[The art of doing minimal harm in Mental Health].

There are socio-cultural and political-economic conditions that favor interventionism in mental health and iatrogenesis. However, the professional, in relationship with the patient, has the ability to reduce harm in clinical practice. This article, briefly, reviews the damage of work in mental health and arises, from the recognition of professional intellectual and personal conflicts, the foundation for a practice that causes the least harm to patients.

[THE ART OF DOING MINIMAL HARM IN MENTAL HEALTH].

There are socio-cultural and political-economic conditions that favor interventionism in mental health and iatrogenesis. However, the professional, in relationship with the patient, has the ability to reduce harm in clinical practice. This article, briefly, reviews the damage of work in mental health and arises, from the recognition of professional intellectual and personal conflicts, the foundation for a practice that causes the least harm to patients

[Iatrogenesis and quaternary prevention on mental health].

Quaternary prevention avoids or mitigates the consequences of unnecessary or excessive activity of the health system. Iatrogenia produced by care systems activity is a serious public health problem and in mental health is poorly understood. The damage that can be inflicted to patients covers the entire episode of care, from prevention to treatment through the diagnostic process.

Conditions that do not reach the threshold for mental disorder in Spanish psychiatric outpatients: prevalence, treatment and management.

Background: In recent years there has been controversy around the treatment demands of people who, without meeting diagnostic criteria for a mental disorder, have certain symptoms and are referred to mental health professionals.

Aims: To determine the prevalence of individuals assessed by mental health service, referred from primary care, who do not meet the diagnosis criteria of mental disorders according to ICD-10. To analyze the medical treatment given to these individuals, measured by the indication for discharge or follow-up and by the pharmacological intervention decided in the first interview, as well as the associated variables.

[Mental health referrals of patients without diagnosable psychiatric pathology].

Objective: To analyze the characteristics of referral from primary health care to mental health of patients with no diagnosable mental disorder.

Methods: Consecutively and without exemptions, all persons attending for first-time consultation a mental health centre in the course of a year were clinically examined. We measured the incidence of conditions not attributable to a mental disorder using ICD-10 (Z codes).