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

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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)

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.

Suggested Citation

  • Valdecir Carneiro da Silva & Ardigleusa Alves Coêlho & Ana Angélica Rêgo de Queiroz & Gabriela Maria Cavalcanti Costa & João Carlos Alchieri & Ricardo Alexandre Arcêncio & Severina Alice da Costa Uchô, 2022. "Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15148-:d:975082
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    References listed on IDEAS

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    1. Jia Lu & Shabana Jamani & Joseph Benjamen & Eric Agbata & Olivia Magwood & Kevin Pottie, 2020. "Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 17(22), pages 1-28, November.
    2. Maria Aparecida Cunha & Mario Vianna Vettore & Thiago Resende dos Santos & Antônio Thomaz Matta-Machado & Simone Dutra Lucas & Mauro Henrique Nogueira Guimarães Abreu, 2020. "The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil," IJERPH, MDPI, vol. 17(5), pages 1-10, March.
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