Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines
| Autor: | Renato Souza, Yolanda Mueller, Susanna Cristofani, Carmen Rodriguez, Rebecca F. Grais, Tatiana Gil, Rohani T Malaguiok |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Health (social science) Referral medicine.medical_treatment lcsh:Special situations and conditions Global Assessment of Functioning Violence Health(social science) Health care Medicine Psychiatry Refugees business.industry lcsh:RC952-1245 Public health Research lcsh:Medical emergencies. Critical care. Intensive care. First aid Public Health Environmental and Occupational Health Health services research lcsh:RC86-88.9 Mental health Brief psychotherapy Distress Mental Health Psychotherapy Brief business |
| Zdroj: | Conflict and Health Conflict and Health, Vol 5, Iss 1, p 3 (2011) |
| ISSN: | 1752-1505 |
| Popis: | Background For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services. Methods Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20) and Global Assessment of Functioning score (GAF) are described. Results Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p < 0.001) and median GAF score increased from 60 to 70 (p < 0.001). Baseline score and score at last assessment were different for both discharged patients and defaulters (p < 0.001). Conclusions Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress. |
| Databáze: | OpenAIRE |
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