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Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study

Author

Listed:
  • M. Claire Greene

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA
    These authors contributed equally to this work.)

  • Mayra Muro

    (HIAS Peru, Lima 15034, Peru
    These authors contributed equally to this work.)

  • Jeremy C. Kane

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Erin Young

    (Teachers College, Columbia University, New York, NY 10026, USA)

  • Alejandra Paniagua-Avila

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Lucy Miller-Suchet

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Maria Nouel

    (HIAS Peru, Lima 15034, Peru)

  • Annie G. Bonz

    (HIAS, Silver Spring, MD 20910, USA)

  • Maria Cristobal

    (HIAS, Silver Spring, MD 20910, USA)

  • Matthew Schojan

    (HIAS, Silver Spring, MD 20910, USA)

  • Peter Ventevogel

    (United Nations High Commissioner for Refugees, 1201 Geneva, Switzerland)

  • Bryan Cheng

    (Teachers College, Columbia University, New York, NY 10026, USA)

  • Silvia S. Martins

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Jose Carlos Ponce de Leon

    (HIAS Peru, Lima 15034, Peru
    These authors contributed equally to this work.)

  • Helen Verdeli

    (Teachers College, Columbia University, New York, NY 10026, USA
    These authors contributed equally to this work.)

Abstract

Refugees and migrants experience an elevated risk for mental health problems and face significant barriers to receiving services. Interpersonal counseling (IPC-3) is a three-session intervention that can be delivered by non-specialists to provide psychological support and facilitate referrals for individuals in need of specialized care. We piloted IPC-3 delivered remotely by eight Venezuelan refugee and migrant women living in Peru. These counselors provided IPC-3 to Venezuelan refugee and migrant clients in Peru (n = 32) who reported psychological distress. Clients completed assessments of mental health symptoms at baseline and one-month post-intervention. A subset of clients (n = 15) and providers (n = 8) completed post-implementation qualitative interviews. Results showed that IPC-3 filled a gap in the system of mental health care for refugees and migrants in Peru. Some adaptations were made to IPC-3 to promote its relevance to the population and context. Non-specialist providers developed the skills and confidence to provide IPC-3 competently. Clients displayed large reductions in symptoms of depression (d = 1.1), anxiety (d = 1.4), post-traumatic stress (d = 1.0), and functional impairment (d = 0.8). Remote delivery of IPC-3 by non-specialists appears to be a feasible, acceptable, and appropriate strategy to address gaps and improve efficiency within the mental health system and warrants testing in a fully powered effectiveness study.

Suggested Citation

  • M. Claire Greene & Mayra Muro & Jeremy C. Kane & Erin Young & Alejandra Paniagua-Avila & Lucy Miller-Suchet & Maria Nouel & Annie G. Bonz & Maria Cristobal & Matthew Schojan & Peter Ventevogel & Bryan, 2024. "Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study," IJERPH, MDPI, vol. 21(2), pages 1-20, January.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:2:p:166-:d:1330862
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    References listed on IDEAS

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