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Associations between primary health care strategies and outcomes of mental disorders
- Source :
- Brazilian Journal of Psychiatry, Vol 42, Iss 4, Pp 360-366 (2020), Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP, Brazilian Journal of Psychiatry, Brazilian Journal of Psychiatry, Volume: 42, Issue: 4, Pages: 360-366, Published: 03 APR 2020, Brazilian Journal of Psychiatry v.42 n.4 2020, Brazilian Journal of Psychiatry (São Paulo. 1999. Online), Associação Brasileira de Psiquiatria (ABP), instacron:ABP
- Publication Year :
- 2020
- Publisher :
- Associação Brasileira de Psiquiatria (ABP), 2020.
-
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.
- Subjects :
- Male
medicine.medical_specialty
education
MEDLINE
Primary health care
RC435-571
Collaborative Care
Severity of Illness Index
Severity of illness
Health care
medicine
collaborative care
Humans
Mini-international neuropsychiatric interview
Family Health
Family health
Psychiatry
ASSISTÊNCIA À SAÚDE
business.industry
Mental Disorders
Mental health
Psychiatry and Mental health
Outcome and Process Assessment, Health Care
Family medicine
Original Article
Female
family health strategy
business
Brazil
mental health
Subjects
Details
- Language :
- English
- Volume :
- 42
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Brazilian Journal of Psychiatry
- Accession number :
- edsair.doi.dedup.....b0a923f9c7f97bd3ff1a52ed8c6c17a1