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1.
Nurs Open ; 12(1): e70100, 2025 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-39754413

RESUMEN

AIMS: This review aims to classify the evidence from randomised controlled trials (RCTs) on mental health services (MHS) for people with serious mental illness (SMI) available in the Cochrane Schizophrenia Group's (CSzG) specialised register. DESIGN: Scoping review. METHODS: We retrieved and screened RCTs of service-level interventions considering non-pharmacological approaches for mental healthcare of the CSzG register. We classified and collected the main characteristics of the RCTs using a customised data extraction and charting form based on DESDE-LTS classification. RESULTS: We included 233 out of 262 total trial registries. Most of the studies were conducted in China, 136 (58%), 57 (24%) North America and 26 (11%) Europe. We classified the studies as ambulatory assistance 80 (34%), day services/out-patient care 38 (16%), residential services 44 (19%), accessibility to care 19 (8%), information/assessment 39 (17%), self-help and voluntary help 10 (4%), e-health 52 (22%), and discharge services 17 (7%). CONCLUSIONS: We found a large number of trials that investigated the effects of mental health services for people with SMI. Trials classification was difficult due to the poor report of the characteristics of these complex interventions. This database can be used to plan and prioritise systematic reviews according to the needs of stakeholders. RELEVANCE STATEMENT: The study is of interest to mental health nursing because it studies the different services in which nurses play a fundamental role with implications in the nursing practice, education, research or leadership and management.


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Ensayos Clínicos Controlados Aleatorios como Asunto , Humanos , Trastornos Mentales/terapia
2.
Cad Saude Publica ; 40(11): e00052624, 2025.
Artículo en Portugués | MEDLINE | ID: mdl-39813561

RESUMEN

This study aimed to identify the existence of therapeutic itineraries shared by users of specialized mental health services in a medium-sized municipality. This is a cross-sectional study, carried out from August to November 2019 including 341 users of specialized mental health services in the municipality of Itatiba, São Paulo State, Brazil. To identify the itineraries, based on a set of variables, the users were grouped with clustering. The best measure of silhouette of cohesion and separation (> 0.3) for the clusters was achieved based on four variables: situation in which the mental health problem was identified, place of first care, origin of referral to the current service, and bond maintenance with primary health care (PHC). The clusters identified in the study demonstrated: (1) low participation of PHC in welcoming new cases, with most of the care taking place in specialized services; (2) high proportion of cases identified in crisis situations; (3) low participation of PHC in the referral of cases, with high access to specialized services by spontaneous demand; (4) lack of continuity in PHC services after entering the specialized service. The study highlighted significant weaknesses in the studied healthcare network, evincing the need to develop strategies that foster the services integration, especially regarding PHC, both to favor access to specialized care in a timely manner and to enable the continuity of care between different healthcare facilities.


Este estudo teve como objetivo identificar a existência de itinerários terapêuticos compartilhados por usuários de serviços especializados de saúde mental em um município de médio porte. Trata-se de um estudo transversal, realizado entre agosto e novembro de 2019 com 341 usuários de serviços especializados de saúde mental do Município de Itatiba, São Paulo, Brasil. Para identificação dos itinerários, a partir de um conjunto de variáveis, os usuários foram agrupados por meio da técnica de cluster. A melhor medida de silhueta de coesão e separação (> 0,3) para os clusters foi alcançada a partir de quatro variáveis: situação em que o problema de saúde mental foi identificado; local do primeiro atendimento; origem do encaminhamento para o serviço atual; e manutenção do vínculo com a atenção primária à saúde (APS). Os clusters identificados no estudo demonstraram: (1) baixa participação da APS no acolhimento dos casos novos com a maioria dos atendimentos acontecendo já em serviços especializados; (2) alta proporção de casos identificados em situações de crise; (3) baixa participação da APS na referência dos casos, com elevado acesso aos serviços especializados por meio de demanda espontânea; (4) falta de continuidade do cuidado na APS após a entrada no serviço especializado. Este estudo apontou para fragilidades importantes na rede de serviços estudada, evidenciando a necessidade de desenvolver estratégias que fomentem a integração dos serviços, especialmente no que se refere à APS, tanto para favorecer o acesso aos cuidados especializados em tempo oportuno como para viabilizar a continuidade do cuidado entre os diferentes pontos de atenção.


El estudio tuvo como objetivo identificar la existencia de itinerarios terapéuticos compartidos por usuarios de servicios especializados de salud mental en un municipio de tamaño mediano. Se trata de un estudio transversal, realizado entre agosto y noviembre del 2019 con 341 usuarios de servicios especializados de salud mental del municipio de Itatiba, estado de São Paulo, Brasil. Para identificar los itinerarios, con base en un conjunto de variables, se agrupó a los usuarios mediante la técnica de clúster. La mejor medida de silueta de cohesión y separación (> 0,3) para los clústeres se logró con base en cuatro variables: situación en la que se identificó el problema de salud mental, ubicación de la primera atención, origen de derivación al servicio actual y mantenimiento del vínculo con la atención primaria de salud (APS). Los conglomerados identificados en el estudio demostraron (1) baja participación de la APS en la acogida de nuevos casos, y la mayoría de las atenciones ya se realiza en servicios especializados; (2) alta proporción de casos identificados en situaciones de crisis; (3) baja participación de la APS en la derivación de casos, con alto acceso a servicios especializados por demanda espontánea; (4) falta de continuidad del cuidado en APS tras el ingreso en el servicio especializado. El estudio señaló importantes debilidades en la red de servicios estudiada, poniendo de manifiesto la necesidad de desarrollar estrategias que fomenten la integración de servicios, especialmente en lo que respecta a la APS, tanto para favorecer el acceso oportuno a los cuidados especializados como para hacer viable la continuidad del cuidado entre diferentes puntos de atención.


Asunto(s)
Accesibilidad a los Servicios de Salud , Trastornos Mentales , Servicios de Salud Mental , Atención Primaria de Salud , Humanos , Estudios Transversales , Brasil , Análisis por Conglomerados , Atención Primaria de Salud/estadística & datos numéricos , Femenino , Masculino , Trastornos Mentales/terapia , Adulto , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Persona de Mediana Edad , Derivación y Consulta/estadística & datos numéricos , Adulto Joven
3.
Cien Saude Colet ; 30(1): e07752024, 2025 Jan.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-39879452

RESUMEN

This integrative review systematized the factors that influence access to mental health services for the Homeless Population (HP) in harmful use of alcohol and other drugs in the Psychosocial Care Network (RAPS) in Brazil by categorizing the factors into access "barriers" and "facilitators". We selected 13 corresponding articles and subsequently assessed their methodological quality. We identified 19 access barriers and 22 access facilitators, observing a convergence and complementarity of the factors identified, with no disagreements between authors. Although there are specific barriers and facilitators related to substance use, most are connected to HP's conditions and lifestyles or how services address the HP. Discrimination, bureaucratic rigidity of services, and a lack of intra- and intersectoral integration were identified as significant barriers. On the other hand, Street Outreach Clinics and practices such as harm reduction and matrix-based support emerged as notable facilitators, adapting to patients' needs. Future studies should explore specific factors and the relationships between these factors.


Esta revisão integrativa sistematizou os fatores que influenciam o acesso da População em Situação de Rua (PSR) que faz uso prejudicial de álcool e outras drogas aos serviços de saúde mental na Rede de Atenção Psicossocial (RAPS) no Brasil, a partir da categorização dos fatores em "barreiras" e "facilitadores" de acesso. Selecionou-se 13 artigos correspondentes, com avaliação posterior de sua qualidade metodológica. Foram encontradas 19 barreiras e 22 facilitadores de acesso, observando uma convergência e complementaridade dos fatores identificados, sem dissensos entre autores. Embora existam barreiras e facilitadores específicos relacionados ao uso de substâncias, a maioria são vinculadas às condições e modos da vida da PSR, ou às formas dos serviços de lidar com a PSR. A discriminação, rigidez burocrática dos serviços, e a falta de integração intra e intersetorial foram identificadas como barreiras significativas. Por outro lado, os Consultórios na Rua e práticas como a redução de danos e o matriciamento emergiram como facilitadores notáveis, adaptando-se às necessidades dos usuários. Há necessidade de estudos futuros que se aprofundem em fatores específicos e nas relações entre estes fatores.


Esta revisión integradora sistematizó los factores que influyen en el acceso de la Población Sin Hogar (PSH) que hace uso nocivo de alcohol y otras drogas a los servicios de salud mental en la Red de Atención Psicosocial (RAPS) en Brasil, a partir de la categorización de factores en "barreras" y "facilitadores" del acceso. Se seleccionaron 13 artículos correspondientes, con posterior evaluación de su calidad metodológica. Se encontraron 19 barreras y 22 facilitadores de acceso, observándose una convergencia y complementariedad de los factores identificados, sin disensos entre autores. Aunque existen barreras y facilitadores específicos relacionados con el uso de sustancias, la mayoría están vinculados a las condiciones y estilos de vida de la PSH, o a las formas en que los servicios abordan la PSH. Se identificaron como barreras importantes la discriminación, la rigidez burocrática de los servicios y la falta de integración intra e intersectorial. Por otro lado, las Clínicas en la Calle y prácticas como la reducción de daños y el apoyo matricial emergieron como facilitadores notables, adaptándose a las necesidades de los usuarios. Es necesario realizar estudios futuros que profundicen en factores específicos y las relaciones entre estos factores.


Asunto(s)
Accesibilidad a los Servicios de Salud , Personas con Mala Vivienda , Servicios de Salud Mental , Trastornos Relacionados con Sustancias , Humanos , Servicios de Salud Mental/organización & administración , Brasil , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/terapia , Sistemas de Apoyo Psicosocial , Reducción del Daño , Alcoholismo/terapia
4.
Salud Colect ; 20: e4908, 2024 Dec 02.
Artículo en Español | MEDLINE | ID: mdl-39690113

RESUMEN

Indigenous populations show high prevalence rates of mental disorders and limited access to mental health services. The aim of this study was to analyze the mental health care trajectories of indigenous youth living in the Metropolitan Area of Oaxaca, Mexico. Between May and August 2023, we conducted a qualitative study involving non-participant observation, in-depth interviews with seven indigenous youth, and semi-structured interviews with nine health professionals, healers, or leaders of mutual support groups. We identified processes, not exempt of tensions, in how these young people perceive themselves as both young and indigenous, in the development of their mental disorders, and in the ways they seek treatment. Their care involved the use of psychological and psychiatric services, mutual support groups, and, to a limited extent, traditional medicine. This study concludes that these dynamics are interwoven and amplified by interpersonal, institutional and epistemic racism, which must be dismantled to improve the mental health of indigenous youth.


Las poblaciones indígenas presentan altas prevalencias de trastornos mentales y limitado acceso a servicios de salud mental. El objetivo del estudio fue analizar las trayectorias de atención a trastornos mentales de jóvenes indígenas residentes en la Zona Metropolitana de Oaxaca, México. Entre mayo y agosto de 2023, se llevó a cabo un estudio cualitativo basado en observación no participante, entrevistas en profundidad a siete personas jóvenes indígenas y entrevistas semiestructuradas a nueve personas profesionales de la salud, curanderas o responsables de grupos de ayuda mutua. Se identificaron procesos de occidentalización, no exentos de tensiones, en la forma de concebirse como jóvenes e indígenas, en el desarrollo de sus trastornos mentales y en la atención de estos, para lo cual utilizaron servicios psicológicos, psiquiátricos, grupos de ayuda mutua y, de manera limitada, medicina tradicional. Se concluye que en estos procesos se articulan y potencian racismos interpersonales, institucionales y epistémicos, que será necesario desarticular para mejorar la salud mental de personas jóvenes indígenas.


Asunto(s)
Trastornos Mentales , Investigación Cualitativa , Racismo , Humanos , México/etnología , Adolescente , Masculino , Femenino , Racismo/psicología , Trastornos Mentales/etnología , Trastornos Mentales/terapia , Trastornos Mentales/psicología , Salud Mental/etnología , Servicios de Salud Mental , Adulto Joven , Entrevistas como Asunto , Accesibilidad a los Servicios de Salud , Población Urbana , Salud Urbana/etnología , Pueblos Indígenas/psicología , Aceptación de la Atención de Salud/etnología , Aceptación de la Atención de Salud/psicología
5.
Rev Colomb Psiquiatr (Engl Ed) ; 53(3): 278-283, 2024.
Artículo en Inglés, Español | MEDLINE | ID: mdl-39521481

RESUMEN

OBJECTIVES: This study aimed to investigate the main issues faced by general practitioners when managing mental health disorders in the primary care setting and evaluate their interest in continued medical training on mental health. METHODS: We carried out a cross-sectional survey which included general practitioners (n=94) working in primary care in São Bernardo do Campo, SP, Brazil. RESULTS: Participants reported challenging issues to be as follows: psychiatric emergency (44.7%), alcohol and drug use disorders (35.1%), psychopharmacology (29.9%), and suicide risk assessment (27.6%). About a third of the sample reported a lack of knowledge on criteria regarding referral to psychiatric services. Almost the entire sample reported the need for better interaction between general practitioners and psychiatrists and interest in continued medical training. CONCLUSIONS: Our findings support the evidence that a network between general practitioners and psychiatrists is needed as well as the improvement of continued medical training on mental health.


Asunto(s)
Médicos Generales , Trastornos Mentales , Atención Primaria de Salud , Humanos , Estudios Transversales , Trastornos Mentales/terapia , Masculino , Brasil , Femenino , Adulto , Persona de Mediana Edad , Derivación y Consulta/estadística & datos numéricos , Servicios de Salud Mental/organización & administración , Psiquiatría , Educación Médica Continua , Medición de Riesgo , Encuestas y Cuestionarios
6.
Artículo en Inglés | MEDLINE | ID: mdl-39457247

RESUMEN

BACKGROUND: Mental health in Puerto Rico is a complex and multifaceted issue that has been shaped by the island's unique history, culture, and political status. Recent challenges, including disasters, economic hardships, and political turmoil, have significantly affected the mental well-being of the population, coupled with the limitations in the accessibility of mental health services. Thus, Puerto Rico has fewer mental health professionals per capita than any other state or territory in the United States. OBJECTIVE: This comprehensive review examines the impact of disasters on mental health and mental health services in Puerto Rico. Given the exodus of Puerto Ricans from the island, this review also provides an overview of mental health resources available on the island, as well as in the continental United States. This review identifies efforts to address mental health issues, with the intent of gaining a proper understanding of the available mental health services, key trends, as well as observable challenges and achievements within the mental health landscape of the Puerto Rican population. DESIGN: A comprehensive search using the PRIMO database of the University of Central Florida (UCF) library database was conducted, focusing on key terms related to disasters and mental healthcare and services in Puerto Rico. The inclusion criteria encompassed studies on Puerto Rican individuals, both those who remained on the island and those who migrated post-disaster, addressing the mental health outcomes and services for adults and children. We included peer-reviewed articles published from 2005 onwards in English and/or Spanish, examining the impact of disasters on mental health, accessibility of services, and/or trauma-related consequences. RESULTS: In this scoping review, we identified 39 studies addressing the mental health profile of Puerto Ricans, identifying significant gaps in service availability and accessibility and the impact of environmental disasters on mental health. The findings indicate a severe shortage of mental health services in Puerto Rico, exacerbated by disasters such as Hurricanes Irma and Maria, the earthquakes of late 2019 and early 2020 that followed, and the COVID-19 pandemic, resulting in substantial delays in accessing care, and limited insurance coverage, particularly in rural regions. Despite these challenges, efforts to improve mental health services have included substantial federal funding and community initiative aimed at enhancing care availability and infrastructure. Limitations include the use of a single database, language restrictions, and potential variability in data extraction and synthesis. CONCLUSIONS: This scoping review highlights the significant impact of disasters on mental health in Puerto Rico and the challenges in accessing mental health services exacerbated by disasters. Despite efforts, significant gaps in mental healthcare and services persist, emphasizing the need for more rigorous research and improvements in infrastructure and workforce to enhance mental health outcomes for Puerto Ricans both on the island and in the continental United States.


Asunto(s)
Desastres , Servicios de Salud Mental , Puerto Rico , Servicios de Salud Mental/organización & administración , Humanos , Urgencias Médicas , Accesibilidad a los Servicios de Salud , Salud Mental
7.
Washington; Organización Panamericana de la Salud; 9 oct. 2024. 27 p. tab.
No convencional en Español | LILACS | ID: biblio-1577751

RESUMEN

Esta Guía de recursos de salud mental y sociocomunitarios de Río Negro busca visibilizar y poner a disposición de las diversas personas implicadas en el cuidado de la salud mental (comunidad, usuarios de servicios de salud mental y sus redes de apoyo, profesionales, actores interinstitucionales, autoridades, entre otros) información actualizada respecto a cuáles son los recursos existentes y disponibles para proteger y mejorar la salud mental en el territorio.


Asunto(s)
Humanos , Estrategias de Salud Locales , Atención a la Salud Mental , Servicios de Salud Mental , Uruguay
8.
Washington; Organización Panamericana de la Salud; 9 oct. 2024. 21 p. ilus.
No convencional en Español | LILACS | ID: biblio-1577753

RESUMEN

Favorecer el diseño participativo y la instalación de un Plan Departamental de Salud Mental para Río Negro, a ser ejecutado entre 2023 y 2025.


Asunto(s)
Humanos , Estrategias de Salud Locales , Atención a la Salud Mental , Servicios de Salud Mental/organización & administración , Uruguay
9.
Washington; Organización Panamericana de la Salud; 9 oct. 2024. 79 p. tab.
No convencional en Español | LILACS | ID: biblio-1577749

RESUMEN

Plan de Acción Departamental de Salud Mental de Río Negro tiene como propósito contribuir a mejorar la salud mental de las personas habitantes del departamento mediante la definición e implementación de las estrategias más efectivas para promover la salud mental, prevenir, reducir la morbimortalidad y discapacidad de las personas con trastornos mentales y brindar una atención de calidad, basada en los derechos humanos, perspectiva de género y generaciones, y atendiendo las desigualdades, centrada en un modelo comunitario e intersectorial del proceso de atención. Se busca generar un marco colaborativo e interinstitucional para impulsar e implementar acciones de mejora en el abordaje de la salud mental de la población del departamento de Río Negro entre 2023 y 2025, con vocación descentralizadora y desconcentrado a la interna del departamento. El presente Plan de Acción Departamental de Salud Mental (PADSM) pretende brindar una caja de herramientas a ser desarrolladas y aplicadas en el territorio y así poner en práctica políticas públicas dirigidas a garantizar el derecho a la salud. Este PADSM surge como una necesidad, para dar cumplimiento a lo establecido en la Ley 19.529 Ley de Salud Mental y el Plan Nacional de Salud Mental (MSP, 2018), y a los acuerdos entre las instituciones del medio.


Asunto(s)
Humanos , Estrategias de Salud Locales , Atención a la Salud Mental , Servicios de Salud Mental/normas , Uruguay
10.
Psychiatry Res ; 342: 116199, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39341179

RESUMEN

Help-seeking barriers differ according to the sociocultural context and country-specific mental healthcare system. More research is needed in low-middle-income countries, where early psychosis programs are still scarce, and the mental health care gap is wide. This study aims to explore predisposing, enabling, and need factors associated with mental health service utilization in 481 Mexicans self-reporting psychosis risk symptoms, as well as differences between those who were currently mental health service users (MHSU) and those who were not (non-MHSU). Participants responded to self-reported measures through an online survey. The factors associated with an increased probability of using mental health services were having an occupation, having a medium/high socioeconomic status, an intention to seek help from a mental health professional, fewer help-seeking barriers, moderate/severe anxious symptoms, higher distress associated with psychosis risk symptoms and social functioning impairment. Findings provide relevant information for designing more effective strategies to improve help-seeking, early identification, and timely treatment delivery in Mexico. The need to generate strategies focused on reducing stigma, enhancing psychosis literacy in the community, and increasing the identification of emerging signs of psychosis in primary healthcare professionals is highlighted, mainly when co-occurring with other psychiatric symptoms.


Asunto(s)
Servicios de Salud Mental , Aceptación de la Atención de Salud , Trastornos Psicóticos , Humanos , Femenino , Masculino , Trastornos Psicóticos/epidemiología , Adulto , Aceptación de la Atención de Salud/estadística & datos numéricos , Servicios de Salud Mental/estadística & datos numéricos , Adulto Joven , México , Adolescente , Persona de Mediana Edad , Conducta de Búsqueda de Ayuda , Pueblos de América del Norte
11.
JMIR Form Res ; 8: e54005, 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39255480

RESUMEN

BACKGROUND: Telemedicine-based interventions show promise in addressing mental health issues among rural populations, yet evidence regarding their impact among the health care workforce in these contexts remains limited. OBJECTIVE: This study aimed to evaluate the characteristics and the responses and perceptions of recently graduated physicians who work in rural areas of Peru as part of the Servicio Rural Urbano Marginal en Salud (Rural-Urban Marginal Health Service [SERUMS], in Spanish) toward a telehealth intervention to provide remote orientation and accompaniment in mental health. METHODS: A mixed methods study was carried out involving physicians who graduated from the Universidad Nacional Mayor de San Marcos and participated in the Mental Health Accompaniment Program (MHAP) from August 2022 to February 2023. This program included the assessment of mental health conditions via online forms, the dissemination of informational materials through a website, and, for those with moderate or high levels of mental health issues, the provision of personalized follow-up by trained personnel. Quantitative analysis explored the mental health issues identified among physicians, while qualitative analysis, using semistructured interviews, examined their perceptions of the services provided. RESULTS: Of 75 physicians initially enrolled to the MHAP, 30 (41.6%) opted to undergo assessment and use the services. The average age of the participants was 26.8 (SD 1.9) years, with 17 (56.7%) being female. About 11 (36.7%) reported have current or previous mental health issues, 17 (56.7%) indicating some level of depression, 14 (46.7%) indicated some level of anxiety, 5 (16.6%) presenting a suicidal risk, and 2 (6.7%) attempted suicide during the program. Physicians who did not use the program services reported a lack of advertising and related information, reliance on personal mental health resources, or neglect of symptoms. Those who used the program expressed a positive perception regarding the services, including evaluation and follow-up, although some faced challenges accessing the website. CONCLUSIONS: The MHAP has been effective in identifying and managing mental health problems among SERUMS physicians in rural Peru, although it faced challenges related to access and participation. The importance of mental health interventions in this context is highlighted, with recommendations to improve accessibility and promote self-care among participants.


Asunto(s)
Médicos , Telemedicina , Humanos , Perú/epidemiología , Femenino , Masculino , Adulto , Proyectos Piloto , Médicos/psicología , Servicios de Salud Rural/organización & administración , Población Rural , Salud Mental , Servicios de Salud Mental , Evaluación de Programas y Proyectos de Salud , Investigación Cualitativa
12.
PLoS One ; 19(9): e0308274, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39240960

RESUMEN

OBJECTIVE: To describe the profile of individuals with depression who received assistance at CAPS in Brazil between 2013 and 2019, focusing on their clinical and demographic characteristics, and to calculate the estimated coverage of CAPS across the national territory and its constituent federal units. METHODS: Descriptive, ecological, time-series study with secondary data from national databases, referring to care provided at CAPS in the country for adults aged 18 years or over-diagnosed with depression (F32-32.9 and F33-F33.9). The estimated coverage of CAPS was calculated for 2013 and 2019 using registered and active services. RESULTS: There was a 107% increase in the number of patients with depression receiving treatment at CAPS between 2013 and 2019. Women accounted for 77% of the patients, with the majority falling within the age range of 41 to 61years (49%). The predominant racial demographics were white (38%) and brown (34%). The diagnosis of depressive episodes was prevalent among 65% of the patients, and individual care was administrated to 75% of them. The presumed CAPS coverage was 71% in 2013 and increased to 87% in 2019 nationwide, although significant discrepancies were observed among different states. CONCLUSION: Progress was evident in the implementation of CAPS across Brazil during the period spanning 2013 to 2019. Nonetheless, disparities persist among the federative units, and there remains an underutilization of group and family care within CAPS services.


Asunto(s)
Depresión , Humanos , Brasil/epidemiología , Femenino , Adulto , Masculino , Persona de Mediana Edad , Depresión/epidemiología , Depresión/terapia , Adulto Joven , Adolescente , Anciano , Servicios de Salud Mental/estadística & datos numéricos
13.
Campo Grande; s.n; set. 2024. 56 p. tab, ilus.
No convencional en Portugués | CONASS, Coleciona SUS, SES-MS | ID: biblio-1580819

RESUMEN

Os residentes do Programa de Residência Multiprofissional em Saúde Mental, em estágio supervisionado no Núcleo de Evidências da Prefeitura Municipal de Campo Grande, entrevistaram 35 profissionais atuantes nos sete Centros de Atenção Psicossocial (CAPS) do município de Campo Grande/MS para identificação de problemas cujas as evidências científicas pudessem contribuir para melhoria do serviço. O apoio matricial entre os CAPS e a Atenção Primária à Saúde (APS) foi o tema escolhido após aplicação da Matriz RUF-V. O matriciamento é uma abordagem que promove a troca de informações entre profissionais de saúde, visando a articulação em rede, a corresponsabilização na produção de saúde e a melhoria da qualidade do atendimento, reduzindo encaminhamentos desnecessários e fortalecendo vínculos entre usuários e serviços. Sua implementação enfrenta desafios, superar barreiras é essencial para garantir um cuidado integral e humanizado.


Asunto(s)
Humanos , Servicios de Salud Mental/organización & administración , Atención Primaria de Salud/organización & administración , Educación Continua
15.
Cien Saude Colet ; 29(8): e06532023, 2024 Aug.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-39140548

RESUMEN

This integrative review aims to identify the mental health care measures that were produced during the COVID-19 pandemic. This research was conducted on three databases (SciELO, PubMed, and LILACS) with the following descriptors in Portuguese, English, and Spanish: "SAÚDE MENTAL" or "SALUD MENTAL" or "MENTAL HEALTH" AND "COVID-19" from 2020 to 2021. In total, 3,451 articles were found, 43 of which were analyzed. Most measures were digital, stemmed from public institutions, focused on the local perspective, and were integrated with the public health care system. This study discusses the models of care in mental health based on measures to cope with the COVID-19 pandemic. It also discusses the Brazilian health care system, reiterating its resilience. In conclusion, digital measures occurred most often. This study suggest the evaluation of the accessibility of this mental health care model for most vulnerable groups. Finally, this research reinforces the importance of the Brazilian health care system for public health and access to information to cope with the COVID-19 pandemic.


A presente revisão integrativa tem por objetivo identificar os arranjos de cuidado em saúde mental que foram implementados no enfrentamento à pandemia de COVID-19. Realizou-se busca em três bases de dados (SciELO, PubMed e LILACS), em português, inglês e espanhol, com os descritores "SAÚDE MENTAL" or "SALUD MENTAL" or "MENTAL HEALTH" AND "COVID-19", no período de 2020 a 2021. Foram encontrados 3.451 artigos, sendo 43 selecionados para análise. Em relação ao cuidado em saúde mental, os principais arranjos identificados foram os digitais, de natureza pública, desenvolvidos na esfera municipal e com integração com a rede de saúde. Os modelos de cuidado em saúde mental para o enfrentamento da pandemia são discutidos a partir dos tipos de arranjo produzidos nesse contexto sanitário emergencial e crítico. Apresenta-se, ainda, um recorte da realidade encontrada no Sistema Único de Saúde (SUS), reiterando sua resiliência. Concluiu-se que os arranjos digitais foram os mais usados e que há necessidade de investigar a acessibilidade deste modelo para populações com maior vulnerabilidade social. Reafirma-se a importância do SUS para o enfrentamento da COVID-19 e no acesso a informações de saúde.


Asunto(s)
COVID-19 , Servicios de Salud Mental , Salud Mental , COVID-19/epidemiología , Humanos , Brasil/epidemiología , Servicios de Salud Mental/organización & administración , Atención a la Salud/organización & administración , Accesibilidad a los Servicios de Salud , Salud Pública
16.
Rev Colomb Psiquiatr (Engl Ed) ; 53(2): 165-174, 2024.
Artículo en Inglés, Español | MEDLINE | ID: mdl-39129091

RESUMEN

BACKGROUND: A telehealth mental health programme was designed at the LivingLab of the Faculty of Medicine of the Universidad de Antioquia [University of Antioquia]. OBJECTIVES: To describe the development and operation of the programme and evaluate the satisfaction of the patients treated during the COVID-19 pandemic in 2020 and 2021. METHODS: Descriptive study that details the development of the programme. Data were extracted from medical records to describe the patients who were treated. A satisfaction scale was applied to a random sample and the data were summarised with descriptive statistics. RESULTS: In March 2020 and August 2021, 10,229 patients were treated, with 20,276 treated by telepsychology and 4,164 by psychiatry, 1,808 by telepsychiatry and 2,356 by tele-expertise, with a total of 6,312 visits. The most frequent diagnoses were depressive (36.8%), anxiety (12.0%), and psychotic (10.7%) disorders. Respondents were satisfied to the point that more than 93% would recommend it to another person. CONCLUSIONS: The LivingLab telehealth mental health programme allowed for the care of patients with mental health problems and disorders in Antioquia during the first two years of the COVID-19 pandemic, and there was a high degree of satisfaction among the beneficiaries. Therefore it could be adopted in mental health care.


Asunto(s)
COVID-19 , Trastornos Mentales , Servicios de Salud Mental , Satisfacción del Paciente , Telemedicina , Humanos , COVID-19/epidemiología , Colombia , Telemedicina/organización & administración , Servicios de Salud Mental/organización & administración , Trastornos Mentales/terapia , Trastornos Mentales/epidemiología , Masculino , Adulto , Femenino , Persona de Mediana Edad , Adulto Joven , Adolescente , Anciano , Desarrollo de Programa , Niño , Evaluación de Programas y Proyectos de Salud
18.
Int J Soc Psychiatry ; 70(7): 1289-1297, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-39108018

RESUMEN

OBJECTIVE: This research aimed to determine the stigma toward people with mental illness among mental health personnel and identify individual, professional, and contextual predictors. METHODS: A descriptive, cross-sectional, and correlational design was used. The sample consisted of 218 mental health personnel working in Outpatient Psychiatric Units belonging to hospitals and Community Mental Health Centers in Chile. Stigma was evaluated using a scale of humanized treatment, a scale of social distance, and a scale of attitudes in health personnel. In addition, sociodemographic and professional information was collected from mental health personnel and contextual information, particularly the type of outpatient mental health center and the technical-administrative unit that groups all the health centers in a territory. RESULTS: It was found that mental health personnel, in general terms, present low levels of stigma expressed in behaviors of comfort and support toward users, a desire for closeness and social interaction, and reduced stigmatizing beliefs and attitudes of infantilization toward individuals with MHPs. However, intimacy and trust were lower than expected.Only educational levels and health centers were related to stigma. CONCLUSIONS: The low levels of stigma may be due to the evolution of this phenomenon and the country's mental health policies.


Asunto(s)
Actitud del Personal de Salud , Trastornos Mentales , Estigma Social , Humanos , Chile , Femenino , Masculino , Trastornos Mentales/terapia , Trastornos Mentales/psicología , Estudios Transversales , Adulto , Persona de Mediana Edad , Encuestas y Cuestionarios , Servicios de Salud Mental , Adulto Joven , Estereotipo
19.
J Couns Psychol ; 71(5): 356-368, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39115907

RESUMEN

Although the presence of mental health stigma associated with seeking help has been demonstrated in many parts of the world, this work has largely been from an independent perspective (i.e., "I will be perceived as crazy") rather than from an interdependent perspective (i.e., "My family will be viewed negatively"). Interdependent stigma of seeking help (i.e., the extent to which people believe their family would be devalued and shamed if they seek psychological help) may be an important type of stigma that has not been assessed. Based on self-construal theory, the present study sought to develop and evaluate the psychometric properties of an Interdependent Stigma of Seeking Help (ISSH) scale in eight different countries and regions (i.e., Australia, Brazil, Germany, Hong Kong, Taiwan, Türkiye, the UAE, the United States). Findings suggest that the psychometric properties of the eight-item ISSH are adequate for research purposes (a unidimensional scale with full invariance and internal consistency estimates from .84 to .94). The ISSH was moderately related to other measures of stigma and psychological distress. Some differences in the relationship with specific outcomes by country and region were found, and there were notable country differences in the latent mean levels of ISSH, with Hong Kong and Taiwan having the highest means, and Australia, the United States, and Brazil having the lowest levels. Results suggest that the ISSH could be used to help clarify the complex relationships between stigma and other variables of interest and might be useful in developing culturally relevant interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Aceptación de la Atención de Salud , Psicometría , Estigma Social , Humanos , Masculino , Femenino , Adulto , Australia , Aceptación de la Atención de Salud/psicología , Aceptación de la Atención de Salud/estadística & datos numéricos , Encuestas y Cuestionarios , Brasil , Trastornos Mentales/psicología , Trastornos Mentales/terapia , Alemania , Adulto Joven , Taiwán , Reproducibilidad de los Resultados , Hong Kong , Persona de Mediana Edad , Estados Unidos , Comparación Transcultural , Turquía , Adolescente
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