Psychological Treatments Features and Outcomes in Spanish Public Mental Health Centres

  1. Sara Gonzáez González
  2. Marta González Pescador
  3. María del Carmen Iglesias García
  4. María Ruiz Torres
  5. María Victoria Rojo García
  6. Marta Sandoya Arozamena
  7. Concepción Fernández Rodríguez 1
  8. María Dolores Paz Caballero 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
International journal of psychology and psychological therapy

ISSN: 1577-7057

Año de publicación: 2014

Volumen: 14

Número: 3

Páginas: 17-32

Tipo: Artículo

Otras publicaciones en: International journal of psychology and psychological therapy

Resumen

Little outcomes research has been developed at public mental health care centres up to now, where however a huge percentage of population is treated. Our purpose was to describe features and outcomes of patients attending some public psychological consultations in order to be assessed and if needed treated, in Cantabria (Spain); this should aim at improving effectiveness and efficiency of our psychological treatments. Our sample was composed by all new users coming to 3 clinical psychologists? consultations for 3.5 years (N= 1962). We measured several clinical, sociodemographic and outcome variables at the beginning of these treatments (pretest), at its end or 1 year after the start (postest), and at 1 and 2 years follow-ups after postest; these variables were collected in clinical interviews or through a telephone survey. Postest showed that 51.4% of patients improved their state after our psychotherapies, while 31.7% did not. For the first year after postest 67.1% of them had not visited any public mental health centre in our region, and 82.4% had not done it for the second year. Previous mental health treatments, sick leaves at work, organic illnesses, applied treatments, asking for a written report, the patient?s involvement into the referral and collaboration into therapy were the main predictive variables of outcomes

Referencias bibliográficas

  • Beyebach M, Rodríguez MS, Arribas de Miguel J, Herrero de Vega M, Hernández C y Rodríguez Morejón A (2000). Outcome of solution-focused therapy at University Family Center. Journal of Systemic Therapies, 19, 116-128.
  • Echeburúa E, Salaberría K, de Corral P, Cenea R y Berasategui T (2000). Tratamiento del trastorno mixto de ansiedad y depresión: resultados de una investigación experimental. Análisis y Modificación de Conducta, 26, 509-535.
  • Fernández Méndez J, Luengo MA, García Haro J, Braña B, González Díaz MD, Cabero A, Cuesta M y Caunedo PJ (2010). Efectividad de la psicoterapia breve en los centros de salud mental I: diseño, tratamientos y procedimiento. Revista de la Asociación Española de Neuropsiquiatría, 30, 563-580.
  • Fernández Méndez J, Luengo MA, García Haro J, Braña B, González Díaz MD, Cabero A, Cuesta M y Caunedo PJ (2011). Efectividad de la psicoterapia breve en los centros de salud mental II: resultados. Revista de la Asociación Española de Neuropsiquiatría, 31, 13-29.
  • García Palacios A, Botella C, Roberts C, Baños R, Perpiñá C, Quero S & Ballester R (2002). Clinical utility of cognitive-behavioural treatment for panic disorders. Results obtained in different settings: a research centre and a public mental health care unit. Clinical Psychology & Psycotherapy, 9, 373-383.
  • Guy W (1976). Clinical Global Impressions. In Early Clinical Drug Evaluation (ECDEU) Assessment Manual for Psychopharmacology, Revised (pp. 218-222). Rockville, MD: National Institute of Mental Health.
  • Labrador FJ, Estupiñá FJ & García Vera MP (2010). Demanda de atención psicológica en la práctica clínica: tratamientos y resultados. Psicothema, 22, 619-626.
  • Peñate W, Pitti CT, Bethencourt JM, de la Fuente J & Gracia R (2008). The effects of a treatment based on the use of virtual reality exposure and cognitive-behavioral therapy applied to patients with agoraphobia. International Journal of Clinical and Health Psychology, 8, 5-22.
  • Rodríguez Arias JL, Otero M, Venero M, Ciordia NF & Fondó PV (2004). Estudio de evaluación de resultados en terapia familiar breve. Papeles del Psicólogo, 25, 20-28.
  • Rodríguez Arias JL & Venero M (2006). Terapia familiar breve. Guía para sistematizar el tratamiento psicoterapéutico. Madrid: CCS.