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Analysis of institutional authors

Sepulveda, RafaelCorresponding Author

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February 24, 2025
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Implementing a Community Model of Mental Health Care in Chile: Impact on Psychiatric Emergency Visits

Publicated to:Psychiatric Services. 68 (8): 832-838 - 2017-08-01 68(8), DOI: 10.1176/appi.ps.201600371

Authors: Zitko, Pedro; Ramirez, Jorge; Markkula, Niina; Norambuena, Pablo; Ortiz, Ana Maria; Sepulveda, Rafael

Affiliations

Hosp Barros Luco, Clin Psychiat Serv, Santiago, Chile - Author
Hosp Barros Luco, Unidad Estudios Asistenciales, Santiago, Chile - Author
Minist Hlth Santiago, Dept Mental Hlth, Santiago, Chile - Author
Pontificia Univ Catolica Chile, Fac Med, Santiago, Chile - Author
Univ Chile, Fac Med, Sch Publ Hlth, Santiago, Chile - Author
Univ Diego Portales, Fac Med, Santiago, Chile - Author
Univ Santiago Chile, Dept Psychol, Santiago, Chile - Author
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Abstract

Objective: The community model of mental health care (CMMHC) is recommended as the bestway to organizemental health care, but evidence of its successful implementation and effectiveness is scarce, particularly in resource-poor settings. This study aimed to evaluate the impact of CMMHCon the rate of psychiatric emergency visits in Santiago, Chile. Methods: The rate of psychiatric emergency visits from 2006 to 2011 was compared between two health care administrative districts: district 1 (D1), in which CMMHC was being systematically implemented, and D2, where CMMHC implementation was very limited and inconsistent. In addition, rates of psychiatric emergency visits in ten D1 municipalities were compared by the degree to which they had implemented CMMHC. Results: Compared with D2, D1 had higher rates of psychiatric emergency visits during the observation period. In D1, the rate of visits per 100,000 inhabitants declined from 541 in 2006 to 414 in 2011. In D2, the rate increased from 104 in 2006 to 130 in 2011. In D1 municipalities, the reduction in the rate of psychiatric emergency visits was greater in those with wellimplemented CMMHC compared with those with partially implemented CMMHC. When distance to the emergency room was taken into account, the 2011 rate of emergency visits in the ten D1 municipalities was 21% (p

Keywords

Admissions &ampCase-managementChileCommunity mental health servicesCountEmergency services, psychiatricHumansLow-incomeMental disordersOutpatientPredictorsProgramReadmissions, community mental health services, emergency psychiatry, program evaluationServices

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Psychiatric Services due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2017, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 2.62, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-04, the following number of citations:

  • WoS: 8
  • Europe PMC: 6

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 38.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 57 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 0.5.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Chile.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Sepúlveda Jara, Rafael Eduardo).

the author responsible for correspondence tasks has been Sepúlveda Jara, Rafael Eduardo.