Table 3.
Compositions and activities of mental health (MH) services.
| Variables | Categories | PH-Groupa | WH-Groupb | SN-Groupc | LN-Groupd | |||
|---|---|---|---|---|---|---|---|---|
| Primary care (n = 15) | Specialized care (n = 23) | Primary care (n = 2) | Primary care (n = 12) | Specialized care (n = 13) | Primary care (n = 4) | Specialized care (n = 12) | ||
| Mean % | Mean % | Mean % | Mean % | Mean % | Mean % | Mean % | ||
| Composition of professional teams [n(Mean)] | Psychologists | 3.4 | 0.9 | 10.8 | 0.9 | 0.7 | 6.8 | 1.0 |
| Social workers | 3.8 | 1.9 | 4.0 | 1.3 | 1.1 | 8.3 | 2.0 | |
| Psycho-educators | 3.2 | 2.0 | 10.0 | 0.9 | 1.8 | 7.0 | 0.9 | |
| Nurses | 2.4 | 3.9 | 7.3 | 1.2 | 5.8 | 3.0 | 9.6 | |
| Psychiatrists | 0.1 | 2.3 | 1.4 | 0.0 | 3.6 | 4.0 | 5.2 | |
| General practitioners (GPs) | 0.3 | 0.4 | 1.2 | 0.9 | 1.1 | 0.3 | 0.5 | |
| Professionals in substance use disorders (SUD) | 1.5 | 1.7 | 0.0 | 0.2 | 0.3 | 0.3 | 0.9 | |
| Time allocated by teams to [n (%)] | Treatment or intervention | 53.0 | 61.8 | 67.5 | 49.4 | 71.1 | 56.6 | 63.2 |
| Evaluation | 27.5 | 29.4 | 9.0 | 23.6 | 35.8 | 31.8 | 24.5 | |
| Coordination with other teams | 21.8 | 22.0 | 16.0 | 14.9 | 19.2 | 17.5 | 8.3 | |
| Clientele followed-up [n (%)] | Stabilized disorders | 58.3 | 22.5 | 41.6 | 52.5 | |||
| Common MH disorders (MHD) | 44.3 | 30.0 | 16.5 | 33.8 | ||||
| Severe MHD | 37.1 | 40.0 | 62.2 | 23.8 | ||||
| Personality disorders | 41.5 | 29.0 | 20.0 | 14.4 | 33.8 | 12.5 | 24.8 | |
| Chronic physical disorders | 32.3 | 17.5 | 21.8 | 8.3 | ||||
| Co-occurring MHD-SUDs | 37.5 | 47.1 | 50.0 | 31.2 | 50.1 | 32.3 | 33.3 | |
| Suicidal ideations | 27.8 | 33.2 | 45.0 | 14.8 | 33.8 | 28.8 | ||
| Co-occurring MHD and chronic physical disorders | 25.5 | 36.3 | 25.0 | 27.0 | 43.6 | 15.8 | 22.9 | |
| Problems with the law | 5.5 | 22.1 | 20.0 | 11.7 | 4.0 | 15.7 | ||
| High users | 21.1 | 34.6 | 22.5 | 14.1 | 4.5 | 11.2 | ||
| Psychotic disorders | 50.2 | 48.2 | 51.4 | |||||
| Mood disorders | 40.9 | 21.0 | 35.8 | |||||
| Anxiety disorders | 26.7 | 24.3 | 26.4 | |||||
| Bipolar disorders | 27.9 | 18.7 | 20.4 | |||||
| Frequency of visits [n (%)] | Once or more/month | 89.9 | 93.7 | 93.4 | 88.4 | 76.7 | 97.4 | 81.4 |
| Once/3 months | 6.8 | 4.8 | 5.0 | 0.7 | 12.5 | 1.7 | 9.3 | |
| Once/6 months | 1.9 | 1.2 | 1.7 | 2.8 | 6.3 | 0.9 | 4.6 | |
| Once/year | 1.4 | 0.3 | 0.0 | 8.1 | 4.5 | 0.0 | 4.8 | |
| Duration of client follow-up [n (%)] | >1 year (%) | 50 | 87.3 | 22.5 | 72.4 | 88.2 | 60.0 | 65.6 |
| < a year (%) | 20.9 | 11.8 | 35.0 | 13.8 | 10.6 | 26.7 | 8.5 | |
| < 6 months (%) | 12.7 | 14.5 | 27.5 | 12.1 | 18.9 | 18.3 | 0.7 | |
| < 3 months (%) | 31.9 | 77.9 | 17.5 | 23.3 | 47.1 | 45.0 | 69.5 | |
| Proportion of clientele referred to [n (%)] | MH Community organizations | 36.8 | 29.8 | 25.0 | 46.3 | 21.5 | 36.3 | 38.8 |
| Specialized MH services | 16.2 | 34.8 | 25.0 | 23.1 | 25.7 | 7.5 | 13.0 | |
| Intersectoral resources | 5.1 | 14.6 | 22.5 | 15.9 | 3.9 | 11.7 | 10.0 | |
| SUD rehabilitation centres | 10.9 | 12.8 | 7.5 | 10.2 | 11.6 | 11.7 | 23.4 | |
| Community organizations not in MH | 13.9 | 20.0 | 21.8 | 7.5 | ||||
| HSSCe-MH Primary care teams | 27.6 | 23.0 | 22.5 | |||||
a: With a psychiatric hospital (PH); b: Without specialized MH services in the network; c: <200 000 inhabitants with psychiatric department in a general hospital (GH); d: >200 000 inhabitants with psychiatric department in a GH; e: Health and Social Services Centres (HSSC)-MH Primary care teams.