Priorización de necesidades de investigación en salud mental

Preguntas de investigación 2015

Question Source Category Score

1 What are the determining factors of the variability in the comprehensive Evaluation of System
NHS 83.3
mental health care program, between primary care centers? and/or Health Program
2
What are the determining factors of the unchanging and unequal Evaluation of System
Users 75.0
geographic distribution of specialized mental health human resources? and/or Health Program

3 Natural History of
What is the prevalence of mental disorders in minority populations (ethnic Disease/Epidemiology/Risk
NHS 70.0
groups, immigrants, homeless individuals)? Factors/Social
Determinants
4 What is the degree of integration (development) of the community model Evaluation of System
NCPPMD 70.0
in mental health care facilities? and/or Health Program
5 What is the degree of adherence to the CPG recommendations for
patients in the GES (universal, guaranteed treatment access) program for Evaluation of System
NHS 70.0
the management of schizophrenia, depression, and harmful alcohol and and/or Health Program
drug use?
6 Natural History of
Directors of
What are the transgenerational factors associated with intrafamilial child Disease/Epidemiology/Risk
Clinical 66.7
sexual abuse? Factors/Social
Services
Determinants
7 What is the incremental cost-effectiveness ratio of evidence-based Online
Evaluation of Interventions 66.7
interventions to prevent adolescent suicide? Consultation
8 Is there bioequivalence between original and generic drugs used to Key
Evaluation of Interventions 66.7
manage depression? Informant
9 What factors determine the performance of mental health facilities in the Key Evaluation of System
66.7
different levels of care? Informant and/or Health Program
10
What are the determining factors of compliance to the Clinical Practice
Evaluation of System
Guidelines (CPG) of schizophrenia, depression, and harmful alcohol and NHS 66.7
and/or Health Program
drug use?

11
What is the cost-effectiveness ratio of the psychosocial activities in Key
Evaluation of Interventions 66.7
municipal, educational, and work settings in the general population? Informant

12 What is the coverage of screening interventions and case management Key Evaluation of System
66.7
for suicide attempts in the general population? Informant and/or Health Program
13 What factors influence the performance of the community model in Evaluation of System
NHS 66.7
different mental health care facilities? and/or Health Program
14
What are the financial, administrative, and regulatory opportunities
Key Evaluation of Intersectoral
involved in scaling up effective interventions to improve the mental health 60.0
Informant Public Policies
of individuals using the country’s various health facilities?

15
What mental health competencies must primary care health professionals Key Evaluation of System
60.0
have to ensure the effective functioning of the mental health care model? Informant and/or Health Program

16 What is the validity and reliability of instruments used to evaluate the

NCPPMD Evaluation of Interventions 60.0
capacity to consent of individuals with a mental disorder?
17 What proportion of mental health care facilities comply with the mental
Key Evaluation of System
health Clinical Practice Guidelines? 60.0
Informant and/or Health Program

18 What is the reliability of mental health information that is routinely

collected by the DEIS [Department of Health Statistics and Information] Key Evaluation of System
60.0
(for example, data from the monthly statistical updates on hospital Informant and/or Health Program
discharges)?
19 What is the level of user satisfaction in the general population, with Evaluation of System
NCPPMD 60.0
respect to mental health interventions and policies? and/or Health Program
20 What is the additional cost for each unit increase in the effective Key Evaluation of System
60.0
coverage of mental health care? Informant and/or Health Program
21 What is the additional cost for each unit increase in the mental health Key Evaluation of System
60.0
care coverage? Informant and/or Health Program
22 Natural History of
Directors of
Disease/Epidemiology/Risk
What is the incidence of child sexual abuse? Clinical 60.0
Factors/Social
Services
Determinants
23 What is the burden and cost of caring for individuals with a mental Directors of
Evaluation of System
disorder who should receive health care coverage through their job, in a Clinical 60.0
and/or Health Program
separate network for workers, but are treated in the public system? Services
24 What factors determine the remission of major depressive episodes in
Online Evaluation of System
patients treated in secondary level health services through the GES 58.3
Consultation and/or Health Program
program, at 6 months, 1 year, and 2 years?
25 Natural History of
For women who are positively screened for postpartum depression with
Online Disease/Epidemiology/Risk
the EPDS during their postnatal care, what factors are associated with a 58.3
Consultation Factors/Social
decrease in symptomatology?
Determinants
26 What factors determine whether of not an interventions will decrease the
Evaluation of System
disability of individuals with a mental disorder who are treated in mental NCPPMD 58.3
and/or Health Program
health care facilities?
27 Directors of
What are effective interventions that focus on psychosocial determinants
Clinical Evaluation of Interventions 58.3
in the promotion of child and adolescent mental health?
Services
28 What are the most effective interventions to reduce disability in
NCPPMD Evaluation of Interventions 58.3
individuals with a mental disorder?
29 What is the cost-benefit ratio of having general practitioners treat
Department
individuals with a mental disorder compared with treatment by a
of Mental Evaluation of Interventions 58.3
specialized mental health physician?
Health
30 Natural History of
For adolescent law infractions, what is the fraction attributable to the
Online Disease/Epidemiology/Risk
health sector? 58.3
Consultation Factors/Social
Determinants
31
What is the effectiveness of Open Social Networks (use of networks and
Online Evaluation of Intersectoral
thematic groups) in the presentation, promotion, and prevention of mental 58.3
Consultation Public Policies
health problems in the general population?

32
What is the effectiveness of intersectoral policies in the resolution of
Online Evaluation of Intersectoral
mental health problems and social inclusion, for children and 58.3
Consultation Public Policies
adolescents?
33 What is the effectiveness of interventions focused on reducing the
Evaluation of Intersectoral
stigmatization of individuals with a mental disorder by the general Users 58.3
Public Policies
population?
34 What is the effectiveness of interventions to prevent mental disorders in
Online
children and adolescents? Evaluation of Interventions 58.3
Consultation
35 What is the validity and reliability of clinical screening instruments that are
applied to individuals treated in the GES program for depression, NHS Evaluation of Interventions 58.3
schizophrenia, and harmful alcohol and drug use?
36
What is the effectiveness and cost-effectiveness ratio of educational Evaluation of Intersectoral
NHS 58.3
interventions, which aim to promote mental health in students? Public Policies

37
What is the effectiveness and cost-effectiveness ratio of interventions in Evaluation of Intersectoral
NHS 58.3
the workplace, which aim to promote mental health in the workforce? Public Policies

38
What is the effectiveness and cost-effectiveness ratio of interventions in
Evaluation of Intersectoral
areas of public transportation, which aim to promote mental health in the NHS 58.3
Public Policies
general population?

39 What is the effectiveness of maternal communication with a history of Directors of

child sexual abuse to her child in the prevention of transgenerational Clinical Evaluation of Interventions 58.3
Child Sexual Abuse? Services
40 What is the coverage of interventions for family members of people who Key Evaluation of System
58.3
commit suicide? Informant and/or Health Program
41 Natural History of
What are the mechanisms that affect the association between mental
Disease/Epidemiology/Risk
disorders and physical comorbidity in the general population (in terms of NHS 50.0
Factors/Social
prevention)?
Determinants
42
What factors present in the mental health network hinder the social Online Evaluation of Intersectoral
50.0
inclusion of individuals with mental disabilities? Consultation Public Policies

43
What factors facilitate the adequate implementation of new mental health Key Evaluation of System
50.0
care programs in primary care center? Informant and/or Health Program

44 What factors are associated with the successful incorporation of the Department
Evaluation of System
mental health care program in primary care? of Mental 50.0
and/or Health Program
Health
45 What is the validity and reliability of instruments used to measure the
treatment evolution of adolescents between 10 and 14 years of age with Development
Evaluation of Interventions 50.0
depression? of CPG

46 What is the validity and reliability of instruments used to give a

Development
comprehensive evaluation of drug use in adolescents? Evaluation of Interventions 50.0
of CPG

47 What is the validity and reliability of instruments used to screen for

Development
depression in adolescents between 10 and 14 years of age? Evaluation of Interventions 50.0
of CPG
48 What is the cost-effectiveness ratio of the current treatment programs for Online Evaluation of System
50.0
harmful alcohol and drug use? Consultation and/or Health Program
49
What is the cost-effectiveness ratio of interventions that aim to improve Online
Evaluation of Interventions 50.0
treatment adherence of individuals with a mental disorder? Consultation
50 Natural History of
What is the prevalence of mental disorders and their psychiatric Disease/Epidemiology/Risk
NHS 50.0
comorbidity in children and adolescents? Factors/Social
Determinants
51 What percentage of individuals with a mental disorder, that are treated in
the public system, participate in a scheduled activity (work, schooling, Key Evaluation of System
50.0
clubs/groups, etc.)? Informant and/or Health Program

52
What is the effectiveness of interventions that aim to prevent depression Online
Evaluation of Interventions 50.0
in the general population? Consultation

53
What is the effectiveness of the mental health network’s strategies to Online Evaluation of Intersectoral
50.0
promote labor inclusion for individuals with a mental disability? Consultation Public Policies

54
What is the effectiveness of social and work inclusion strategies in mental Online Evaluation of Intersectoral
50.0
health rehabilitation programs? Consultation Public Policies

55 What impact do intersectoral mental health policies have on the social Department
Evaluation of Intersectoral
reinsertion of individuals with mental disorders? of Mental 50.0
Public Policies
Health
56 What is the effectiveness of training primary health care professionals to
Key Evaluation of System
detect and manage mental disorders? 50.0
Informant and/or Health Program
57
Key
What is the effectiveness of interventions carried out in young Evaluation of Interventions 50.0
Informant
populations to improve the mental health of those individuals as adults?
58 What is the effectiveness of interventions for adolescents with risk
Key
behaviors, in terms of improving their short-term mental health? Evaluation of Interventions 50.0
Informant

59
What is the countrywide effectiveness of pharmacological treatments for Online
Evaluation of Interventions 50.0
Attention Deficit Disorder in the population currently in treatment? Consultation

60
What is the difference in the performance of COSAM [community mental
Online Evaluation of System
health centers] and other secondary level care facilities (CESAM), 50.0
Consultation and/or Health Program
according to administrative unit (Health Service versus Municipality)?

61
What is the gap in human and physical health resource allowance in the Evaluation of System
NCPPMD 50.0
community mental health facilities? and/or Health Program

62 What is the knowledge gap in primary care health professionals about

Key Evaluation of System
adequate management of mental disorders? 50.0
Informant and/or Health Program

63
To what degree is inter-partner violence detected in patients that consult Online Evaluation of System
50.0
general practitioners for general morbidity? Consultation and/or Health Program

64
What is the degree of compliance to the standards of the human rights Online Evaluation of System
50.0
convention for the treatment of individuals with a mental health disability? Consultation and/or Health Program

65 What is the most effective model of financial incentive (clinical

improvement, population in treatment) in the delivery of mental health Key Evaluation of System
50.0
care in the various types of facilities? Informant and/or Health Program
66 Natural History of
What is the impact of mental disorders and their psychiatric comorbidity Disease/Epidemiology/Risk
NHS 50.0
in the general population (for example, economic)? Factors/Social
Determinants
67 What is the impact of the different work styles used by mental health Directors of
Evaluation of System
human resources? Clinical 50.0
and/or Health Program
Services
68 Key Evaluation of System
What is the cost of different mental health service offerings? 50.0
Informant and/or Health Program
69
How does the deficit and high turnover of primary care physicians affect Online Evaluation of System
50.0
the effectiveness of the mental health care model? Consultation and/or Health Program

70 Directors of
What are the resources, competencies, and performance of mental Evaluation of System
Clinical 50.0
health intervention teams, at the various levels of the network? and/or Health Program
Services
71 What factors are associated with the involuntary hospitalizations of Directors of
Evaluation of System
individuals with a mental disorder? Clinical 50.0
and/or Health Program
Services
72 What are the gaps in child-adolescent mental health promotion activities, Directors of
Evaluation of Intersectoral
focused on psychosocial determinants? Clinical 50.0
Public Policies
Services
73
Directors of
Is the enrollment of individuals into GES programs for a mental health Evaluation of System
Clinical 50.0
pathology in line with the established criteria? and/or Health Program
Services
74
Directors of
What is the magnitude and type of disability of individuals in treatment for Evaluation of System
Clinical 50.0
schizophrenia in the health care network? and/or Health Program
Services
75 What infrastructure (capacity/beds in sheltered homes, day hospitals,
Evaluation of System
short-stay hospitals) is available for mental health treatment? NHS 50.0
and/or Health Program

76 What is the adherence of individuals with mental disorders to the various

types of therapeutic interventions? NHS Evaluation of Interventions 50.0

77 For individuals with first-episode schizophrenia, what is the effectiveness

Online Evaluation of System
of early interventions and secondary prevention? 41.7
Consultation and/or Health Program

78 What variables determine the effectiveness of rehabilitation programs for

Online Evaluation of System
individuals with severe mental disorders? 41.7
Consultation and/or Health Program
79 Are there better payment mechanisms than the DRG (diagnostic-related
group) system or the PAD (payment related to a diagnostic) method of Online Evaluation of System
41.7
the AUGE program for mental illnesses, according to the international Consultation and/or Health Program
literature and experiences?
80 Natural History of
What are the predictors of work-related mental health problems (in the Key Disease/Epidemiology/Risk
41.7
workforce)? Informant Factors/Social
Determinants
81 Natural History of
Directors of
What are the determinants of violent behavior in individuals with a mental Disease/Epidemiology/Risk
Clinical 41.7
disorder, attributable or not to their condition? Factors/Social
Services
Determinants
82 Natural History of
What are the (modifiable) risk factors of suicidality in adolescents 15 to Online Disease/Epidemiology/Risk
41.7
19 years of age? Consultation Factors/Social
Determinants
83
What are the mental health human resource competencies related to the
Evaluation of System
respectful treatment of individuals with mental disorders and their Users 41.7
and/or Health Program
families?

84 What is the validity, reliability, and applicability of instruments that

evaluate disability associated with a mental disorder in population
NHS Evaluation of Interventions 41.7
surveys?

85
What is the validity and reliability of instruments that detect bipolar Development
Evaluation of Interventions 41.7
disorder in the individuals attending health services? of CPG

86 What is the cost-effectiveness ratio of interventions (??) designed to

Development
prevent neurocognitive deficits of patients with bipolar disorder? Evaluation of Interventions 41.7
of CPG
87
What is the effectiveness and cost-effectiveness ratio of sectoral mental Department
health policies focused on the social reinsertion of individuals with a of Mental Evaluation of Interventions 41.7
mental disorder, in terms of relapses and recurrences? Health

88
What is the effectiveness of standard rehabilitation programs versus
community-based psychosocial rehabilitation programs for individuals Online
Evaluation of Interventions 41.7
with a mental illness-related disability? Consultation

89 What is the effectiveness of population-level populations aimed at socially

integrating individuals with a severe mental disorder? Users Evaluation of Interventions 41.7

90 What is the effectiveness of ECT as a treatment for individuals with a

Development
bipolar disorder? Evaluation of Interventions 41.7
of CPG
91 What is the effectiveness of interventions that aim to facilitate the use of
public transportation by individuals with a severe mental illness, in terms Evaluation of Intersectoral
Users 41.7
of their overall functioning? Public Policies

92 What is the variability of treatment offered by different mental health

professionals for individuals with a mental disorder, and what are the Online Evaluation of System
41.7
health consequences of this? Consultation and/or Health Program

93
What is the effectiveness and cost-effectiveness ratio of housing and
Evaluation of Intersectoral
urban planning interventions designed to promote mental health in the NHS 41.7
Public Policies
general population?

94
What competencies do mental health professionals need to have in order Development
Evaluation of Interventions 40.0
to improve detection of bipolar disorder? of CPG

95
What rehabilitations services are offered for individuals with a mental
Key Evaluation of System
disorder in the public and private health networks? 40.0
Informant and/or Health Program

96 Natural History of
What is the level of disability associated with specific mental disorders in
Disease/Epidemiology/Risk
the general population? NHS 40.0
Factors/Social
Determinants
97 Natural History of
What is the incidence of violent acts toward third parties in the general
Key Disease/Epidemiology/Risk
population? 40.0
Informant Factors/Social
Determinants
98 What is the frequency of different work styles among mental health Directors of
Evaluation of System
teams? Clinical 40.0
and/or Health Program
Services
99 Natural History of
What is the burden attributable to mental disorders among individuals
Disease/Epidemiology/Risk
with a chronic, non-communicable disease? NHS 40.0
Factors/Social
Determinants
100

What is the level of knowledge and competencies of psychiatrists who

complete residencies financed by the public health system, in terms of
the programs and practices recommended by the National Mental Health
Online Evaluation of System
Plan, the Explicit Health Guarantees Program (GES), the Law of Rights 40.0
Consultation and/or Health Program
and Responsibilities of Patients, the International Conference on the
Rights of People with Disability, the Hospital Admission Regulation, the
Containment Standards, and other similarly important instruments?

101 How much does the Model of Comprehensive Care, with a family and
community focus, complement the Model of Mental Health in primary Online Evaluation of System
40.0
health care service delivery? Consultation and/or Health Program

102 What are the financial management models of the various mental health
Key Evaluation of System
facilities? 40.0
Informant and/or Health Program
103
What is the degree of inclusion of individuals with a severe mental
disorder in the various primary care programs (not only the mental health Online Evaluation of System
40.0
programs)? Consultation and/or Health Program

104
How do different social groups, that are important to the country’s
development (businessmen, workers, politicians, etc.), value child- Online Evaluation of System
40.0
adolescent mental health, and how is this interest converted into concrete Consultation and/or Health Program
actions?
105 Natural History of
What is the prevalence of different types of mental illness in the Directors of
Disease/Epidemiology/Risk
population with a neurological disorder from childhood? Clinical 40.0
Factors/Social
Services
Determinants
106 Natural History of
What is the incidence of suicide attempts in the general population of the Key Disease/Epidemiology/Risk
40.0
country? Informant Factors/Social
Determinants
107 Natural History of
What is the health burden associated with psychosocial determinants of Directors of
Disease/Epidemiology/Risk
child-adolescent mental health? Clinical 40.0
Factors/Social
Services
Determinants
108 What are the psychosocial, socio-demographic, and familial factors that Natural History of
Department
most determine the incidence of mental disorders in the general Disease/Epidemiology/Risk
of Mental 33.3
population? Factors/Social
Health
Determinants
109 What work conditions are related to the respectful treatment of individuals
Evaluation of System
with mental disorders and their families, by mental health professionals? Users 33.3
and/or Health Program
110
What is the cost-effectiveness ratio of interventions that aim to improve
Online
the quality of life of patients with an organic disease (e.g. mental Evaluation of Interventions 33.3
Consultation
retardation, developmental disorder with behavioral alterations)?

111
What is the effectiveness of the community mental health care model in Online Evaluation of System
33.3
the rehabilitation of individuals with dual diagnosis? Consultation and/or Health Program

112 What is the effectiveness of complementary interventions (e.g. mediation)

Key
in the prevention of mental health problems in the general population? Evaluation of Interventions 33.3
Informant

113
What is the impact of each additional appointment with a mental health
specialist on the overall functioning of individuals with a severe mental Users Evaluation of Interventions 33.3
disorder?

114
What factors are associated with the rehospitalization of individuals Online Evaluation of System
33.3
discharged from short-stay psychiatric hospitalizations? Consultation and/or Health Program

115 Natural History of

What are the psychosocial determinants of child-adolescent mental Directors of
Disease/Epidemiology/Risk
health? Clinical 33.3
Factors/Social
Services
Determinants
116 What is the cost-effectiveness ratio of the application of traditional
Directors of
psychopathology criteria versus the criteria of the DSM-V/ICD-10 in the
Clinical Evaluation of Interventions 33.3
diagnosis and management of mental disorders?
Services
117 Natural History of
What is the prevalence of mental disorders among mental health human Directors of
Disease/Epidemiology/Risk
resources, and what are the determinants? Clinical 33.3
Factors/Social
Services
Determinants
118 What is the impact of interventions that mental health professionals teach
family members of individuals with mental disorders, on the patients’
Users Evaluation of Interventions 33.3
overall functioning?

119 What impact do the mental health and personal issues of mental health Directors of
Evaluation of System
center teams have on the outcomes of service users? Clinical 33.3
and/or Health Program
Services
120 What percentage of the mental health investment budget is consistent
Online Evaluation of System
with the current mental health policy? 30.0
Consultation and/or Health Program
121 Natural History of
What are the most frequent comorbidities affecting patients enrolled in
Online Disease/Epidemiology/Risk
the GES program for depression in primary care? 30.0
Consultation Factors/Social
Determinants
122 Natural History of
What are the immediate causes of the functional dependence and Online Disease/Epidemiology/Risk
30.0
cognitive deterioration of older adults? Consultation Factors/Social
Determinants
123 What should be the content of laws specifically related to mental health,
Key Evaluation of Intersectoral
throughout the world? 30.0
Informant Public Policies
124 Natural History of
What is the prevalence of burnout among health human resources? Key Disease/Epidemiology/Risk
30.0
Informant Factors/Social
Determinants
125 What is the availability of jobs for individuals with a psychic disability? Key Evaluation of Intersectoral
30.0
Informant Public Policies
126 What is the social acceptance of, and degree of community participation
in, psychosocial rehabilitation programs for individuals with a mental Online Evaluation of System
30.0
disorder? Consultation and/or Health Program

127 What is the satisfaction level of direct and indirect mental health service
users, with respect to child-adolescent mental health treatment? (note: Online Evaluation of System
30.0
“indirect” users are family members, for example) Consultation and/or Health Program

128 What is the performance of psychosocial rehabilitation units in the public

Online Evaluation of System
system mental health network? 30.0
Consultation and/or Health Program
129 What is the validity of the DSM-V/ICD-10 criteria with respect to Directors of
traditional psychopathology criteria? Clinical Evaluation of Interventions 30.0
Services
130 For individuals treated in outpatient psychiatric services, what factors are
associated with a favorable evolution (early discharge, post-discharge Online Evaluation of System
25.0
evolution, readmission Consultation and/or Health Program

131 What factors determine the adherence of individuals with a mental Online Evaluation of System
25.0
disorder to psychiatric treatment plans? Consultation and/or Health Program
132 Natural History of
What are the long-term, adverse effects of psychotropic medication use? Key Disease/Epidemiology/Risk
25.0
Informant Factors/Social
Determinants
133 What is the best way to finance community-based activities in mental Online Evaluation of System
25.0
health programs? Consultation and/or Health Program
134
What is the most cost-effective method to manage the effects of trauma Online
Evaluation of Interventions 25.0
in patients seeking treatment for depression? Consultation

135
What is the quality of life of individuals with schizophrenia who receive
Online
treatment in the comprehensive mental health program (psychotropic Evaluation of Interventions 25.0
Consultation
medications, psychosocial interventions, etc.) versus that of individuals
who receive usual care?
136 Department
What impact does the GES depression program have on the incidence
of Mental Evaluation of Interventions 25.0
and duration of sick leave in the working population?
Health
137 Directors of
What is the effectiveness of psychosocial interventions in individuals
Clinical Evaluation of Interventions 25.0
treated for schizophrenia?
Services
138 Directors of
What is the impact of treatment on the health-related quality of life
Clinical Evaluation of Interventions 25.0
(HRQoL) and subjective wellbeing of individuals with a mental disorder?
Services
139 Natural History of
What elements of mental functioning predict the occurrence of violence
Key Disease/Epidemiology/Risk
between individuals, at the population level? 20.0
Informant Factors/Social
Determinants
140 What sources of intersectoral information could be used to inform clinical
Key Evaluation of Intersectoral
decision-making? 20.0
Informant Public Policies
141 What conception of human rights do professionals carrying out mental
Online Evaluation of System
health interventions have, and how is this expressed in care? 20.0
Consultation and/or Health Program

142 Natural History of

What is the frequency of inappropriate use of benzodiazepines and anti-
Key Disease/Epidemiology/Risk
depressants in the general population? 20.0
Informant Factors/Social
Determinants
143 Natural History of
Online Disease/Epidemiology/Risk
What is the comorbidity of individuals with severe mental disorders? 20.0
Consultation Factors/Social
Determinants
144 What is the profile of the population treated in outpatient psychiatric
services (polyclinics of psychiatric and general hospitals, diagnostic and
Online Evaluation of System
treatment centers [CDT], rural health centers [CRS], COSAM, and 20.0
Consultation and/or Health Program
CESAM)?

145 What is the cost-effectiveness ratio of GES program interventions for Online
Evaluation of Interventions 16.7
depression? Consultation
146 How large is the effect that stigma has on treatment adherence, among
Users Evaluation of Interventions 16.7
individuals with severe mental disorders?
147 Natural History of
Directors of
What is the prevalence of pervasive developmental disorders in the adult Disease/Epidemiology/Risk
Clinical 10.0
population? Factors/Social
Services
Determinants