TY - JOUR
KW - Brazil
KW - Family Health
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders/psychology/therapy
KW - Outcome and Process Assessment, Health Care
KW - Primary Health Care/organization & administration
KW - Severity of Illness Index
AU - L. Moscovici
AU - E. M. Balco
AU - N. C. Degani
AU - L. M. Bolsoni
AU - J. M. A. Marques
AU - A. W. Zuardi
A1 - 
AB - 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.
AD - Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.; Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.; Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.; Departamento de Neurociências e Ciências do Comportamento, FMRP, USP, Ribeirão Preto, SP, Brazil.; Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.; Departamento de Neurociências e Ciências do Comportamento, FMRP, USP, Ribeirão Preto, SP, Brazil.
BT - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
C5 - Education & Workforce; Measures
CP - 4
DO - 10.1590/1516-4446-2019-0659
IS - 4
JF - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
LA - eng
M1 - Journal Article
N2 - 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.
PY - 2020
SN - 1809-452X; 1516-4446; 1516-4446
SP - 360
EP - 366
EP - 
T1 - Associations between primary health care strategies and outcomes of mental disorders
T2 - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
TI - Associations between primary health care strategies and outcomes of mental disorders
U1 - Education & Workforce; Measures
U2 - 32267338
U3 - 10.1590/1516-4446-2019-0659
VL - 42
VO - 1809-452X; 1516-4446; 1516-4446
Y1 - 2020
Y2 - Aug
ER -