Mental health and psychiatric care in Bolivia: what do we know?

Mental health and psychiatric care in Bolivia: what do we know?

Author Jaen-Varas, Denisse Autor UNIFESP Google Scholar
Ribeiro, Wagner Silva Autor UNIFESP Google Scholar
Whitfield, Jessie Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
St Louis Univ
Abstract Background: Recently Bolivia has implemented a universal health system, but their mental health policy is still emerging.Objectives: To investigate the current state of the mental health care system in Bolivia and discuss challenges for structuring a coordinated network of services that can effectively meet the needs of the Bolivian population.Methods: This review was conducted by searching for scholarly articles through the databases Lilacs, Medline OPS, HISA and IBECS REPIDISCA via the search portal in the Virtual Health Library - NLM (www.bireme.br).Results: Bolivia has a National Mental Health Plan that is intended to guide mental health promotion, prevention, treatment and rehabilitation of mental illness, but the resources for this area of health are limited. There are 1.06 psychiatrists and 0.46 psychologists per 100, 000 inhabitants. Information on psychiatric morbidity in Bolivia and the impact of mental disorders on the global burden of disease is scarce. Admission statistics reported by psychiatric hospitals in the country show that the main cause of hospitalization is substance abuse (30%). Alcohol consumption is responsible for 90% of these admissions, in addition to being a major cause of deaths in traffic and one of the main risk factors for domestic violence. Almost one in two women in Bolivia (47%) experienced some form of violence from their partner in the last year. Nineteen percent of women living with a partner reported being physically abused, while 7% were sexually abused by their partners. Isolated studies report that suicide rates are disproportionately high in Bolivia.Conclusions: Although there is a shortage of epidemiological data in Bolivia, it is clear the impact of alcohol addiction in psychiatric admissions, domestic violence and traffic accidents. Violence against women and suicides are important issues to be tackled. Among the proposed strategies to afford human resources for mental health in Bolivia, task shifting, the delegation of tasks to non-specialists should be extensively adopted in the country to improve mental health care.
Keywords Mental health service
Public policy
Health policy
Developing countries
Bolivia
South America
Alcohol Addiction
Domestic Violence
Suicide
Language English
Date 2014-05-15
Published in International Journal of Mental Health Systems. London: Biomed Central Ltd, v. 8, 7 p., 2014.
ISSN 1752-4458 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 7
Origin http://dx.doi.org/10.1186/1752-4458-8-18
Access rights Open access Open Access
Type Review
Web of Science ID WOS:000336063900001
URI http://repositorio.unifesp.br/handle/11600/37769

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