TY - JOUR
KW - Mental health integration
KW - Alcohol use
KW - Depression
KW - primary care
KW - provision of services
AU - L. Cubillos
AU - S. M. Bartels
AU - W. C. Torrey
AU - J. Naslund
AU - J. M. Uribe-Restrepo
AU - C. Gaviola
AU - S. C. Díaz
AU - D. T. John
AU - M. J. Williams
AU - M. Cepeda
AU - C. Gómez-Restrepo
AU - L. A. Marsch
A1 - 
AB - AIMS AND METHOD: This systematic review examines the effectiveness and cost-effectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries. RESULTS: Fifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health costs but cost-effective estimates. The included studies used six distinct behavioural health integration models. CLINICAL IMPLICATIONS: Behavioural health integration may yield improved health outcomes, although it may require additional resources. The proposed typology can assist decision-makers to advance the implementation of integrated models.
AD - Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Department of Psychiatry, Geisel School of Medicine at Dartmouth, USA.; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Department of Psychiatry, Geisel School of Medicine at Dartmouth, USA.; The Dartmouth Institute, Geisel School of Medicine at Dartmouth, USA.; Department of Global Health and Social Medicine, Harvard Medical School, USA.; Department of Psychiatry and Mental Health, Pontificia Universidad Javeriana, Colombia.; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Colombia.; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Center for Global Mental Health Research, National Institute of Mental Health, USA.; Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Colombia.; Department of Psychiatry and Mental Health, Pontificia Universidad Javeriana, Colombia.; Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Colombia.; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, USA.; Department of Psychiatry, Geisel School of Medicine at Dartmouth, USA.; The Dartmouth Institute, Geisel School of Medicine at Dartmouth, USA.
BT - BJPsych bulletin
C5 - Financing & Sustainability; Opioids & Substance Use
CY - England
DO - 10.1192/bjb.2020.35
JF - BJPsych bulletin
LA - eng
M1 - Journal Article
N2 - AIMS AND METHOD: This systematic review examines the effectiveness and cost-effectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries. RESULTS: Fifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health costs but cost-effective estimates. The included studies used six distinct behavioural health integration models. CLINICAL IMPLICATIONS: Behavioural health integration may yield improved health outcomes, although it may require additional resources. The proposed typology can assist decision-makers to advance the implementation of integrated models.
PP - England
PY - 2020
SN - 2056-4694; 2056-4694
SP - 1
EP - 13
EP - 
T1 - The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review
T2 - BJPsych bulletin
TI - The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review
U1 - Financing & Sustainability; Opioids & Substance Use
U2 - 32321610
U3 - 10.1192/bjb.2020.35
VO - 2056-4694; 2056-4694
Y1 - 2020
Y2 - Apr 23
ER -