The World Health Organization (WHO) is revising the ICD-10 classification of mental and behavioural disorders, under the leadership of the Department of Mental Health and Substance Abuse and within the framework of the overall revision framework as directed by the World Health Assembly. This article describes WHO's perspective and priorities for mental and behavioural disorders classification in ICD-11, based on the recommendations of the International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. The WHO considers that the classification should be developed in consultation with stakeholders, which include WHO member countries, multidisciplinary health professionals, and users of mental health services and their families. Attention to the cultural framework must be a key element in defining future classification concepts. Uses of the ICD that must be considered include clinical applications, research, teaching and training, health statistics, and public health. The Advisory Group has determined that the current revision represents a particular opportunity to improve the classification's clinical utility, particularly in global primary care settings where there is the greatest opportunity to identify people who need mental health treatment. Based on WHO's mission and constitution, the usefulness of the classification in helping WHO member countries, particularly low- and middle-income countries, to reduce the disease burden associated with mental disorders is among the highest priorities for the revision. This article describes the foundation provided by the recommendations of the Advisory Group for the current phase of work.
Introduction. Gambling disorder is characterized by an uncontrollable need to gamble, lack of control over gambling, prioritizing gambling over other activities, and continuing to gamble despite the negative consequences this entails. Worldwide, between .1% and 5% of people show signs of problem gambling and between .1% and 2.2% present a positive result in gambling disorder criteria. Objective. To determine the extent of the problem of gambling disorder in Mexico and to identify and analyze the demographic groups in which it occurs. Method. ENCODAT 2016-2017 is a probabilistic, multi-stage survey with national and state representativeness. The sample comprises 56 877 people who answered a standardized questionnaire that collects information on addictive substance use and other areas such as gambling disorder. Results. A total of 24.5% of the population aged 12 to 65 have played a betting game at lifetime. Men have higher statistically significant prevalences than women in nearly all types of gambling and in six of the nine symptoms of gambling disorder. In Mexico, .3% of the target population meet the criteria for gambling disorder, with adolescents showing the highest percentage (.4%). Discussion and conclusion. It is necessary to reinforce public policies for this issue that include the development of preventive actions targeting the adolescent and youth population in Mexico, and to ensure the adequate monitoring of authorized centers.
The article is aimed at reporting the characteristics of the population detected at State Prosecutors' Offices including the two such offices that existed in the city selected for the study, one located in a general hospital for the inspection of violence-related cases (n = 156); and the second in the facility where all detainees are taken when arrested (n = 129), and where victims can file a complaint (n = 186). A household survey undertaken among the population 18 to 65 years of age (n = 887) was used as a group of reference. Both studies were undertaken in Pachuca City, the capital of Hidalgo, located 100 km from Mexico City during the second half of 1996. Face-to-face questionnaires were used to obtain sociodemographic data, drug use and drinking patterns, depressive symptomatology, and family violence. Discriminant and logistic regression analysis were undertaken. The age group from 18 to 24 displayed the highest number of legal complaints and arrests (OR = 1.773). The likelihood for appearing at a State Prosecutor's Office was higher for those living in an atmosphere of threats and injuries within the family (OR = 19) and for those that reported alcohol consumption on the day of the event (OR = 14). Extremely high rates of family violence were obtained in this sample, increasing the likelihood of arriving at the Prosecutor's Office either because arrested or for being a victim. Results confirm the relationship between alcohol use, depression, and violence, reinforcing the need to prevent alcohol abuse, especially among youth.
SUMMARYThe knowledge provided by psychology should respond to different problems, which can only be achieved when the findings from scientific evidence become available to other scientific groups and social nuclei, in order to achieve them appropriately and use them to solve problems, improve their quality of life, or prevent a potentially hazardous situation. However, various barriers to the effective use of knowledge are often observed. In addition, there exists the false impression that research in the health sciences is an activity that rarely meets the needs of the social actors who might benefit from its use. In this context, this paper presents a general overview of the concept of technology transfer, the models that have been developed to perform this and an example of how the transfer of an intervention program in the field of addictions in Mexico has been started and what the challenges are to advancing this process and its possible adoption in addiction centers.The authors conclude that in order to comply with the incorporation of treatments at addiction treatment institutions, it is essential to evaluate the effectiveness of the brief intervention program in clinical settings, adhere to all the CONSORT indicators for randomized clinical trials and incorporate four main aspects into the transfer process: 1. foster closer relations with health professionals; 2. allow the "reinvention" of the program within a context of collaboration between stakeholders and evaluate this process; 3. consider the constraints, resources, objectives and practices of the institution to which the program is to be transferred, and 4. provide long-term monitoring to assess the success of the adoption of the innovation.Key words: Technology transfer, programs with scientific evidence, brief interventions, addictions. RESUMENLos conocimientos que proporciona la psicología deben dar respuesta a diferentes problemáticas, lo que sólo puede lograrse cuando los hallazgos obtenidos por evidencia científica son asequibles a otros grupos científicos, y núcleos sociales, a fin de que éstos logren apropiarse y usarlos para solucionar problemas, mejorar su calidad de vida o prevenir una situación potencial de riesgo. Sin embargo, con frecuencia se observan diferentes barreras para la utilización efectiva de los conocimientos. Además, se tiene la falsa impresión de que la investigación en las ciencias de salud resulta una actividad poco responsiva ante las necesidades de los actores sociales que podrían beneficiarse de su uso. En este contexto, en el presente artículo se presenta una revisión general del concepto de transferencia tecnoló-gica, los modelos que se han desarrollado para llevar a cabo ésta y un ejemplo de cómo se ha iniciado la transferencia de un programa de intervención en el ámbito de las adicciones en México y cuáles son sus retos para el avance de dicho proceso y su posible adopción en centros de atención a las adicciones.Se concluye que, para cumplir con la incorporación de tratamientos en instituciones de atención de ad...
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