Análisis de las necesidades y uso de servicios de atención en salud mental en Colombia

Zamora-Rondón, Diana Carolina; Suárez, Daniel E.; Bernal, Óscar

doi:10.15446/rsap.v21n2.71638

Cited by 9 publications

(5 citation statements)

References 10 publications

(4 reference statements)

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“…Hence, there are many integrated barriers in the system as it could have limited care resources available, since the use of mental health care services in Colombia does not cover the totality of people with mental disorders [33]. Zamora-Rondón et al [35] conducted a study on the mental health system. The study identified several issues, including administrative, regulatory, and geographical gaps, as well as coordination problems and a low supply of health services.…”

Section: Health and Mental Health Care Models In Colombia Brazil And ...mentioning

confidence: 99%

From Social Rejection to Welfare Oblivion: Health and Mental Health in Juvenile Justice in Brazil, Colombia and Spain

Carbonell

Georgieva

Navarro-Pérez

et al. 2023

IJERPH

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(1) Background: This study aims to examine and describe the policies of three Latin American countries: Colombia, Brazil, and Spain, and identify how they implement their support systems for health, mental health, mental health for children and adolescents, and juvenile justice systems that support judicial measures with treatment and/or therapeutic approaches specialized in mental health. (2) Methods: Google Scholar, Medline, and Scopus databases were searched to identify and synthesize of the literature. (3) Results: Three shared categories were extracted to construct the defining features of public policies on mental health care in juvenile justice: (i.) models of health and mental health care, (ii.) community-based child and adolescent mental health care, and (iii.) mental health care and treatment in juvenile justice. (4) Conclusions: Juvenile justice in these three countries lacks a specialized system to deal with this problem, nor have procedures been designed to specifically address these situations within the framework of children’s rights.

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Section: Health and Mental Health Care Models In Colombia Brazil And ...mentioning

confidence: 99%

From Social Rejection to Welfare Oblivion: Health and Mental Health in Juvenile Justice in Brazil, Colombia and Spain

Carbonell

Georgieva

Navarro-Pérez

et al. 2023

IJERPH

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“…15 studies were excluded due to the lack of description of mental health services (48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62), two because of their focus on characterising mental health disorders (63,64), two were only recommendations and were not implemented (65,66), and 1 due to the type of publication…”

Section: Study Selectionmentioning

confidence: 99%

Mental health services implementation in Colombia – a systematic review

Garavito

Burgess

Sanguinetti

et al. 2023

Preprint

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Colombia's mental health services have a complex history shaped by 60 years of armed conflict, a predominantly clinical approach to mental health, and social factors such as inequities and stigma. The 1990 Caracas declaration proposed a shift towards decentralised community mental health services and interventions based on the recovery approach and emphasis on social determinants of mental health in the Americas. Colombia has adopted these approaches in its legal and practical framework in recent years, but implementation has been uneven. This systematic review aims to contribute to mental health services understanding in Colombia by reviewing published studies about mental health services and interventions. A search was conducted to explore peer-reviewed studies on Colombian mental health services across five databases (Medline, PubMed, Scopus, Scielo and BVS [Biblioteca Virtual de Salud in Spanish]) on papers published in the last ten years and without language restrictions. The Consolidated Framework for Implementation Research (CFIR) was used to structure the analysis and identify barriers and facilitators during the implementation of mental health services. We adapted the CFIR to attend to gender, race and age informed by the Socio-Political Economy of Global Mental Health framework, given the importance of these factors to the Colombian health landscape. 1 530 records were identified, and 12 articles met all inclusion criteria and were included in the analysis. 8 papers described substance use disorders services, 11 involved multidisciplinary healthcare professionals, and 7 were implemented at a local scale. The primary barriers to implementation were the lack of coordination, high workloads, and low funding. Facilitators included the use of protocols, and the involvement of communities, stakeholders, users, and external champions. Findings suggest the continued importance of community and recovery approaches and efforts to improve coordination between multi-sector actors involved in the mental health spaces (e.g., public, and private organisations, users and their families).

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“…1 153 results were imported on Rayyan for the title and abstract screening, of which 32 studies were selected for a full-text review, applying the full inclusion and exclusion criteria. 15 studies were excluded due to the lack of description of mental health services [12,24,[42][43][44][45][46][47][48][49][50][51][52][53][54], two because of their focus on characterising mental health disorders [55,56], two were only recommendations and were not implemented [57,58], and 1 due to the type of publication [15]. In the end, 12 studies were selected for data extraction.…”

Section: Study Selectionmentioning

confidence: 99%

Mental health services implementation in Colombia–A systematic review

Alarcón Garavito,

Burgess,

Dedios Sanguinetti

et al. 2023

PLOS Glob Public Health

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Colombia’s mental health services have a complex history shaped by 60 years of armed conflict, a predominantly clinical approach to mental health, and social factors such as inequities and stigma. The 1990 Caracas declaration proposed a shift towards decentralised community mental health services and interventions based on the recovery approach and emphasis on social determinants of mental health in the Americas. Colombia has adopted these approaches in its legal and practical framework in recent years, but implementation has been uneven. This systematic review aims to contribute to mental health services understanding in Colombia by examining the barriers and facilitators to the implementation of mental health services in Colombia. A search was conducted to explore available peer-reviewed studies on Colombian mental health services across five databases (Medline, PubMed, Scopus, Scielo and BVS) on quantitative and qualitative research papers published in the last ten years and without language restrictions. The Consolidated Framework for Implementation Research (CFIR) was used to structure the analysis and identify barriers and facilitators during the implementation of mental health services. We adapted the CFIR to attend to gender, race and age informed by the Socio-Political Economy of Global Mental Health framework, given the importance of these factors to the Colombian health landscape. Finally, narrative synthesis was used to summarise the data. 1 530 records were identified, and 12 articles met all inclusion criteria and were included in the analysis. 8 papers described substance use disorders services, 11 involved multidisciplinary healthcare professionals, and 7 were implemented at a local scale. The primary barriers to implementation were the lack of coordination, high workloads, and low funding. Facilitators included the use of protocols, and the involvement of communities, stakeholders, users, and external champions. Findings suggest the continued importance of community and recovery approaches and efforts to improve coordination between multi-sector actors involved in the mental health spaces (e.g., public, and private organisations, users and their families).

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Análisis de las necesidades y uso de servicios de atención en salud mental en Colombia

Cited by 9 publications

References 10 publications

From Social Rejection to Welfare Oblivion: Health and Mental Health in Juvenile Justice in Brazil, Colombia and Spain

From Social Rejection to Welfare Oblivion: Health and Mental Health in Juvenile Justice in Brazil, Colombia and Spain

Mental health services implementation in Colombia – a systematic review

Mental health services implementation in Colombia–A systematic review

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