Factores que determinan el acceso a servicios de salud mental de la población adulta en Colombia

González, Lina Marcela; Peñaloza, Rolando Enrique; Matallana, María Alexandra; Gil, Fabián; Gómez‐Restrepo, Carlos; Landaeta, Angela Patricia Vega

doi:10.1016/j.rcp.2016.10.004

Cited by 31 publications

(24 citation statements)

References 3 publications

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“…higher among IDPs (76%), in comparison to the national rate of 12% [39]. Unemployment and employment in the informal sector were also higher among IDPs, which translates into economic instability and insecurity [40].…”

Section: Contextmentioning

confidence: 99%

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

et al. 2020

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Background: Despite the widely recognised importance of cultural adaptation to increase the effectiveness of psychological interventions, there is little guidance on its process. Developed based on existing theory, we applied a four-step process to culturally adapt a low-intensity psychological intervention for use in humanitarian settings. Methods: The four-step process was applied to adapt a WHO low-intensity psychological intervention (i.e. Problem Management Plus, or PM+) for use with displaced Venezuelans and Colombians in Colombia. First, a rapid desk review was used as an (1) information gathering tool to identify local population characteristics. Next, the results were taken forward for the (2) formulation of adaptation hypotheses, whereby PM+ protocols were screened to identify components for adaptation, drawing on the Ecological Validity Model. Third, the elements flagged for adaptation were taken forward for (3) local consultation to firstly, verify the components identified for adaptation, to identify other areas in need of adaptation, and thirdly, to adapt the intervention protocols. Finally, the adapted intervention protocols were reviewed through (4) external evaluations with local experts. Results: The information gathering phase yielded key information on the socioeconomic aspects of the groups targeted for intervention, the availability and need for mental health and psychosocial support, and existing barriers to accessing care. The adaptation hypotheses phase further identified the need for clearer explanations of key concepts, the need for sensitive topics to match local attitudes (e.g., domestic violence, thoughts of suicide), and the identification of culturally appropriate social supports. Building on these first two phases, local consultation subsequently resulted in revised PM+ protocols. The adapted protocols differed from the original format in their focus on the problems unique to these population groups, the way that psychological distress is expressed in this context, and the inclusion of locally available supports. The results of the external evaluation supported the adaptations made to the protocols.

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Section: Contextmentioning

confidence: 99%

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

et al. 2020

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“…La financiación de estos servicios se realiza por el Sistema General de Seguridad Social con un pago por cada afiliado a las EPS, el cual se denomina unidad de pago por capitación (UPC). Esta financiación opera como una prima de aseguramiento con la que las empresas aseguradoras se comprometen a cubrir el servicio en salud del paquete a todos sus afiliados (2,19,20).…”

Section: Con El Estado Social De Derecho Declarado En Launclassified

“…Conclusões. O acesso aos serviços de saúde mental na população em geral continua mostrando dificuldades devido a barreiras dpo tipo: pessoal, econômica, geográfica, organizacional e sociocultural (2,3), barreiras que são igualmente exacerbadas na população vítima do conflito armado.…”

Section: Introductionunclassified

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Naturaleza del acceso a los servicios de salud mental de la población adulta víctima del conflicto armado en Colombia

Monroy-Sánchez

2020

Rev. Sal. Bosq

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Introducción. La salud es un derecho fundamental que, además de jugar un papel muy importante por su valor, cumple una función significativa en el desarrollo humano y social. En Colombia, la población víctima del conflicto armado es considerada vulnerable en este aspecto, pues tiene una alta probabilidad de padecer problemas mentales, los cuales, según sugieren algunos estudios, están asociados a determinantes individuales, organizacionales y sociales; además, el acceso a los servicios de salud mental en esta población es limitado. Objetivo. Realizar una revisión documental de la naturaleza del acceso a los servicios de salud mental en la población adulta víctima del conflicto armado en Colombia. Discusión. Los factores asociados al acceso a los servicios de salud mental de la población adulta víctima del conflicto armado pueden abordarse de acuerdo con tres dimensiones: disposición de los servicios de salud, barreras de acceso a los servicios de salud mental y resultados en materia de salud. Los principales hallazgos del presente estudio revelan que, a diferencia de la población general, las víctimas del conflicto armado presentan mayores dificultades en las barreras personales y económicas para acceder a los servicios de salud mental, barreras que incluyen el desconocimiento de los servicios de salud y la dificultad en la articulación intersectorial. Conclusiones. El acceso a los servicios de salud mental en la población general continúa mostrando dificultades debido a barreras de diferente orden: personales, económicas, geográficas, organizacionales y socioculturales, barreras que de igual forma se exacerban en población víctima del conflicto armado.

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“…For the aforementioned reasons, in some cases Latin American patients who are affected by PD never initiate treatment and, in others, are forced to quit it, whereupon the disorder becomes chronic, leading to consequences such as unemployment, academic problems, divorce, agoraphobia, difficulties in interpersonal relationships, etc., -the latter being a universal phenomenon which proves the chronicity of PD, APA (2013). In addition, costs associated with therapy, such as transportation to clinics, become an over-cost that also contribute to the abandonment of the therapy (González, et al, 2016;PAHO, 2013).…”

Section: Introductionmentioning

confidence: 99%

Analysis of brief Cognitive Behavioral Therapy for panic discorder

Chicaiza¹

2018

RIP

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The aim of this study was to determine if a modification made to the traditional treatments for panic disorder (PD) proved to be effective in adjusting to the cultural and economic characteristics of patients in the southern Andean Region of Colombia. A quasi-experimental model was used, measurements were taken before and after treatment and follow-ups took place after 1 and 2 years; the sample was made up of 82 people (47 women and 35 men, with an average age of 34 and 29 years respectively). Results showed a reduction of PD clinical symptoms after the treatment (d>0.8), the significance in all cases was p <0.001 and changes maintained throughout the follow up period. In conclusion, it is posible to draw the treatment closer to the socio-cultural characteristics of patients to whom it is directed and the number of sessions could be reduced maintaining the effectiveness of the treatment.

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Factores que determinan el acceso a servicios de salud mental de la población adulta en Colombia

Cited by 31 publications

References 3 publications

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

No implementation without cultural adaptation: a process for culturally adapting low-intensity psychological interventions in humanitarian settings

Naturaleza del acceso a los servicios de salud mental de la población adulta víctima del conflicto armado en Colombia

Analysis of brief Cognitive Behavioral Therapy for panic discorder

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