Perceptions of Mexican women regarding barriers in mental Heath Services in primary care (original) (raw)
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Psychiatric services (Washington, D.C.), 2016
Despite the high prevalence of mental disorders in Mexico, minimal mental health services are available and there are large gaps in mental health treatment. Community-based primary care settings are often the first contact between patients and the health system and thus could serve as important settings for assessing and treating mental disorders. However, no formal assessment has been undertaken regarding the feasibility of implementing these services in Mexico. Before tools are developed to undertake such an assessment, a more nuanced understanding of the microprocesses affecting mental health service delivery must be acquired. A qualitative study used semistructured interviews to gather information from 25 staff in 19 community-based primary care clinics in Mexico City. Semistructured interviews were analyzed by using the meaning categorization method. In a second phase of coding, emerging themes were compared with an established typology of barriers to health care access. Primar...
SOJ Nursing & Health Care
The care gap is expressed as the percentage of people who need treatment yet fail to receive it [9]. There are several examples in both developed countries and low-and middleincome countries, where it has been found that the incorporation of mental health services into primary care helps reduce this gap. It enables people to access services closer to home, which in turn facilitates attendance, monitoring and long-term management in addition to reducing stigma and discrimination [10].
Predicting Women’s Utilization of Primary Care Mental Health Services in Mexico City
Journal of Primary Care & Community Health, 2017
Objective: To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization. Method: We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model. Results: Women referred to a mental health provider (MHP; odds ratio [OR] = 10.81, 95% CI = 3.59-32.51), whose coping mechanisms included talking to a MHP (OR = 5.53, 95% CI = 2.10-14.53), whose primary worry is loneliness (OR = 8.15, 95% CI = 1.20-55.10), and those who follow doctor’s orders; were more likely to seek PCMHS (OR = 0.28, 95% CI = 0.09-0.92). Conclusions: Primary care providers play a fundamental role in women’s decisions to seek PCMHS. Proper referrals to PCMHS should be encouraged.
Community mental health journal, 2020
Negative attitudes towards people with mental health disorders have been widely studied and identified in the general population, and even within health care professionals. Moreover, studies focused on service users have also identified mental health professionals, including psychiatrists, as a source of stigma. However, in Mexico and Latin America few studies have been conducted addressing this issue. To explore mental health service users' perceptions of stigma by members of the general population and by psychiatrists in Mexico, service users at a psychiatric hospital in Mexico were invited to participate in either focus groups or individual interviews, which were audio recorded, transcribed and analysed using thematic analysis. A total of 47 service users participated in this study. The results suggested that participants were not only aware of the possible consequences of mental health related stigma, but they have also experienced stigmatisation for having a mental illness....
Mental health facilitator service implementation in Mexico: a community mental health strategy
Journal of Counselor Leadership and Advocacy, 2019
NBCC's Mental Health Facilitator (MHF) program is designed to increases service accessibility by training paraprofessionals. Interviews from community stakeholders in Mexico were analyzed with Consensual Qualitative Research to explore the multi-year impacts of MHF. Positive findings corroborate prior research from other countries, however this sample highlights long-term barriers to implementation. Implications for practice and future research are discussed. KEYWORDS Mental health providers; Mental Health Facilitator; cross-cultural training; accessibility of services; and consensual qualitative research In Mexico, mental disorders are a significant health concern exacerbated by stressors such as undernourishment, natural disasters, lack of education, and underemployment (Benjet, Borges, Medina-Mora, Zambrano, & Aguilar-Gaxiola, 2009). These stressors are correlated with anxiety and depression, and can lead to alcoholism, drug dependency, and criminal involvement (Lartigue & Vives, 1991). Yet, mental health services in Mexico are extremely limited and many suffer without treatment (Gorn, Solano, Medina-Mora, Basauri, & Reyes, 2013). In addition, due to limited budgets, staff, centralized services, and stigma (Lartigue & Vives, 1991), there is "extreme under-utilization" of existing services, exacerbating the unmet need (Medina-Mora et al., 2005, p. 1781). In this context, however, the strong cultural norm of reliance on respected family and community members for help, whether for physical or mental concerns, is an asset that provides hope for those in need. The Mexican tradition of non-specialized caregivers (paraprofessionals) acts as a first line of support or "bridge to services" (see Meister, Warrick, Zapien, & Wood, 1992 for review). Paraprofessionals indeed provide more effective mental health services due to their already established relationships within communities (WFSAD, 2006; Van Ginneken et al., 2011). Given the fundamental goals of wellness, prevention, multiculturalism, and advocacy for professional counselors and the fact that Chi Sigma Iota (CSI), the international counseling honor society, highlights interprofessional relationships as a core advocacy theme for professional counselors, there is a rationale for expanded paraprofessional training and preparation in mental health service provision (CSI-net; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015).
Mexican Psychiatric Trainees’ Attitudes Towards People with Mental Illness: A Qualitative Study
Community Mental Health Journal, 2021
Despite their training, psychiatrists have been found to have negative attitudes towards people with mental illness, including the patients they treat. Similarly, studies focused on service users have identified psychiatrists as a source of stigma. Even though negative attitudes in psychiatrists have been identified in different countries and settings, in Mexico the attitudes of these professionals have never been assessed. Because of this, we invited psychiatric trainees from a hospital in Mexico to participate in individual interviews to describe their opinions regarding mental health-related stigma, to evaluate their attitudes towards people with mental illness and to identify factors that could be influencing their attitudes. Interviews were audio recorded, transcribed and analysed using thematic analysis. A total of 29 trainees participated in the study. The results suggested that trainees recognised psychiatrists can have negative attitudes towards people with mental illness, ...
International Journal for the Advancement of Counselling, 2018
Mental health concerns (e.g., depression, affective disorders, and suicide) continue to be prevalent in Mexico, having a significant influence on disability, job loss, and physical health outcomes. This article reports findings from a qualitative study in Mexico exploring the Mental Health Facilitator (MHF) program, a population-based curriculum created to respond to global mental health needs, and address mental health care disparities and the resulting burden in international communities. The present study explores experiences of individuals trained in the MHF curriculum (facilitators) and those who have received services and care from those trained as facilitators.
Wellcome open research, 2018
This study aimed to understand the offer of mental health care at the primary care level, collecting the views of psychologists, primary health care providers (PHCPs), and patients, with a focus on health services in which patients attend regularly and who present a higher prevalence of mental disorders. A qualitative study was conducted in antenatal care, tuberculosis, HIV/AIDS, and chronic diseases services from six primary health care centers. Semi-structured interviews were conducted with psychologists, PHCPs, and patients working in or attending the selected facilities. A total of 4 psychologists, 22 PHCPs, and 37 patients were interviewed. A high perceived need for mental health care was noted. PHCPs acknowledged the emotional impact physical health conditions have on their patients and mentioned that referral to psychologists was reserved only for serious problems. Their approach to emotional problems was providing emotional support (includes listening, talk about their pati...
Community-Based Mental Health Services in Mexico
Consortium Psychiatricum
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Via Sapientiae: A feminist analysis of mental health providers' perspectives of Latina women
Researchers have documented that Latina women involved in the mental health system face a number of barriers to access to services and ongoing use of services. Latina women involved in the mental health system are often viewed as at-risk. This study challenges traditional pathological views of Latina women in the mental health system. This study uses a feminist analysis to examine mental health providers‘ perception of Latina women. It views Latina women as mental health system survivors and suggests that resilience and strength-based perspectives can transform the treatment of Latina women. Secondary data from twenty-two interviews with agency directors, psychiatrists, supervisors, therapists and others are analyzed using standpoint theory as a theoretical framework and a phenomenological analysis of the data. Using standpoint theory, this study also examines the positionality of the providers to determine if Latino providers have a greater understanding of Latina women than non-Latino providers. The findings show that two of the twenty-two providers viewed Latina women as resilient. The providers attributed a variety of factors, including culture of the provider, stigma, domestic violence/abuse, and resources as influencing Latina women‘s access to and ongoing use of services. This study also found that Latino providers had more to say about Latina women than non-Latino providers. This study is a part of a growing body of feminist research on resilience and strengths based perspectives in the mental health system. Ultimately, this study argues that Latina women mental health system survivors should be understood from resilience and strength- based perspectives with nuanced understandings of Latino culture which could greatly impact their treatment and recovery.