Colaboración atención primaria-salud mental en la asistencia a pacientes con depresión: evaluación de una experiencia piloto

Abstract

The pilot experience confirms that collaborative projects promoted by PC and MH can improve depression care and the satisfaction of professionals. They are complex projects that need simultaneous interventions adjusted to the particularities of the health services. Multidisciplinary and continuous participation and management and information system support are necessary for their implementation.

Effectiveness of watchful waiting versus antidepressants for patients diagnosed of mild to moderate depression in primary care: A 12-month pragmatic clinical trial (INFAP study)

“…In the UK, for instance, there is a growing number of experienced counsellors developing specific psychological and psychosocial interventions in PC practice [3]. Although clinical guidelines also recommend the same non-pharmacological approach in Spain, there is an acknowledged lack of resources and insufficient coordination between PC and Mental Health Services [48, 49]. In this context, we contemplate the need to adjust clinical guidelines to real clinical practice and to devote more time and resources to improving health education, patient-centred care programmes, adherence to treatment and communication with mental health specialists.…”