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Table 5 Open-ended question summary

From: Perceptions of health managers and professionals about mental health and primary care integration in Rio de Janeiro: a mixed methods study

Mental Health and Primary Care Integration

Positive aspects

Negative aspects

Network category

• Connecting primary care and mental health services.

• Planning care together

• Lack of knowledge about different units, system structures and work processes

• Constraints regarding institutional processes

Primary Mental Health education category

• Helping non-specialists managing mental health problems

• Training SUS gatekeepers to identify mental health problems

• Narrowing the communication gap between different work processes

• Favouring primary teams to diagnose and prescribe appropriate interventions.

• Lack of human resources, excessive turnover of GPs, excessive working hours

• Lack of knowledge regarding psychosocial interventions in PC

Primary Mental Health Interventions category

• Improving access to cases of difficult adherence

• Delivering mental health care in the community

• Integrating actions to care of co-morbidities

• Integrating different professionals’ timetables

• Low frequency of mental health matrix support in the community (once a month)

• Continuity of care is not perceived as a health tenet