<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342018000200021</article-id>
<article-id pub-id-type="doi">10.21149/8673</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Contextos y desafíos para la atención de la salud mental en el primer nivel. Una aproximación socioecológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Contexts and challenges for mental health care at the first level. A socioecological approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berenzon-Gorn]]></surname>
<given-names><![CDATA[Shoshana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra-Solano]]></surname>
<given-names><![CDATA[Nayelhi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galván-Reyes]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Dirección de Investigaciones Epidemiológicas y Psicosociales ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>60</volume>
<numero>2</numero>
<fpage>184</fpage>
<lpage>191</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342018000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342018000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342018000200021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Analizar la situación actual de la atención de la salud mental a partir de un análisis socioecológico, sustentado en las percepciones del personal y usuarios de centros de salud (CS) de la Ciudad de México (CDMX).  Material y métodos:  Estudio exploratorio descriptivo de métodos mixtos (CUALI &#8594; CUAN). En la fase cualitativa, se entrevistó al personal de 19 centros ubicados en tres delegaciones de la CDMX y, en la fase cuantitativa, se aplicó un cuestionario a pacientes.  Resultados:  Se identificó la influencia e interdependencia de diferentes factores que impactan la atención de la salud mental (SM). El personal de salud y pacientes reconocen escases de recursos que impactan la calidad del servicio, políticas públicas en SM que no siempre se concretan en la práctica y un modelo de atención que no permite ahondar en problemas emocionales.  Conclusiones:  Mejorar la atención de la SM en el primer nivel requiere de un trabajo reflexivo desde diversas ópticas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To analyze the current status of mental health care through a socioecological analysis, based on the perceptions of health center (HC) staff and users in Mexico City (CDMX).  Materials and methods:  Descriptive exploratory study of mixed methods (QUALI&#8594; QUANT). During the qualitative phase, staff at 19 centers located in three Mexico City boroughs were interviewed and during the quantitative phase, a questionnaire was applied to patients.  Results:  The influence and interdependence of the various factors impacting mental health (MH) care were identified. Health personnel and patients mentioned limited resources, which impact service quality, public MH policies that are not always implemented in practice and a care model that does not make it possible to delve into emotional problems.  Conclusions:  Improving MH care at the primary care level requires reflective work from a variety of perspectives.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[perspectiva socio-ecológica]]></kwd>
<kwd lng="es"><![CDATA[primer nivel de atención]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[socio-ecological perspective]]></kwd>
<kwd lng="en"><![CDATA[primary care level]]></kwd>
<kwd lng="en"><![CDATA[México]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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