{"id":4644,"date":"2019-04-24T14:54:59","date_gmt":"2019-04-24T12:54:59","guid":{"rendered":"http:\/\/voxvigor.se\/?p=4644"},"modified":"2019-04-24T14:54:59","modified_gmt":"2019-04-24T12:54:59","slug":"mer-patientfokus-och-okad-lyhordhet-behovs-pa-bup","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/mer-patientfokus-och-okad-lyhordhet-behovs-pa-bup\/","title":{"rendered":"Mer patientfokus och \u00f6kad lyh\u00f6rdhet beh\u00f6vs p\u00e5 BUP"},"content":{"rendered":"

F\u00f6r att m\u00f6ta den v\u00e4xande psykiska oh\u00e4lsan hos unga s\u00e5 erbjuder BUP<\/a> mer v\u00e5rd \u00e4n n\u00e5gonsin tidigare. Men f\u00f6r att v\u00e5rdinsatserna ska blir effektiva beh\u00f6ver barn- och ungdomsv\u00e5rden bli mer patientorienterad och ungdomarna f\u00e5ngas upp tidigare. Vuxenv\u00e4rlden i allm\u00e4nhet och psykiatrin i synnerhet m\u00e5ste bli b\u00e4ttre p\u00e5 att LYSSNA p\u00e5 barn och unga som m\u00e5r d\u00e5ligt.<\/strong> <\/em><\/p>\n

Allt fler barn och unga upplever psykisk oh\u00e4lsa och s\u00f6ker hj\u00e4lp hos barn- och ungdomspsykiatrin, BUP. Antalet hj\u00e4lps\u00f6kande har p\u00e5 fem \u00e5r n\u00e4stan f\u00f6rdubblats fr\u00e5n 65 000 \u00e5r 2012 till 120\u00a0000 patienter \u00e5r 2016. F\u00e4rska siffror visar att den negativa spiralen tyv\u00e4rr forts\u00e4tter. BUP har svarat genom att \u00f6ka sin kapacitet och ger mer v\u00e5rd \u00e4n n\u00e5gonsin tidigare, men glappet mellan efterfr\u00e5gan och tillg\u00e5ng v\u00e4xer. Det betyder att barn och unga fortsatt tvingas v\u00e4nta allt l\u00e4ngre p\u00e5 v\u00e5rd.<\/p>\n

V\u00e5rden s\u00e4tts in f\u00f6r sent<\/h2>\n

Det \u00f6kade belastningen p\u00e5 BUP \u00e4r en signal om att samh\u00e4llet inte lyckats utveckla en fungerande ”f\u00f6rsta linje”, som kan ge tidiga eller f\u00f6rebyggande insatser i de ungas vardagsmilj\u00f6. En f\u00f6rklaring till att det blir s\u00e5 \u00e4r att barn och unga ofta kan ha sv\u00e5rt att sj\u00e4lva formulera sina behov och h\u00e4vda sina r\u00e4ttigheter. Skolan, v\u00e5rden och myndigheterna missar ofta tidiga tecken p\u00e5 psykisk oh\u00e4lsa. De unga f\u00e5r kontakt med v\u00e5rden alldeles f\u00f6r sent, n\u00e4r de m\u00e5r mycket d\u00e5ligt.<\/p>\n

F\u00f6r att f\u00f6rb\u00e4ttra situationen f\u00f6r de barn och unga som s\u00f6ker v\u00e5rd p\u00e5 BUP, och deras anh\u00f6riga, beh\u00f6ver en rad f\u00f6r\u00e4ndringar ske: Tidiga insatser m\u00e5ste prioriteras. Elevh\u00e4lsov\u00e5rden beh\u00f6ver f\u00e5 b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r att arbeta f\u00f6rebyggande och kunna f\u00e5nga upp de unga som beh\u00f6ver st\u00f6d s\u00e5 snabbt som m\u00f6jligt. Socialtj\u00e4nsten m\u00e5ste kunna erbjuda insatser anpassade till varje enskild familj. Ungdomsmottagningar beh\u00f6ver n\u00e5 fler unga och f\u00e5 en f\u00f6rdjupad kompetens kring psykisk oh\u00e4lsa.<\/p>\n

BUP beh\u00f6ver lyssna mer p\u00e5 patienterna<\/h2>\n

Ju b\u00e4ttre samh\u00e4llet kan ge det st\u00f6d som beh\u00f6vs n\u00e4r det beh\u00f6vs, desto f\u00e4rre unga beh\u00f6ver utveckla en allvarlig psykisk oh\u00e4lsa som kr\u00e4ver specialistv\u00e5rd inom psykiatrin. Med ett minskat tryck tror vi att BUP kan bli en stabilare och mer attraktiv arbetsplats med b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r att ge god v\u00e5rd. Men \u00e4ven inom BUP beh\u00f6vs f\u00f6rb\u00e4ttringar, med ett mer patientorienterat arbetss\u00e4tt som inneb\u00e4r st\u00f6rre fokus p\u00e5 delaktighet och inflytande f\u00f6r de unga som v\u00e5rden \u00e4r till f\u00f6r. N\u00e4r v\u00e5rdakt\u00f6rer bedriver och utvecklar verksamheten i dialog med patienter och anh\u00f6riga s\u00e5 h\u00f6js kvalit\u00e9n men \u00e4ven upplevelsen av den v\u00e5rden. Det gynnar s\u00e5klart patienterna men \u00e4ven arbetsklimatet, vilket leder till att fler vill jobba (kvar) i verksamheten.<\/p>\n

Ett led i att f\u00e5 en mer lyh\u00f6rd och patientorienterad verksamhet \u00e4r att g\u00f6ra brukarstyrda brukarrevisioner f\u00f6r att ta reda p\u00e5 vad den enskilda mottagningen kan g\u00f6ra f\u00f6r att fungera b\u00e4ttre f\u00f6r dem som s\u00f6ker v\u00e5rd. Den f\u00f6rsta brukarrevisionen inom BUP genomf\u00f6rdes i v\u00e5ras i Sk\u00e5ne och gav verksamheten b\u00e5de en beskrivning av vad som upplevs fungera bra och en m\u00e4ngd konkreta f\u00f6rslag kring hur tillg\u00e4nglighet, samverkan och involvering av anh\u00f6riga kan f\u00f6rb\u00e4ttras.<\/p>\n

Unga vill vara med och bidra<\/h2>\n

NSPH<\/a> (Nationell Samverkan f\u00f6r Psykisk H\u00e4lsa) arbetar inom Arvsfondsprojektet V\u00e4xa och m\u00e5 bra<\/a> med att st\u00e4rka ungas r\u00e4tt att komma till tals i skolan, inom socialtj\u00e4nsten och i kontakter med psykiatrin. N\u00e4r ungdomarna engagerade i V\u00e4xa och m\u00e5 bra formulerar sina egna tips till vuxna och v\u00e5rdgivare som m\u00f6ter barn som m\u00e5r d\u00e5ligt handlar dessa om: att visa att man bryr sig genom att v\u00e5ga fr\u00e5ga och sedan lyssna uppm\u00e4rksamt, och att framf\u00f6rallt vara tillg\u00e4nglig<\/em>.<\/p>\n

Det \u00e4r uppenbart att det beh\u00f6vs krafttag f\u00f6r att s\u00e4kra en tillg\u00e4nglig och kvalificerad v\u00e5rd f\u00f6r barn och unga. M\u00e5nga av dessa beh\u00f6ver fattas och f\u00f6rankras h\u00f6gt upp i politiken. S\u00e5dant tar tid, men redan nu kan vuxna som m\u00f6ter barn i sitt yrke b\u00f6rja prata mer om psykisk h\u00e4lsa och oh\u00e4lsa, om k\u00e4nslor, om stress, om nedst\u00e4mdhet, om likheter och om olikheter. Sist men inte minst, lyssna p\u00e5 vad de unga sj\u00e4lva har att s\u00e4ga om detta. De vill bidra.<\/p>\n

 <\/p>\n

Text: Anki Sandberg, ordf\u00f6rande f\u00f6r NSPH &
\n<\/strong>Karin Engberg, projektledare f\u00f6r NSPH:s projekt V\u00e4xa och m\u00e5 bra<\/strong><\/p>\n

Foto: Monica Atterberg<\/p>\n

Bilden visar en del av Psykiatrins hus i Uppsala<\/p>\n","protected":false},"excerpt":{"rendered":"

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