Community-based mental health services in Brazil

Introduction. The shift from the hospital-based model of care to community-based mental health services beganthree decades ago and is still an ongoing process in Brazil. Objectives. To update data on the development of the community mental health services network in Brazil in relationto service...

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Autores principales:	Denise Razzouk, Daniela Cheli Caparroce, Aglae Sousa
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2020
Materias:	community mental health services brazil health policy mental disorders mental health developing countries health resources Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/be2fec3390f943b08c07d50329c5f935
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spelling	oai:doaj.org-article:be2fec3390f943b08c07d50329c5f9352021-12-02T19:03:57ZCommunity-based mental health services in Brazil2712-76722713-291910.17650/2712-7672-2020-1-1-60-70https://doaj.org/article/be2fec3390f943b08c07d50329c5f9352020-09-01T00:00:00Zhttps://www.consortium-psy.com/jour/article/viewFile/33/11https://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919Introduction. The shift from the hospital-based model of care to community-based mental health services beganthree decades ago and is still an ongoing process in Brazil. Objectives. To update data on the development of the community mental health services network in Brazil in relationto service availability and structure, manpower, pattern of service use, financing, epidemiological studies and theburden of mental disorders, research and national mental health policy. Methods. Searches were constructed to collect data on indexed databases (Medline, Scielo), as well as governmental,NGOs and medical council sources, reports and the grey literature up until 30th March, 2019. Results. Community mental health services are unevenly distributed in the country. Brazil leads the world in termsof the prevalence of anxiety disorders, ranking fifth for depression prevalence. Violence and suicide rates are twogrowing factors which exacerbate the prevalence of mental disorders prevalence. An increased reduction of thenumber of psychiatric beds in the country, in addition to the unbalanced growth of services in the community, hasresulted in treatment gaps and the underutilization of services and barriers to treating people with the most severepsychosis. Investment in mental healthcare is still scarce. However, mental health funding is not addressed accordingto the populations needs and scientific evidence, resulting in a waste of resources and inefficiency. Programmesand service interruptions are common according to each government mandate. Conclusion. Successive changes in ideological perspectives have led to the introduction of policies which have causedfragmentation in the mental health system and services. A lack of evaluation and transparency of services and costsare the main barriers to integrating multiple services and planning long-term developmental phases.Denise RazzoukDaniela Cheli CaparroceAglae SousaEco-Vectorarticlecommunity mental health servicesbrazilhealth policymental disordersmental healthdeveloping countrieshealth resourcesPsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 1, Iss 1, Pp 60-70 (2020)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	community mental health services brazil health policy mental disorders mental health developing countries health resources Psychiatry RC435-571 Psychology BF1-990
spellingShingle	community mental health services brazil health policy mental disorders mental health developing countries health resources Psychiatry RC435-571 Psychology BF1-990 Denise Razzouk Daniela Cheli Caparroce Aglae Sousa Community-based mental health services in Brazil
description	Introduction. The shift from the hospital-based model of care to community-based mental health services beganthree decades ago and is still an ongoing process in Brazil. Objectives. To update data on the development of the community mental health services network in Brazil in relationto service availability and structure, manpower, pattern of service use, financing, epidemiological studies and theburden of mental disorders, research and national mental health policy. Methods. Searches were constructed to collect data on indexed databases (Medline, Scielo), as well as governmental,NGOs and medical council sources, reports and the grey literature up until 30th March, 2019. Results. Community mental health services are unevenly distributed in the country. Brazil leads the world in termsof the prevalence of anxiety disorders, ranking fifth for depression prevalence. Violence and suicide rates are twogrowing factors which exacerbate the prevalence of mental disorders prevalence. An increased reduction of thenumber of psychiatric beds in the country, in addition to the unbalanced growth of services in the community, hasresulted in treatment gaps and the underutilization of services and barriers to treating people with the most severepsychosis. Investment in mental healthcare is still scarce. However, mental health funding is not addressed accordingto the populations needs and scientific evidence, resulting in a waste of resources and inefficiency. Programmesand service interruptions are common according to each government mandate. Conclusion. Successive changes in ideological perspectives have led to the introduction of policies which have causedfragmentation in the mental health system and services. A lack of evaluation and transparency of services and costsare the main barriers to integrating multiple services and planning long-term developmental phases.
format	article
author	Denise Razzouk Daniela Cheli Caparroce Aglae Sousa
author_facet	Denise Razzouk Daniela Cheli Caparroce Aglae Sousa
author_sort	Denise Razzouk
title	Community-based mental health services in Brazil
title_short	Community-based mental health services in Brazil
title_full	Community-based mental health services in Brazil
title_fullStr	Community-based mental health services in Brazil
title_full_unstemmed	Community-based mental health services in Brazil
title_sort	community-based mental health services in brazil
publisher	Eco-Vector
publishDate	2020
url	https://doaj.org/article/be2fec3390f943b08c07d50329c5f935
work_keys_str_mv	AT deniserazzouk communitybasedmentalhealthservicesinbrazil AT danielachelicaparroce communitybasedmentalhealthservicesinbrazil AT aglaesousa communitybasedmentalhealthservicesinbrazil
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Community-based mental health services in Brazil

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