03 medical and health sciences 0302 clinical medicine Nursing Health care social determinants of mental health Humans Medicine 030212 general & internal medicine Social determinants of health Health policy Mental health law business.industry Health Policy International health 030208 emergency & critical care medicine Mental health Emergency Medical Technicians prehospital care Health promotion Commentary paramedics Public aspects of medicine RA1-1270 business Psychosocial mental health |
| Zdroj: | Inquiry : A Journal of Medical Care Organization, Provision and Financing Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 54 (2017) |
| ISSN: | 1945-7243 0046-9580 |
| DOI: | 10.1177/0046958017704608 |
| Popis: | Paramedics, health care workers who assess and manage health concerns in the prehospital setting, are increasingly providing psychosocial care in response to a rise in mental health call volume. Observers have construed this fact as “misuse” of paramedic services, and proposed as solutions better triaging of patients, better mental health training of paramedics, and a greater number of community mental health services. In this commentary, we argue that despite the ostensibly well-intentioned nature of these solutions, they shift attention and accountability away from relevant public policies, as well as from broader economic, social, and political determinants of mental health, while placing responsibility on those requiring services or, at best, on the health care system. We also argue that the perspective of paramedics, who are exposed to, and interact with, individuals in their everyday environments, has the potential to inform a better, structural and critical, understanding of the factors driving the rise in psychosocial crises in the first place. Finally, we suggest that a greater engagement with the political and social determinants of mental health would lead to preventing, rather than primarily reacting to, these crises after the fact. |
| Databáze: | OpenAIRE |
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