RESUMO
BACKGROUND: Access to mental health care is a worldwide public health challenge. In Mexico, an unacceptably high percentage of the population with mental disorders does not receive the necessary treatment, which is mainly due to the lack of access to mental health care. The community mental health care model was created and has been implemented to improve this situation. In order to properly plan and implement this model a precise situational diagnosis of the mental health care network is required, thus this is a first approach to evaluate the community mental health networks in the state of Jalisco. METHODS: Two components from the EvaRedCom-TMS instrument were used including a general description and accessibility of the community mental health care network. A geographic and economic accessibility evaluation was carried out for the different regions of the state ranging from scattered rural to urban communities using information gathered from health institutions, telephone interviews and computer applications. RESULTS: Jalisco's community mental health network includes a total of 31 centers and 0.64 mental health workers for every 10,000 inhabitants > 15 years of age. The mean transportation cost required to access mental health care was 16.25 USD per visit. The time needed to reach the closest mental health center in 7 of the 13 analyzed regions was more than 30 min and the mean time required to reach a prolonged stay center was 172.7 min with transportation cost (taxi, private and public transport) of 22.3 USD. Some marginalized regions in the state have a mean 114 min required to reach the closest mental health care center and 386 min to reach a prolonged stay center. CONCLUSIONS: This first approach to evaluate the mental health networks in Mexico showed that there are multiple barriers to access its care including an unfavorable number of human resources, long distances, and high costs. The identification of Jalisco's mental health network deficiencies is the first step towards establishing a properly planned community mental health care model within the country.
RESUMO
El médico colombiano Jorge Iván Arango visitó Costa Rica, en el mes de noviembre de 2018, con motivo de la apertura del primer grupo de formación en Medicina Sintergética, e impartió el primer módulo. Esta es una propuesta nacida en Colombia y liderada por el Dr. Jorge Carvajal, que implica una concepción de vida y un replanteamiento de conceptos como: paciente, enfermedad, salud, terapeuta, curar, sanar, para ver al ser humano de forma integral. Para ello, reúne varios paradigmas y tradiciones, tanto de modelos de medicinas antiguas de otros países, como China e India, así como de aquellos ancestrales de nuestro continente, sin por ello querer competir o rechazar la medicina hegemónica. Antes bien, propone la integración, el estudio de los mínimos comunes de varios modelos y la enseñanza de la autogestión de la salud. El médico Jorge Iván Arango es un gran conocedor de las medicinas complementarias y un activo promotor de la salud autogestionada en las comunidades de bajos recursos.