Social determinants for health (mental): evaluating a non-governmental experience from the perspective of actors involved

Bosi, Maria Lúcia Magalhães; Melo, Anna Karynne; Carvalho, Liliane Brandão; Ximenes, Verônica Morais; Godoy, Maria Gabriela Curubeto

doi:10.1590/1809-4503201400060011

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Through these community coalitions, multiple factors associated with mental health, such as housing, community violence, and education, can be addressed. 46 , 47 In response, health care organizations are transforming to better coordinate care by broadening care teams, creating linkages to community organizations, and moving resources out of the clinic and into the community. 48 Some have succeeded in improving outcomes and reducing costs, but these models require additional training and coordination among payers, practices, hospitals, and public health agencies.…”

Section: Discussionmentioning

confidence: 99%

“…Recipients can also use funding to develop networks and enhance coordination across community-based organizations. Through these community coalitions, multiple factors associated with mental health, such as housing, community violence, and education, can be addressed . In response, health care organizations are transforming to better coordinate care by broadening care teams, creating linkages to community organizations, and moving resources out of the clinic and into the community .…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Unmet Health-Related Social Needs Among Patients With Mental Illness Enrolled in Medicare Advantage

et al. 2022

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ImportanceA large body of literature has found associations between unmet health-related social needs (HRSNs) and adverse mental health outcomes. A comparative analysis of the risks associated with HRSNs among patients with varying severity of mental illness and an assessment of how these risks compare with those of individuals without mental illness are needed.ObjectiveTo examine the prevalence and risks of HRSNs among patients with serious and persistent mental illness (SPMI), patients with mental health diagnoses but no serious and persistent mental illness (non-SPMI), and patients with both SPMI and non-SPMI compared with individuals without mental illness.Design, Setting, and ParticipantsThis retrospective cohort study used data from the Accountable Health Communities HRSN Screening Tool surveys, which target a nationally representative sample of Medicare Advantage members of a large payer (Humana Inc). The surveys were conducted between October 16, 2019, and February 29, 2020. Of the initial 329 008 eligible Medicare Advantage enrollees, 70 273 responded to the survey (21.4% response rate). Of those, 56 081 respondents (79.8%) had complete survey responses and were included in the final analytic sample.Main Outcomes and MeasuresOutcomes of interest included 7 HRSNs (financial strain, food insecurity, housing instability, housing quality, severe loneliness, transportation problems, and utility affordability) based on responses to the survey. The major independent variable was the presence of mental illness up to 12 months preceding the date of survey completion. Codes indicating mental illness listed as the primary, principal, or secondary diagnoses of a patient's inpatient or outpatient medical claims data were identified, and participants were grouped into 4 cohorts: SPMI, non-SPMI, SPMI plus non-SPMI, and no mental illness.ResultsAmong 56 081 older adults, the mean (SD) age was 71.31 (8.59) years; 32 717 participants (58.3%) were female, and 43 498 (77.6%) were White. A total of 21 644 participants (38.6%) had at least 1 mental illness diagnosis in the past year, 30 262 (54.0%) had an HRSN, and 14 163 (25.3%) had both mental illness and an HRSN. Across all specific HRSNs, the odds of experiencing the respective HRSN was most substantial for those with SPMI plus non-SPMI vs those with only non-SPMI or SPMI. The HRSN with the largest risk differences among the study cohorts was severe loneliness; compared with the cohort without mental illness, the non-SPMI cohort had 2.07 times higher odds (95% CI, 1.84-2.32; P &lt; .001), the SPMI cohort had 3.35 times higher odds (95% CI, 3.03-3.71; P &lt; .001), and the SPMI plus non-SPMI cohort had 5.13 times higher odds (95% CI, 4.68-5.61; P &lt; .001) of severe loneliness.Conclusions and RelevanceIn this study, the increased risk of having HRSNs associated with SPMI, alone or in combination with non-SPMI, emphasizes the need for more targeted interventions to address social needs in this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of Unmet Health-Related Social Needs Among Patients With Mental Illness Enrolled in Medicare Advantage

et al. 2022

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“…The predominance of exploratory and descriptive methods and field research as a data source among the qualitative studies contributed to assessing and emphasizing local policies, practices, and work processes, considering both the perspective of health administrators and professionals and patients and their families 28,29,30,31,32 . This mapping furnishes data on the sociocultural reality and the political and organizational impasses in the Brazilian mental health field.…”

Section: Study Designs and Methodsmentioning

confidence: 99%

“…Most of the lead authors were psychologists (31), physicians (20), or nurses (18), followed by occupational therapists (4), biologists (2), dentists (2), pharmacists (2), speech therapists (2), and other professionals (one lead author each), including an attorney, medical anthropologist, social scientist, economist, physical education professional, journalist, and nutritionist.…”

Section: Characterization Of Articles As To Authors and Periodicals Amentioning

confidence: 99%

Paralelos entre a produção científica sobre saúde mental no Brasil e no campo da Saúde Mental Global: uma revisão integrativa

et al. 2018

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A Saúde Mental Global é um campo de ensino, pesquisa e prática, cuja prioridade é melhorar o acesso e assegurar a equidade no cuidado em saúde mental para todas as pessoas do mundo, propondo ações especialmente em países de média e baixa renda, como o Brasil. Diante desse panorama mundial e considerando o avanço local dos processos das reformas sanitária e psiquiátrica, torna-se importante investigar o estado atual da literatura brasileira e sua relação com a Saúde Mental Global, descrevendo como a produção nacional aborda assuntos enfatizados nesse campo. Assim, adotando abordagem qualitativa e perspectiva descritiva, foi realizada revisão integrativa da literatura do período de 2014-2015, por meio de pesquisa bibliográfica em português e inglês, utilizando os termos saúde mental e Brasil combinados a palavras-chave correspondentes aos principais tópicos discutidos por autores da Saúde Mental Global. Foram encontrados 88 artigos apreciados segundo sua autoria, periódicos e regiões de publicação, metodologia e de acordo com as categorias de análise e acesso; atenção primária; atenção psicossocial; determinantes sociais da saúde; direitos humanos; e equidade. Constatou-se haver na produção científica nacional um conjunto de estudos muito rico e diversificado com paralelos com a literatura da Saúde Mental Global, mas apresenta um baixo índice de sistematização. Esses achados revelam, portanto, que, apesar dos esforços para a geração de conhecimento local, existem barreiras que, possivelmente, comprometem a participação brasileira no debate internacional.

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Cuidado psicossocial em saúde mental em contextos rurais

Neto¹,

Dimenstein²

2017

Temas Psicol.

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As populações rurais sofrem historicamente efeitos do modelo socioeconômico pautado no latifúndio e exploração do trabalhador. Esse modelo está associado à produção de situações de vulnerabilidade psicossocial e ambiental que impactam negativamente na saúde mental. No meio rural há, portanto, certos condicionantes que são decisivos no processo saúde-doença e que devem ser considerados na produção da atenção. Este estudo teórico problematiza o cuidado em saúde mental em contextos rurais considerando o processo de determinação social da saúde e da vida, bem como os territórios concretos de existência das populações rurais. Realizou-se uma revisão da literatura nos principais bancos de dados, o que evidenciou a carência de estudos sobre a temática. Considera-se que a lógica territorial e comunitária que sustenta a Atenção Psicossocial precisa ser construída no cotidiano das equipes, visando respostas mais efetivas às necessidades de saúde mental das populações rurais, relacionadas diretamente às iniquidades que marcam a vida no campo. Palavras-chave: Assistência integral à saúde, saúde da população rural, saúde mental, serviços de saúde mental, serviços de saúde rural.

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Social determinants for health (mental): evaluating a non-governmental experience from the perspective of actors involved

Cited by 3 publications

References 12 publications

Assessment of Unmet Health-Related Social Needs Among Patients With Mental Illness Enrolled in Medicare Advantage

Assessment of Unmet Health-Related Social Needs Among Patients With Mental Illness Enrolled in Medicare Advantage

Paralelos entre a produção científica sobre saúde mental no Brasil e no campo da Saúde Mental Global: uma revisão integrativa

Cuidado psicossocial em saúde mental em contextos rurais

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