{"id":26593,"date":"2023-06-26T19:43:49","date_gmt":"2023-06-26T17:43:49","guid":{"rendered":"https:\/\/www.fsyc.org\/actualitat\/fsc-desarrolla-ideas-un-nuevo-sistema-de-evaluacion-de-tratamientos-de-drogas\/"},"modified":"2023-07-18T10:56:37","modified_gmt":"2023-07-18T08:56:37","slug":"fsc-desenvolupa-idees-un-nou-sistema-davaluacio-de-tractaments-de-drogues","status":"publish","type":"post","link":"https:\/\/www.fsyc.org\/ca\/actualitat\/fsc-desenvolupa-idees-un-nou-sistema-davaluacio-de-tractaments-de-drogues\/","title":{"rendered":"FSC desenvolupa \u00abI.D.E.A.S.\u00bb, un nou sistema d’avaluaci\u00f3 de tractaments de drogues"},"content":{"rendered":"
\n

Al llarg dels darrers anys, la Fundaci\u00f3 Salut i Comunitat (FSC), en pro de la millora cont\u00ednua, ha destinat recursos propis (econ\u00f2mics, humans i materials) a l’avaluaci\u00f3 dels tractaments psicosocials intensius en diferents centres d’atenci\u00f3 a les drogodepend\u00e8ncies.\u00a0En el marc de la convocat\u00f2ria 2021 del Pla de Recuperaci\u00f3, Transformaci\u00f3 i Resili\u00e8ncia (fons europeus Next Generation)\u00a0,<\/em>\u00a0FSC va ser benefici\u00e0ria d’una subvenci\u00f3 del Pla Nacional sobre Drogues (PNSD). \u00a0<\/strong><\/p>\n<\/blockquote>\n

Aquesta subvenci\u00f3 va fer possible la constituci\u00f3 d’un equip de treball espec\u00edfic (al Departament d’Investigaci\u00f3 i Avaluaci\u00f3) destinat a treballar en la millora i el desenvolupament d’un nou sistema d’avaluaci\u00f3 integrat, al que hem anomenat I.D.E.A.S. (Informaci\u00f3, Diagn\u00f2stic, Avaluaci\u00f3<\/strong>\u00a0, Atenci\u00f3 i Seguiment) per aplicar als centres d’atenci\u00f3 a les drogodepend\u00e8ncies de tipus psicosocial intensiu.<\/p>\n

Aquest projecte va iniciar el seu curs amb una cerca i revisi\u00f3 de la bibliografia existent, aix\u00ed com de literatura grisa, per localitzar variables o elements que estiguessin relacionats amb el tractament o els seus resultats (aband\u00f3, alta terap\u00e8utica, adhesi\u00f3 al tractament, etc.).\u00a0\u00c9s especial esment l’ajut obtingut per part del Centre de Documentaci\u00f3 i Informaci\u00f3 del PNSD i del Centre de Documentaci\u00f3 del SIIS.<\/p>\n

En total, es van revisar 116 articles cient\u00edfics publicats a revistes i bases de dades de diferents pa\u00efsos, dedicant especial atenci\u00f3 al contingut d’origen europeu i espanyol.\u00a0Addicionalment, es van examinar en profunditat alguns sistemes d’avaluaci\u00f3 coneguts ja existents com l’ASI-6 o l’EuropASI (\u00a0Addiction Severity Index<\/em>\u00a0), l’ASSIST v3.1 (\u00a0Alcohol, Smoking and Substance Involvement Screeing Test<\/em>\u00a0), el MATE 2.2 (\u00a0Measurements in the Addictions for Triage and Evaluation<\/em>\u00a0) i el MAP (\u00a0Maudsley Addiction Profile<\/em>\u00a0), entre d’altres.<\/p>\n

\"\"
Es pret\u00e9n avaluar els tractaments de tipus psicosocial intensiu, com ara comunitats terap\u00e8utiques o centres de dia.<\/span><\/figcaption><\/figure>\n

A partir d’aquesta revisi\u00f3 de la bibliografia, es va fer una selecci\u00f3 de les variables m\u00e9s rellevants que, sobre la base del propi criteri professional i de tot all\u00f2 revisat a la literatura cient\u00edfica, s\u00f3n clau per realitzar una bona avaluaci\u00f3 i seguiment del cas.<\/p>\n

Com a resultat d’aquesta selecci\u00f3, es va organitzar el sistema d’avaluaci\u00f3 a diferents \u00e0mbits\/camps:<\/p>\n

    \n
  1. Dades identificatives<\/strong>\u00a0.<\/li>\n
  2. Dades b\u00e0siques d’atenci\u00f3<\/strong>\u00a0, com ara el motiu de consulta, la l\u00ednia de vida, l’historial de tractaments previs, etc.<\/li>\n
  3. Addiccions<\/strong>\u00a0, on es recullen dades de les subst\u00e0ncies o conductes que motiven la consulta.<\/li>\n
  4. Qualitat de vida<\/strong>\u00a0.<\/li>\n
  5. Salut f\u00edsica<\/strong>\u00a0, que inclou diagn\u00f2stics i historial de malalties greus, registre d’al\u00b7l\u00e8rgies i intoler\u00e0ncies, control d’infeccions, conductes de risc, etc.<\/li>\n
  6. Salut psicol\u00f2gica<\/strong>\u00a0, que permet explorar els antecedents personals, personalitat, risc de su\u00efcidi, depressi\u00f3 i ansietat, impulsivitat o trauma, entre d’altres.<\/li>\n
  7. Relacions interpersonals<\/strong>\u00a0amb la fam\u00edlia, amics i amics i altres persones de l’entorn habitual.<\/li>\n
  8. Habitatge<\/strong>\u00a0.<\/li>\n
  9. Formaci\u00f3<\/strong>\u00a0(dades sobre el nivell descolaritzaci\u00f3, idiomes, etc.).<\/li>\n
  10. Laboral<\/strong>\u00a0(exploraci\u00f3 de la situaci\u00f3 laboral, ocupabilitat, etc.).<\/li>\n
  11. Situaci\u00f3 econ\u00f2mica<\/strong>\u00a0, per valorar si hi ha vulnerabilitat.<\/li>\n
  12. Exclusi\u00f3\/inclusi\u00f3 social<\/strong>\u00a0.<\/li>\n
  13. Activitat delictiva<\/strong>\u00a0.<\/li>\n
  14. Viol\u00e8ncies,<\/strong>\u00a0tant sofertes com exercides.<\/li>\n
  15. Altres aspectes relacionats amb el tractament<\/strong>\u00a0com l’alian\u00e7a terap\u00e8utica, l’adhesi\u00f3 al tractament, les impressions del professional sobre el\/la pacient, etc.<\/li>\n<\/ol>\n

    A continuaci\u00f3, ia partir de les variables seleccionades a incloure al nou sistema d’avaluaci\u00f3, es va fer una cerca d’instruments validats i amb bones propietats que fossin adequats, tant per mesurar aquests elements com per al col\u00b7lectiu amb qu\u00e8 es treballa.<\/p>\n

    En la determinaci\u00f3 de les variables a estudiar i els m\u00e8todes m\u00e9s apropiats, s’ha consultat amb diversos experts espanyols i estrangers, que han proporcionat idees, dades i indicacions de gran inter\u00e8s.<\/p>\n

    Un cop finalitzat aquest punt, es va iniciar el disseny de l’IDEES Aquest nou sistema s’ha desenvolupat i adaptat a tres diferents est\u00e0ndards de qualitat o exig\u00e8ncia.\u00a0D’una banda, l’Est\u00e0ndard de Qualitat Alta es considera un m\u00e0xim, en el qual es recull l’ideal (m\u00e9s llarg, per\u00f2 amb m\u00e9s informaci\u00f3 i m\u00e9s exhaustiva).\u00a0D’altra banda, l’Est\u00e0ndard de Qualitat M\u00ednima constitueix el que es considera com el m\u00ednim imprescindible per poder fer una avaluaci\u00f3 i atenci\u00f3 adequades, pensat per a aquells centres que disposin de menys recursos i menys temps.\u00a0Finalment;\u00a0l’Est\u00e0ndard de Qualitat Interm\u00e8dia, que se situaria entre ambd\u00f3s extrems.<\/p>\n

    \"\"
    El projecte est\u00e0 subvencionat amb els fons europeus Next Generation, a trav\u00e9s del Pla Nacional sobre Drogues.<\/figcaption><\/figure>\n

    El sistema I.D.E.A.S., independentment de l’est\u00e0ndard de qualitat, est\u00e0 estructurat en tres parts: entrevista amb el professional, q\u00fcestionaris i test que respon el mateix pacient i l’expedient on es registra tota la informaci\u00f3 recollida als dos apartats anteriors i que tamb\u00e9 preveu la recopilaci\u00f3 de dades de seguiment a mesura que el pacient va avan\u00e7ant en les fases del tractament.<\/p>\n

    El disseny preliminar del sistema d’avaluaci\u00f3 I.D.E.A.S. ha estat objecte d’una s\u00e8rie de proves pilot amb usuaris voluntaris\/\u00e0ries de diferents centres de FSC col\u00b7laboradors que tenien el prop\u00f2sit de detectar errors i idear possibles millores.<\/p>\n

    Amb l’objectiu de facilitar i agilitzar l’avaluaci\u00f3 el m\u00e0xim possible per al professional, s’ha engegat un pla de digitalitzaci\u00f3 del sistema IDEAS, amb la cooperaci\u00f3 d’una empresa especialitzada externa.<\/p>\n

    Actualment, s’est\u00e0 treballant en els propers passos, que estan en la l\u00ednia d’acabar i posar en marxa el sistema digitalitzat, tornar a detectar errors i millores mitjan\u00e7ant m\u00e9s proves pilot i iniciar la implementaci\u00f3 definitiva als centres psicosocials intensius d’atenci\u00f3 a les drogodepend\u00e8ncies de FSC.<\/p>\n

    \"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

    Al llarg dels darrers anys, la Fundaci\u00f3 Salut i Comunitat (FSC), en pro de la millora cont\u00ednua, ha destinat recursos […]<\/p>\n","protected":false},"author":1,"featured_media":26590,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[906,1071,1072],"tags":[1120,2090,2091],"class_list":["post-26593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualitat","category-addiccions","category-fundacio-salut-i-comunitat","tag-adicciones-ca","tag-evaluacion-ca","tag-ideas-ca"],"yoast_head":"\nFSC desenvolupa "I.D.E.A.S.", un nou sistema d'avaluaci\u00f3 de tractaments de drogues - Fundaci\u00f3n Salud y Comunidad<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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