Data and Code for: The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil

Principal Investigator(s): View help for Principal Investigator(s) Mateus Dias, Catolica Lisbon School of Business and Economics; Luiz Felipe Fontes, Insper

Version: View help for Version V1

Name	File Type	Size	Last Modified
submissao			11/13/2023 12:43:PM

Project Citation:

Dias, Mateus, and Fontes, Luiz Felipe. Data and Code for: The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil. Nashville, TN: American Economic Association [publisher], 2024. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2024-07-02. https://doi.org/10.3886/E195122V1

Project Description

Summary: This paper studies the Brazilian Psychiatric Reform, which reorganized the public mental health care provision by introducing mental health centers (CAPS) as a community-based substitute for inpatient care. Our research design exploits the roll-out of CAPS in a difference-in-differences framework. We show that these centers increased outpatient mental health care production and reduced psychiatric hospitalizations. These reductions were more pronounced for long-stay admissions and among patients with schizophrenia. We find that the savings implied by fewer admissions do not offset the cost of the policy. Also, the reform did not reduce mental health mortality and it increased violent crimes.

Scope of Project

Subject Terms: Mental health; health policy; deinstitutionalization; public policy; Brazil; penrose

JEL Classification:
      D04 Microeconomic Policy: Formulation, Implementation, and Evaluation
      H51 National Government Expenditures and Health
      I18 Health: Government Policy; Regulation; Public Health

Geographic Coverage: Brazil

Time Period(s): 2002 – 2016

Collection Date(s): 2018 – 2019

Universe: All Brazilian municipalities.

Data Type(s): administrative records data

Methodology

Data Source: Public data from the Brazilian Ministry of Health (DATASUS).

Unit(s) of Observation: Municipality x year

Geographic Unit: Municipality

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Published Versions

V1 [2024-07-02]

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