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

Monroy-Sánchez, Diana Carolina

doi:10.18270/rsb.v10i1.3053

Cited by 1 publication

(1 citation statement)

References 16 publications

(44 reference statements)

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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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