Associations between primary health care strategies and outcomes of mental disorders
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 42(4): 360-366, July-Aug. 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1132108
Responsible library:
BR1.1
ABSTRACT
Objective:
To investigate associations between the percentage and severity of mental disorders (MD) and three different primary health care (PHC) strategies in Brazil traditional care (TC), the Family Health Strategy (FHS), and FHS with shared mental health care (FHS+SC).Methods:
Random samples were selected from three different areas of a Brazilian city. Each area was served by a different PHC strategy (TC, FHS, or FHS+SC). Five mental health professionals, blinded to the type of PHC strategy delivered in each area, conducted interviews using the Mini International Neuropsychiatric Interview (MINI) and other specific instruments to assess the prevalence and severity of MD.Results:
530 subjects were interviewed. The TC strategy was significantly associated with a higher percentage of MD when compared to FHS and FHS+SC. These results were not affected by adjustment for sociodemographic variables. The difference in prevalence of MD between the two FHS areas (with and without SC) was not statistically significant. No significant differences in MD severity were observed across the three PHC strategies.Conclusion:
Areas covered by FHS showed a lower percentage of MD than those covered by TC. Presence of SC did not influence the prevalence of MD, suggesting that mental-health training of FHS teams may have minimized the influence of SC.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
Health problem:
Delivery Arrangements
/
Implementation Strategies for Healthcare Workers
Database:
LILACS
Main subject:
Primary Health Care
/
Mental Disorders
Type of study:
Diagnostic study
/
Prognostic study
/
Risk factors
Aspects:
Implementation research
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2020
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Departamento de Neurociências e Ciências do Comportamento, FMRP, USP/BR
/
Universidade de São Paulo (USP)/BR