Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines.

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State: Public
Version: Final published version
Serval ID
serval:BIB_4E2C1E2D35C1
Type
Article: article from journal or magazin.
Collection
Publications
Title
Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines.
Journal
Conflict and health
Author(s)
Mueller Y., Cristofani S., Rodriguez C., Malaguiok R.T., Gil T., Grais R.F., Souza R.
ISSN
1752-1505 (Electronic)
ISSN-L
1752-1505
Publication state
Published
Issued date
07/03/2011
Volume
5
Pages
3
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.

Pubmed
Open Access
Yes
Create date
23/02/2016 18:14
Last modification date
20/08/2019 14:03
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