Diseño y evaluación de proceso de una intervención comunitaria para la detección precoz del primer episodio de psicosis en Chile

Valenzuela, Marı́a Teresa; Pastorino, María Sol; Alvarado, Rubén; Villalón, M. Sofía; Durán, Eduardo; Hirmas, Macarena; López, Jairo Vanegas

doi:10.5354/0717-3652.2012.20296

Cited by 3 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The studies described seven EIP programmes (some articles referred to the same programme) and were conducted in Argentina, Brazil, Chile and Mexico. The study designs consisted of two randomized‐controlled trials (RCTs) (Valencia, Juarez, Delgado, Díaz, et al, 2017; Valencia, Juarez, & Ortega, 2012), six observational studies (Cabral & Chaves, 2010; Chaves, 2007; Gaspar et al, 2019; Gonzalez‐Valderrama et al, 2017; Louzã, Azevedo, Macedo, & Gattaz, 2008; Padilla et al, 2015) and two qualitative analyses (Eisenstadt, Monteiro, Diniz, & Chaves, 2012; Valenzuela, Pastorino, Alvarado, Villalón, & Vanegas, 2012). Sample sizes ranged from 16 to 102 participants with a mean (SD) of 33.7 (34.1) participants.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 16 to 102 participants with a mean (SD) of 33.7 (34.1) participants. Most of the studies were conducted in specialized settings, mainly research centres or tertiary care, with only two studies carried out in primary care (Padilla et al, 2015; Valenzuela et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…The population of interest was FEP in 8 out of 10 studies, although the types of intervention differed. For instance, two studies (Padilla et al, 2015; Valenzuela et al, 2012) evaluated training healthcare professionals in primary care to improve detection and referral of people with early psychosis. Conversely, six studies (Cabral & Chaves, 2010; Chaves, 2007; Eisenstadt et al, 2012; Gonzalez‐Valderrama et al, 2017; Valencia et al, 2017, 2012) assessed the impact of multidisciplinary teams working in stand‐alone services for people with FEP.…”

Section: Resultsmentioning

confidence: 99%

“…We found three articles describing EIP initiatives in Chile (Gaspar et al, 2019; Gonzalez‐Valderrama et al, 2017; Valenzuela et al, 2012). One study (Valenzuela et al, 2012) included a process evaluation of an intervention consisting of training for primary care professionals in detection and prompt referral to secondary care.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Implementation of early psychosis services in Latin America: A scoping review

Aceituno

Mena²,

Vera

et al. 2020

Early Intervention Psych

View full text Add to dashboard Cite

Aim The evidence of the effectiveness and cost‐effectiveness of early intervention for psychosis (EIP) services has motivated their implementation worldwide. However, complex interventions of such EIP services require local adaptations to successfully match population needs and cultural differences. Latin America is a heterogenous region where EIP services are progressively being adopted. Our aim is to map such initiatives in the region with a focus on implementation outcomes. Methods A scoping review following the Preferred Reporting Items for Systematic review and Meta‐Analysis extension for Scoping Reviews guidelines was conducted. International and regional databases were searched for publications describing EIP programmes in the region. Besides mapping the services, we described implementation outcomes based on the Standards for Reporting Implementation Studies Checklist. Results Ten articles describing seven EIP initiatives from the region were found. Four countries were represented: Argentina, Brazil, Chile and Mexico. The implementation outcomes reporting was heterogenous, although it was possible to ascertain EIP services are feasible and adequate for the region's context. Also, there is some evidence of effectiveness in terms of reducing hospitalizations and improving symptoms. Information about fidelity measures was scarce and there was no information about costs or cost‐effectiveness. Conclusions Only a small proportion of Latin American countries have adopted EIP services. Although these programmes seem to be feasible and effective, data on other implementation outcomes, such as fidelity, cultural appropriateness, cost‐effectiveness and affordability are not available. This might in part explain why this effective approach has not been yet scaled‐up at nationwide levels.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Implementation of early psychosis services in Latin America: A scoping review

Aceituno

Mena²,

Vera

et al. 2020

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

“…Specialized training sessions for health teams should be established, since several studies have shown that their detection capability can be very low, as observed in a southern region of Chile, where only 1 in every 20 individuals with depression were correctly diagnosed in primary care centers (Alvarado et al 2006b). In the case of individuals with first episode psychosis, we have found that the detection rate in primary care centers is close to a third of all cases and that this rate is significantly improved after a brief training of professional and technical teams (Alvarado et al 2014;Valenzuela et al 2012).…”

Section: Challenges Facing Mental Health Services In Santiagomentioning

confidence: 99%

Development of Mental Health Services in a Major City in Latin America: Santiago

Alvarado¹,

Schilling²,

Abelha³

et al. 2016

Mental Health and Illness in the City

Self Cite

View full text Add to dashboard Cite

Two health systems coexist in Chile, with 80% of the population belonging to the public system, supported by general taxation and workers' regular contributions, and 18% to the private health sector, financed by copayments and prepaid insurance plans, with varied coverage and costs, depending on the characteristics of each client and plan. In 1990, the public sector initiated the formation of mental health service networks based on the community-centered model of care. In the capital city of Santiago, there are currently 147 primary care centers, 35 secondary-level community mental health centers (COSAMs), 8 day hospitals, and 7 short-stay psychiatric services, which serve approximately six million people. Primary care centers resolve around 85% of mental health complaints, typically common mental disorders, while more complex and chronic conditions are referred to COSAMs. However, problems persist in the detection and management of certain disorders, such as psychotic episodes. The lack of effective community-based psychosocial interventions involving users' support networks, as well as prevalent stigma, has made it difficult to achieve treatment adherence and full social inclusion.

show abstract