PMID- 21385338
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20211020
IS  - 1752-1505 (Electronic)
IS  - 1752-1505 (Linking)
VI  - 5
DP  - 2011 Mar 7
TI  - Integrating mental health into primary care for displaced populations: the 
      experience of Mindanao, Philippines.
PG  - 3
LID - 10.1186/1752-1505-5-3 [doi]
AB  - 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 < 0.001) and median GAF 
      score increased from 60 to 70 (p < 0.001). Baseline score and score at last 
      assessment were different for both discharged patients and defaulters (p < 
      0.001). CONCLUSIONS: Brief psychotherapy sessions provided at primary level 
      during emergencies can potentially improve patients' symptoms of distress.
FAU - Mueller, Yolanda
AU  - Mueller Y
AD  - Epicentre, 8 rue Saint Sabin, 75011 Paris, France. yolanda.muller@geneva.msf.org.
FAU - Cristofani, Susanna
AU  - Cristofani S
FAU - Rodriguez, Carmen
AU  - Rodriguez C
FAU - Malaguiok, Rohani T
AU  - Malaguiok RT
FAU - Gil, Tatiana
AU  - Gil T
FAU - Grais, Rebecca F
AU  - Grais RF
FAU - Souza, Renato
AU  - Souza R
LA  - eng
PT  - Journal Article
DEP - 20110307
PL  - England
TA  - Confl Health
JT  - Conflict and health
JID - 101286573
PMC - PMC3060114
EDAT- 2011/03/10 06:00
MHDA- 2011/03/10 06:01
PMCR- 2011/03/07
CRDT- 2011/03/10 06:00
PHST- 2010/08/31 00:00 [received]
PHST- 2011/03/07 00:00 [accepted]
PHST- 2011/03/10 06:00 [entrez]
PHST- 2011/03/10 06:00 [pubmed]
PHST- 2011/03/10 06:01 [medline]
PHST- 2011/03/07 00:00 [pmc-release]
AID - 1752-1505-5-3 [pii]
AID - 10.1186/1752-1505-5-3 [doi]
PST - epublish
SO  - Confl Health. 2011 Mar 7;5:3. doi: 10.1186/1752-1505-5-3.