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Scaling Up Science-Based Care for Depression and Unhealthy Alcohol Use in Colombia: An Implementation Science

Lisa A Marsch1, Carlos Gómez-Restrepo1, Sophie M Bartels1

  • 1Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire (Marsch, Bartels, Bell, Martinez Camblor, Cubillos, John, Lemley, Torrey); Department of Psychiatry, Pontificia Universidad Javeriana, Bogotá, Colombia (Gómez-Restrepo, Castro, Cárdenas Charry, Cepeda, Jassir, Suárez-Obando, Uribe); Hospital Universitario San Ignacio, Bogotá, Colombia (Gómez-Restrepo, Suárez-Obando); Department of Psychiatry, Dartmouth-Hitchcock, Lebanon, New Hampshire (Cubillos, Torrey); National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland (Williams).

Psychiatric Services (Washington, D.C.)
|August 4, 2021
PubMed
Summary

This project aims to improve mental health care in Colombia by implementing evidence-based treatments for depression and alcohol use in primary care. Mobile health technology will expand access to these crucial mental health services.

Keywords:
ColombiaDigital healthImplementation scienceLatin AmericaMental healthPrimary care

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Area of Science:

  • Implementation Science
  • Global Mental Health
  • Digital Health Interventions

Background:

  • Mental disorders represent a significant global health burden, particularly in low- and middle-income countries (LMICs).
  • Latin America faces high rates of mental health issues and limited access to care, with Colombia experiencing significant challenges due to its history of violence.
  • Primary care settings are critical for addressing the unmet mental health needs in underserved populations.

Purpose of the Study:

  • To design and implement a novel model for scaling up evidence-based mental health interventions in Colombian primary care systems.
  • To assess the impact of this new model on access to care for depression and unhealthy alcohol use.
  • To build research capacity and ensure the sustainability of enhanced mental health service delivery.

Main Methods:

  • A multisite implementation science project, the DIADA project, is being conducted across six primary care systems in Colombia.
  • The project utilizes a cooperative agreement from the National Institute of Mental Health.
  • A core component involves leveraging mobile health technology to broaden the reach of mental health care.

Main Results:

  • The initiative demonstrates significant potential for enhancing the capacity to deliver and sustain evidence-based treatments for depression and unhealthy alcohol use in Colombia.
  • Early findings suggest the model is effective in increasing access to mental health services within primary care.

Conclusions:

  • The DIADA project's model holds promise for improving mental health care delivery in Colombia.
  • Findings may inform the development of scalable mental health care models applicable to other regions in Latin America and LMICs.
  • Sustained implementation and further research are crucial for long-term impact.