scholarly journals Knowledge by Primary Care of mental health patients treated at outpatient specialized services: prevalence and associated factors

2021 ◽  
Author(s):  
Carlos Alberto dos Santos Treichel ◽  
Ioannis Bakolis ◽  
Rosana Teresa Onocko Campos
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Inverse Association ◽  
Cross Sectional ◽  
Levels Of Care ◽  
Mental Health Patients ◽  
Specialized Services

Abstract Background Although matrix support seeks to promote the integration of Primary Care with specialized mental health services in Brazil, little is known about the quantitative impact of this strategy on the sharing of cases between different levels of care. The aim of this study was to investigate the prevalence and factors associated with knowledge by Primary Care of mental health patients treated at outpatient specialized services in a medium-sized city in Brazil with recent implementation of matrix support. Methods This is a document-based cross-sectional study, conducted through the analysis of 1198 patients’ medical records. Crude and adjusted associations with the outcome were explored using logistic regression. Results The prevalence of cases known by Primary Care was 40% (n = 479). Evidence was found for associations between the outcome and the patients being over 30 years old, and referral by emergency or hospital services. There was, conversely, an inverse association between the outcome and status as a patient from the Outpatient Clinic or from the Psychosocial Care Center for psychoactive substance misuse. Conclusions Even with the provision of mechanisms for network integration, such as matrix support, our results suggest that more groundwork is necessary to ensure that the sharing of cases between Primary Care and specialized services is effective.

scholarly journals Primary care registration of the mental health needs of patients treated at outpatient specialized services: results from a medium-sized city in Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carlos Alberto dos Santos Treichel ◽  
Ioannis Bakolis ◽  
Rosana Teresa Onocko-Campos
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Health Needs ◽  
Inverse Association ◽  
Mental Health Needs ◽  
Cross Sectional ◽  
Specialized Services

Abstract Background Although matrix support seeks to promote integrating Primary Care with specialized mental health services in Brazil, little is known about the quantitative impact of this strategy on sharing cases between different levels of care. The aim of this study was to investigate the prevalence and factors associated with Primary Care registration of the mental health needs of patients treated at outpatient specialized services in a medium-sized city in Brazil with recent implementation of matrix support. Methods This is a document-based cross-sectional study conducted through an analysis of 1198 patients’ medical records. Crude and adjusted associations with the outcome were explored using logistic regression. Results The prevalence of cases registered in Primary Care was 40% (n = 479). Evidence was found for associations between the outcome and the patients being over 30 years old, and referral by emergency or hospital services. There was conversely an inverse association between the outcome and status as a patient from the Outpatient Clinic or from the Psychosocial Care Center for psychoactive substance misuse. Conclusions Even with the provision of mechanisms for network integration, such as matrix support, our results suggest that more groundwork is necessary to ensure that sharing cases between Primary Care and specialized services is effective.

scholarly journals Perfil de pacientes atendidos em um centro de atenção psicossocial

2019 ◽  
Vol 13 ◽  
Author(s):  
Carolina Amaral Oliveira Rodrigues ◽  
Natália Hiany Fonseca Santos ◽  
Samara Frantheisca Almeida Barbosa ◽  
Diego Dias de Araújo ◽  
Ricardo Otávio Maia Gusmão ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitalization ◽  
Care Center ◽  
Psychosocial Care ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Levels Of Care ◽  
Salud Mental ◽  
Sociodemographic Profile ◽  
Program Version

Objetivo: caracterizar o perfil sociodemográfico e clínico dos pacientes atendidos em um Centro de Atenção Psicossocial. Método: trata-se de estudo quantitativo, transversal, descritivo e documental, com prontuários de usuários em um Centro de Atenção Psicossocial. Coletaram-se os dados em dezembro de 2017 e janeiro de 2018, organizando-os em um banco de dados do Programa SPSS, versão 20.0. Resultados: verificou-se, quanto ao perfil sociodemográfico, que a maioria dos usuários era do sexo feminino; solteira; com idade média de 36 anos; com Ensino Fundamental incompleto; não trabalhava; não tinha filhos; possuía cuidador/acompanhante. Observou-se, em relação ao perfil clínico, que a maioria esteve em tratamento semi-intensivo; teve alguma internação psiquiátrica; apresentou diagnóstico de esquizofrenia e depressão. Conclusão: considerou-se que conhecer o perfil desses usuários poderá auxiliar gestores e equipes de Saúde Mental no planejamento de políticas locais e de ações de saúde nos diversos níveis de atenção por possibilitar o fortalecimento das relações intersetoriais, visto que o cuidado em Saúde Mental deve ser de corresponsabilidade dos setores de Saúde, Assistência Social, Justiça e Educação. Descritores: Saúde Mental; Epidemiologia; Transtornos Mentais; Humanização da Assistência; Serviços de Saúde Mental; Psicanálise.AbstractObjective: to characterize the sociodemographic and clinical profile of patients treated at a Psychosocial Care Center. Method: this is a quantitative, cross-sectional, descriptive and documentary study, with medical records of users in a Psychosocial Care Center. Data was collected in December 2017 and January 2018 and organized into a database of the SPSS Program, version 20.0. Results: it was found, regarding the sociodemographic profile, that the majority of users were female; single; with average age of 36 years; with incomplete elementary school; didn't work; I had no children; had caregiver / companion. Regarding the clinical profile, most of them were in semi-intensive treatment; had any psychiatric hospitalization; presented diagnosis of schizophrenia and depression. Conclusion: it was considered that knowing the profile of these users can help managers and teams of Mental Health in the planning of local policies and health actions at various levels of care by enabling the strengthening of intersectoral relationships, since Mental Health care should be co-responsible for the Health, Social Welfare, Justice and Education sectors. Descriptors: Mental Health; Epidemiology; Mental Disorders; Humanization of Assistance; Mental Health Services; Psychoanalysis.ResumenObjetivo: caracterizar el perfil sociodemográfico y clínico de los pacientes tratados en un Centro de Atención Psicosocial. Método: este es un estudio cuantitativo, transversal, descriptivo y documental, con registros médicos de usuarios en un Centro de Atención Psicosocial. Los datos se recopilaron en diciembre de 2017 y enero de 2018, y se organizaron en una base de datos del Programa SPSS, versión 20.0. Resultados: se encontró en cuanto al perfil sociodemográfico, que la mayoría de los usuarios eran mujeres; solteros; con edad promedio de 36 años; con escuela primaria incompleta; no funcionó; no tenía hijos; tenía cuidador / acompañante. En cuanto al perfil clínico, la mayoría estuvo bajo tratamiento semi-intensivo; tuvo alguna hospitalización psiquiátrica; presentó diagnóstico de esquizofrenia y depresión. Conclusión: se consideró que conocer el perfil de estos usuarios puede ayudar a los gerentes y equipos de Salud Mental en la planificación de políticas locales y acciones de salud en los diversos niveles de atención al permitir el fortalecimiento de las relaciones intersectoriales, ya que la atención de Salud Mental debería ser corresponsable de los sectores de salud; asistencia social; justicia y educación. Descriptores: Salud Mental; Epidemiología Trastornos Mentales; Humanización de la Atención; Servicios de Salud Mental; Psicoanálisis.

scholarly journals Drug use, mental health and problems related to crime and violence: cross-sectional study

2015 ◽  
Vol 23 (6) ◽  
pp. 1173-1180 ◽  
Author(s):  
Heloísa Garcia Claro ◽  
Márcia Aparecida Ferreira de Oliveira ◽  
Janet C. Titus ◽  
Ivan Filipe de Almeida Lopes Fernandes ◽  
Paula Hayasi Pinho ◽  
...  
Keyword(s):  
Mental Health ◽  
Internalizing Symptoms ◽  
Regression Models ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Multiple Model ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Alcohol And Other Drugs

Objective: to investigate the correlation between disorders related to the use of alcohol and other drugs and symptoms of mental disorders, problems related to crime and violence and to age and gender. Methods: cross-sectional descriptive study carried out with 128 users of a Psychosocial Care Center for Alcohol and other Drugs, in the city of São Paulo, interviewed by means of the instrument entitled Global Appraisal of Individual Needs - Short Screener. Univariate and multiple linear regression models were used to verify the correlation between the variables. Results: using univariate regression models, internalizing and externalizing symptoms and problems related to crime/violence proved significant and were included in the multiple model, in which only the internalizing symptoms and problems related to crime and violence remained significant. Conclusions: there is a correlation between the severity of problems related to alcohol use and severity of mental health symptoms and crime and violence in the study sample. The results emphasize the need for an interdisciplinary and intersectional character of attention to users of alcohol and other drugs, since they live in a socially vulnerable environment.

scholarly journals Violência de gênero, viés social e drogas

2020 ◽  
Vol 14 ◽  
Author(s):  
Vanessa Ferreira de Almeida Piuchi ◽  
Claudia Barleta ◽  
Juliana Monte Real
Keyword(s):  
Black Women ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Gender Violence ◽  
Cross Sectional ◽  
Salud Mental ◽  
Las Mujeres ◽  
Quantitative Descriptive ◽  
High Level

Objetivo: analisar a violência de gênero sofrida pelas mulheres usuárias do Centro de Atenção Psicossocial Álcool e Drogas. Método: trata-se de um estudo quantitativo, descritivo, de corte transversal, com 30 mulheres atendidas pelo CAPS AD, que estavam ativas no sistema Registro das Ações Ambulatoriais de Saúde e responderam a um questionário estruturado. Analisaram-se os dados empregando a estatística não paramétrica. Resultados: apresenta-se, pelas mulheres pesquisadas, índice de violência elevada em relação à média nacional. Detalha-se que os fatores que apareceram como agravantes foram raça/cor, escolaridade e moradia, as maiores vítimas: mulheres negras e de escolaridade baixa. Conclusão: agrava-se, pelos fatores sociais, a violência praticada contra as mulheres pesquisadas. Mostra-se, para os agravantes, a necessidade de se incluir discussões nas políticas de combate à violência. Revela-se que o número de denúncia é baixo, assim como a procura por serviços de saúde. Descritores: Violência de Gênero; Saúde mental; Uso de Drogas; CAPS AD; Saúde Pública; Violência contra Mulheres.AbstractObjective: to analyze the gender violence suffered by women, users of the Psychosocial Care Center for Alcohol and Drugs. Method: this is a quantitative, descriptive, cross-sectional study of 30 women treated at CAPS AD, who were active in the Outpatient Health Actions Registry system and answered a structured questionnaire. Data was analyzed using nonparametric statistics. Results: the surveyed women presented a high level of violence in relation to the national average. It is noted that the factors that appeared as aggravating factors were race / color, education and housing, the biggest victims: black women and low education. Conclusion: the violence against women surveyed is aggravated by social factors. For the aggravating factors, the need to include discussions in the policies to combat violence is shown. The number of complaints is low, as is the demand for health services. Descriptors: Gender Violence; Mental Health; Drug Use; CAPS AD; Public Health; Violence Against Women.ResumenObjetivo: analizar la violencia de género que sufren las mujeres usuarias del Centro de Atención Psicosocial de Alcohol y Drogas. Método: este es un estudio cuantitativo, descriptivo, transversal con 30 mujeres atendidas por CAPS AD, que estaban activas en el sistema de Registro de Acciones de Salud Ambulatoria y respondieron un cuestionario estructurado. Los datos se analizaron mediante la estadística no paramétrica. Resultados: las mujeres encuestadas presentaron un alto nivel de violencia en relación con el promedio nacional. Cabe señalar que los factores que aparecieron como factores agravantes fueron la raza / color, la educación y la vivienda, las principales víctimas: las mujeres negras y de baja educación. Conclusión: la violencia contra las mujeres encuestadas se ve agravada por factores sociales. Para los factores agravantes, se muestra la necesidad de incluir discusiones en las políticas para combatir la violencia. El número de quejas es bajo, al igual que la demanda de servicios de salud. Descriptores: Violencia de Género; Salud Mental; Uso de Drogas; CAPS AD; Salud Pública; Violencia Contra la Mujer.

scholarly journals Metabolic Syndrome in Patients of a Psychosocial Care Center in Brazil: A Cross-Sectional Study

2021 ◽  
Author(s):  
Dandara Almeida Reis da Almeida Reis da Silva ◽  
Ludmila Santana de Almeida ◽  
Livia Lugarinho Correa ◽  
Rodrigo Fernandes Weyll Pimentel ◽  
Antonio Marcos Tosoli Gomes ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Adult Treatment Panel ◽  
Sectional Study ◽  
Cross Sectional ◽  
The City ◽  
Prevalence Ratios

Background: Metabolic syndrome (MS) is associated with a greater risk of morbimortality. Ob-jective: To estimate the prevalence of Metabolic Syndrome (MS) and associated factors in patients of a Psychosocial Care Center (CAPS) in the city of Salvador, state of Bahia, Brazil. Method: Cross-sectional study set at CAPS in the city of Salvador-Bahia, between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program's Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. Results: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. In the gross evaluation, the female (PR = 1.88; 95% CI: 1.35-2.63) and the use of antidepressants (PR = 1.41; 95%CI: 1.05-1.88) were associated with MS. After logistic re-gression, depression (PR = 1.86; 95%CI: 1.38-2.51), acanthosis (PR = 1.50; 95%CI: 1.18 - 1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13 - 2.75) and the hypertriglyceremic waist (PR = 3.33; 95%CI: 2.48- 4.46) were associated with MS. Conclusion: The prevalence of MS alerts to multimorbidity among individuals with mental disorders and the need for clinical screening.

scholarly journals Mental health of postgraduate trainees in primary care: a cross-sectional study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Till J. Bugaj ◽  
Katja Krug ◽  
Annalena Rentschler ◽  
Christoph Nikendei ◽  
Joachim Szecsenyi ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Pharmacists’ and Mental Health, Between Perceptions and Practice: A Cross-Sectional Study

2021 ◽  
Author(s):  
Amal Akour ◽  
Shiraz Halloush ◽  
Mohammad Nusair ◽  
Muna Barakat ◽  
Fatima Abdulla ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Issues ◽  
Sectional Study ◽  
Patient Counseling ◽  
Cross Sectional ◽  
Mental Health Issues ◽  
Adequate Education ◽  
Mental Health Patients

Abstract Background Mental health issues such as depression and anxiety are usually underdiagnosed and undertreated. Medications are one primary modality in the management of mental health problems. Hence, pharmacists have a vital role in supporting patients regarding medications’ efficacy and safety. However, the potential role of pharmacists in managing mental health issues in Jordan has not been well established. Aim This study aimed at assessing attitudes and actual practices of Jordanian pharmacists regarding providing mental health services. Method: This was a cross-sectional study that used a convenience sample of 347 pharmacists using a self-reported-based questionnaire, which took place in Amman, the capital of Jordan. Results Participating pharmacists had a positive attitude towards providing care for patients with mental health problems. However, their actual practice did not resonate with their enthusiasm, especially when it comes to long-term follow-up of disease symptom, medications’ side effects and adherence. Pharmacists were eager to collaborate with their colleagues, but the level of actual cooperation was less than desired. The most commonly reported barrier was the lack of education on mental health issues (71.5%), followed by lack of privacy in the pharmacy settings (53.9%). To effectively involve pharmacist in the care of mental health patients, pharmacists should receive adequate education/training in the mental health topics, and pharmacies should be redesigned to provide a private area for patient counseling. Conclusion To effectively involve pharmacist in the care of mental health patients, pharmacists should receive adequate education/training in the mental health topics, and pharmacies should be redesigned to provide a private area for patient counseling.

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