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The impact of primary mental health care in a prison system in Brazil.
Authors:J G Taborda  J M Bertolote  R G Cardoso  P Blank
Affiliation:WHO Collaborating Centre for Research and Training in Mental Health, Porto Alegre, Rio Grande do Sul, Brazil. taborda@conex.com.br
Abstract:OBJECTIVE: To analyze the impact of a psychiatric service in a prison general hospital that refers prisoners with mental disorders to a separate forensic psychiatric hospital (FPH). METHOD: Analysis of data on prison population and referrals to the FPH. RESULTS: Despite a 10.9% increase in the overall prison system population over 3 years, referrals from the prison general hospital with the new psychiatric service to the FPH were reduced by 36.5%, whereas referrals from other prisons increased by 120.4%. CONCLUSION: Our results demonstrate the efficiency of the new primary health care approach.
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