A Participatory Psychosocial Care Approach to of Mental Health in Colombia (PPC-Colombia)

哥伦比亚心理健康的参与式社会心理护理方法（PPC-哥伦比亚）

• 批准号: ES/V013394/1
• 负责人: Huseyin Cakal
• 金额: $ 42.98万
• 依托单位: Keele University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV013394%2F1
• 关键词: Participatory; Psychosocial; Care; Approach; Mental

Context: For over 50 years Colombia has suffered from one of the most impactful and long enduring violent armed conflicts worldwide. So far, around 8 million people have been displaced (the highest number of internally displaced people (IDP) worldwide. Direct exposure to violence and displacement coupled with inadequate and uneven provision of mental health services have had enormous consequences for mental health nationwide. One of the regions that is most affected by the armed conflict is Montes de Maria that forms part of Sucre and Bolivar administrative divisions. Between 1958-2018, and especially from 1996 till 2006, the regions suffered some of the highest number of mass killings, assassinations, disappearances, and sexual violence cases. During the same time 215,000 people have been displaced.Governmental attempts to improve mental health provisions for the affected populations are generally pharmaceutically based with little attention to the local realities and have recently been critically hampered by renewed armed violence, arrival of Venezuelan refugees, natural disasters, and most recently by COVID-19. As a result, millions of individuals in communities with vulnerable populations (i.e. females, indigenous peoples, rural communities, the displaced) face serious mental health challenges. Given the current conditions imposed by the pandemic there is an urgent need for evidence based approaches that employ the existing knowledge and tap into communal and individual resources to provide context relevant and sustainable mental health support.Project Aims: Thus, our multidisciplinary proposal aims to co-create a conceptual framework to provide sustainable therapeutic interventions grounded in communal and individual resources on the basis of the current political and social context in Colombia by comprehensively analysing existing databases of mental health (NMHS) and conflict (Colombian Reconciliation Barometer, Observatory of Memory and Conflict Database Database of Armed Conflict in Colombia); and integrating community based (socio-therapy) and social psychological (social networks and social interactions) approaches.Main Objectives: a) establish interdisciplinary (researchers, community partners and state agencies) collaboration to identify the specific mental health needs of the local communities in the Montes de Maria Region in the wake of the current conditions, i.e. forced displacements, immigration, and the pandemic; b) co-create a conceptual framework based in the local processes and one that considers the social, political, and cultural context to support community based interventions; c) pilot a sustainable and context relevant psycho-social intervention to improve and promote mental-health, and social cohesion.Applications and Benefits: The most vulnerable (i.e. females, indigenous peoples, rural communities, the displaced) in the Montes de Maria regions will benefit most directly from this research as they will be involved in the conceptualization, design, and implementation of the proposed project. They will have access to social support sources, will gain valuable information on the specific aspects seeking and obtaining mental health support in the region. The facilitators will benefit from basic training that will enable them to continue to provide support. The local communities will broaden their capacity to support the IDPs in the region. Finally, the research assistants and early career researchers will also benefit as they will gain valuable experience in conceptualization and implementation of interdisciplinary research and extend their research network. The conceptual framework we will develop is likely to be adapted to address similar challenges that the vulnerable communities face elsewhere.

背景：50多年来，哥伦比亚遭受了全世界影响最大、持续时间最长的暴力武装冲突之一。迄今为止，约有800万人流离失所(这是全世界境内流离失所人数最多的一次)。直接遭受暴力和流离失所，再加上精神健康服务的提供不充分和不均衡，对全国的精神健康造成了巨大的后果。受武装冲突影响最大的地区之一是蒙特德玛丽亚，它是苏克雷和玻利瓦尔行政区的一部分。1958-2018年间，特别是1996-2006年间，这些地区遭受的大规模杀戮、暗杀、失踪和性暴力案件数量最多。与此同时，215,000人流离失所。政府改善受影响人口心理健康的努力通常是基于药物，很少考虑当地现实，最近受到新一轮武装暴力、委内瑞拉难民抵达、自然灾害和最近的新冠肺炎的严重阻碍。因此，弱势群体社区(即女性、土著人民、农村社区、流离失所者)中的数百万人面临严重的心理健康挑战。鉴于大流行造成的当前状况，迫切需要循证办法，利用现有知识并利用社区和个人资源，提供与背景相关和可持续的心理健康支持。项目目标：因此，我们的多学科提案旨在共同创建一个概念框架，通过全面分析现有的心理健康(NMHS)和冲突数据库(哥伦比亚和解晴雨表、记忆观察站和哥伦比亚武装冲突数据库)，在哥伦比亚当前政治和社会背景的基础上，提供基于社区和个人资源的可持续治疗干预措施；主要目标：a)建立跨学科合作(研究人员、社区合作伙伴和国家机构)，以确定蒙得玛丽亚地区当地社区在当前状况下的具体心理健康需求，即强迫流离失所、移民和流行病；b)共同创建一个基于当地进程的概念框架，并考虑到社会、政治和文化背景，以支持基于社区的干预；C)试行一项可持续和与背景相关的心理社会干预措施，以改善和促进心理健康和社会凝聚力。应用和惠益：蒙特德玛丽亚地区最脆弱的群体(即妇女、土著人民、农村社区、流离失所者)将直接受益于这项研究，因为他们将参与拟议项目的构思、设计和实施。他们将能够获得社会支持来源，将获得关于在该区域寻求和获得心理健康支持的具体方面的宝贵信息。主持人将受益于基本培训，这将使他们能够继续提供支助。当地社区将扩大其支持该区域境内流离失所者的能力。最后，研究助理和早期职业研究人员也将受益，因为他们将在跨学科研究的概念化和实施方面获得宝贵的经验，并扩大他们的研究网络。我们将制定的概念框架很可能会加以调整，以解决脆弱社区在其他地方面临的类似挑战。

项目成果

Sociopolitical consequences of COVID-19 in the Americas, Europe, and Asia: A multilevel, multicountry investigation of risk perceptions and support for antidemocratic practices

COVID-19 在美洲、欧洲和亚洲的社会政治后果：对风险认知和反民主做法支持的多层次、多国家调查

• DOI: 10.1111/pops.12930
• 发表时间: 2023
• 期刊: Political Psychology
• 影响因子: 4.6
• 作者: Pizarro J

Medición de indicadores de salud mental de población en contexto de conflicto armado en Colombia: revisión de alcance

哥伦比亚武装冲突背景下人民心理健康指标的医疗：修订

• 发表时间: 2022
• 期刊: Universitas Psychologica
• 影响因子: 0.3
• 作者: Lopez, W.

POLITICAL MORAL LAXITY AS A SYMPTOM OF SYSTEM JUSTIFICATION IN ARGENTINA, COLOMBIA, AND PERU

• DOI: 10.4473/tpm29.1.4
• 发表时间: 2022-03-01
• 期刊: TPM-TESTING PSYCHOMETRICS METHODOLOGY IN APPLIED PSYCHOLOGY
• 影响因子: 0.7
• 作者: Espinosa, Agustin;Cakal, Huseyin;Molina, Nelson
• 通讯作者: Molina, Nelson