Salud mental en atención primaria en Chile: aprendizajes para Latinoamérica

Minoletti, Alberto; Rojas, Graciela; Horvitz-Lennon, Marcela

doi:10.1590/s1414-462x2012000400006

Cited by 37 publications

(29 citation statements)

References 12 publications

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“…The outcomes reported by these studies showed positive results regarding the effects that SFBT has on older adults presenting psychosocial problems and couples aiming to improve marital satisfaction. The study by Schade and colleagues (2011) on the effects of brief intervention in primary care that reduces mental health symptomology may be particularly important for Latin America because important mental conditions such as depression and anxiety are addressed at this level of health services (Alarcón, 2003;Minoletti, Rojas, & Horvitz-Lennon, 2012). Moreover, these conditions can be efficiently and effectively prevented and treated in primary care through brief interventions.…”

Section: Discussionmentioning

confidence: 99%

Solution-Focused Brief Therapy With Latinos: A Systematic Review

Suitt

Franklin

Kim

2016

Journal of Ethnic & Cultural Diversity in Social Work

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This article reviews all the published and non-published outcome studies that were randomized controlled trials (RCTs) or quasi-experimental designs on solution-focused brief therapy (SFBT) conducted with Latinos within the United States and Latin America. Data search included 18 databases for published articles, three databases for dissertations, and other sources of information. Forty-four studies met the criteria for a full-text review and, of those, six studies met criteria for this systematic review. Studies of SFBT with Latinos were conducted in adult mental health, children and adolescents in school, and couples, revealing positive outcomes on the effects of SFBT on standardized measures and participant goals.

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Section: Discussionmentioning

confidence: 99%

Solution-Focused Brief Therapy With Latinos: A Systematic Review

Suitt

Franklin

Kim

2016

Journal of Ethnic & Cultural Diversity in Social Work

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“…Estes achados encontram ressonância em outros estudos que focalizam transtornos mentais graves (Minoletti, Rojas, & Horvitz-Lennon, 2012;Prates, Garcia, & Moreno 2013). Ou seja, a continuidade do contato é fundamental para a operacionalização do processo de trabalho, assim como para a efetividade das intervenções.…”

Section: Descentralização E Apoio Sistemático Longitudinalunclassified

Articulação Entre Apoio Matricial Em Saúde Mental E Redes De Atenção À Saúde

Hirdes¹,

Silva²

2017

Psicol Estud

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RESUMO. Esta pesquisa teve como objetivo investigar o apoio matricial em saúde mental na Atenção Primária à Saúde e a articulação às Redes de Atenção à Saúde. Trata -se de uma pesquisa qualitativa realizada com apoiadores matriciais, tais como psicólogos e psiquiatras. Os instrumentos utilizados foram entrevistas semiestruturadas e grupo focal. Para o tratamento dos dados utilizou -se a análise de conteúdo na modalidade temática. Os resultados evidenciam as relações personalizadas e o estilo de trabalho das equipes como recursos imateriais que sustentam o trabalho; a potência do apoio matricial em Unidades de Saúde da Família; a necessidade de apoio sistemático longitudinal; a coordenação como um fator facilitador à descentralização em saúde mental. Os resultados mostram, também, a existência de três tipos de redes -centralizada, descentralizada e distribuída. Conclui-se que as redes imateriais construídas nas comunidades, por meio das relações e interações estabele cidas entre profissionais e usuários, sobrepõem-se às redes formais instituídas e apresentam potência de produção de vida.Palavras-chave: Saúde mental; atenção primária à saúde; apoio matricial. ARTICULATION BETWEEN MATRIX SUPPORT IN MENTAL HEALTH AND HEALTH CARE NETWORKABSTRACT. This research had as objective to investigate the matrix support in mental health in Primary Health Care and the articulation with the Health Care Networks. This is a qualitative research conducted with matrix supporters, such as psychologists and psychiatrists. The instruments used were semistructured interviews and focus groups. Content analysis in the thematic modality was used to treat data. The results show the personalized relationships and the work style of the tea ms as immaterial resources that sustain the work; the strength of matrix support in Family Health Units; the need for systematic longitudinal support; and coordination as a facilitating factor for decentralization in mental health. The results also show the existence of three types of networks -centralized, decentralized and distributed. We conclude that the immaterial networks constructed in the communities through the relations and interactions established between professionals and users overlap with the established formal networks and present potential life production. Keywords:Mental health, primary health care; matrix support. ARTICULACIÓN ENTRE APOYO MATRICIAL EN SALUD MENTAL Y LAS REDES DE ATENCIÓN A LA SALUDRESUMEN. Esta investigación tuvo como objetivo investigar el apoyo matricial en la salud mental en la atención primaria y el enlace de las Redes de Servicios de Salud. Se trata de un estudio cualitativo realizado con los matriciadores, como psicólogos y psiquiatras. Los instrumentos utilizados fueron entrevistas semiestructuradas y grupos focales. Para el tratamiento de los datos se utilizó el análisis de contenido en la modalidad temática. Los resultados muestran las relaciones personalizadas y el estilo de trabajo de los equipos y los recursos inmateriales que sustentan el trabajo; la potencia ...

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“…También se ha buscado enfocar en la atención primaria de salud (APS). De las prioridades definidas en el plan, sólo cuatro condiciones de salud -depresión, esquizofrenia, abuso/dependencia de alcohol y drogas, y trastorno bipolar-fueron incluidos en el sistema de garantías explícitas de salud (GES) desde el 2005 4 . Actualmente, el Ministerio de Salud está elaborando un nuevo plan de salud mental para los años 2016-2025, y una ley de salud mental, cuyos lineamientos principales aún no han sido dados a conocer.…”

Section: Marco Legislativo Y Políticounclassified

Salud mental en Chile y Finlandia: desafíos y lecciones

Markkula

Peña

2016

Rev. méd. Chile

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This article analyses and compares the epidemiology of mental disorders and relevant public policies in Chile and Finland. In Chile, a specific mental health law is still lacking. While both countries highlight the role of primary care, Finland places more emphasis on participation and recovery of service users. Comprehensive mental health policies from Finland, such as a successful suicide prevention program, are presented. Both countries have similar prevalence of mental disorders, high alcohol consumption and high suicide rates. In Chile, the percentage of total disease burden due to psychiatric disorders is 13% and in Finland 14%. However, the resources to address these issues are very different. Finland spends 4.5% of its health budget on mental health, while in Chile the percentage is 2.2%. This results in differences in human resources and service provision. Finland has five times more psychiatric outpatient visits, four times more psychiatrists, triple antidepressant use and twice more clinical guidelines for different psychiatric conditions. In conclusion, both countries have similar challenges but differing realities. This may help to identify gaps and potential solutions for public health challenges in Chile. Finlands experience demonstrates the importance of political will and long-term vision in the construction of mental health policies.

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Salud mental en atención primaria en Chile: aprendizajes para Latinoamérica

Cited by 37 publications

References 12 publications

Solution-Focused Brief Therapy With Latinos: A Systematic Review

Solution-Focused Brief Therapy With Latinos: A Systematic Review

Articulação Entre Apoio Matricial Em Saúde Mental E Redes De Atenção À Saúde

Salud mental en Chile y Finlandia: desafíos y lecciones

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