Updates from the <scp>WPA</scp> Section on Education in Psychiatry

Fiorillo, Andrea; Sampogna, Gaia; Elkholy, Hussien; Tasman, Allan

doi:10.1002/wps.20835

Cited by 15 publications

(20 citation statements)

References 13 publications

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“…Moreover, in our sample the presence of a pre-existing mental disorder was not associated with help-seeking behavior, which might be due to the presence of stigmatizing and discriminating attitudes [ 8 , 82 , 83 ], further nurtured by the fear of the contagion by the virus [ 84 ]. There is the need to foster anti-stigma interventions both at the general population level, promoting the public image of psychiatry, as well as at the patient individual level, for challenging internalized stigma [ 85 , 86 ]. Finally, the low access rate to healthcare services found in people with pre-existing mental disorders highlights the need to create specific “soft entry points” for those people, which also represents a high-risk population for the morbidity and mortality related to COVID-19 [ 69 , 83 , 87 , 88 ].…”

Section: Discussionmentioning

confidence: 99%

Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

et al. 2021

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The COVID-19 pandemic represents an unprecedented public health emergency, with consequences at the political, social, and economic levels. Mental health services have been called to play a key role in facing the impact of the pandemic on the mental health of the general population. In the period March–May 2020, an online survey was implemented as part of the Covid Mental Health Trial (COMET), a multicentric collaborative study carried out in Italy, one of the Western countries most severely hit by the pandemic. The present study aims to investigate the use of mental health resources during the first wave of the pandemic. The final sample consisted of 20,712 participants, mainly females (N = 14,712, 71%) with a mean age of 40.4 ± 14.3 years. Access to mental health services was reported in 7.7% of cases. Among those referred to mental health services, in 93.9% of cases (N = 1503 subjects) a psychological assessment was requested and in 15.7% of cases (N = 252) a psychiatric consultation. People reporting higher levels of perceived loneliness (OR 1.079, 95% CI 1.056–1.101, p < 0.001), practicing smart-working (OR 1.122, 95% CI 0.980–1.285, p = 0.095), using avoidant (OR 1.586, 95% CI 1.458–1.725, p < 0.001) and approach (OR 1.215, 95% CI 1.138–1.299, p < 0.001) coping strategies more frequently accessed mental health services. On the other hand, having higher levels of perceived social support (OR 0.833, 95% CI 0.795–0.873, p < 0.001) was associated with a reduced probability to access mental health services. The COVID-19 pandemic represents a new threat to the mental health and well-being of the general population, therefore specific strategies should be implemented to promote access to mental healthcare during the pandemic and afterwards.

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Section: Discussionmentioning

confidence: 99%

Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

et al. 2021

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“…Providing good-quality undergraduate training increases students' interest in mental health, reduces stigma towards people with mental illness and increases students' confidence in working with people with mental health problems. [1][2][3]18 Initiatives aiming at improving psychiatric education during the early years of medical school have been well received and have been found to be effective in changing the attitudes of medical students towards the discipline. Novel techniques using virtual reality, movies and simulation can help increasing the psychiatric knowledge and practical skills of undergraduate medical students, without affecting patient confidentiality and the therapeutic alliance.…”

Section: Discussionmentioning

confidence: 99%

“…Providing good-quality undergraduate training increases students’ interest in mental health, reduces stigma towards people with mental illness and increases students’ confidence in working with people with mental health problems. 1 – 3 , 18 …”

Section: Discussionmentioning

confidence: 99%

Undergraduate psychiatric education: current situation and way forward

Sampogna¹,

Elkholy

Baessler

et al. 2021

BJPsych Int.

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Undergraduate psychiatric education is essential for the training of medical students and for their recruitment into psychiatry. A significant shortage of graduates choosing a career in psychiatry has been recently documented, and this trend might have many causes. When medical students have positive experiences of teaching, elective placements and exposure to psychiatric patients, their attitudes towards psychiatry are significantly better. Therefore, there is a need to improve the quality of undergraduate training courses in psychiatry. Innovative teaching strategies are suggested, including the use of movies, virtual reality, simulated patients and multiprofessional training wards.

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“…However, more recently, the attitudes toward choosing psychiatry have improved and are moderately positive, even more so after completing the psychiatry rotation. The Section on education in psychiatry of the World Psychiatric Association reported on the need to improve the image of psychiatry among medical students by combating the misconception that psychiatry is unscientific compared to other medical specialties, and emphasizing the skills of psychiatrists, which are often confused with those of other mental health professionals, further reducing the desirability of becoming a psychiatrist (Fiorillo et al, 2021). remains a desideratum, it was concluded that the drive for harmonization should avoid an approach that sacrifices diversity for the sake of a misplaced standardization (Brittlebank et al, 2016).…”

Section: Undergraduate Training In Psychiatrymentioning

confidence: 99%

Training and retaining mental health professionals: The Romanian experience in the European Union

Giurgiuca

Giurgi-Oncu

Matei

2021

Asia-Pacific Psychiatry

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Background: Romania has been a member of the European Union since 2007.According to the World Health Organization, the national burden of mental disorders is high, with 2743.69 disability-adjusted life years per 100.000 population. Moreover, in a country of 19 million people, Romania's mental health system is currently functioning at capacity, with 5.66 adult psychiatrists/100.000 population and only 0.56 child and adolescent psychiatry (CAP) doctors per 100.000 population. Method: we conducted a simple narrative review of the current literature on the topic of training of psychiatry trainees in Romania. Results: Undergraduate training consists of only 4 weeks of clinical and theoretical work for adult and CAP. Psychiatry postgraduate training lasts 5 years and is still duration-oriented. Psychiatric trainees mostly spend their clinical work in inpatient units due to the scarcity of other services or the lack of integration of training programs in the existing psychiatric services. Theoretical training is not nationally formalized, and, during training, yearly assessments tend to be neglected. An ongoing challenge in Romania has been retaining young career psychiatrists. Conclusion:Although in a trend toward improvement of health services, "brain drain" has been and continues to be a massive phenomenon among Romanian psychiatrists, mainly driven to Western-European countries due to financial reasons, various shortcomings in overall infrastructure, and because of the lack of continuous professional and personal development opportunities. As the world is currently facing an unprecedented mental health crisis, steps must be taken to improve psychiatric training, retain psychiatrists in Romania, and provide better national mental health services.

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Updates from the WPA Section on Education in Psychiatry

Cited by 15 publications

References 13 publications

Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

Undergraduate psychiatric education: current situation and way forward

Training and retaining mental health professionals: The Romanian experience in the European Union

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