IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v65y2019i1p38-45.html
   My bibliography  Save this article

Implementing a community-based task-shifting psychosocial intervention for individuals with psychosis in Chile: Perspectives from users

Author

Listed:
  • Martin Agrest
  • PhuongThao D Le
  • Lawrence H Yang
  • Franco Mascayano
  • Silvia Alves-Nishioka
  • Saloni Dev
  • Tanvi Kankan
  • Thamara Tapia-Muñoz
  • Samantha Sawyer
  • Josefina Toso-Salman
  • Gabriella A Dishy
  • Maria Jose Jorquera
  • Sara Schilling
  • Charissa Pratt
  • LeShawndra Price
  • Eliecer Valencia
  • Sarah Conover
  • Ruben Alvarado
  • Ezra S Susser

Abstract

Background: Latin America, and Chile in particular, has a rich tradition of community mental health services and programs. However, in vivo community-based psychosocial interventions, especially those with a recovery-oriented approach, remain scarce in the region. Between 2014 and 2015, a Critical Time Intervention-Task Shifting project (CTI-TS) was implemented in Santiago, Chile, as part of a larger pilot randomized control trial. CTI is a time-limited intervention delivered at a critical-time to users, is organized by phases, focuses on specific objectives and decreases in intensity over time. CTI-TS, which combines both the task-shifting strategy and the use of peers, introduces a novel approach to community mental health care that has not yet been tried in Chile. Aims: We aim to evaluate the feasibility, acceptability and applicability of such a community-based psychosocial intervention in urban settings in Latin America – specifically, in Santiago (Chile) from a user perspective. Method: We analyzed 15 in-depth interviews ( n  = 15) with service users who participated in the intervention about their perceptions and experiences with CTI-TS through thematic analysis. Results: Three themes were revealed. The first was related to the structural characteristics of CTI-TS, especially regarding the timing, duration and phasic nature of the intervention. The second pertained to the acceptability of the in vivo community-based approach. The third theme dealt with the task-shifting aspect, that is, users’ perceptions of the peer support workers and the community mental health workers. Conclusions: CTI-TS was generally acceptable in this Latin American context. Users’ perspectives pointed to the need to make adjustments to some of the structural characteristics of the CTI model and to combine this type of intervention with others that can address stigma. Thus, future adaptations of CTI-TS or similar psychosocial interventions in Latin American contexts are feasible and can enhance community mental health in the region.

Suggested Citation

  • Martin Agrest & PhuongThao D Le & Lawrence H Yang & Franco Mascayano & Silvia Alves-Nishioka & Saloni Dev & Tanvi Kankan & Thamara Tapia-Muñoz & Samantha Sawyer & Josefina Toso-Salman & Gabriella A D, 2019. "Implementing a community-based task-shifting psychosocial intervention for individuals with psychosis in Chile: Perspectives from users," International Journal of Social Psychiatry, , vol. 65(1), pages 38-45, February.
    • Handle: RePEc:sae:socpsy:v:65:y:2019:i:1:p:38-45
    DOI: 10.1177/0020764018815204
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764018815204
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764018815204?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Susser, E. & Valencia, E. & Conover, S. & Felix, A. & Tsai, W.-Y. & Wyatt, R.J., 1997. "Preventing recurrent homelessness among mentally ill men: A 'critical time' intervention after discharge from a shelter," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 256-262.
    2. Mendenhall, Emily & De Silva, Mary J. & Hanlon, Charlotte & Petersen, Inge & Shidhaye, Rahul & Jordans, Mark & Luitel, Nagendra & Ssebunnya, Joshua & Fekadu, Abebaw & Patel, Vikram & Tomlinson, Mark &, 2014. "Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and U," Social Science & Medicine, Elsevier, vol. 118(C), pages 33-42.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Macia, Kathryn S. & Blonigen, Daniel M. & Shaffer, Paige M. & Cloitre, Marylène & Smelson, David A., 2021. "Trauma-related differences in socio-emotional functioning predict housing and employment outcomes in homeless veterans," Social Science & Medicine, Elsevier, vol. 281(C).
    2. Thompson, Sanna J. & Pollio, David E. & Eyrich, Karin & Bradbury, Emily & North, Carol S., 2004. "Successfully exiting homelessness: experiences of formerly homeless mentally ill individuals," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 423-431, November.
    3. Jinvo Nam & Nicola Dempsey, 2018. "Community Food Growing in Parks? Assessing the Acceptability and Feasibility in Sheffield, UK," Sustainability, MDPI, vol. 10(8), pages 1-21, August.
    4. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
    5. Vitopoulos, Nina A. & Frederick, Tyler J. & Leon, Scott & Daley, Mardi & McDonald, Carol & Morales, Shaniah & Cerswell Kielburger, Leysa & Cohen, Sue & Eacott, Karen & Howes, Carol & Gutierrez, Rose &, 2018. "Development of a complex tertiary prevention intervention for the transition out of youth homelessness," Children and Youth Services Review, Elsevier, vol. 94(C), pages 579-588.
    6. Sabrina Gabrielle Anjara & Chiara Bonetto & Poushali Ganguli & Diana Setiyawati & Yodi Mahendradhata & Bambang Hastha Yoga & Laksono Trisnantoro & Carol Brayne & Tine Van Bortel, 2019. "Can General Practitioners manage mental disorders in primary care? A partially randomised, pragmatic, cluster trial," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-26, November.
    7. Danielle A. M. Lako & Mariëlle D. Beijersbergen & Irene E. Jonker & Renée Vet & Daniel B. Herman & Albert M. Hemert & Judith R. L. M. Wolf, 2018. "The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 513-523, May.
    8. Woollett, Nataly & Brahmbhatt, Heena & Dodd, Kate & Booth, Michelle & Berman, Hayley & Cluver, Lucie, 2017. "Revealing the impact of loss: Exploring mental health through the use of drawing/writing with HIV positive adolescents in Johannesburg," Children and Youth Services Review, Elsevier, vol. 77(C), pages 197-207.
    9. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    10. David Ponka & Eric Agbata & Claire Kendall & Vicky Stergiopoulos & Oreen Mendonca & Olivia Magwood & Ammar Saad & Bonnie Larson & Annie Huiru Sun & Neil Arya & Terry Hannigan & Kednapa Thavorn & Anne , 2020. "The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    11. Laura Asher & Abebaw Fekadu & Charlotte Hanlon & Gemechu Mideksa & Julian Eaton & Vikram Patel & Mary J De Silva, 2015. "Development of a Community-Based Rehabilitation Intervention for People with Schizophrenia in Ethiopia," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-19, November.
    12. Lars Benjaminsen, 2018. "Housing First in Denmark: An Analysis of the Coverage Rate among Homeless People and Types of Shelter Users," Social Inclusion, Cogitatio Press, vol. 6(3), pages 327-336.
    13. Sarkar, Nandini D.P. & Baingana, Florence & Criel, Bart, 2022. "Integration of perinatal mental health care into district health services in Uganda: Why is it not happening? The Four Domain Integrated Health (4DIH) explanatory framework," Social Science & Medicine, Elsevier, vol. 296(C).
    14. Nadja van Ginneken & Meera S Maheedhariah & Sarah Ghani & Jayashree Ramakrishna & Anusha Raja & Vikram Patel, 2017. "Human resources and models of mental healthcare integration into primary and community care in India: Case studies of 72 programmes," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-25, June.
    15. O'Reilly, Michelle & Taylor, Helen C. & Vostanis, Panos, 2009. ""Nuts, schiz, psycho": An exploration of young homeless people's perceptions and dilemmas of defining mental health," Social Science & Medicine, Elsevier, vol. 68(9), pages 1737-1744, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:65:y:2019:i:1:p:38-45. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.