Development of Community Care for People with Schizophrenia in Chile

Alvarado, Rubén; Minoletti, Alberto; González, Francisco Torres; Moreno-Küstner, Berta; Madariaga, Carlos; Sepúlveda, Roberto

doi:10.2753/imh0020-7411410104

Cited by 17 publications

(27 citation statements)

References 13 publications

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“…46,47 Initially in Chile, psychiatric outpatient care developed in multispecialty clinics attached to general hospitals, but in recent years the implementation of community mental health centers has been prioritized, which has allowed a greater decentralization, coordination with primary care, and local inter-sectoral resource utilization. 48,49 …”

Section: Current Statementioning

confidence: 99%

Community Mental Health Services in Latin America for People with Severe Mental Disorders

2012

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Section: Current Statementioning

confidence: 99%

Community Mental Health Services in Latin America for People with Severe Mental Disorders

2012

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“…An important focus of the Chilean health system has been on establishing comprehensive community mental health centers with strong linkages to primary health care services 51,55,56 . Families and user organizations have been actively involved in this process, although little has been published about their independent activities, and with the emphasis placed on family members, the potential for user development has been left unclear.…”

Section: Chilementioning

confidence: 99%

Introducing peer support work in Latin American mental health services

Šťastný

2012

Cad. saúde colet.

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In the course of implementing a recently funded network of hubs for building capacities in mental health service development, training, and research (RedeAmericas), the peer support workers are being introduced into the mental health workforce in three Latin American countries for the very first time. They will be part of a team, along with community mental health workers, that provides a modified Critical Time Intervention to individuals with severe psychiatric disorders living in the community. This article reviewed the background of this increasingly widespread development, and discussed its merits, as well as potential obstacles within local contexts.

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“…In Latin America, the process of transition to community mental health carehas been uneven among countries (16). This model includes the development of outpatient clinics, day hospitals, rehabilitation centers and sheltered homes (17) and has proven to be cost effective since it improves the distribution of health resources, has a greater geographical scope to provide specialized pharmacological treatment and allows the inclusion of psychosocial interventions such as individual and family psychoeducation (Tristiana et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…For this paradigm to be properly implemented, a precise situational diagnosis is required to allow the development of improved strategies in public mental health, recognizing the obstacles and deficiencies in the quality of care received by patients (17).…”

Section: Introductionmentioning

confidence: 99%

“…In this sense, there are different instruments for the evaluation of community mental health networks, such as the Description and Evaluation of Services and Directories in Europe for Long-Term Care (DESDE-LTC) designed for the description and evaluation of health services for people with disabilities, being currently one of the most complete models (18). A second instrument is the EvaRedCom-TMS, which was created in Chile to make a rapid evaluation of community mental health services in low and mid-income countries (17). Its application is based on data that is easy to collect, such as access to care with distances, times and costs, along with information regarding resources and other specific indicators that are useful for the Assessment Instrument for Mental Health Systems (WHO-AIMS).…”

Section: Introductionmentioning

confidence: 99%

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Community Mental Health Care In Mexico: A Look At The State Of Jalisco, Mexico

Carmona-Huerta¹,

Cardona-Müller²,

Durand-Arias³

et al. 2020

Preprint

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Background: Access to mental health care is a worldwide public health challenge. In Mexico an unacceptably high percentage of the population with mental disorders does not receive the necessary treatment, which is mainly due to the lack of access to mental health care. The community mental health care model was created and has been implemented to improve this situation. In order to properly plan and implement this model a precise situational diagnosis of the mental health care network is required, thus this is a first approach to evaluate the community mental health networks in the state of Jalisco. Methods: Two components from the EvaRedCom–TMS instrument were used including a general description and accessibility of the community mental health care network. A geographic and economic accessibility evaluation was carried out for the different regions of the state ranging from scattered rural to urban communities using information gathered from health institutions, telephone interviews and computer applications. Results: Jalisco’s community mental health network includes a total of 31 centers and 0.64 mental health workers for every 10,000 inhabitants >15 years of age. The mean transportation cost required to access mental health care was 16.25 USD. The time needed to reach the closest mental health center in 7 of the 13 analyzed regions was more than 30 minutes and the mean time required to reach a prolonged stay center was 172.7 minutes with transportation cost of 22.3 USD. Some marginalized regions in the state have a mean 114 minutes required to reach the closest mental health care center and 386 minutes to reach a prolonged stay center. Conclusions: This first approach to evaluate the mental health networks in Mexico showed that there are multiple barriers to access its care including an unfavorable number of human resources, long distances and high costs. The identification of Jalisco’s mental health network deficiencies is the first step towards establishing a properly planned community mental health care model within the country.

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Development of Community Care for People with Schizophrenia in Chile

Cited by 17 publications

References 13 publications

Community Mental Health Services in Latin America for People with Severe Mental Disorders

Community Mental Health Services in Latin America for People with Severe Mental Disorders

Introducing peer support work in Latin American mental health services

Community Mental Health Care In Mexico: A Look At The State Of Jalisco, Mexico

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