文章基本信息

标题：Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines
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作者：Yolanda Mueller ; Susanna Cristofani ; Carmen Rodriguez 等
期刊名称：Conflict and Health
印刷版ISSN：1752-1505
电子版ISSN：1752-1505
出版年度：2011
卷号：5
期号：1
页码：3
DOI：10.1186/1752-1505-5-3
语种：English
出版社：BioMed Central
摘要：For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services. Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20) and Global Assessment of Functioning score (GAF) are described. Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p < 0.001) and median GAF score increased from 60 to 70 (p < 0.001). Baseline score and score at last assessment were different for both discharged patients and defaulters (p < 0.001). Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress.
关键词：Mental Health ; Primary Health Care ; Severe Mental Illness ; Community Health Worker ; Common Mental Disorder