Integrated programs for common mental illnesses within primary care and community settings in Latin America: a scoping review of components and implementation strategies

Integrated programs for common mental illnesses are evidence-informed practices yet to be routinely implemented in Latin America. It synthesizes the literature on integrated programs for common mental illnesses (anxiety, depression, and posttraumatic stress disorder) in Latin American primary care a...

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Bibliographic Details
Published in:Lancet Regional Health - Americas (Online) 2025-01, Vol.41, p.100931, Article 100931
Main Authors: Paniagua-Avila, Alejandra, Branas, Charles, Susser, Ezra, Fort, Meredith P., Shelton, Rachel, Trigueros, Lourdes, Camara, Barbara, Costigan, Elen, Demis, Lina, Florence, Ana, Flores, Maria, Miller-Suchet, Lucy, Paredes-Montero, Angela, Rodrigues, Mariana, Kane, Jeremy
Format: Article
Language:English
Subjects:
Anxiety
Collaborative care
Depression
Implementation research
Implementation strategies
Integrated service
Latin America
Primary care
PTSD
Review
Scoping review
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Summary:Integrated programs for common mental illnesses are evidence-informed practices yet to be routinely implemented in Latin America. It synthesizes the literature on integrated programs for common mental illnesses (anxiety, depression, and posttraumatic stress disorder) in Latin American primary care and community settings. It maps program components (the ‘what’) to the collaborative care model core components and implementation strategies (the ‘how’) to the Expert Recommendations for Implementing Change (ERIC) taxonomy. Results from 18 programs across six countries (Belize, Brazil, Chile, Colombia, Mexico, Peru) show wide heterogeneity in component and strategy combinations. Overall, provider-level components and strategies were more common than family- or community-level ones. ‘Team-based care’ was the most commonly reported component, and ‘family/user engagement’ the least. The most common implementation strategy was ‘supporting clinicians,’ while ‘changing infrastructure’ was the least. Programs commonly addressed depression and only four followed experimental designs. We found limited evidence on the potential mechanisms of integrated program components and strategies.
ISSN:2667-193X
2667-193X
DOI:10.1016/j.lana.2024.100931