‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies
This study explores the implementation of community-based rehabilitation (CBR) for mental health in Colombia by examining the experiences and perspectives of key community actors involved in the mhGAP programme. Employing a qualitative design, the study analysed data from 63 participants, including...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Global Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/17441692.2025.2541233 |
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| author | Felipe Agudelo-Hernández Lina Cuadrado Andrés Camilo Delgado-Reyes |
| author_facet | Felipe Agudelo-Hernández Lina Cuadrado Andrés Camilo Delgado-Reyes |
| author_sort | Felipe Agudelo-Hernández |
| collection | DOAJ |
| description | This study explores the implementation of community-based rehabilitation (CBR) for mental health in Colombia by examining the experiences and perspectives of key community actors involved in the mhGAP programme. Employing a qualitative design, the study analysed data from 63 participants, including community leaders, support group coordinators, and mental health focal points, across six departments in Colombia. The findings reveal systemic barriers such as gaps in rights-based approaches, insufficient financing, lack of continuity and intersectoral articulation in health services, and persistent stigma and discrimination. Addressing these challenges requires a paradigm shift emphasising intersectoral collaboration, sustainable financing, and human-rights-based care. The study underscores the need for a community-centred and economically reimagined approach to mental health policy, offering a roadmap for advancing equity, resilience, and recovery in low- and middle-income countries through an economically reimagined approach – one that prioritises long-term well-being over cost-efficiency and integrates sustainable public investment in community-based care. |
| format | Article |
| id | doaj-art-43038c547d1640c3ae3363a71e00a705 |
| institution | Kabale University |
| issn | 1744-1692 1744-1706 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Public Health |
| spelling | doaj-art-43038c547d1640c3ae3363a71e00a7052025-08-20T03:32:08ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2025.2541233‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policiesFelipe Agudelo-Hernández0Lina Cuadrado1Andrés Camilo Delgado-Reyes2Dirección Territorial de Salud de Caldas, Centro Liborio, Caldas, ColombiaFacultad de Enfermería, Salud Mental Comunitaria, Universidad El Bosque, Bogotá, ColombiaUniversidad de Manizales, Manizales, ColombiaThis study explores the implementation of community-based rehabilitation (CBR) for mental health in Colombia by examining the experiences and perspectives of key community actors involved in the mhGAP programme. Employing a qualitative design, the study analysed data from 63 participants, including community leaders, support group coordinators, and mental health focal points, across six departments in Colombia. The findings reveal systemic barriers such as gaps in rights-based approaches, insufficient financing, lack of continuity and intersectoral articulation in health services, and persistent stigma and discrimination. Addressing these challenges requires a paradigm shift emphasising intersectoral collaboration, sustainable financing, and human-rights-based care. The study underscores the need for a community-centred and economically reimagined approach to mental health policy, offering a roadmap for advancing equity, resilience, and recovery in low- and middle-income countries through an economically reimagined approach – one that prioritises long-term well-being over cost-efficiency and integrates sustainable public investment in community-based care.https://www.tandfonline.com/doi/10.1080/17441692.2025.2541233Health policypsychiatric rehabilitationimplementation sciencehealth care qualityaccessevaluation |
| spellingShingle | Felipe Agudelo-Hernández Lina Cuadrado Andrés Camilo Delgado-Reyes ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies Global Public Health Health policy psychiatric rehabilitation implementation science health care quality access evaluation |
| title | ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies |
| title_full | ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies |
| title_fullStr | ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies |
| title_full_unstemmed | ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies |
| title_short | ‘The policies say something else’: Psychiatric rehabilitation in Colombia, a necessity amid contradictory public policies |
| title_sort | the policies say something else psychiatric rehabilitation in colombia a necessity amid contradictory public policies |
| topic | Health policy psychiatric rehabilitation implementation science health care quality access evaluation |
| url | https://www.tandfonline.com/doi/10.1080/17441692.2025.2541233 |
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