RESUMEN
INTRODUCTION: Since their French naturalization in 1969, Amerindians of French Guiana have been facing a full and fast reorganization of their way of life. Teenagers, at the forefront of this cultural transition, are challenging French school institutions, as well as cultural society and care system organizations in Amazonian French remote villages. Rates of autolytic behaviors such as toxic substance abuse or suicide attempts, but mostly completed suicides, are alarming among this adolescent population. To improve care delivery to those teenagers, a mobile child psychiatric team was implemented in 2013. METHODS: We describe this device, its activities and the problematics encountered. RESULTS: This team's purpose is to lead a psychiatric evaluation of teenagers in order to determine a possible psychiatric diagnosis and elaborate a care plan. Although the results are mostly encouraging, this device seems to show some limitations: lack of time dedicated to these interventions, lack of psychiatric care available for follow-up in these villages, tremendous numbers of social distress situations implicated in psychological issues. Moreover, it appears that cultural aspects must be considered in the analysis of the Amerindian adolescent population's issues and the determination of providing care. CONCLUSION: Implementation of actions based on more educational and social levels might be a solution.
Asunto(s)
Trastornos Relacionados con Sustancias , Intento de Suicidio , Humanos , Niño , Adolescente , Guyana Francesa/epidemiología , Intento de Suicidio/psicología , Atención a la SaludRESUMEN
Although this article has addressed the many advancements in administrative and clinical applications of hospital information systems, there are many other issues that have affected and will continue to affect the development and transition of hospital information systems that are beyond its scope. A few of the more critical of these issues are the emergence of local area networks and wide area networks, more widespread use of graphical user interfaces (such as Windows), the powerful technology afforded by workstations and personal computers built with the 486 microchip, legal issues, and the always present obligation of ensuring data confidentiality and system security.