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Barriers to Integrating Mental Health Services in Community-Based Primary Care Settings in Mexico City: A Qualitative Analysis.
Martinez, William; Galván, Jorge; Saavedra, Nayelhi; Berenzon, Shoshana.
Afiliação
  • Martinez W; Dr. Martinez is with the School of Public Health, University of California, Berkeley (e-mail: wmartinez@berkeley.edu ). The other authors are with the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City.
  • Galván J; Dr. Martinez is with the School of Public Health, University of California, Berkeley (e-mail: wmartinez@berkeley.edu ). The other authors are with the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City.
  • Saavedra N; Dr. Martinez is with the School of Public Health, University of California, Berkeley (e-mail: wmartinez@berkeley.edu ). The other authors are with the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City.
  • Berenzon S; Dr. Martinez is with the School of Public Health, University of California, Berkeley (e-mail: wmartinez@berkeley.edu ). The other authors are with the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City.
Psychiatr Serv ; 68(5): 497-502, 2017 May 01.
Article em En | MEDLINE | ID: mdl-27974004
OBJECTIVE: Despite the high prevalence of mental disorders in Mexico, minimal mental health services are available and there are large gaps in mental health treatment. Community-based primary care settings are often the first contact between patients and the health system and thus could serve as important settings for assessing and treating mental disorders. However, no formal assessment has been undertaken regarding the feasibility of implementing these services in Mexico. Before tools are developed to undertake such an assessment, a more nuanced understanding of the microprocesses affecting mental health service delivery must be acquired. METHODS: A qualitative study used semistructured interviews to gather information from 25 staff in 19 community-based primary care clinics in Mexico City. Semistructured interviews were analyzed by using the meaning categorization method. In a second phase of coding, emerging themes were compared with an established typology of barriers to health care access. RESULTS: Primary care staff reported a number of significant barriers to implementing mental health services in primary care clinics, an already fragile and underfunded system. Barriers included the following broad thematic categories: service issues, language and cultural issues, care recipient characteristics, and issues with lack of knowledge. CONCLUSIONS: Results indicate that the implementation of mental health services in primary care clinics in Mexico will be difficult. However, the information in this study can help inform the integration of mental health into community-based primary care in Mexico through the development of adequate evaluative tools to assess the feasibility and progress of integrating these services.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Atitude do Pessoal de Saúde / Serviços de Saúde Comunitária / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Psychiatr Serv Assunto da revista: PSIQUIATRIA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Atitude do Pessoal de Saúde / Serviços de Saúde Comunitária / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Psychiatr Serv Assunto da revista: PSIQUIATRIA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos