Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru
Objective. Describe the implementation of the Continuity of Care and Rehabilitation Program (PCC-R) in community mental health centers (CSMCs, Spanish acronym) in Peru. Methods. Qualitative study of the implementation of the PCC-R in four CSMCs in Lima and La Libertad, Peru. Forty-two individual sem...
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Pan American Health Organization
2020
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Online Access: | https://doi.org/10.26633/RPSP.2020.169 https://doaj.org/article/d06dcbd6aabd4dac98ca33cc2782c826 |
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ftdoajarticles:oai:doaj.org/article:d06dcbd6aabd4dac98ca33cc2782c826 2023-05-15T15:13:37+02:00 Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru Francisco Diez-Canseco Jefferson Rojas-Vargas Mauricio Toyama María Mendoza Victoria Cavero Humberto Maldonado July Caballero Yuri Cutipé 2020-12-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.169 https://doaj.org/article/d06dcbd6aabd4dac98ca33cc2782c826 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53155 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.169 https://doaj.org/article/d06dcbd6aabd4dac98ca33cc2782c826 Revista Panamericana de Salud Pública, Vol 44, Iss 169, Pp 1-8 (2020) continuity of patient care mental health community mental health centers qualitative research peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.169 2022-12-31T12:22:10Z Objective. Describe the implementation of the Continuity of Care and Rehabilitation Program (PCC-R) in community mental health centers (CSMCs, Spanish acronym) in Peru. Methods. Qualitative study of the implementation of the PCC-R in four CSMCs in Lima and La Libertad, Peru. Forty-two individual semi-structured interviews were conducted, as well as a focus group with five participants, for a total of 47 informants, including users, family members, and professionals involved in the design, implementation, and monitoring of the program. Results. The PCC-R is a key program for community mental health services in Peru and it enjoys broad acceptability. Providers and users report satisfaction with its results; however, the program lacks a policy document specifying its objectives, organization, and activities. This would explain the variability in its implementation. The PCC-R has limitations in terms of management of financial and human resources, and it is necessary to improve training and supervision. There is consensus on the need, usefulness, and viability of developing a system to monitor the PCC-R. Good practices and suggestions are presented with a view to addressing these challenges. Conclusions. The PCC-R is a flagship program for the CSMCs and for mental health reform in Peru. It has achieved broad acceptability among providers and users. Its implementation combines successes and difficulties, with pending tasks that include developing a policy document, improving resource management, strengthening training and supervision, and implementing a monitoring system for continuous improvement of the program. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Libertad ENVELOPE(-55.817,-55.817,-63.000,-63.000) Revista Panamericana de Salud Pública 44 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
continuity of patient care mental health community mental health centers qualitative research peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
continuity of patient care mental health community mental health centers qualitative research peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Francisco Diez-Canseco Jefferson Rojas-Vargas Mauricio Toyama María Mendoza Victoria Cavero Humberto Maldonado July Caballero Yuri Cutipé Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
topic_facet |
continuity of patient care mental health community mental health centers qualitative research peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. Describe the implementation of the Continuity of Care and Rehabilitation Program (PCC-R) in community mental health centers (CSMCs, Spanish acronym) in Peru. Methods. Qualitative study of the implementation of the PCC-R in four CSMCs in Lima and La Libertad, Peru. Forty-two individual semi-structured interviews were conducted, as well as a focus group with five participants, for a total of 47 informants, including users, family members, and professionals involved in the design, implementation, and monitoring of the program. Results. The PCC-R is a key program for community mental health services in Peru and it enjoys broad acceptability. Providers and users report satisfaction with its results; however, the program lacks a policy document specifying its objectives, organization, and activities. This would explain the variability in its implementation. The PCC-R has limitations in terms of management of financial and human resources, and it is necessary to improve training and supervision. There is consensus on the need, usefulness, and viability of developing a system to monitor the PCC-R. Good practices and suggestions are presented with a view to addressing these challenges. Conclusions. The PCC-R is a flagship program for the CSMCs and for mental health reform in Peru. It has achieved broad acceptability among providers and users. Its implementation combines successes and difficulties, with pending tasks that include developing a policy document, improving resource management, strengthening training and supervision, and implementing a monitoring system for continuous improvement of the program. |
format |
Article in Journal/Newspaper |
author |
Francisco Diez-Canseco Jefferson Rojas-Vargas Mauricio Toyama María Mendoza Victoria Cavero Humberto Maldonado July Caballero Yuri Cutipé |
author_facet |
Francisco Diez-Canseco Jefferson Rojas-Vargas Mauricio Toyama María Mendoza Victoria Cavero Humberto Maldonado July Caballero Yuri Cutipé |
author_sort |
Francisco Diez-Canseco |
title |
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
title_short |
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
title_full |
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
title_fullStr |
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
title_full_unstemmed |
Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru |
title_sort |
qualitative study of the implementation of the continuity of care and rehabilitation program for people with severe mental disorders in peru |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.169 https://doaj.org/article/d06dcbd6aabd4dac98ca33cc2782c826 |
long_lat |
ENVELOPE(-55.817,-55.817,-63.000,-63.000) |
geographic |
Arctic Libertad |
geographic_facet |
Arctic Libertad |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 169, Pp 1-8 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/53155 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.169 https://doaj.org/article/d06dcbd6aabd4dac98ca33cc2782c826 |
op_doi |
https://doi.org/10.26633/RPSP.2020.169 |
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Revista Panamericana de Salud Pública |
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44 |
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