Implementation of community-based rehabilitation in Colombia in mental health: barriers, facilitators, and purposes

IF 1.2 3区 社会学 Q3 DEVELOPMENT STUDIES Community Development Journal Pub Date : 2024-08-05 DOI:10.1093/cdj/bsae041
Felipe Agudelo-Hernández, Ana Belén Giraldo-Álvarez, Eduardo Marulanda-López
{"title":"Implementation of community-based rehabilitation in Colombia in mental health: barriers, facilitators, and purposes","authors":"Felipe Agudelo-Hernández, Ana Belén Giraldo-Álvarez, Eduardo Marulanda-López","doi":"10.1093/cdj/bsae041","DOIUrl":null,"url":null,"abstract":"Mental health holds a crucial position within global public health agendas, particularly in the context of developing and implementing community-based approaches. Despite this, there remains a scarcity of evidence regarding the methodologies and anticipated outcomes associated with community-based rehabilitation (CBR) in low- and middle-income countries. This study aims to address this gap by identifying the barriers and facilitators. Through a qualitative approach involving focus groups conducted within a CBR training programme in Colombia, thematic analysis was employed to discern, analyze, and present patterns within the data. The findings, drawn from the participation of 208 individuals including clinical and administrative mental health professionals, as well as community leaders, underscored recurring themes such as the necessity for alliances across various sectors with a shared mental health goal, the importance of contextual considerations in programme development, the need for increased economic resources allocated to mental health, and the significance of empowering community autonomy. Ultimately, the study highlights the imperative of fostering equitable dialogue between communities and decision-makers to facilitate the effective transition of CBR from theory to implementation.","PeriodicalId":47329,"journal":{"name":"Community Development Journal","volume":"11 1","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community Development Journal","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1093/cdj/bsae041","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DEVELOPMENT STUDIES","Score":null,"Total":0}
引用次数: 0

Abstract

Mental health holds a crucial position within global public health agendas, particularly in the context of developing and implementing community-based approaches. Despite this, there remains a scarcity of evidence regarding the methodologies and anticipated outcomes associated with community-based rehabilitation (CBR) in low- and middle-income countries. This study aims to address this gap by identifying the barriers and facilitators. Through a qualitative approach involving focus groups conducted within a CBR training programme in Colombia, thematic analysis was employed to discern, analyze, and present patterns within the data. The findings, drawn from the participation of 208 individuals including clinical and administrative mental health professionals, as well as community leaders, underscored recurring themes such as the necessity for alliances across various sectors with a shared mental health goal, the importance of contextual considerations in programme development, the need for increased economic resources allocated to mental health, and the significance of empowering community autonomy. Ultimately, the study highlights the imperative of fostering equitable dialogue between communities and decision-makers to facilitate the effective transition of CBR from theory to implementation.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
在哥伦比亚实施基于社区的心理健康康复:障碍、促进因素和目的
心理健康在全球公共卫生议程中占有重要地位,尤其是在制定和实施基于社区的方法方面。尽管如此,有关中低收入国家基于社区的康复(CBR)的方法和预期成果的证据仍然匮乏。本研究旨在通过确定障碍和促进因素来填补这一空白。本研究采用定性方法,在哥伦比亚的一项社区康复培训计划中开展焦点小组讨论,并采用主题分析法来辨别、分析和呈现数据中的模式。208 名个人(包括临床和行政心理健康专业人员以及社区领袖)参与了这项研究,研究结果强调了一些反复出现的主题,如各部门必须为共同的心理健康目标结成联盟、在制定计划时考虑背景因素的重要性、为心理健康分配更多经济资源的必要性以及赋予社区自主权的重要性。最后,研究强调了促进社区与决策者之间平等对话的必要性,以推动社区康复从理论到实施的有效过渡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Community Development Journal
Community Development Journal DEVELOPMENT STUDIES-
CiteScore
3.20
自引率
6.70%
发文量
38
期刊介绍: Since 1966 the leading international journal in its field, covering a wide range of topics, reviewing significant developments and providing a forum for cutting-edge debates about theory and practice. It adopts a broad definition of community development to include policy, planning and action as they impact on the life of communities. We particularly seek to publish critically focused articles which challenge received wisdom, report and discuss innovative practices, and relate issues of community development to questions of social justice, diversity and environmental sustainability.
期刊最新文献
‘We kept having this internal conflict around the language of handout and hand-up’: independent living philosophy and rural disability services during the COVID-19 pandemic Reproducing poverty through participation: examining the constraints of community development strategies in fostering empowerment and social change Implementation of community-based rehabilitation in Colombia in mental health: barriers, facilitators, and purposes The politics of ward committees in enhancing community development through democratic participation in the perspective of structuration Community resilience through bottom–up participation: when civil society drives urban transformation processes
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1