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Confl Health. 2011 Mar 7;5:3. doi: 10.1186/1752-1505-5-3.
For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services.
Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20) and Global Assessment of Functioning score (GAF) are described.
Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p < 0.001) and median GAF score increased from 60 to 70 (p < 0.001). Baseline score and score at last assessment were different for both discharged patients and defaulters (p < 0.001).
Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress.
四十多年来，棉兰老岛冲突中的暴力事件一再导致平民流离失所。2008 年，无国界医生组织在棉兰老岛地区设立了一个精神卫生方案，纳入初级卫生保健。本文描述了一种精神卫生保健模式，以及到精神卫生服务机构就诊的患者的特点和结果。
在流动诊所工作的心理学家对经初级保健培训的临床医生转诊的患者进行评估。他们提供心理急救、简短心理治疗和严重患者的转介。描述了患者的特点和自我报告问卷（SRQ20）和功能总体评估（GAF）得分的结果。
在至少两次就诊被诊断为常见精神障碍的 463 名成年患者中，SRQ20 中位数从 7 分降至 3 分（p < 0.001），GAF 中位数从 60 分增至 70 分（p < 0.001）。出院患者和失访者的基线评分和最后评估评分不同（p < 0.001）。
在紧急情况下，在初级保健层面提供简短的心理治疗可能会改善患者的痛苦症状。
