Developing a Mental Health Curriculum to Build Capacity and Improve Access to Mental Health Care in Rural Guatemala

Rissman, Yedida Z; Khan, Christina Tara; Isaac, Shani; Paiz, Jorge Alejandro; DeGolia, Sallie G.

doi:10.1007/s40596-016-0500-8

Cited by 9 publications

(6 citation statements)

References 3 publications

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“…Fortney et al [1] describe several telepsychiatry models applicable for rural settings, including the traditional telepsychiatry referral model, the telepsychiatry collaborative care model, the telepsychiatry behavioral health consultant model, the telepsychiatry consultation-liaison model, and the telepsychiatry curbside consultation model. Several studies in the academic psychiatric literature indicate significant needs for more psychiatric education among primary care providers both in the USA and internationally, including rural Nepal [37] and rural Guatemala [38].…”

Section: Overcoming Challenges and Seeing The Opportunities Of Rural mentioning

confidence: 99%

Rural Mental Health Training: an Emerging Imperative to Address Health Disparities

et al. 2018

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Section: Overcoming Challenges and Seeing The Opportunities Of Rural mentioning

confidence: 99%

Rural Mental Health Training: an Emerging Imperative to Address Health Disparities

et al. 2018

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“…There is a significant treatment gap in Guatemala, where mental disorders remain underdiagnosed and undertreated with fewer than 15% of individuals with a mental illness receiving needed psychiatric treatment (Rissman et al, 2016; USAC, 2009). While numerous barriers contribute to this gap, it is widely acknowledged that a general lack of mental health services is a leading contributor and that even when treatment is available in low income countries such as Guatemala, it is often below minimum acceptable standards and often lacks respect for privacy and human rights, utilizing such methods as involuntary restraint and/or physical and psychological abuse (Kleinman, 2009; Sweetland et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Further contributing to the high rates of suicide is the fact that only 2% to 15% of those with a mental illness receive needed psychiatric treatment (Rissman et al, 2016; USAC, 2009). This low rate is in large part due to a lack of awareness and stigmatizing beliefs around mental illness that prevent at-risk individuals from seeking help, and in part due to the dramatic lack of resources dedicated to the provision of mental health services in the country (Avila et al, 2015; Cauce et al, 2002; Duarte & Martinez, 2015; Rissman et al, 2016; WHO, 2016). Less than 1% of the country’s general health budget is devoted to mental health care (Duarte & Martinez, 2015; Rodriguez et al, 2002), 90% of which funds the national hospital in Guatemala City (Duarte & Martinez, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effects of brief training on mental health provider’s knowledge of working with youth at risk of suicide in Guatemala

Alonzo

Popescu

Zubaroglu-Ioannides

2020

Int J Soc Psychiatry

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Background: Resources for mental healthcare are lacking in Guatemala, yet rates of mental illness and suicide are quite high. Mental healthcare providers often lack the knowledge needed to effectively work with young at-risk of suicide. To address this gap, we developed a training program for mental health professionals focused on increasing knowledge and understanding of engaging and working with youth at risk of suicide and present its acceptability and preliminary effectiveness. Methods: Mental health providers ( N = 17) from a low SES community participated in the training, Formacion CUIDAR (Comunidades Unidos para Individuales De Alto Riesgo; CARE Training; Communities United for Individuals at High Risk). Mixed methods were used to explore outcomes including, self-reported knowledge and understanding of warning signs; risk and protective factors; effective risk assessment; and, techniques for working with at-risk youth. Results: Findings indicate that the training was effective at increasing all targeted domains of knowledge ( t = 2.46, p < .05, Cohen’s d = .56). Acceptability was also rated as high. Conclusion: Scarcity of mental health specialists and lack of training on suicide assessment and management have resulted in inadequate resources for at-risk youth in need of mental health services in Guatemala. Results of our study demonstrate that our training is an acceptable, effective program for practicing mental health providers to address their lack of specialized training on how to work with individuals at risk of suicide. Further examination of the training in a larger RCT is required to attain more robust indictors of effectiveness and to assess long-term impact.

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“…Our results have important implications for Peruvian medical schools, since according to Peruvian accreditation criteria for medical schools, GPs should be capable of diagnosing and treating mental health disorders [25]. For this reason, it is necessary to assess the characteristics of undergraduate curricula and mental health courses [26, 27]. These are functions attributed by law to the National Superintendence of Higher University Education (SUNEDU), a public body associated with the Ministry of Education [28].…”

Section: Discussionmentioning

confidence: 99%

Self-perceived competencies in the diagnosis and treatment of mental health disorders among general practitioners in Lima, Peru

et al. 2019

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AimTo assess the self-perceived competencies in diagnosing and treating patients with mental health disorders, among recently graduated general practitioners (GPs) from Lima, Peru.MethodsA cross-sectional study was performed in April 2017 at a General Practitioner’s meeting held for those who were going to perform the social service, by the Peruvian College of Physicians in Lima. Attendees were invited to answer a questionnaire that evaluated their self-perception of competence in diagnosing and treating four different mental health disorders; major depression, anxiety disorder, alcohol dependence, and schizophrenia.ResultsOut of 434 evaluated GPs, the following percentages were self-perceived as competent in their adequate diagnosis of depression (70.5%), anxiety (73.3%), alcohol dependence (67.6%), and schizophrenia (62.0%). Concerning pharmacological treatment, these percentages were 46.6, 47.5, 39.0 and 37.6%, respectively. Referring to all the studied mental disorders, 41.6% of participants self-perceived competence in providing an adequate diagnosis, 36.1% in providing non-pharmacological treatment, and 20.1% in providing pharmacological treatment.ConclusionThe rate of adequate self-perceived competences was higher for diagnosis than for treatment of patients with mental health disorders. These results highlight the importance of designing and implementing interventions to improve medical education so as to develop the skills necessary to confront mental health disorders.

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Developing a Mental Health Curriculum to Build Capacity and Improve Access to Mental Health Care in Rural Guatemala

Cited by 9 publications

References 3 publications

Rural Mental Health Training: an Emerging Imperative to Address Health Disparities

Rural Mental Health Training: an Emerging Imperative to Address Health Disparities

Effects of brief training on mental health provider’s knowledge of working with youth at risk of suicide in Guatemala

Self-perceived competencies in the diagnosis and treatment of mental health disorders among general practitioners in Lima, Peru

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