Villa Sana

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Villa Sana

• A Resource Centre for Health Personnel
• Modum Bad, Norway
• Karin Isaksson Rø

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Background

• Norwegian Medical Associations survey 1993
  Health complaints and job stress in Norwegian
  psysicians (Aasland 1997)
• Psychiatric hospital Modum Bad traditionally
  treating health personnel doctors (Roness 1991)
  
• Co-operation

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Hazardous Heroes? (Rosvold 2001)
Need to be a superdoc?
IllustrationA. Westerberg
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Aims

• Strengthen professional identity
• Enhance mental health and quality of life
• Prevent burnout

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Integrative approach
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Individual counselling

• 6-7 hours
• Present situation - stress, contextual factors
  (often sum of many things)
• Coping strategies, identity, self-esteem,
  self-reliance
• Needs short and long term perspective
• Acknowledgement of needs treatment, sick-leave,
  change in work situation
• Reconsider professional and personal priorities

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Five-day course

• Lectures
• Group discussions formal /informal
• Physical activity
• Individual counselling
• Cultural program mini-concert
• Boarding

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Peaceful surroundings
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Ample time
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Generosity
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Options

• Can bring your spouse/partner (40)(important
  to clarify the aim)
• Basically one session, but can come
  back (36)individual counselling course

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Treatment/ CounsellingTherapy

• Referral
• Diagnosis
• Expects treatment
• Doctor-patient relationship
• Formal documents
• Treatment responsibility
• Paid by taxes

• Self-referral
• Life-situation
• Expects counselling
• Colleague-to-colleague relationship
• No formal documents
• Counselling/Advice
• Paid by the NMA
• Can motivate to therapy?

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Sharing with other clinicians

• Presentations
• Research 3-year follow-up
• Does a self-referral counselling program reach
  doctors in need of help? A comparison with the
  general Norwegian doctor workforce.
• Rø,Gude, Aasland BMC Public Health 2007736
• Counselling for burnout in Norwegian doctors
  one year cohort study.
• Isaksson Rø, Gude, Tyssen, Aasland. BMJ
  2008337a2004
• A three-year cohort study of the relationships
  between coping, job stress, and burnout after a
  counselling intervention for help-seeking
  physicians.
• Isaksson Rø, Tyssen, Hoffart, Sexton, Aasland,
  Gude

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Counselling

• to motivate
• - reflection over
• and acknowledgement
• of the doctors situation,
• - acceptance of
• professional and
• personal needs

Keeping the balance