Resultados iniciales del Programa de prevención Ícaro-Alcohol

espanolActas Esp Psiquiatr 2020;48(2):54-63Original54Carlos Imaz-Roncero1Susana Redondo-Martin2M Paz de la Puente-Martin3Grupo de trabajo valoracion Programa Icaro-Alcohol4Resultados iniciales del Programa de prevencion Icaro-AlcoholEl consumo nocivo de alcohol en los jovenes es un pro-blema de salud publica sobre el que es necesario actuar. La intervencion sobre los casos que acuden a urgencias es una actuacion en crisis que puede ser efectiva. Se presentan los resultados iniciales del Programa Icaro-Alcohol (deteccion de menores de 22 anos atendidos en Urgencias/Emergencias por consumo de alcohol, Intervencion Motivacional Bre-ve (IMB) y derivacion al Servicio de Referencia de Preven-cion (SRP) y a los programas preventivos, para reducir este consumo.Participaron los Hospitales Universitarios Rio Horte-ga (HURH) y Clinico (HCUV) y Unidades Medicalizadas de Emergencias (UME) de Valladolid capital. El 53,8% (n=27) de los profesionales recibieron formacion sobre el programa (73,3% HURH vs 45,6% HCU) y el 17,4% (n=41) entrena-miento en IMB para realizarla in situ, aprovechando la si-tuacion “de crisis” derivada de la urgencia (26,7% HURH vs 12,6% HCUV).Entre junio y diciembre de 2017 se atendieron 93 ur-gencias relacionadas con alcohol, las UME derivaron todas a los hospitales; 49 cumplian el criterio de caso, se intervino en 21 (43%) y se derivaron 8 casos al SRP (38% de los que se intervino, 16% del total de casos). La intervenciones y derivaciones fueron mayores en el hospital con mayor parti-cipacion en la formacion. Los casos de mayor edad acudian a horas mas tardias, presentaron problematica asociada y ac-cedieron menos a la derivacion. Los tiempos de derivacion a prevencion indicada se cumplieron, pero no a los programas universales y selectivos.Se mejora el protocolo de actuacion centrandose en los menores 18 anos, simplificando el consentimiento, mejo-rando la formacion en IMB simplificando la intervencion de los profesionales y realizando la intervencion preventiva individual desde los SRP de forma inmediata. El programa se implantara progresivamente en el resto de provincias de Castilla y Leon EnglishHarmful alcohol consumption among young people is a public health problem that needs important measures. In-terventions in emergency department cases, such as crisis action, could be effective. The initial results of the Icaro-Al-cohol Program (detection of young people under 22 years attended in the emergency department for alcohol con-sumption, a Brief Motivational Intervention (BMI) and refer-ral to a prevention reference service (PRS) and prevention programs) are presented. The program objective is to reduce the harmful use of alcohol.Rio Hortega University Hospital (HURH), Clinico Hospital (HCUV) and Medical Emergency Units (MEUs) were involved in the study developed in the city of Valladolid (Castilla y Leon, Spain). Training in program implementation was given to 53.8% of professionals (n=27) (73.3% HURH vs 45.6% HCUV), while 17.4% (n=41) were trained to develop BMI in the critical situation derived from the emergency (26.7% HURH vs 12.6% HCUV).A total of 93 cases were treated by the hospital emer-gency services, and all the cases treated by the MEUs were referred to the hospital, between June and December 2017. There were 49 urgent cases, and interventions were carried out in 21 of them (43%). Afterwards, 8 cases were referred to the PRS (38% of 21 intervened; 16% of the total number of cases). Interventions and referrals were greater in the hospital with more trained professionals. The older youth cases arrived last at night. They had other health problems associated and were less likely to agree to referral. The refer-ral times to indicated prevention programs were met, but not to universal and selective programs.The action protocol is improved by focusing on children under 18, simplifying consent, improving BMI training, sim-plifying the intervention of professionals and carrying out individual preventive intervention from the PRSs immedi-ately. The program will be implemented progressively in the rest of the provinces in Castilla y Leon.