Since 2014 a non-governmental organisation has delivered a mental health programme at PHC clinics in the state of Chiapas, in partnership with the local Ministry of Health (MoH). This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. Article The majority were women (84.4%), around a third were between 18 and 29years old (34.5%), and two-thirds were living less than 30min away from the clinics (66.3%). Instituto Nacional de Estadistica y Geografia. Framework analysis was utilised to analyse the qualitative data. All service users attended their first consultation, but only 20%37% of subsequent consultations were attended (Fig. Ibenfeldt, Maya Murray LK, Dorsey S, Bolton P, Jordans MJ, Rahman A, Bass J, et al. Google Scholar. It is hardly surprising, then, that mental disorders should constitute a major public health problem: depression is the main cause of loss of healthy years of life (6.4% of the population suffer from it), while alcohol misuse is the 9th (2.5%) and schizophrenia the 10th (2.1%) most common health problem (Gonzlez-Pier et al, 2006). 2023 BioMed Central Ltd unless otherwise stated. It serves as a guide for countries for the development and planning of mental health services. A new approach to mental health care. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. [Service users] come once, and perhaps they let out everything they have been carrying since who knows when. Andvik, Maren M. The courses. Intimate Partner Violence (IPV) is a public health concern associated with multiple adverse health outcomes, including psychological . What are public health practice and policy implications for healing historical trauma among mestizo populations?" Methodology and Approach: We analyzed the discourse from two community projects--focus groups and ethnographic field notes from a study in the U.S.-Mexico border region (2012-2014) and field notes and digital stories The majority of MDs and clinical supervisors report finding the materials available for the delivery of mental health services, such as the guidelines and other aids to provide talk-based interventions, as useful. 2010;71(3):51728. 2011;5(1):30. Published online by Cambridge University Press: Or you can have the best medications available but if you are not trained to know how to use it, then it is useless. (Com10X, MD, female). and PubMed Duerto, Samuel We conducted two focus groups and 24 semi-structured interviews with health providers and managers to ascertain implementation outcome data: penetration, fidelity, acceptability, appropriateness and feasibility. Secretara de Salud de Mxico, Organizacin Panamericana de la Salud, Organizacin Mundial de la Salud. In addition to this, the country is going through a difficult period. Mexico has one of the highest rates of obesity in the OECD, as nearly one in three adults are obese. Step I: Analysing mental health issues 35 Making the case 35 Establishing a coordinating process 37 Assessing mental health . Designing and Conducting Mixed Methods Research. In the case of Mexico, despite a growing population, the expenditure budget designated to mental health programs has been reduced in recent years, decreasing from 3.35 billion Mexican pesos. Lwe B, Decker O, Mller S, Brhler E, Schellberg D, Herzog W, Herzberg PY. Individuals in high-income countries are considerably more likely to report being able to swim without assistance than individuals in low-income countries. Tong, Mathias 2016;208:s1320. 2011;38(2):6576. It is also associated with lifelong health benefits and reduces the risk of drowning. TORONTO (AP) A 16-year-old who allegedly killed two police officers before shooting his mother and then killing himself is believed to have shot a Pizza Hut employee earlier in the week, an . GME checked the quality and accuracy of these transcriptions. Our study assesses the implementation of the CES programme in order to understand the extent to which it has achieved the integration of mental health into PHC as outlined in Mexicos mental health policies, and to then explore the strengths and limitations that determine the success or failure of integration in this context. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The progress of psychology, medical intervention and social work is making mental health and illness awareness a necessary part of daily life. Since 2011, Partners In Health has staffed and supported 9 rural primary care clinics, a birthing center, and a community hospital in the coffee-growing, Sierra Madre region of Chiapas . The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. New Mexico licensing regulations, contract with the state for non-Medicaid services, paid through state general funds.1 Approach Mental Health (MH) and Substance Use Disorder (SUD): The New Mexico Department of Health (DOH), Division of Health Improvement (DHI) regulates all CTCs. We followed a process of (1) data familiarisation, (2) coding, (3) development of an analytical framework, (4) framework application and (5) interpretation [20]. A March 22 New Mexico Legislative Finance Committee report [6] reflects that a total of $49.1 million in federal pandemic stimulus funding was allocated for substance use and mental health grants in the state. It helps a lot that [my supervisor] comes and listens to me, personal problems with my friends, my family, everything, about here, the community, how I feel. This review highlights achievements of the Mexican Institute of Social Security (Instituto Mexicano del Seguro Social, IMSS) in a number of areas human resources, technological capacities and relations with suppliers which were previously identified by the OECD as pivotal for the successful reform of IMSS procurement operations. Int J Ment Health Systems. Garca-Pacheco, Jos ngel Join. Mexico is a culturally, socially and economically heterogeneous country, with a population of over 100 million. Bull World Health Organ. Accounting Information.]. Sommanustweechai A, Putthasri W, Nwe ML, Aung ST, Theint MM, Tangcharoensathien V. Community health worker in hard-to-reach rural areas of Myanmar: filling primary health care service gaps. We used both process indicators and qualitative data to assess fidelity, i.e. An initial chapter summarises the comparative performance of countries before the crisis, followed by a special chapter about addressing wasteful health spending that is either ineffective or does not lead to improvement in health outcomes so that to direct saved resources where they are urgently needed. Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, et al. Health at a Glance: Latin America and the Caribbean 2020 presents key indicators on health and health systems in 33 Latin America and the Caribbean countries. Validity and utility of the patient health questionnaire (PHQ)-2 and PHQ-9 for screening and diagnosis of depression in rural Chiapas, Mexico: a cross-sectional study. Cite this article. Miguel-Esponda, G., Bohm-Levine, N., Rodrguez-Cuevas, F.G. et al. Borges, Guilherme http://www.healthdata.org/mexico-chiapas. travelling times, costs, and waiting times) that hinder attendance [40]. We used a comprehensive methodology that both described the implementation of the mental health programme, and described how this was achieved [15], and selected implementation outcomes based on relevant frameworks [16, 19]. Mental health recovery paradigm: implications for social work. More recently, Mexicos Action Program in Mental Health (20132018) specifically aimed to improve the coverage and quality of mental health services through the integration of mental health care into primary health care (PHC) [2]. Psychiatric Serv. Lancet Global Health. 2022. BMC Med Res Methodol. In this sense, all MDs and clinical supervisors highlighted that the CES mental health coordinator manages training and supervision, provides advice when dealing with difficult cases, and helps coordinate referrals to other services in the state. PubMed Central When [the programme coordinator] was here and sent me some articles [] and the experience in general. (Com7X, MD, male). We excluded children, adolescents and those who were diagnosed with psychosis or had experienced psychotic symptoms given that these service user groups require significantly different services. The New Mexico Human Services Department (HSD)/Behavioral Health Services Division (BHSD) has created this Provider Toolkit for those interested in becoming an agency providing behavioral health services in New Mexico. It is hardly surprising, then, that mental disorders should constitute a major public health problem: depression is the main cause of loss of healthy years of life (6.4% of the population suffer from it), while alcohol misuse is the 9th (2.5%) and schizophrenia the 10th (2.1%) most common health problem (Gonzlez-Pier et al, 2006). If I were only supported by the Ministry of Health, I would not know what to do with mental health [service users]. (Com6X, MD, male). To overcome some of these challenges, besides adequate resourcing, committed leadership and support teams are also key to promote implementation and provide continuous assistance in this process [26, 27]. The data that support the findings of this study are available from Compaeros En Salud but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. We also ensured high quality of quantitative data by using several techniques, including cross checking between the HIS and other data collection tools, and double-coding of fidelity scores. Most MDs reported difficulties providing mental health services at the beginning of their placement, since they received virtually no mental health training in medical school. As a result, our garden styles reflect a more flower-filled space to create a relaxing atmosphere amongst nature rather than a plain minimalist effect. The majority of MDs report frustration with not being able to allocate more time to look for service users who have not returned to the clinic or to conduct home visits, and also consider it unfeasible to complete all the tasks and paperwork that are required by CES and the Ministry of Health. To calculate the rate of non-attendance, we analysed data for 335 service users that were enrolled in the programme during the study period. 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