FAMILY HEALTH STRATEGY WITH AND WITHOUT MATRIX SUPPORT: UNDERSTANDING THE PREVALENCE OF MENTAL DISORDERS IN RIBEIRÃO PRETO, SÃO PAULO.

Introduction/Objective: Introduction: mental disorders (MD) are among the 20 leading causes of morbidity around the world. A recent study in the megacity of São Paulo showed a prevalence of almost 30% of non-psychotic disorders. However, according to WHO, about 50% of people with MD are not being followed in health care. Primary care still shows low levels of MD detection. Several studies have already proven the efficacy and effectiveness of collaborative care / integrated care (in Brazil called Matrix Support) in the management of MD. Objective: to estimate the prevalence of MD in a region of Ribeirão Preto; to compare the impact on MD prevalence among subjects from health care units with Family Health Strategy (FHS), FHS with Matrix Support (MS), or Traditional care (TC). Methods: using a digital cartographic base, residents over 18 years old were randomly selected from a region of Ribeirão Preto. They were residents from areas with FHS, FHS with MS, or TC units. Screening instrument: MINI-Screening Mental Disorders. Diagnostic instrument: Mini International Neurospychiatric Interview. Results/Conclusion: 1545 residents were screened. 487 subjects were from areas with FHS, 549 were from areas with FHS + Matrix Support, and 509 were from areas with TC. A significantly higher number of MD was found in residents from the area with TC when compared to subjects from areas with FHS and FHS with MS. No difference in prevalence was found between the FHS areas. Conclusion: Family Health Strategy seems to better manage mental disorders when compared to Traditional care.