Table 2 Analysis framework of mental health care performance

Mental Health access services

• Pathways to access mental health services

Entry mechanisms and/or ways adopted to obtain MH care.

• Reception and triage

Welcoming of patients, qualified persons listen to descriptions of problems, assessment of the severity of the case, and definition of MH care needs.

• Barriers to access

Gaps and impasses that make it difficult or impossible for patients to get treatment in MH services.

Long-term mental health care

• Deinstitutionalisation actions

Development of actions oriented towards promoting anti-asylum MH care, patient autonomy, and community insertion.

• Coordinated and collaborative care

Integrated practices between services to ensure comprehensive MH care in the long term. This requires formalisation of communication and clear responsibilities definitions of professionals and services.

• Shared goals and vision

Individualised care plan in MH with the establishment of common goals shared between professionals and users.

• Family participation

Integration of the family in the patient’s therapeutic and recovery process, sharing responsibilities with the health teams. It also covers spaces for listening and MH care with these family members.

Comprehensive mental health care

• Out-patient/ambulatory clinics

Clinical and individualised consultations with health professionals, considering the patients’ unique needs.

• Pharmacological treatments

Free provision of psychotropic drugs for patients in need of drug treatment by MH services.

• Talking and psycho-social treatment

Interventions that value the dimension of subjectivity and listening. They include psychological or community support groups, therapeutic workshops, and individual psychological consultations.

• Intersectoral interventions

Articulation with other social sector agencies with the aim of achieving comprehensive and sustainable plans rather than simple discussions of clinical issues. This involves social inclusion of patients, promotion of autonomy, and income generation.

Crisis patient care

• Crisis resolution teams

Multidisciplinary teams that carry out intensive and resolute treatment in an MH crisis, aimed at stabilizing the patient or avoid hospitalisation.

• Therapeutic approach for the crisis patient

Types of intervention and therapeutic methods used to stabilise crisis patient.

• Follow-up of crisis patient

Existence of mechanisms and protocols for continuity of care in the psychosocial care network after the patient’s acute crisis.

• Difficulties to manage the crisis patient

Gaps and impasses that make it difficult or impossible to garner the assistance of patients in crisis.