<?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>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252016000100003</article-id>
<article-id pub-id-type="doi">10.17711/SM.0185-3325.2015.062</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La salud mental y la atención primaria en México. Experiencias de un modelo de atención colaborativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Mental health and primary care in Mexico. Experience of the collaborative care model]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Terrez]]></surname>
<given-names><![CDATA[Blanca Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villamil Salcedo]]></surname>
<given-names><![CDATA[Valerio]]></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 Servicios Clínicos Servicio de Psiquiatría Comunitaria]]></institution>
<addr-line><![CDATA[México D.F.]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Subdirección de Investigaciones Clínicas ]]></institution>
<addr-line><![CDATA[México D.F.]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2016</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>9</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252016000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252016000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252016000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  INTRODUCCIÓN: En México, existe poca experiencia en el desarrollo de modelos en atención primaria en salud mental.  OBJETIVO: Estructurar y aplicar un modelo de atención colaborativa en salud mental, basado en evidencias científicas probadas en otros países.  MÉTODO: Se diseñó un modelo acorde a las características del sistema de salud de la Ciudad de México. El modelo consistió en: la capacitación del equipo de salud para detectar posibles casos, la aplicación del instrumento de tamizaje (K-10), para el diagnóstico de depresión y ansiedad, así como realizar reuniones de atención colaborativa entre los médicos generales y el especialista en psiquiatría para la supervisión de casos. Se aplicó una entrevista de opinión a los médicos generales.  RESULTADOS: Se capacitaron 104 profesionistas. Durante tres años se detectaron 830 (50.5%) posibles casos, se valoraron el 38% de éstos en sesiones de atención colaborativa entre el médico general y el psiquiatra. El 50% de las sesiones fueron suspendidas por motivos administrativos principalmente; la asistencia de los médicos generales y de los pasantes de medicina fue regular.  DISCUSIÓN Y CONCLUSIÓN: El modelo de atención colaborativa entre el médico general y el especialista en este contexto puede funcionar. Sin embargo, se deben resolver algunas barreras administrativas, como la organización de los servicios y el número de programas que se desarrollan en el primer nivel de atención. Ante esta limitación, y dada la experiencia, se propone que los estudiantes de servicio social de medicina se involucren en este tipo de modelos, con el apoyo de los médicos generales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  INTRODUCTION: In Mexico, there is scarce experience on the development of mental health primary care models.  OBJECTIVE: The goal of this work was to structure and apply a collaborative care model in mental health based on scientific evidence proven in other countries.  METHOD: A model complying with the characteristics of Mexico City's health system was designed. The model was composed of: training sessions for the health team to detect possible cases, application of a screening instrument (K-10), diagnostics of depression and anxiety, and collaborative care meetings, among general practitioners and the specialist (psychiatrist) to oversee cases. An opinion interview about the model was applied to general practitioners.  RESULTS: One hundred and four professionals were trained. During the three years, 830 (50.5%) possible cases were detected; 38% of them were evaluated in collaborative care sessions between the general practitioners and the psychiatrist. Half the sessions were cancelled, mainly for administrative reasons. The assistance of medical practitioners and pregraduate medical education was regular.  DISCUSSION AND CONCLUSION: A collaborative care model between the general practitioner and the specialist is feasible in this context. However, some administrative barriers -such as the organization of services and the number of programs developed at the primary care- should be solved, because there are other programs demanding from them the exclusiveness of time. In the light of this limitation, and given the collaboration in the project, it is proposed that pregraduate medical education students involve themselves in this type of models with the support of general practitioners.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención colaborativa]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[depresión]]></kwd>
<kwd lng="es"><![CDATA[primer nivel]]></kwd>
<kwd lng="en"><![CDATA[Collaborative care]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[depression]]></kwd>
<kwd lng="en"><![CDATA[primary care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Primary care mental health and Alma-Ata: from evidence to action]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ivbijaro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Kolkiewicz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Lioni]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Svab]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Ment Health Fam Med]]></source>
<year>2008</year>
<volume>5</volume>
<page-range>67-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Resources for mental health: scarcity, inequity, and inefficiency]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saxena]]></surname>
</name>
<name>
<surname><![CDATA[Thornicof]]></surname>
</name>
<name>
<surname><![CDATA[Whiteford]]></surname>
</name>
</person-group>
<source><![CDATA[Global Mental Health 2]]></source>
<year>2007</year>
<volume>370</volume>
<page-range>878-89</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ustum]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
<name>
<surname><![CDATA[Sartorius]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<source><![CDATA[Mental illness in general health care. An international study]]></source>
<year>1995</year>
<page-range>19-36</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley and Sons Ltd.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluating models of working at the interface between mental health services and primary care]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gask]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sibbald]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Creed]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Br J Psychiatry]]></source>
<year>1997</year>
<volume>170</volume>
<page-range>6-11</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Psychiatric disorders in adolescents in primary care]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kramer]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Garralda]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Br J Psychiatry]]></source>
<year>1998</year>
<volume>173</volume>
<page-range>508-13</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Alcance y límites en la actuación del médico de atención primaria en los trastornos psiquiátricos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paolo]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psiq Prim]]></source>
<year>2003</year>
<volume>4</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>4-12</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Managing common mental health disorders in primary care: conceptual models and evidence base]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bower]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gilbody]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[BMJ]]></source>
<year>2005</year>
<volume>330</volume>
<page-range>839-42</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Treating depression in primary care in low income women in Santiago, Chile: a randomized controlled trial]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araya]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Fritsch]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gaete]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>2003</year>
<volume>361</volume>
<page-range>995-1000</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Araya]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Chatterjee]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chisholm]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Global mental health 3]]></source>
<year>2007</year>
<volume>370</volume>
<page-range>991-1005</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Social cost of mental disorders: Disability and work days lost. Results from the Mexican survey of psychiatric epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Medina-Mora]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Ment]]></source>
<year>2007</year>
<volume>30</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>4-13</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: Results from the Mexican National Comorbidity Survey]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina-Mora]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Benjet]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Psychol Med]]></source>
<year>2005</year>
<volume>35</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1773-83</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Delay of first treatment of mental and substance use disorders in Mexico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Medina-Mora]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Public Health]]></source>
<year>2007</year>
<volume>97</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1638-43</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalence, severity and unmet need for treatment of mental disorders In the World Mental Health Organization world mental health surveys]]></article-title>
<collab>WHO World Mental Health Consortium</collab>
<source><![CDATA[JAMA]]></source>
<year>2004</year>
<volume>291</volume>
<page-range>2581-90</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Los especialistas en psiquiatría en México: su distribución, ejercicio profesional y certificación]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heinze]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Chapa]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Santisteban]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Ment]]></source>
<year>2012</year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>279-85</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Collaborative management to achieve treatment guidelines. Impact on depression in primary care]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Katon]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Von Korff]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[JAMA]]></source>
<year>1995</year>
<volume>273</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>1026-31</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Validación de la escala Kessler 10 (K-10) en la detección de depresión y ansiedad en el primer nivel de atención. Propiedades psicométricas]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas Terrez]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Villamil Salcedo]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Estrada]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Romero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Ment]]></source>
<year>2011</year>
<volume>34</volume>
<page-range>323-31</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Barriers to the improvement of mental health services in low-income and middle-income countries]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saraceno]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>2007</year>
<volume>370</volume>
<page-range>1164-74</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hacemos lo que podemos: los prestadores de servicios frente a la utilización]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bronfman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zuñiga]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>1987</year>
<volume>39</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La carga de la enfermedad en países de América Latina]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez-Dantés]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Franco-Marina]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bedregal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2011</year>
<numero>53^s2</numero>
<issue>53^s2</issue>
<supplement>2</supplement>
<page-range>S72-7</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sistema de salud de México]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez-Dantés]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Sesma]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Becerril]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Knaul]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2011</year>
<numero>53^s2</numero>
<issue>53^s2</issue>
<supplement>2</supplement>
<page-range>S220-32</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
