Community-Based Mental Health Services in Mexico.

Area of Science:

• Mental healthcare research
• Public health policy
• Healthcare system analysis

Background:

• Mexico's mental healthcare system is fragmented, with separate services for insured and uninsured populations.
• The system predominantly relies on tertiary care, leading to significant treatment gaps and delays.

Purpose of the Study:

• To describe the characteristics of community-based mental healthcare in Mexico.
• To analyze the evolution of mental healthcare services and policies from 2001 to 2017.

Main Methods:

• Analysis of national survey data, special studies, and national information system statistics (2001-2017).
• Review of health system information, regulations, innovations, and research on psychosocial interventions.

Main Results:

• A shift towards primary healthcare and community-based services is observed, with increased integration of medical doctors and psychologists.
• Despite reduced psychiatric beds and no new hospitals, mental health services and primary care beds have not increased proportionally.
• Efficient community and primary care interventions have been developed, but implementation remains a challenge.

Conclusions:

• Evidence supports a transition from tertiary to reinforced primary care in Mexico's mental healthcare.
• Achieving parity, financial protection, and ensuring quality and continuity of care are ongoing challenges.