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TRANVIA: A program for continuum mental health assistance in transition period
- L. Pérez Gómez, A. González Álvarez, M. A. Reyes Cortina, E. Lanza Quintana, N. Álvarez Alvargonzález, C. Rodríguez Turiel, E. Lago Machado, J. J. Martínez Jambrina
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S728
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- Article
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Introduction
Transition between adolescence and adulthood represents the most important challenge for personal development and involves several transformations: physical, psychological and social. It is a complex age bracket, concurring the transition from youth psychiatric units to adult ones, with an increased risk for the appearance of mental disorders and risky behaviours. TRANVIA program, developed in Avilés, provides psychiatric assistance to patients between 15 and 25 years old, diagnosed with a severe psychiatric disorder or with an increased risk of having one.
ObjectivesOur objectives are: ensuring clinical continuity assistance, promoting communication among professionals and the empowerment of our patients to improve their functionality and quality of life.
MethodsDescriptive study including patients involved in TRANVIA program from November 2019 to November 2021.
ResultsDuring this two-years period there have been 44 referrals to the program, 11 of them were rejected for failure to comply with diagnostic criteria. In November 2021 there were 33 patients included in the TRANVIA program with an average age of 17 years old (range: 15-22). 70% of them were men and 30% women. All of them had psychiatric assistance from different sources: youth mental health units, neuropediatrics… About 75% of the patients were diagnosed with autistic spectrum disorder and approximately three-quarters of the sample needed pharmacological treatment. Risperidone was the most prescribed drug. We have also developed other assistance alternatives as home-based care, relaxation sessions, social worker interventions and coordination with schools.
ConclusionsTRANVIA program has allowed us to provide continual attention to vulnerable patients that shift from youth psychiatric units to adult ones. Patients that meet inclusion criteria were enrolled independently the type of assistance they have previously received. Accessibility and flexibility were our priority. During the described period there was only one dropout, three patients required psychiatric hospitalization and two others visited the emergency department. There have been no cases of completed suicide.
Disclosure of InterestNone Declared
Comparative analysis of collision-free path-planning methods for multi-manipulator systems
- J. C. Fraile, J. Perez-Turiel, J. L. Gonzalez-Sanchez, E. Baeyens, R. Perez
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Motion planning for manipulators with many degrees of freedom is a complex task. The research in this area has been mostly restricted to static environments. This paper presents a comparative analysis of three reactive on-line path-planning methods for manipulators: the elastic-strip, strategy-based and potential field methods. Both the elastic-strip method [O. Brock and O. Khatib, “Elastic strips: A framework for integrated planning and execution,” Int. Symp. Exp. Robot. 245–254 (1999)] and the potential field method [O. Khatib, “Real-time obstacle avoidance for manipulators and mobile robots,” Int. J. Robot. Res.5(1), 90–98 (1986)] have been adapted by the authors to the problem at hand related to our multi-manipulator system (MMS) (three manipulators with five degrees of freedom each). Strategy-based method is an original contribution by the authors [M. Mediavilla, J. L. González, J. C. Fraile and J. R. Perán, “Reactive approach to on-line path planning for robot manipulators in dynamic environments,” Robotica20, 375–384 (2002); M. Mediavilla, J. C. Fraile, T. González and I. J. Galindo, “Selection of strategies for collision-free motion in multi-manipulator systems,” J. Intell. Robot Syst38, 85–104 (2003)].
The three methods facilitate on-line path planning for our MMS in dynamic environments with collision avoidance, where the three manipulators may move at the same time in their common workspace. We have defined some ‘basic motion problems’ for the MMS, and a series of simulations has been running that will tell us how effective each path-planning method is. The simulations have been performed and the obtained results have been analysed by using a software program developed by the authors.
The paper also presents experimental results obtained applying the path-planning methods to our MMS, that perform pick-and-place tasks sharing common working areas.