Assessing the Integration of Behavioral Health Services in Primary Care in Colombia

Castro, Sergio M. Alcocer Martínez De; Cubillos, Leonardo; Uribe-Restrepo, José Miguel; Süárez-Obando, Fernando; Meier, Andrea; Naslund, John A.; Bartels, Sophia M.; Williams, Makeda; Cepeda, M. Soledad; Torrey, William C.; Marsch, Lisa A.; Gómez‐Restrepo, Carlos

doi:10.1007/s10488-019-01002-4

Cited by 9 publications

(39 citation statements)

References 30 publications

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“…The studies were published in the last six years. Of the 12 selected studies, five were focused on substance use disorders, specifically heroin and alcohol consumption (69–73); three addressed mental health disorders such as anxiety, depression, PTSD, schizophrenia, and bipolar affective disorder (74–76); and the others were centred on suicide (77), behavioural health disorders (78,79), and inclusion and rehabilitation (80).…”

Section: Resultsmentioning

confidence: 99%

“…The access to resources varied considering the type of institution and the established agreements with healthcare administrator companies. The better the cooperation was, the sooner secure the resources were secured, and the more straightforward implementation was (17,82,88,92). The interventions sponsored by international institutions demonstrated more precise and constant training and followed up (17,82,83,86).…”

Section: Available Resourcesmentioning

confidence: 99%

“…Mental health interventions were developed and implemented via partnerships between universities, healthcare providers, and government bodies. Studies also involved international research institutions from North America (Canada and The United States) (17,74,82,83).…”

Section: Intervention’s Characteristicsmentioning

confidence: 99%

“…Moreover, healthcare facilities had to comply with the national regulation to maintain the services enabled or receive high standards certification, thus sustaining public and private funding (17,83,84,87).…”

Section: Outer Settingmentioning

confidence: 99%

“…HCPs welcomed technology-based strategies, but there was some resistance and a need to redefine roles when adapting to new healthcare delivery models (e.g., primary healthcare versus traditional clinical treatment) (17,83,84).…”

Section: Inner Settingmentioning

confidence: 99%

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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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