ArticleInternational journal of mental health systems2021
Determinants of timely access to Specialized Mental Health Services and maintenance of a link with primary care: a cross-sectional study.
Article in International journal of mental health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Co-Designing a Family e-Hub: A Systemic, Relational, Digital Mental Health Resource.Journal of marital and family therapy · 2026Article
- Re-evaluating the access imperative in healthcare in the United States.Journal of public health policy · 2026Review
- Physical health screening for people with severe mental disorders: a best practice implementation project.Revista da Escola de Enfermagem da U S P · 2026Article
- Re-Evaluating Access in Healthcare: Focus on Quality of Care.Public health challenges · 2025Review
- [Therapeutic itineraries shared by users of specialized mental health services: a cluster analysis].Cadernos de saude publica · 2025Article
- Mental and behavioral health care access and satisfaction among older sexual minority women.Academia mental health & well-being · 2025Article
- Expanding patient access to psychiatry and mental health supports: early impacts of the Nova Scotia health rapid access and stabilization program.Frontiers in psychiatry · 2025Article
- Effects of matrix support implementation on the community mental health network in a medium-sized Brazilian municipality: a repeated cross-sectional study.Cadernos de saude publica · 2025Article
- Prevalence of risk factors among adolescents who attempted suicide: a cross-sectional studyRevista da Escola de Enfermagem da U S P · 2024Article
- Racial inequalities in mental healthcare use and mortality: a cross-sectional analysis of 1.2 million low-income individuals in Rio de Janeiro, Brazil 2010-2016.BMJ global health · 2023Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundAlthough access to specialized services is one of the main components of the study of paths to mental health care worldwide, the factors related to the continuity of the patient's link with Primary Care after admission to a Specialized Mental Health Services still need to be explored in greater depth. Thus, this study aimed to evaluate the determinants of timely access to Specialized Mental Health Services (outcome 1) and maintenance of a link with Primary Care after patients' admission (outcome 2).
methodsThis is a cross-sectional study, conducted with 341 users of Specialized Mental Health Services at outpatient and community level in a medium-sized city in Brazil between August and November 2019. Associations between the outcomes and the other variables were explored with the use of Poisson regression models with robust variance estimators.
resultsFactors positively associated with timely access were the diagnosis of psychosis or psychoactive substance misuse. The inversely associated factors with this outcome were higher income, having their need for mental health care identified in an appointment for general complaints, having been referred to the current service by Primary Care, having attended the current service for up to 3 years and delay until the first appointment (in a previous service). Regarding the maintenance of a link with Primary Care, factors positively associated were being referred to the current service by Primary Care or private service and receiving visits from Community Health Agents. The inversely associated factors with this outcome were male sex, being employed, having a diagnosis of psychosis or psychoactive substance misuse, and a greater perception of social support.
conclusionsIn addition to individual factors, factors related to the organization of services and the referral between them stood out in influencing both the access and maintenance of the patients' link with Primary Care. Thus, this study reinforces the idea that integration between Primary Care and Specialized Mental Health Services should be strengthened, both to reduce waiting times for between-service referrals and benefit of care continuity.
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