Artículo de revista
Depression program in primary health care: The chilean experience
Fecha
2012Registro en:
International Journal of Mental Health, Volumen 41, Issue 1, 2018, Pages 38-47
00207411
10.2753/IMH0020-7411410103
Autor
Alvarado, Rubén
Rojas, Graciela
Minoletti, Alberto
Alvarado, Francisca
Domínguez, Carlos
Institución
Resumen
Chile is a middle income country in the process of demographic transition, where mental health problems contribute significantly to the disease burden. In 2001, Chile introduced gradually the Program of Treatment for Depression in Primary Health Care (PTDPHC), which includes a multicomponent care model according to the severity of the medical profile: integral evaluation by a team of professionals, antidepressant drug treatment, individual psychotherapy, psychoeducational group intervention, and monitoring visits. In 10 years of operation, this program has attended more than 1 million adults. We have conducted several evaluations of this program, and our results show that PTDPHC is effective in decreasing depressive symptoms and comorbidity, has positive effects on the patient and their partners, and is independent of the center; the greatest threat to achieving effectiveness is the rate of treatment dropout. In the future, the manager of this policy must meet the following challenges:
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