The Effects of a Large-Scale Mental-Health Reform: Evidence from Brazil

MPRA Paper from University Library of Munich, Germany

Abstract: This paper studies the Brazilian psychiatric reform, which reorganized mental healthcare provision by the public system building a network of community-based services centered on the Psychosocial Care Centers (CAPSs). Our research design exploits the roll-out of CAPSs in a differences-in-differences framework. We show that these centers improved outpatient mental healthcare utilization and reduced hospital admissions due to mental and behavioral disorders. Those reductions were more pronounced for long-stay admissions and among patients with schizophrenia. Additionally, centers delivering substance abuse treatment reduced deaths caused by alcoholic liver disease. Finally, we also find that this shift away from inpatient care increased homicides.

Keywords: Mental Health; Community care; Psychiatric Reform; CAPS (search for similar items in EconPapers)
JEL-codes: I10 I12 I18 (search for similar items in EconPapers)
Date: 2020-11, Revised 2021-06
New Economics Papers: this item is included in nep-dev and nep-hea
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Related works:
Journal Article: The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil (2024)
Working Paper: The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil (2020)
Working Paper: The Effects of a Large-Scale Mental-Health Reform: Evidence from Brazil (2020)
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Persistent link: https://EconPapers.repec.org/RePEc:pra:mprapa:108658

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