dc.creator | Dev, Saloni | |
dc.creator | Kankan, Tanvi | |
dc.creator | Blasco, Drew | |
dc.creator | Le, PhuongThao D. | |
dc.creator | Agrest, Martin | |
dc.creator | Dishy, Gabriella | |
dc.creator | Mascayano Tapia, Franco Sebastían Armando | |
dc.creator | Schilling, Sara | |
dc.creator | Jorquera González, María José | |
dc.creator | Dahl, Catarina | |
dc.creator | Tavares Cavalcanti, María | |
dc.creator | Price, LeShawndra | |
dc.creator | Conover, Sarah | |
dc.creator | Yang, Lawrence H. | |
dc.creator | Alvarado Muñoz, Rubén | |
dc.creator | Susser, Ezra S. | |
dc.date.accessioned | 2022-01-17T18:37:29Z | |
dc.date.accessioned | 2022-10-17T17:12:36Z | |
dc.date.available | 2022-01-17T18:37:29Z | |
dc.date.available | 2022-10-17T17:12:36Z | |
dc.date.created | 2022-01-17T18:37:29Z | |
dc.date.issued | 2021 | |
dc.identifier | Global Mental Health 8, e15, 1–9 (2021) | |
dc.identifier | 10.1017/ gmh.2021.10 | |
dc.identifier | https://repositorio.uchile.cl/handle/2250/183737 | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/4421508 | |
dc.description.abstract | 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. | |
dc.language | en | |
dc.publisher | Cambridge Univ Press, England | |
dc.rights | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | |
dc.source | Global Mental Health | |
dc.subject | Community-based mental health services | |
dc.subject | Critical time intervention | |
dc.subject | Latin America | |
dc.subject | Psychosis | |
dc.subject | Qualitative methods | |
dc.subject | Task-shifting | |
dc.title | Implementation of a pilot community-based psychosocial intervention for patients with psychoses in Chile and Brazil: a comparative analysis of users’ perspectives | |
dc.type | Artículos de revistas | |