Perspectives on the Implementation of Screening and Treatment for Depression and Alcohol Use Disorder in Primary Care in Colombia

Shannon, Chelsea; Bartels, Sophia M.; Cepeda, M. Soledad; Castro, Sergio M. Alcocer Martínez De; Cubillos, Leonardo; Süárez-Obando, Fernando; Williams, Melissa J.; Restrepo, Carlos Gómez; Uribe, María Victoria; Marsch, Lisa A.; Torrey, William C.

doi:10.1007/s10597-021-00781-1

Cited by 12 publications

(50 citation statements)

References 6 publications

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“…Studies were supported by primary systematic reviews, national public surveys like the National Mental Health Survey in 2015 (83,84) and previous international studies with notable performance results in similar settings (82,85,86).…”

Section: Intervention’s Characteristicsmentioning

confidence: 86%

“…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%

“…One intervention reduced access barriers like geographical isolation (84), treatment continuity, and HCP and patient satisfaction. Another positive point was the approval from settings administrators and will to support implementation, evaluation and continuity (71,75,80). Nevertheless, the reported disadvantages were low articulation with pre-existing service models and no existence of infrastructure and skilled staff (83,87,88).…”

Section: Intervention’s Characteristicsmentioning

confidence: 99%

“…Half of the selection did not report any toolkit, online or onsite materials for the intervention. The most common resources included prearranged support material from the international sponsor organisation (82,83) and audio-visual materials and software for monitoring and evaluation (84,89).…”

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%

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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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Section: Intervention’s Characteristicsmentioning

confidence: 86%

Section: Intervention’s Characteristicsmentioning

confidence: 99%

Section: Intervention’s Characteristicsmentioning

confidence: 99%

Section: Intervention’s Characteristicsmentioning

confidence: 99%

Section: Outer Settingmentioning

confidence: 99%

See 3 more Smart Citations

Mental health services implementation in Colombia – a systematic review

Garavito

Burgess

Sanguinetti

et al. 2023

Preprint

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Use of Digital Health and Digital Therapeutics to Treat SUD in Criminal Justice Settings: a Review

Sawyer-Morris,

Wilde,

Molfenter

et al. 2023

Curr Addict Rep

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Purpose of Review The purpose of this review is to investigate the use of digital health technologies and/or digital therapeutics (DTx) products in the treatment of substance use disorders (SUDs) in the general population and among criminal justice–involved individuals. Recent Findings Despite an expanding evidence base, only three SUD DTxs have received federal regulatory approval. Across studies, DTx products have proven successful in engaging patients in SUD treatment and reducing healthcare costs and resource utilizations. Findings for emerging SUD DTx products show similar results. Still, there is a paucity of evidence regarding the use of digital health technologies and/or DTx among criminal justice populations. Summary DTxs have proven effective for treating multiple SUD types (e.g., nicotine and opioids) among the general population. DTx shows similar promise among justice-involved populations, but additional efficacy and implementation research is needed to address barriers such as cost, cultural resistance, and infrastructure.

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