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Factors Associated with Providers’ Perceptions of Mental Health Care in Santa Luzia’s Family Health Strategy, Brazil

Author

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  • Angela R. Ghesquiere

    (Brookdale Center for Healthy Aging, Hunter College of the City University of New York, 2180 Third Ave, New York, NY 10035, USA)

  • Rogerio M. Pinto

    (School of Social Work, University of Michigan, Room 3792 SSWB, 1080 S. University Ave., Ann Arbor, MI 48109, USA)

  • Rahbel Rahman

    (School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY 10027, USA)

  • Anya Y. Spector

    (New York City Department of Health and Mental Hygiene, 42-09 28th St, Long Island City, NY 11101, USA)

Abstract

Brazil has a unique mental health care system, characterized by universal coverage delivered by interdisciplinary teams both in the community and in specialized centros de atenção psicossocial (CAPS—psychosocial care centers). Provision of patient-centered mental health care is an important principle of Brazilian mental health care, but this topic has not been well-studied. We analyzed data from a cross-sectional survey of 151 community health workers (CHWs), nurses, and physicians in Santa Luzia, Minas Gerais State, Brazil. Chi-squares, t -tests and multivariate regression analyses examined differences in socio-demographics, caseload, engagement in evidence-based practices (EBPs), and transdisciplinary collaboration between providers who reported providing high levels of patient-centered mental health care and those who did not. In multivariate regression models, components of transdisciplinary collaboration were significantly associated with providers’ perceptions of patient-centered mental health care ( p < 0.05). CHWs were also significantly more likely to report providing patient-centered care than physicians and nurses. EBP engagement and sociodemographics were not associated with perceptions. Results suggest that training efforts to improve patient-centered mental health care in Brazil could build upon CHWs’ skills and focus on transdisciplinary collaboration. Findings may inform practice in other countries with similar health care systems.

Suggested Citation

  • Angela R. Ghesquiere & Rogerio M. Pinto & Rahbel Rahman & Anya Y. Spector, 2015. "Factors Associated with Providers’ Perceptions of Mental Health Care in Santa Luzia’s Family Health Strategy, Brazil," IJERPH, MDPI, vol. 13(1), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:13:y:2015:i:1:p:33-:d:60993
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    References listed on IDEAS

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