The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries : systematic review
AuthorsPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Bartels, Sophia M.
Torrey, William C.
Uribe-Restrepo, José Miguel
Castro Díaz, Sergio
John, Deepak T.
Williams, Makeda J.
Marsch, Lisa A.
Artículo de revista
2056-4708 / 2056-4694 (Electrónico)
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Aims and method This systematic review examines the effectiveness and costeffectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries. Results Fifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health costs but cost-effective estimates. The included studies used six distinct behavioural health integration models. Clinical implications Behavioural health integration may yield improved health outcomes, although it may require additional resources. The proposed typology can assist decision-makers to advance the implementation of integrated models.
Magazine magazine magazine in ScopusQ1
Link to the resourcehttps://www.cambridge.org/core/journals/bjpsych-bulletin/article/effectiveness-and-costeffectiveness-of-integrating-mental-health-services-in-primary-care-in-low-and-middleincome-countries-systematic-review/56873BCBC10EAAAA9015483427B5A800
SourceBJPsych Bulletin; (2020)
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