Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

Version 1 : Received: 29 June 2022 / Approved: 29 June 2022 / Online: 29 June 2022 (05:05:41 CEST)

How to cite: Silva, V.C.D.; Coelho, A.A.; Queiroz, A.A.R.D.; Costa, G.M.C.; Alchieri, J.C.; Arcêncio, R.A.; Uchôa, S.A.D.C. Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil . Preprints 2022, 2022060395 (doi: 10.20944/preprints202206.0395.v1). Silva, V.C.D.; Coelho, A.A.; Queiroz, A.A.R.D.; Costa, G.M.C.; Alchieri, J.C.; Arcêncio, R.A.; Uchôa, S.A.D.C. Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil . Preprints 2022, 2022060395 (doi: 10.20944/preprints202206.0395.v1).

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

Subject

MEDICINE & PHARMACOLOGY, Psychiatry & Mental Health studies

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