- Mental Health Treatment and Access
- Public Health and Social Inequalities
- Schizophrenia research and treatment
- Aging, Health, and Disability
- Global Public Health Policies and Epidemiology
- Health and Lifestyle Studies
- Substance Abuse Treatment and Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Cardiac Health and Mental Health
- COVID-19 and Mental Health
- Helminth infection and control
- Delphi Technique in Research
- Digital Mental Health Interventions
- Mental Health and Psychiatry
- Diabetes Management and Education
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Educational and Psychological Assessments
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Healthcare Systems and Reforms
- Stress and Burnout Research
- Primary Care and Health Outcomes
University of Chile
2020-2024
World Health Organization Regional Office for the Americas
2023
Ministry of Health
2018-2021
Instituto de Salud Pública de Chile
2021
Millennium Institute for Research in Depression and Personality
2020
Abstract Since the 2008 publication of reports Commission on Social Determinants Health and its nine knowledge networks, substantial research has been undertaken to document describe health inequities. The COVID-19 pandemic underscored need for a deeper understanding of, broader action on, social determinants health. Building this unique critical opportunity, World Organization is steering multi-country Initiative reduce inequities through an action-learning process in ‘Pathfinder’...
This study aims to psychometrically validate the Chilean version of Alcohol, Smoking and Substance Involvement Screening Test ASSIST. Specifically, this is interested in evaluating reliability, consistency concurrent discriminant validity instrument. The sample was composed for a total 400 people from four different settings: treatment centers (residential ambulatories), primary health care, police stations companies. reliability ASSIST high (α = .86 α .84 marijuana .90 cocaine)....
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Present the methodology for comprehensive evaluation of implementation Mental Health Global Action Programme (mhGAP) in Chile and describe program's results.Cross-sectional evaluative study based on a survey key program informants deployed 29 public health services country, as well individual interviews focus groups with actors experts. The was focused relevance impact mhGAP provision mental program.The participants gave positive progressive Chile. In particular: 1) They reported having...
The objective is to examine the association between binge drinking and frequency of alcohol consumption during last month with self-reported episodes violence committed by people under influence or other drugs. We carried out a cross-sectional study that uses data from National Survey on Drug Use General Population Chile 2010. A sample 16,000 subjects, 12 64 years age (mean 35.8 years), representing population 9,536,602 individuals (49.5% men 50.5% women) was used. dependent variables were:...
Since health care delivery in Chile was comprehensively reformed 2005, treating schizophrenia for its populace has been guaranteed, regardless of individuals’ type insurance coverage. The implementation this national treatment program facilitated timely access to Chileans with a first episode schizophrenia, particularly publicly insured individuals. Although reform benefited 98% the population, significant challenges remain. These include transition new evidence-based interventions, such as...
This study seeks to describe the adverse effects of COVID-19 pandemic on mental health services in Chile.This is part ongoing multicountry research known as Mental Health Care - Adverse Sequelae (or MASC study) that includes seven countries. Chile only one Latin America. used a convergent mixed methods design. The quantitative component analyzed data about public care collected between January 2019 and December 2021 from open-access database at Ministry Health. qualitative focus groups...
This analysis reviews the situation of child and adolescent mental health in Chile, organizational determinants, initiatives interventions implemented to enhance development despite country's inequities. Progressive national plans is covered, from first plan 2000, growing number professionals training they receive, such as MhGAP, implementation "Chile Crece Contigo," whose preliminary evaluations are starting show some effectiveness. However, World Health Organization reports that progress...
Background: Patient Health Questionnaire (PHQ-9) has nine questions and is used in diabetic or hypertensive patients to detect depressive symptoms. The PHQ-2 uses the first two of PHQ-9 rapidly those that should answer whole questionnaire.
Abstract A WHO rapid assessment of early impact the COVID-19 pandemic on mental health services worldwide found a consistent pattern degradation. In this context MASC study aimed to: identify consequences for and people with pre- existing conditions (MHCs) in 7 low- middle-income countries; (2) good practice to mitigate these impacts. The was conducted Chile, Ethiopia, Georgia, Nigeria, South Africa, Sri Lanka Ukraine. This an observational study, using mixed- methods convergent design,...
The comorbidity of depression with physical chronic diseases is usually not considered in clinical guidelines. This study evaluated the feasibility a technology-assisted collaborative care (TCC) program for people diabetes and/or high blood pressure (DM/HBP) attending primary health (PHC) facility Santiago, Chile. Twenty diagnosed DM/HBP having Patient Health Questionnaire-9 score ≥ 15 points were recruited. TCC consisted face-to-face, computer-assisted psychosocial intervention (CPI, five...
Abstract Background Substantial data from high-income countries support early interventions in the form of evidence-based Coordinated Specialty Care (CSC) for people experiencing First Episode Psychosis (FEP) to ameliorate symptoms and minimize disability. Chile is unique among Latin American providing universal access FEP services through a national policy that mandates identification individuals primary care guarantees delivery community-based treatments within public health system....
Abstract Background: Substantial data from high-income countries support early interventions in the form of evidence-based Coordinated Specialty Care (CSC) for people experiencing First Episode Psychosis (FEP) to ameliorate symptoms and minimize disability. Chile is unique among Latin American providing universal access FEP services through a national policy that mandates identification individuals primary care guarantees delivery community-based treatments within public health system....
Introduction: COVID-19 pandemic has strained healthcare systems worldwide and had a negative impact on the mental health of population. Mental services face challenge to address people’s needs in contexts emergency. Objective: The objective this study was estimate explain effect outpatient public care Coquimbo region, Chile. Materials Methods: A sequential mixed method design (DEXPLIS) used. In first stage, an analysis uninterrupted time series from 2017 2021 conducted consultations included...