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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0521

Beyond translation: Challenges in adapting a perinatal mental health training program developed in the United States to the Brazilian context

BEYOND TRANSLATION: CHALLENGES IN ADAPTING A UNITED STATES PERINATAL MENTAL HEALTH TRAINING PROGRAM TO THE BRAZILIAN CONTEXT

Transferring perinatal mental health training across countries is not a matter of linguistic substitution, but a process of contextual adaptation.

The aim is to describe the challenges encountered during the translation and contextual adaptation of a perinatal mental health training program developed in the United States for use in Brazil. Designed as an experience report, the study addresses the ongoing adaptation of a multimodal curriculum comprising online content, self-study materials, facilitator guides, presentations, and case-based activities. Translation was undertaken by a team consisting primarily of psychiatry residents and medical students, with three psychiatrists; difficult terms and inconsistencies were recorded in a shared terminology table and discussed at weekly meetings. Challenges clustered into four areas: linguistic and semantic challenges involving everyday expressions without direct equivalents and context-dependent clinical terminology; clinical and conceptual challenges requiring alignment with Brazilian psychiatric terminology and professional usage; sociocultural and epidemiological differences affecting the relative importance of topics (particularly the prominence of opioid-related disorders in the United States curriculum); and health system differences that complicated role-based terms such as "primary care physician," because apparently equivalent terms referred to different models of care, professional responsibilities, and referral pathways. Abbreviations, investigations, clinical assessment practices, and educational activities also required contextual interpretation rather than direct substitution. In conclusion, collaborative discussion, shared terminology, and attention to local epidemiology, clinical practice, and the organization of health services may enhance the local relevance of internationally developed training programs.

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