tailieunhanh - Báo cáo y học: " Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines | Mueller et al. Conflict and Health 2011 5 3 http content 5 1 3 CONFLICT AND HEALTH RESEARCH Open Access Integrating mental health into primary care for displaced populations the experience of Mindanao Philippines 1 I- c 2 3 3 3 1 Yolanda Mueller Susanna Cristofani Carmen Rodriguez Rohani T Malaguiok Tatiana Gil Rebecca F Grais Renato Souza2 Abstract Background 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. Methods 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. Results 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 and median GAF score increased from 60 to 70 p . Baseline score and score at last assessment were different for both discharged patients and defaulters p . Conclusions Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients symptoms of distress. Background During the acute phase of an emergency mental health interventions to reduce traumatic stress are often put in place. In addition to syndromes often associated with conflict such as post-traumatic stress disorders 1 other disorders also occur such as depressive or anxiety disorders 2 . Further in a context of limited access to health care patients with mental health or neurological disorders .