Contexts and challenges for mental health care at the first level. A socioecological approach

To analyze the current status of mental health care through a socioecological analysis, based on the perceptions of health center (HC) staff and users in Mexico City (CDMX). Descriptive exploratory study of mixed methods (QUALI→ QUANT).During the qualitative phase, staff at 19 centers located in thr...

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Bibliographic Details
Published in:Salud pública de México 2018-03, Vol.60 (2), p.184-191
Main Authors: Berenzon-Gorn, Shoshana, Saavedra-Solano, Nayelhi, Galván-Reyes, Jorge
Format: Article
Language:Spanish
Subjects:
Humans
Mental Health Services - standards
Mexico
Models, Theoretical
México
perspectiva socio-ecológica
Primary Health Care
primer nivel de atención
salud mental
Self Report
Sociological Factors
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Summary:To analyze the current status of mental health care through a socioecological analysis, based on the perceptions of health center (HC) staff and users in Mexico City (CDMX). Descriptive exploratory study of mixed methods (QUALI→ QUANT).During the qualitative phase, staff at 19 centers located in three Mexico City boroughs were interviewed and during the quantitative phase, a questionnaire was applied to patients. The influence and interdependence of the various factors impacting mental health (MH) care were identified. Health personnel and patients mentioned limited resources, which impact service quality, public MH policies that are not always implemented in practice and a care model that does not make it possible to delve into emotional problems. Improving MH care at the primary care level requires reflective work from a variety of perspectives.
ISSN:0036-3634
1606-7916
DOI:10.21149/8673