The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review
| Autor: | Sophia M. Bartels, Chelsea Gaviola, Deepak John, Lisa A. Marsch, Leonardo Cubillos, John A. Naslund, Makeda J. Williams, Magda Cepeda, José Miguel Uribe-Restrepo, Carlos Gómez-Restrepo, Sergio Mario Castro Díaz, William C. Torrey |
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| Rok vydání: | 2020 |
| Předmět: |
Typology
Gerontology Cost effectiveness Primary care alcohol use Mental health Mental health integration Integrated care Special Article primary care Psychiatry and Mental health depression Psychology provision of services Inclusion (education) Depression (differential diagnoses) Management of depression |
| Zdroj: | BJPsych Bulletin |
| ISSN: | 2056-4708 2056-4694 |
| DOI: | 10.1192/bjb.2020.35 |
| Popis: | Aims and methodThis systematic review examines the effectiveness and cost-effectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries.ResultsFifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health costs but cost-effective estimates. The included studies used six distinct behavioural health integration models.Clinical implicationsBehavioural health integration may yield improved health outcomes, although it may require additional resources. The proposed typology can assist decision-makers to advance the implementation of integrated models. |
| Databáze: | OpenAIRE |
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