Strengthening the community mental health centers’ continuity of care and rehabilitation program for people with severe mental illness in Peru

In the last few years, the Peruvian Ministry of Health has started a mental health care reform to address the high burden of neuropsychiatric disorders and the mental health treatment gap. This reform seeks to implement a community-based care model. As part of this process, new facilities have been created, among them, the community mental health centers (CMHC). One of the programs within the CMHCs is the Continuity of Care and Rehabilitation Program aimed towards users with severe mental illness.
This program must be implemented following the guidelines as part of the CMHC. However, due to its recent implementation in the last three years and the continuous opening of new CMHC, there is a current gap in information about its implementation. In addition, a limitation in the implementation of CMHC is the absence of a monitoring system which providers information about the needs, ongoing functioning and results of the program, ultimately limiting the assessment and decision-making for its optimization and scale-up nationally.
In this context, this collaborative project between CRONICAS and the Mental Health Directorate of the Ministry of Health (DSAME) is created, supported by funding from the Pan-American Health Organization (PAHO).
Aim:
To analyze the implementation and monitoring process of the continuity of care and rehabilitation program in the CMHCs and propose appropriate and feasible indicators and monitoring procedures that promote its adequate management.
Study design:
Cross-sectional descriptive study, consisting of two phases:
Phase 1: Qualitative study to explore the implementation and monitoring process of the program.
Phase 2: Creation and validation of indicators and monitoring procedures for the program.
Result:
See publications.
Contact:
Francisco Diez Canseco, MPH
Place of study
Lima, La Libertad
Funding
Pan-American Health Organization
Duration of the study
2019
Reserachers
Francisco Diez Canseco
Victoria Cavero
Mauricio Toyama
Collaborators
Yuri Cutipé (DSAME)
María Mendoza (DSAME)
July Caballero (DSAME)
Humberto Maldonado (DSAME)
Publications
- Diez-Canseco F, Rojas-Vargas J, Toyama M, Mendoza M, Cavero V, Maldonado H, Caballero J, Cutipé Y. Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in Peru. Rev Panam Salud Publica. 2020 Dec 30;44:e169. doi: 10.26633/RPSP.2020.169. PMID: 33417655; PMCID: PMC7778464. https://pubmed.ncbi.nlm.nih.gov/33417655/
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