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Lessons From Rural Peru in Integrating Mental Health Into Primary Care
Pamela Scorza1, Yuri Cutipe1, Maria Mendoza1
1Columbia University Medical Center, New York, and New York State Psychiatric Institute, New York (Scorza, Wainberg); National Institute of Mental Health Peru Honorio Delgado Hideyo Noguchi, Lima (Cutipe, Mendoza, Arellano); School of Social Work, University of South Florida, Tampa, and Partners in Health, Boston (Galea). Kathleen M. Pike, Ph.D., and Dr. Scorza are editors of this column.
Abstract:
Peru secured a legislative advance for mental health care with a 2012 law mandating that mental health services be available in primary care. One of the main challenges faced by this reform is implementation in remote regions. This column describes a pilot project in Peru that took place from 2010 to 2014 to develop capacity for including mental health services in primary care in one of the most isolated, high-needs regions of the country. The authors describe use of accompaniment-based training and supervision of clinicians and comprehensive, engaged regional partnerships formed to increase the impact and sustainability of the service expansion.
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