PMID- 30785972
OWN - NLM
STAT- MEDLINE
DCOM- 20190424
LR  - 20190424
IS  - 0327-6139 (Print)
IS  - 0327-6139 (Linking)
VI  - XXIX
IP  - 142
DP  - 2018 Nov
TI  - [The burden of mental disorders, neurological, substance use and suicide: Report 
      on mental health priorities in Argentina].
PG  - 304-312
AB  - The objective of this study is to provide an estimate of the burden of disease 
      related to mental health in Argentina, in order to provide elements for the 
      rational prioritization of resource allocation and the development of services. 
      Based on the estimations made by the Study of the Global Burden of Disease (1) we 
      add an analysis of the load product of: a) self-injuries and suicide; b) common 
      neurological disorders with severe psychological and behavioral manifestations; 
      c) somatic consequences of alcohol use disorder; and iv) an estimate of the 
      disorder by somatic symptoms with prominent pain. The burden of disease caused by 
      mental, neurological, substance use and suicide disorders (MNSS) is approximately 
      one fifth of the years of life adjusted for disability (DALYs) and more than a 
      third of the years lived with disability (ADLs) total, resulting in the most 
      disabling subgroup of all non-communicable diseases (NCDs), and far exceeding the 
      combined group of infectious and maternal-child diseases, and the group of 
      non-self-inflicted accidents and injuries. The analysis of DALYs by age and sex 
      allows a hierarchy of the disorders that should guide the development of services 
      for MNSS disorders, their integration in primary care, and the allocation of 
      resources. The first level of care is the only one with a relatively homogeneous 
      presence throughout the country, being the only one capable of effectively 
      increasing coverage and reducing inequality. The strengthening of the first level 
      of care can be achieved through training in mental health of non-specialized 
      personnel and the use of computer and communication technology resources to 
      counteract regional inequities in coverage. Such strategic vision will allow to 
      diminish: the excessive expenses in specialized resources, which by definition 
      are more expensive and intervene only when the pathology exceeded a certain 
      threshold; and the indirect costs caused by the loss of labor productivity. 
      Fundamentally, it will allow increasing coverage and reversing regional and 
      socioeconomic inequality in the quality of mental health care in a country rich 
      in professional resources.
FAU - Vigo, Daniel
AU  - Vigo D
AD  - Centre for Applied Research in Mental Health and Addiction (CARMHA), Faculty of 
      Health Sciences, Simon Fraser University, Vancouver, Canada. Department of Global 
      Health and Social Medicine, Harvard Medical School, Boston, USA. Department of 
      Psychiatry, University of British Columbia, Vancouver, Canada. 
      vigo.daniel@mail.harvard.edu.
FAU - Jones, Laura
AU  - Jones L
FAU - Maidana, Daniel E
AU  - Maidana DE
FAU - Krausz, Michael
AU  - Krausz M
FAU - Kestel, Devora
AU  - Kestel D
LA  - spa
PT  - Journal Article
TT  - Carga de los trastornos mentales, neurologicos, por consumo de sustancias y 
      suicidio y prioridades de salud mental en Argentina.
PL  - Argentina
TA  - Vertex
JT  - Vertex (Buenos Aires, Argentina)
JID - 9440528
SB  - IM
MH  - Argentina
MH  - Child
MH  - *Cost of Illness
MH  - Global Health
MH  - *Health Priorities
MH  - Humans
MH  - Life Expectancy
MH  - *Mental Disorders
MH  - *Mental Health
MH  - Nervous System Diseases
MH  - Quality-Adjusted Life Years
MH  - *Suicide
EDAT- 2019/02/21 06:00
MHDA- 2019/04/25 06:00
CRDT- 2019/02/21 06:00
PHST- 2019/02/21 06:00 [entrez]
PHST- 2019/02/21 06:00 [pubmed]
PHST- 2019/04/25 06:00 [medline]
PST - ppublish
SO  - Vertex. 2018 Nov;XXIX(142):304-312.