Hacia una estrategia de participación en y para la salud mental: escuela de monitores en salud mental comunitaria La Pintana

Encina, Esteban Puentes; Minoletti, Alberto

doi:10.5354/0719-5281.2016.44927

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…Regarding the health promoter role, the National Community Health Advisor Study identified seven core roles and competencies, highlighting cultural mediation, health education/promotion and the implementation of tangible health actions, so that the main focus of their actions is based on building a connection between community and local health systems. In this way, the "School of Communitarian Mental Health Promoters" (known in Spanish as ESMC), developed in partnership with the Communitarian Mental Health Center located in La Pintana commune (Chile), has an action range that includes prevention and intervention of mental health in the commune's territory, as well as health center decisionmaking and design/implementation of new ESMC versions (Rosenthal, 2000;Encina & Minoletti, 2016). Similarly, the "Programa de Salud de la Misión Barrio Adentro" trained communitarian health promoters in comprehensive health issues and linked them to the health center through their participation in health worker home visits, individual and group educational activities and identification of risk factors that threaten human health in the territory influenced by this program (Álvarez Sintes & Barcos Pina, 2004).…”

Section: Resultsmentioning

confidence: 99%

Enabling Elements for the Implementation of Community Health Promoter Led Interventions: A Literature Review

Olave-Müller

López-Contreras

Cirano-Méndez

et al. 2018

Int. J. Odontostomat.

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This research seeks to present Community Lay Advisor interventions as a health promoting strategy that have appeared in the international literature, in order to highlight these enabling elements in the intervention's implementation and establish a comparison among the aspects addressed in the analyzed experiences and the "Schoolbased Oral Health Promoters Program" at the Universidad de La Frontera in Temuco, Chile. A comprehensive scoping review was held between February and March 2018, with searches performed in both the academic and grey literature. Peer-reviewed scientific papers were found using the interdisciplinary database Scopus (including MEDLINE) and EBSCOhost, while grey literature and media sources were extracted from the Google and Google Scholar search engines, supplemented with a visit to the EPES foundation in Chile and an analysis of the reference lists for the selected articles. 369 articles were identified, of which 23 met eligibility criteria for this review. Based on the analysis of the experiences, some facilitators were found more pertinent when achieving the goals concerning the intervention's design, implementation and assessment. This paper makes recommendations for the design and execution of peer-led health promotion interventions in order to increase its effectiveness and success rate.

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Section: Resultsmentioning

confidence: 99%

Enabling Elements for the Implementation of Community Health Promoter Led Interventions: A Literature Review

Olave-Müller

López-Contreras

Cirano-Méndez

et al. 2018

Int. J. Odontostomat.

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“…A history of CMHWs in both countries likely contributed to participants' acceptance and comfortability with CTI-TS' task-shifting model. Chile has involved 'community health agents' (agentes comunitarios de salud) and 'community mental health monitors' (monitores de salud) for decades in rolling out its community mental health approach (Marconi, 1971;Encina and Minoletti, 2016;Ministerio de Salud, 2016). In Brazil, the community health agents (agentes comunitários de saúde) date back to 1980, and the CAPS have since incorporated and implemented many community-based interventions.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a pilot community-based psychosocial intervention for patients with psychoses in Chile and Brazil: a comparative analysis of users' perspectives

et al. 2021

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Background Few studies provide clear rationale for and the reception of adaptations of evidence-based interventions. To address this gap, we describe the context-dependent adaptations in critical time intervention-task shifting (CTI-TS), a manualized recovery program for individuals with psychosis in Rio de Janeiro, Brazil and Santiago, Chile. Implications of the adaptations – incorporating a task-shifting approach and modifying the mode of community-based service delivery – are examined from users' perspectives. Methods A secondary analysis of in-depth interviews with CTI-TS users (n = 9 in Brazil; n = 15 in Chile) was conducted. Using the framework method, we thematically compared how participants from each site perceived the main adapted components of CTI-TS. Results Users of both sites appreciated the task-shifting worker pair to provide personalized, flexible, and relatable support. They wanted CTI-TS to be longer and experienced difficulty maintaining intervention benefits in the long-term. In Chile, stigma and a perceived professional hierarchy toward the task-shifting providers were more profound than in Brazil. Engagement with community-based services delivery in homes and neighborhoods (Chile), and at community mental health centers (Brazil) were influenced by various personal, familial, financial, and social factors. Uniquely, community violence was a significant barrier to engagement in Brazil. Conclusion CTI-TS’ major adaptations were informed by the distinct mental health systems and social context of Santiago and Rio. Evaluation of user experiences with these adaptations provides insights into implementing and scaling-up task-shifting and community-oriented interventions in the region through the creation of specialized roles for the worker pair, targeting sustained intervention effects, and addressing socio-cultural barriers.

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“…The Intracommunity Psychiatry Program in the 1970s aimed to train community members together with other education and health professionals to generate a stepped system of task delegation [ 73 ]. Similar ideas have garnered renewed interest in recent years [ 74 ], converging with international strategies such as the Mental Health Global Action Programme (mhGAP) [ 75 ] for training non-specialist health personnel, which has recently expanded its scope to include lay community members [ 76 ].…”

Section: Introductionmentioning

confidence: 99%

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Encina-Zúñiga,

Rodante,

Agrest

et al. 2023

BMC Psychiatry

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Background Suicide continues to pose a significant global public health challenge and ranks as one of the leading causes of death worldwide. Given the prevalence of suicide risk in the community, there is a significant likelihood of encountering individuals who may be experiencing suicidal thoughts or plans, creating an opening for non-health professionals to offer support. This study aims to culturally adapt the original Australian Mental Health First Aid Guidelines for suicide risk to the Chilean and Argentine context. Methods A two-round Delphi expert consensus study was conducted involving two panels, one comprising individuals with personal experience in suicide thoughts/attempts or caregiving for those with such experiences (n = 18), and the other consisting of professionals specialized in suicide assessment and support for individuals at risk (n = 25). They rated a total of 179 items mainly derived from guidelines developed by Australian experts and translated into Spanish (168), and new items included by the research team (11). The panel members were requested to assess each item utilizing a five-point Likert scale. During the second round, items that received moderate approval in the initial round were re-evaluated, and new items suggested by the local experts in the first round were also subjected to evaluation in the next round. Inclusion in the final guidelines required an 80% endorsement as “essential” or “important” from both panels. Results Consensus of approval was reached for 189 statements. Among these, 139 statements were derived from the English-language guidelines, while 50 locally generated statements were accepted during the second round. A significant difference from the original guideline was identified concerning the local experts’ reluctance to discuss actions collaboratively with adolescents. Furthermore, the local experts proposed the inclusion of an entirely new section addressing suicide risk in older individuals, particularly focusing on suicide methods and warning signs. Conclusions A Delphi expert consensus study was conducted to culturally adapt mental health first aid guidelines for assessing suicide risk in Chile and Argentina. This study involved professionals and individuals with lived experience. While many items were endorsed, some related to inquiring about suicide risk and autonomy, particularly for adolescents, were not. An additional section for older individuals was introduced. Future research should explore the implementation and impact of these adapted guidelines in training courses. This is vital for enhancing mental health support and implementing effective suicide prevention strategies in Chile and Argentina.

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Hacia una estrategia de participación en y para la salud mental: escuela de monitores en salud mental comunitaria La Pintana

Cited by 5 publications

References 6 publications

Enabling Elements for the Implementation of Community Health Promoter Led Interventions: A Literature Review

Enabling Elements for the Implementation of Community Health Promoter Led Interventions: A Literature Review

Implementation of a pilot community-based psychosocial intervention for patients with psychoses in Chile and Brazil: a comparative analysis of users' perspectives

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

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