Análisis de la demanda en salud mental en el Principado de Asturias: características de la demanda y respuesta asistencial

Agudo, Fátima Valencia; Haro, Juan Manuel García de; Peón, Alberto Gimeno; Zabalza, Ana Pérez; Suárez, María Eugenia

doi:10.4321/s0211-57352014000400007

Cited by 4 publications

(6 citation statements)

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“…En cuanto a los diagnósticos de derivación, observamos que los más frecuentes son Trastorno Depresivo (30,1%), Trastorno de Ansiedad (24,7%) y Trastorno Adaptativo (10,4%). Comparando estos resultados con los de Asturias, podemos ver que tanto los diagnósticos como los porcentajes son similares, si bien en el análisis de Asturias prevalece el Trastorno de Ansiedad por encima del Depresivo (Valencia et al, 2014).…”

Section: Conclusiones/discusiónunclassified

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Análisis de la demanda de una consulta de Salud Mental coordinada con Atención Primaria

Díaz

Mata

Baena

et al. 2020

EJPAD

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Tras la reforma psiquátrica el tratamiento de los pacientes con enfermedad mental se realiza a nivel comunitario, siendo necesaria la coordinación entre Salud Mental y Atención Primaria. Nuestro objetivo es analizar las características de la demanda de Atención Primaria a Salud Mental. Se realiza un estudio observacional, analítico y prospectivo en el que se analizan variables recogidas en una base de datos con formato Access mediante el programa SPSS 19.0. contando con una muestra de 1645 pacientes atendidos en 29 meses, seleccionando aquellos derivados desde Atención Primaria. La distribución fue de un 60% mujeres y un 40% hombres, edad media de 48.41 años (desviación típica 18.025). El 40,8% procedía de Ciudad Real. Derivación más frecuente: Normal (79,8%). 73% de hombres y 76% de mujeres acudieron a cita. El Trastorno Adaptativo fue el más frecuente en ambos sexos, seguido por el Trastorno de ansiedad (10,2%) en hombres y Trastorno Depresivo (17,11%) en mujeres. Destino al alta más frecuente tras primera consulta: USM (61,8%), siendo Trastorno Adaptativo (24,2%), Trastorno Depresivo (21,1%), Trastorno Mixto (12,5%). Las variables permanecen prácticamente iguales respecto a análisis previos, concluyendo que la coordinación con primaria sigue siendo un objetivo a fomentar para una mejor asistencia a los pacientes.

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Section: Conclusiones/discusiónunclassified

“…El 95,9% de los pacientes fueron derivados desde AP y los diagnósticos de derivación más frecuentes fueron Trastorno de Ansiedad (30%), Trastorno Depresivo (23%) y Trastorno Adaptativo (11,4%) (Valencia, García, Gimeno, Pérez, y Suárez, 2014).…”

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Análisis de la demanda de una consulta de Salud Mental coordinada con Atención Primaria

Díaz

Mata

Baena

et al. 2020

EJPAD

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“…The average waiting time was 26 days, lower than that found in Catalonia 21 , and in 71.1% of referrals, the waiting time was ≤ 30 days. Referrals to psychiatry are higher than those made to psychology, as in other studies 4,10 . However, considering the number of professionals in each category in the mental health team, the proportion of referrals assigned to psychology is higher than those assigned to psychiatry (130 referrals per psychology professional vs 100 referrals per psychiatry professional).…”

Section: Discussionmentioning

confidence: 55%

“…Ferreras et al 9 studied referrals from PC to MHS and concluded that in 74.1% of cases, the reason for referral was depressive or anxiety-depressive symptoms. On the other hand, patients who are more frequently referred to clinical psychology professionals are younger 2 , less medicated, and with less urgent character 4 , while patients diagnosed with depression, adjustment disorders, or anxiety-depressive disorders are more often referred to psychiatry 10 . Patient no-shows for their rst appointment in mental health centers are associated with longer waiting times [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

Referrals of Patients With Mental Health Problems From Primary Care to Mental Health Services in Spain

Anguiano

Gómez

Fernández

et al. 2023

Preprint

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Background. It is estimated that 25% of people may experience one or more mental disorders in their lifetime. In Western countries, individuals with mild mental disorders are treated in Primary Care (PC) while those with more severe mental disorders are treated in Mental Health Services (MHS). The objective of this study was to examine referrals from PC to MHS, with a focus on identifying factors that contribute to patients missing their appointments with MHS and identifying characteristics associated with patients who are discharged after their initial mental health consultation. Methods. A descriptive, cross-sectional and observational study was carried out. The study analyzed all referrals to the Northern Community Mental Health Unit of Málaga from 1 July to 31 December 2018. Data were collected on factors that could impact patients' failure to attend their MHS appointment and being discharged after their first mental health consultation. The study used descriptive, bivariate, and multivariate analyses. Results. During the study period, a total of 1,521 referrals were made to MHS. Factors associated with a higher risk of not attending the MHS appointment included longer delays, younger age, female gender, and previous treatment at MHS. Patients who were more likely to be discharged after their first consultation were older, referred from PC, initially attended in PC center rather than mental health center, and did not have diagnoses of schizophrenia-related disorders, personality disorders, mood disorders, or deferred diagnosis. Conclusions. It is important to develop strategies to reduce missed appointments, as this can have negative impacts on patient outcomes and increase the burden on mental health services. The examination of referrals and factors contributing to missed appointments highlights the need for a more integrated and coordinated approach to mental healthcare delivery. This may involve closer collaboration between primary care providers and mental health specialists, as well as increased investment in community-based MHS and resources.

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“…The drop-out rate was similar in all the experimental groups (χ 2(3) = 2.89, p = .410), and was mainly a result of problems attending the programed sessions for personal reasons (e.g., timetable incompatibility, looking after family members). The sample size was established taking into account the size of the target population in the Principality of Asturias (Spain), that is, those who had requested psychological assistance and fulfilled the diagnostic criteria for anxiety and depression (Valencia et al, 2014). The final sample size ( n = 128) reached adequate levels of representativeness (confidence 90%, margin of error 6%) See Figure 1 for CONSORT diagram.…”

Section: Methodsmentioning

confidence: 99%

Is Activation the Active Ingredient of Transdiagnostic Therapies? A Randomized Clinical Trial of Behavioral Activation, Acceptance and Commitment Therapy, and Transdiagnostic Cognitive-Behavioral Therapy for Emotional Disorders

et al. 2022

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Studying the usefulness of contextual and cognitive transdiagnostic therapies calls for an analysis of both their differential efficacy and their specificity when acting on the transdiagnostic conditions on which they focus. This controlled trial compares the post-treatment and 3- and 6-month follow-up effects of Behavioral Activation (BA), Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Transdiagnostic Therapy (TD-CBT) on emotional symptomatology, and analyses the role played by Experiential Avoidance, Cognitive Fusion, Activation and Emotion Regulation in the clinical change. One hundred twenty-eight patients who fulfilled diagnostic criteria for anxiety and/or depression (intention-to-treat sample) were randomly assigned to three experimental group-treatment conditions (BA, n = 34; ACT, n = 27; TD-CBT n = 33) and one control group (WL, n = 34). Ninety-nine (77.34%) completed the treatment (per-protocol sample). In the post-treatment, all therapies reduced anxiety and depression symptomatology. In the follow-ups, the reduction in emotional symptomatology was greater in the condition which produced greater and more prolonged effects on Activation. Activation appears to be the principal condition in modifying all the transdiagnostic patterns and BA was the most efficacious and specific treatment. The trial was registered at ClinicalTrials.gov NCT04117464. Raw data are available online http://dx.doi.org/10.17632/krj3w2hfsj.1 .

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Análisis de la demanda en salud mental en el Principado de Asturias: características de la demanda y respuesta asistencial

Cited by 4 publications

References 1 publication

Análisis de la demanda de una consulta de Salud Mental coordinada con Atención Primaria

Análisis de la demanda de una consulta de Salud Mental coordinada con Atención Primaria

Referrals of Patients With Mental Health Problems From Primary Care to Mental Health Services in Spain

Is Activation the Active Ingredient of Transdiagnostic Therapies? A Randomized Clinical Trial of Behavioral Activation, Acceptance and Commitment Therapy, and Transdiagnostic Cognitive-Behavioral Therapy for Emotional Disorders

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