Universidad Peruana Cayetano Heredia

Provision of community mental health care before and during the COVID-19 pandemic: A time series analysis in Peru

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dc.contributor.author Villarreal-Zegarra, David
dc.contributor.author Segovia-Bacilio, Piero
dc.contributor.author Paredes Angeles, Rubí Celeste
dc.contributor.author Vilela Estrada, Ana Lucía
dc.contributor.author Cavero Huapaya, Victoria María
dc.contributor.author Diez-Canseco Montero, Francisco
dc.coverage.spatial Perú
dc.date.accessioned 2023-09-06T20:45:07Z
dc.date.available 2023-09-06T20:45:07Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14049
dc.description.abstract Background: A consequence of the COVID-19 pandemic was that the provision of mental health services was reduced in several countries around the world, while the demand for mental health services increased. Aims: Our study aims to determine any variation in the number of users served, health appointments, and care activities conducted at 58 Peruvian community mental health centers (CMHCs) between March 2019 and October 2021. Methods: Our study used an observational design and analyzed information from the care provided in CMHCs. We evaluate the number of users served, health appointments, and care activities performed per month. The main statistical analysis used segmented regression with Newey-West standard errors, taking into account each month of the evaluation. Results: We had 988,456 unique users during the period evaluated. Regarding diagnoses, 7.4% (n = 72,818) had a severe mental problem, 39.4% (n = 389,330) a common mental problem, and 53.2% (n = 526,308) others health problems. The study found a reduction in the number of users served and health care appointments at the 58 CMHCs in March 2020, the month in which the closure measures were declared to reduce COVID-19 infections in Peru. This reduction was followed by an upward trend in the three variables during the pandemic in the 58 CMHCs studied. In, November 2020, 9 months after the pandemic started, the deficit in the average number of users served per month was recovered. Conclusions: Our study suggests that CMHCs in the Peruvian system were able to regain care capacity approximately 1 year after the pandemic. In addition, we discuss the efforts made to respond to mental health needs in the context of a global health crisis. en_US
dc.language.iso eng
dc.publisher Sage Publications
dc.relation.ispartofseries International Journal of Social Psychiatry
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Mental health care en_US
dc.subject COVID-19 en_US
dc.subject Pandemic en_US
dc.subject Peru en_US
dc.subject.mesh Atención a la Salud Mental
dc.subject.mesh COVID-19
dc.subject.mesh Pandemias
dc.subject.mesh Perú
dc.title Provision of community mental health care before and during the COVID-19 pandemic: A time series analysis in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/00207640231185026
dc.relation.issn 1741-2854


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