Perspectives on the Implementation of Screening and Treatment for Depression and Alcohol Use Disorder in Primary Care in Colombia

Depression and alcohol use disorder (AUD) greatly contribute to the burden of disease worldwide, and have large impact on Colombia’s population. In this study, a qualitative analysis evaluates the implementation of a technology-supported model for screening, decision support, and digital therapy for...

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Bibliographic Details
Published in:Community mental health journal 2021-11, Vol.57 (8), p.1579-1587
Main Authors: Shannon, C. L., Bartels, S. M., Cepeda, M., Castro, S., Cubillos, L., Suárez-Obando, F., Williams, M. J., Gómez Restrepo, C., Uribe, M., Marsch, L., Torrey, W. C.
Format: Article
Language:English
Subjects:
Alcohol related disorders
Alcohol use
Alcoholism
Alcoholism - diagnosis
Alcoholism - therapy
Attitudes
Clinics
Colombia
Community and Environmental Psychology
Delivery of Health Care
Depression
Health care
Health services
Humans
Implementation
Interviews
Medical diagnosis
Medical personnel
Medical screening
Medicine
Medicine & Public Health
Mental depression
Mental health
Mental health professionals
Mental health services
Original Paper
Ownership
Patients
Primary care
Primary Health Care
Psychiatry
Qualitative research
Stigma
Technology
Technology attitudes
Tests
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Summary:Depression and alcohol use disorder (AUD) greatly contribute to the burden of disease worldwide, and have large impact on Colombia’s population. In this study, a qualitative analysis evaluates the implementation of a technology-supported model for screening, decision support, and digital therapy for depression and AUD in Colombian primary care clinics. Patient, provider, and administrator interviews were conducted, exploring attitudes towards depression and AUD, attitudes towards technology, and implementation successes and challenges. Researchers used qualitative methods to analyze interview themes. Despite stigma around depression and AUD, the model improved provider capacity to diagnose and manage patients, helped patients feel supported, and provided useful prevalence data for administrators. Challenges included limited provider time and questions about sustainability. The implementation facilitated the identification, diagnosis, and care of patients with depression and AUD. There is ongoing need to decrease stigma, create stronger networks of mental health professionals, and transition intervention ownership to the healthcare center.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-021-00781-1