Expansion of mental health teams in SUS improves access but does not reduce mortality, FGV research shows
Study reveals an increase in services after hiring specialists but no direct impact on reducing mortality
Research published in the journal Labour Economics analyzed the effects of the national policy for hiring mental health professionals in the Sistema Único de Saúde (SUS). The study, authored by Rudi Rocha (FGV EAESP) and Matías Mrejen (UFF), evaluated data from over five thousand municipalities between 2005 and 2018 to measure the outcomes of the expansion of the family health support teams (NASF).
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 for the population to mental health services.
However, no significant effects were observed on mortality, hospitalizations, or days off due to mental disorders. According to the authors, the results indicate that hiring specialized professionals is necessary but insufficient without effective integration among the different levels of care, such as the Psychosocial Care Centers (CAPS).
The research underscores 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.
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