Community-Based Mental Health Services in Mexico

AIM: This article describes the general characteristics of community-based mental healthcare in Mexico. METHODS: Data from national surveys, special studies and statistics from the national information system during the period 20012017 are used. Available information on health systems, new regula...

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Autores principales:	Martha Cordero Oropeza, Shoshana Berenzon, Rebeca Robles, Tania Real, María Elena Medina Mora
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2021
Materias:	mental disorders treatment community services primary care psychosocial interventions Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/13f0c23258134af79b3311e78306a809
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spelling	oai:doaj.org-article:13f0c23258134af79b3311e78306a8092021-11-30T16:05:53ZCommunity-Based Mental Health Services in Mexico2712-76722713-291910.17816/CP86https://doaj.org/article/13f0c23258134af79b3311e78306a8092021-11-01T00:00:00Zhttps://consortium-psy.com/jour/article/viewFile/86/pdfhttps://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919AIM: This article describes the general characteristics of community-based mental healthcare in Mexico. METHODS: Data from national surveys, special studies and statistics from the national information system during the period 20012017 are used. Available information on health systems, new regulations and the innovations implemented are reviewed, as well as research on psychosocial interventions conducted within the country. RESULTS: Data show a fragmented health system with services for workers and those without social security or private care. This is a treatment system essentially based on tertiary healthcare and not integrated into the general health system, with a significant treatment gap and delay in relation to the first treatment. At the same time, a slow but steady increase in the level of care provided at primary healthcare level and in specialized community services has been observed. This trend has been accompanied by an increase in the number of medical doctors, psychologists and, to a lesser extent, psychiatrists, incorporated into the primary healthcare services. At the same time, no new psychiatric hospitals have been built; there has been a proportional reduction in psychiatric beds but no increase in mental health services or beds allocated to first contact hospitals. Research initiatives have analysed the barriers to reform, and efficient interventions have been developed and tested for the community and for primary healthcare; special interventions are available for the most vulnerable but no formal efforts have been to facilitate their implementation. CONCLUSIONS: Evidence is available regarding the implementation of the transition from reliance on tertiary healthcare to reinforced primary care. At the same time, parity, financial protection, quality and continuity of care remain major challenges.Martha Cordero OropezaShoshana BerenzonRebeca RoblesTania RealMaría Elena Medina MoraEco-Vectorarticlemental disorderstreatmentcommunity servicesprimary carepsychosocial interventionsPsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 2, Iss 3, Pp 53-62 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	mental disorders treatment community services primary care psychosocial interventions Psychiatry RC435-571 Psychology BF1-990
spellingShingle	mental disorders treatment community services primary care psychosocial interventions Psychiatry RC435-571 Psychology BF1-990 Martha Cordero Oropeza Shoshana Berenzon Rebeca Robles Tania Real María Elena Medina Mora Community-Based Mental Health Services in Mexico
description	AIM: This article describes the general characteristics of community-based mental healthcare in Mexico. METHODS: Data from national surveys, special studies and statistics from the national information system during the period 20012017 are used. Available information on health systems, new regulations and the innovations implemented are reviewed, as well as research on psychosocial interventions conducted within the country. RESULTS: Data show a fragmented health system with services for workers and those without social security or private care. This is a treatment system essentially based on tertiary healthcare and not integrated into the general health system, with a significant treatment gap and delay in relation to the first treatment. At the same time, a slow but steady increase in the level of care provided at primary healthcare level and in specialized community services has been observed. This trend has been accompanied by an increase in the number of medical doctors, psychologists and, to a lesser extent, psychiatrists, incorporated into the primary healthcare services. At the same time, no new psychiatric hospitals have been built; there has been a proportional reduction in psychiatric beds but no increase in mental health services or beds allocated to first contact hospitals. Research initiatives have analysed the barriers to reform, and efficient interventions have been developed and tested for the community and for primary healthcare; special interventions are available for the most vulnerable but no formal efforts have been to facilitate their implementation. CONCLUSIONS: Evidence is available regarding the implementation of the transition from reliance on tertiary healthcare to reinforced primary care. At the same time, parity, financial protection, quality and continuity of care remain major challenges.
format	article
author	Martha Cordero Oropeza Shoshana Berenzon Rebeca Robles Tania Real María Elena Medina Mora
author_facet	Martha Cordero Oropeza Shoshana Berenzon Rebeca Robles Tania Real María Elena Medina Mora
author_sort	Martha Cordero Oropeza
title	Community-Based Mental Health Services in Mexico
title_short	Community-Based Mental Health Services in Mexico
title_full	Community-Based Mental Health Services in Mexico
title_fullStr	Community-Based Mental Health Services in Mexico
title_full_unstemmed	Community-Based Mental Health Services in Mexico
title_sort	community-based mental health services in mexico
publisher	Eco-Vector
publishDate	2021
url	https://doaj.org/article/13f0c23258134af79b3311e78306a809
work_keys_str_mv	AT marthacorderooropeza communitybasedmentalhealthservicesinmexico AT shoshanaberenzon communitybasedmentalhealthservicesinmexico AT rebecarobles communitybasedmentalhealthservicesinmexico AT taniareal communitybasedmentalhealthservicesinmexico AT mariaelenamedinamora communitybasedmentalhealthservicesinmexico
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Community-Based Mental Health Services in Mexico

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