Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil

Valdecir Carneiro da Silva (), Ardigleusa Alves Coêlho, Ana Angélica Rêgo de Queiroz, Gabriela Maria Cavalcanti Costa, João Carlos Alchieri, Ricardo Alexandre Arcêncio and Severina Alice da Costa Uchôa
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Valdecir Carneiro da Silva: Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
Ardigleusa Alves Coêlho: Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
Ana Angélica Rêgo de Queiroz: Rio Grande do Norte Research Support Foundation, Natal 59078-970, Brazil
Gabriela Maria Cavalcanti Costa: Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
João Carlos Alchieri: Department of Psychology, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Ricardo Alexandre Arcêncio: College of Nursing, University of São Paulo, Ribeirão Preto 05508-060, Brazil
Severina Alice da Costa Uchôa: Department of Collective Health, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil

IJERPH, 2022, vol. 19, issue 22, 1-14

Abstract: The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities.

Keywords: mental health; primary health care; collaborative care; health assessment; pharmacovigilance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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