11/04/2015 Pesquisa|PortaldePesquisadaBVS

http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+hea 4/69

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tw:((tw:("mentalhealth"))AND(tw:("access"))AND(tw:("Brazil")))AND(instance:"regional")

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Patterns,determinantsandbarriersofhealthandsocialserviceutilizationamongyoungurbancrackusersinBrazil.

SantosCruzMAndradeTBastosFILealEBertoniNLipmanLBurnettCFischerB.BMCHealthServRes13:536,2013.ArtigoemIngls|MEDLINE|ID:mdl24373346

Resumo

BACKGROUND:CrackuseisprevalentacrosstheAmericas,andspecificallyamongmarginalizedurbanstreetdrugusersinBrazil.Crackuserscommonlyfeaturemultiplephysicalandmentalhealthproblems,whilelowratesofanddistinctbarrierstohelpserviceusehavebeenobservedinthesepopulations.Thisstudyexaminedprofilesanddeterminantsofsocialandhealthserviceutilization,andunmetserviceneeds,inatwocitysampleofyoung(1824years),marginalizedcrackusersinBrazil.METHODS:N=160studyparticipantswererecruitedbycommunitybasedmethodsfromimpoverishedneighborhoodsinthecitiesofRiodeJaneiro(n=81)andSalvador(n=79).Amixedmethodsprotocolwasused.Participants'druguse,health,andsocialandhealthserviceutilizationcharacteristicswereassessedbyananonymousintervieweradministeredquestionnairecompletedinacommunitysettingdescriptivestatisticsonvariablesofinterestwerecomputed.Serviceneedsandbarrierswerefurtherassessedbywayofseveralfocusgroupswiththestudypopulationnarrativedatawerequalitativelyanalyzed.ThestudyprotocolwasapprovedbyinstitutionalethicsreviewboardsdatawerecollectedbetweenNovember2010andJune2011.RESULTS:Themajorityofthesamplewasmale,withoutstablehousing,andusedotherdrugs(e.g.,alcohol,marijuana).Abouthalfthesamplereportedphysicalandmentalhealthproblems,yetmosthadnotreceivedmedicalattentionfortheseproblems.Onlysmallminoritieshadutilizedlocallyavailablesocialorhealthservicesutilizationappearedtobeinfluencedbysex,raceandhousingcharacteristicsinbothsites.Participantscitedlimitedserviceresources,lackofneedsspecificprofessionalskills,bureaucraticbarriersandstigmaasobstaclestobetterserviceaccess.However,mostrespondentsstatedstronginterestandneedforgeneralsocial,healthandtreatmentservicesdesignedforthestudypopulation,forwhichvariouskeyfeatureswereemphasizedasimportant.CONCLUSIONS:Thestudycontributes

11/04/2015 Pesquisa|PortaldePesquisadaBVS

http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+hea 5/69

substantiveevidencetocurrentdiscussionsaboutthedevelopmentandutilizationofhealthandtreatmentinterventionsforcrackuseinBrazil.Basedonourdata,crackusers'social,serviceneedsarelargelyunmetthesegapsappeartopartlyrootinsystemicbarriersofaccesstoexistingservices,whileimprovedtargetedserviceoffersforthetargetpopulationseemtobeneededalso.

Assuntos

TranstornosRelacionadosaoUsodeCocana/psicologiaCocanaCrackAcessoaosServiosdeSade/estatstica&dadosnumricosServiosdeSade/utilizaoServioSocial/estatstica&dadosnumricosAdolescenteBrasil/epidemiologiaTranstornosRelacionadosaoUsodeCocana/terapiaFemininoHumanosMasculinoreasdePobrezaQuestionriosPopulaoUrbana/estatstica&dadosnumricosAdultoJovem

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Economicevaluationinthefieldofmentalhealth:conceptualbasis

RevistaBrasileiradePsiquiatriaLima,AnaFlaviaBarrosdaSilvaCruz,LucianeNascimentoPolanczyk,CarisiAnneMaia,CarlosRenatoMoreira.RevBrasPsiquiatr35(2):186192,AprilJune/2013.tab,graf.ArtigoemIngls|LILACS|ID:lil680900

Resumo

Objective:Technologicaladvancesinmedicinehavegivenrisetoadilemmaconcerningtheuseofnewhealthtechnologiesinacontextoflimitedfinancialresources.Inthefieldofpsychiatry,healtheconomicevaluationisarecentmethodthatcanassistinchoosinginterventionswithdifferentcostand/oreffectivenessforspecificpopulationsorconditions.Thisarticleintroducesclinicianstothefundamentalconceptsrequiredforcriticalassessmentofhealtheconomicevaluations.Methods:TheauthorsconductedareviewwithsystematicmethodstoassesstheessentialtheoreticalframeworkofhealtheconomicevaluationandmentalhealthinBrazilthroughtextbooksandstudiesindexedinthePubMed,CochraneCentral,LILACS,NHSCRD,andREBRATSdatabases.Atotalof334studieswerefoundusingthespecifiedterms(MeSHMentalHealthANDEconomic,Medical)andfilters(BrazilANDHumans)however,onlyfiveBrazilianeconomicevaluationswerefound.Resultsandconclusions:Economicevaluationstudiesaregrowingexponentiallyinthemedicalliterature.Publicationsfocusingonhealtheconomicsasappliedtopsychiatryareincreasinglycommon,butBraziliandataarestillveryincipient.Inacountrywherefinancialresourcesaresoscarce,economicanalysesarenecessarytoensurebetteruseofpublicresourcesandwiderpopulationaccesstoeffectivehealthtechnologies..(AU)

Assuntos

HumanosTecnologiaBiomdica/economiaTranstornosMentais/economiaSadeMental/economiaBrasilAnliseCustoBenefcioTranstornosMentais/terapiaQualidadedeVidaBibliotecaresponsvel:BR1.1

11/04/2015 Pesquisa|PortaldePesquisadaBVS

http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+hea 6/69

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Acessibilidadeeresolubilidadedaassistnciaemsademental:aexperinciadoapoiomatricial/Accessibilityandresolutionofmentalhealthcare:thematrixsupportexperience

Quinder,PauloHenriqueDiasJorge,MariaSaleteBessaNogueira,MariaSniaLimaCosta,LiduinaFariasAlmeidadaVasconcelos,MardeniaGomesFerreira.Cinc.sadecoletiva18(7):21572166,Jul.2013..ArtigoemPortugus|LILACS|ID:lil679615

Resumo

OsCentrosdeAtenoPsicossocial(CAPS)tmtambmcomofinalidadearticularaesdesadementalnoterritrio,principalmentenaAtenoPrimriaSade(APS).Oapoiomatricialumadasformasparaestaarticulao,poisobjetivaassegurarretaguardaespecializadasequipesdesade.Diantedisto,apesquisapretendecompreendercomoasaesdematriciamentoemsadementalcontribuemparaaacessibilidadeearesolubilidadedoscasos.TratasedeumapesquisaqualitativarealizadanascidadesdeFortalezaeSobral,noEstadodoCear,cujossujeitosentrevistadosforam37(trintaesete)trabalhadoresdesadementaledaatenoprimria,14(quatorze)usuriose13(treze)familiaresqueparticiparamdasaesdoapoiomatricial.ConformeosresultadosdemonstraramostrabalhadoresdaAPSnosesenteminstrumentalizadosparaintervirnoscasosdesademental.ExisteumaprecipitaonosencaminhamentosdosusuriosparaosCAPS,dificultandoaacessibilidadedaassistnciaemsademental.Porm,identificousequeasdiscussesemsadementalnaatenoprimriapossibilitamaapropriaodoscasospelostrabalhadoresdaAPSepromovemaaproximaoentreasequipes.Destemodoinfluenciamnaresolubilidadedoscasosdesademental.(AU)

PsychosocialCareCenters(PCC)arealsodesignedtocoordinateactionsinmentalhealthcareinBrazil,mainlyatPrimaryHealthCare(PHC)level.Matrixsupportisoneofthepillarsoftheprogram,asitaimstoensureassistanceofspecializedbackupstafftothehealthteams.Inthisrespect,thisresearchseekstounderstandhowmatrixactionsinmentalhealthcontributetotheaccessibilityandresolutionofmentalhealthcases.ThisstudyinvolvedqualitativeresearchconductedinthecitiesofFortalezaandSobralintheStateofCear,where37(thirtyseven)mentalhealthworkers,14(fourteen)primaryhealthcareusersand13(thirteen)relativeswhotookpartinmatrixsupportactionswereinterviewed.Astheresultsrevealed,thePHCworkersdonotfeelqualifiedtointerveneinmentalhealthcases.ThereisalsoexcesshasteinreferringuserstoPCCsmakingaccesstomentalhealthcaremoredifficult.However,itwasidentifiedthatdiscussionsonmentalhealthinprimarycareallowtheappropriationofcasesbyPHCworkersandpromoterapprochementbetweentheteams.Inthisway,theyinfluencetheresolutionofmentalhealthcases.(AU)

Assuntos

HumanosAcessoaosServiosdeSadeServiosdeSadeMental/normasAtenoPrimriaSadeBibliotecaresponsvel:BR1.1

11/04/2015 Pesquisa|PortaldePesquisadaBVS

http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+hea 7/69

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PsicofrmacosnaEstratgiaSadedaFamlia:perfildeutilizao,acessoeestratgiasparaapromoodousoracional/PsychotropicdrugsintheFamilyHealthStrategy:profileofuse,accessandstrategiestopromoterationaluse

Rocha,BrunoSimasdaWerlang,MariaCristina.Cinc.sadecoletiva18(11):32913300,Nov.2013.tab.ArtigoemPortugus|LILACSExpress|ID:lil690787

Resumo

OusodepsicofrmacosestaumentandoenoBrasilhpoucosestudosinvestigandoseuempregopelapopulaoenaAtenoPrimriaSade(APS).EsteestudobuscouverificaraprevalnciaeopadrodeconsumoporusuriosdeumaUnidadedeSadedaFamliadePortoAlegreatravsdeumdelinemeantoobservacional,descritivo,retrospectivoedecortetransversal.Aamostrafoicompostaporusuriosqueretiraramreceitasdemedicamentoscontroladoseosdadoscoletadosapartirdopronturio.Foramincludos329usurios,comprevalnciadeutilizaodepsicofrmacosde7,30%,mdiadeidadede53,14(DP=18,58)anose72%deindivduosdosexofeminino.Amdiademedicamentosepsicofrmacosprescritosporusuriofoide3,56(DP=2,36)e1,66(DP=0,90),respectivamente.Aclassemaisutilizadafoiadeantidepressivos,seguidadeantiepilticos,ansiolticoseantipsicticos.Fazsenecessrioelaborarestratgiasparamelhoraroacesso,tratamentodosusurioseusoracionaldepsicofrmacos,incluindoarevisodaslistasdemedicamentosessenciaiseacapacitaodosprofissionaisdaAPS.(AU)

Theuseofpsychotropicdrugsisontheincrease,andtherearefewstudiesinBrazilinvestigatingtheiruseinthepopulationandinPrimaryHealthCare(PHC).Thisstudyaimedtodeterminetheprevalenceandpatternsofpsychotropicdrugus