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Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil

The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-c...

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Autores principales: da Silva, Valdecir Carneiro, Coêlho, Ardigleusa Alves, de Queiroz, Ana Angélica Rêgo, Costa, Gabriela Maria Cavalcanti, Alchieri, João Carlos, Arcêncio, Ricardo Alexandre, Uchôa, Severina Alice da Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690976/
https://www.ncbi.nlm.nih.gov/pubmed/36429865
http://dx.doi.org/10.3390/ijerph192215148
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author da Silva, Valdecir Carneiro
Coêlho, Ardigleusa Alves
de Queiroz, Ana Angélica Rêgo
Costa, Gabriela Maria Cavalcanti
Alchieri, João Carlos
Arcêncio, Ricardo Alexandre
Uchôa, Severina Alice da Costa
author_facet da Silva, Valdecir Carneiro
Coêlho, Ardigleusa Alves
de Queiroz, Ana Angélica Rêgo
Costa, Gabriela Maria Cavalcanti
Alchieri, João Carlos
Arcêncio, Ricardo Alexandre
Uchôa, Severina Alice da Costa
author_sort da Silva, Valdecir Carneiro
collection PubMed
description The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities.
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spelling pubmed-96909762022-11-25 Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil da Silva, Valdecir Carneiro Coêlho, Ardigleusa Alves de Queiroz, Ana Angélica Rêgo Costa, Gabriela Maria Cavalcanti Alchieri, João Carlos Arcêncio, Ricardo Alexandre Uchôa, Severina Alice da Costa Int J Environ Res Public Health Article The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities. MDPI 2022-11-17 /pmc/articles/PMC9690976/ /pubmed/36429865 http://dx.doi.org/10.3390/ijerph192215148 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
da Silva, Valdecir Carneiro
Coêlho, Ardigleusa Alves
de Queiroz, Ana Angélica Rêgo
Costa, Gabriela Maria Cavalcanti
Alchieri, João Carlos
Arcêncio, Ricardo Alexandre
Uchôa, Severina Alice da Costa
Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title_full Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title_fullStr Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title_full_unstemmed Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title_short Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil
title_sort effectiveness of agreement criteria and flows of collaborative care in primary mental health care in brazil
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690976/
https://www.ncbi.nlm.nih.gov/pubmed/36429865
http://dx.doi.org/10.3390/ijerph192215148
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