Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/49565 |
Resumo: | This work was supported by FAPESP grants 2017/20668-7, EVIPNet-Brazil/Ministry of Health SCON2017-02502, and Dom Aguirre Foundation. |
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Fulone, IzabelaBarreto, Jorge Otávio MaiaBarberato-Filho, SilvioBergamaschi, Cristiane de CássiaSilva, Marcus TolentinoLopes, Luciane Cruz2021-10-26T14:29:10Z2021-10-26T14:29:10Z2021FULONE, Izabela et al. Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools. Frontiers in Psychiatry, v. 12, n. 575108, p. 1-10, Apr. 2021.1664-0640https://www.arca.fiocruz.br/handle/icict/4956510.3389/fpsyt.2021.575108This work was supported by FAPESP grants 2017/20668-7, EVIPNet-Brazil/Ministry of Health SCON2017-02502, and Dom Aguirre Foundation.University of Sorocaba. Graduate Program in Pharmaceutical Science. Sorocaba, SP. Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.University of Sorocaba. Graduate Program in Pharmaceutical Science. Sorocaba, SP. Brazil.University of Sorocaba. Graduate Program in Pharmaceutical Science. Sorocaba, SP. Brazil.Background: The deinstitutionalization process is complex, long-term and many countries fail to achieve progress and consolidation. Informing decision-makers about appropriate strategies and changes in mental health policies can be a key factor for it. This study aimed to develop an evidence brief to summarize the best available evidence to improve care for deinstitutionalized patients with severe mental disorders in the community. Methods: We used the SUPPORT (Supporting Policy Relevant Reviews and Trials) tools to elaborate the evidence brief and to organize a policy dialogue with 24 stakeholders. A systematic search was performed in 10 electronic databases and the methodological quality of systematic reviews (SRs) was assessed by AMSTAR 2. Results: Fifteen SRs were included (comprising 378 studies and 69,736 participants), of varying methodological quality (3 high-quality SRs, 2 moderate-quality SRs, 7 low-quality SRs, 3 critically low SRs). Six strategies were identified: (i). Psychoeducation; (ii). Anti-stigma programs, (iii). Intensive case management; (iv). Community mental health teams; (v). Assisted living; and (vi). Interventions for acute psychiatric episodes. They were associated with improvements on a global status, satisfaction with the service, reduction on relapse, and hospitalization. Challenges to implementation of any of them included: stigma, the shortage of specialized human resources, limited political and budgetary support. Conclusions: These strategies could guide future actions and policymaking to improve mental health outcomes.engFrontiers Media SAEvidence-Based PracticeTranslational Science, BiomedicalDeinstitutionalizationMental HealthCommunity Mental Health ServicesEvidence-informed policyKnowledge translationDeinstitutionalizationMental healthCommunity mental health servicesPolítica Informada por EvidênciasPesquisa Médica TranslacionalDesinstitucionalizaçãoSaúde MentalServiços Comunitários de Saúde MentalImproving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation toolsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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| dc.title.pt_BR.fl_str_mv |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| title |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| spellingShingle |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools Fulone, Izabela Evidence-Based Practice Translational Science, Biomedical Deinstitutionalization Mental Health Community Mental Health Services Evidence-informed policy Knowledge translation Deinstitutionalization Mental health Community mental health services Política Informada por Evidências Pesquisa Médica Translacional Desinstitucionalização Saúde Mental Serviços Comunitários de Saúde Mental |
| title_short |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| title_full |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| title_fullStr |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| title_full_unstemmed |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| title_sort |
Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools |
| author |
Fulone, Izabela |
| author_facet |
Fulone, Izabela Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Bergamaschi, Cristiane de Cássia Silva, Marcus Tolentino Lopes, Luciane Cruz |
| author_role |
author |
| author2 |
Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Bergamaschi, Cristiane de Cássia Silva, Marcus Tolentino Lopes, Luciane Cruz |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Fulone, Izabela Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Bergamaschi, Cristiane de Cássia Silva, Marcus Tolentino Lopes, Luciane Cruz |
| dc.subject.mesh.pt_BR.fl_str_mv |
Evidence-Based Practice Translational Science, Biomedical Deinstitutionalization Mental Health Community Mental Health Services |
| topic |
Evidence-Based Practice Translational Science, Biomedical Deinstitutionalization Mental Health Community Mental Health Services Evidence-informed policy Knowledge translation Deinstitutionalization Mental health Community mental health services Política Informada por Evidências Pesquisa Médica Translacional Desinstitucionalização Saúde Mental Serviços Comunitários de Saúde Mental |
| dc.subject.en.pt_BR.fl_str_mv |
Evidence-informed policy Knowledge translation Deinstitutionalization Mental health Community mental health services |
| dc.subject.decs.pt_BR.fl_str_mv |
Política Informada por Evidências Pesquisa Médica Translacional Desinstitucionalização Saúde Mental Serviços Comunitários de Saúde Mental |
| description |
This work was supported by FAPESP grants 2017/20668-7, EVIPNet-Brazil/Ministry of Health SCON2017-02502, and Dom Aguirre Foundation. |
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2021 |
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2021-10-26T14:29:10Z |
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2021-10-26T14:29:10Z |
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2021 |
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FULONE, Izabela et al. Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools. Frontiers in Psychiatry, v. 12, n. 575108, p. 1-10, Apr. 2021. |
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https://www.arca.fiocruz.br/handle/icict/49565 |
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1664-0640 |
| dc.identifier.doi.none.fl_str_mv |
10.3389/fpsyt.2021.575108 |
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FULONE, Izabela et al. Improving care for deinstitutionalized people with mental disorders: experiences of the use of knowledge translation tools. Frontiers in Psychiatry, v. 12, n. 575108, p. 1-10, Apr. 2021. 1664-0640 10.3389/fpsyt.2021.575108 |
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