Expanding mental health teams in the Brazilian public health system (SUS) improves access, but does not reduce mortality, according to research from FGV.
A study published in the journal Labour Economics analyzed the effects of the national policy for hiring mental health professionals in the Unified Health System (SUS). The study, authored by Rudi Rocha (FGV EAESP) and Matías Mrejen (UFF), evaluated data from more than five thousand municipalities between 2005 and 2018 to measure the results of the expansion of the Family Health Support Center (NASF) teams.
The analysis identified significant growth in the presence of psychologists and occupational therapists in primary care, as well as an increase in outpatient consultations. The expansion of the workforce resulted in greater access to mental health services for the population.
However, no relevant effects were observed on mortality, hospitalizations, or days off work due to mental disorders. According to the authors, the results indicate that hiring specialized professionals is necessary, but insufficient without effective integration between different levels of care, such as the Psychosocial Care Centers (CAPS).
The research reinforces the importance of public policies focused on the qualification, retention, and coordination of mental health teams, highlighting that structural improvements and continuity of care are essential for broader outcomes.
