Atencion primaria
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Childhood and adolescent abuse (MTIA) is a serious and complex global public health problem with potentially devastating effects on the physical and mental health and well-being of people throughout their lives. This is a health issue that, although it was not recognized until a few decades ago, has very serious consequences on the lives of these future adult children and their families. ⋯ PHC professionals can play a key role in the detection of MTIA, in its exploration, in the adoption of the first therapeutic or mitigating measures, in the implementation of the care network for these cases, and in the follow-up in the medium and long term of abuse situations. This PAPPS subprogram, for attention to abuse of children and adolescents, attempts to provide some basic lines on each of these sections.
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The upbringing and psychosocial development of children who live with parents with serious mental disorders (schizophrenia and delusional disorders, major depression, manic episode, suicide attempts, severe personality disorders, alcoholism or abuse of other drugs and other disorders) can be more difficult, and your quality of life, relationships, and mental health may be seriously affected. Achieving a certain knowledge in clinical practice that facilitates the collection and investigation of parents' psychiatric history and the identification of risk factors and basic warning signs in children, represents an improvement in the capabilities of Primary Health Care (PHC) teams to integrate mental health elements into your daily practice. It is also an essential preliminary step to implement preventive interventions, at least elementary, necessary to protect the mental health of these children and future adults: that is the core of this PAPPS subprogram for the care of the mental health of children and adolescents in the case of a history of psychopathology in parents or caregivers.
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In this document we present two important topics in childhood, one completely new, the promotion of reading in the first years of life, and the other is an update that continues to generate doubts and questions from Parents, caregivers and health professionals: Is it necessary to screen for iron deficiency in children under 5 years of age?
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Addressing gender violence from the health system effectively, still involves addressing numerous challenges. If gender violence is suffered by women with one or more situations of personal and social vulnerability, intervention is surrounded by formidable difficulties. ⋯ This article mentions the common and specific needs of the most vulnerable women. Recommendations are offered to improve the intervention to be developed from the health system - a privileged space for this - to understand and accompany these women in their diversity, with the most effective services and resources, in coordination with the rest of the social protection systems and entities.