The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review.

ABSTRACT:

Aims and method

This systematic review examines the effectiveness and cost-effectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries.

Results

Fifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health c

SUBMITTER: Cubillos L 

PROVIDER: S-EPMC8058938 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature