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GRUSE is a program for mental health promotion and prevention. It is a socio-educational group initiative for: improving healthy coping strategies for everyday difficulties; and providing protective factors for general health, and specifically for mental health (health assets). The groups are led by social workers in primary care, with the first phase targeting women who access health centers with unspecific complaints and need support to face their everyday lives with greater opportunities.

Groups of 8 to 15 women meet once a week for an hour and a half for a total of 8 sessions.

• Created in primary health care settings and led by social workers, with assistance from managers, public health colleagues, and mental health professionals as needed.

• All clinical management units and primary health district directors have pledged to support this initiative.

• Women's admission pathways into groups

Women can access the groups through referrals from primary health care providers, as well as referrals from mental health and social services. They can, however, gain access on their own initiative.

Following that, social workers interview the candidates, assess them, and decide which women will join the group.

2015: The women's group programs will be continued. The evaluation study officially started. GRUSE has been adapted for groups of women who live in socially excluded areas. Development of materials and planning of a new GRUSE program for men experiencing psychosocial discomfort and/or at risk of exclusion in order to mitigate the emotional impact of the current socioeconomic crisis, primarily unemployment or precarious employment, using a gender approach.

Aims: • Encouraging the identification and use of personal and community health assets • Facilitating healthy coping strategies for everyday difficulties • Addressing gender inequalities • Preventing mental health problems • Improving accessibility and user pathways into and within the health system