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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0664

Linking Indigenous community networks with public health services to effectively address chronic institutionalization

LINKING INDIGENOUS COMMUNITY NETWORKS AND PUBLIC HEALTH SERVICES TO EFFECTIVELY ADDRESS CHRONIC INSTITUTIONALIZATION

Integrating culturally rooted Indigenous community care with public health networks offers a feasible pathway for Guatemala to transition from chronic institutionalization to community-based mental health care.

The aim was to explore the value of linking two distinct models of care in Guatemala: Indigenous community care involving Maya therapists, traditional midwives, and community leaders in Santiago Atitlan, and decentralized public mental health care delivered through Integrated Health Service Networks in Baja Verapaz. As background, it is noted that, despite the country's large Indigenous Maya population, psychiatric care remains largely based on institutionalization, an approach associated with substandard care and human rights violations. A mixed-methods design combining qualitative and quantitative evidence was used; interviews were conducted with people with lived experience, family members, Indigenous community stakeholders, and mental health professionals. Descriptive analysis of epidemiological and service data was supplemented by field visits to both sites, and a comparative analysis identified organizational and clinical components for an integrated model. A joint strategy brought together concepts, procedures, and stakeholders from the ancestral community model and national health networks; the comparative analysis demonstrated the complementary value of these two models in addressing chronic psychiatric institutionalization more effectively. Community connections and culturally grounded support were highlighted as an opportunity to complement the clinical capacity, referral pathways, and continuity of care provided by public services. In conclusion, the proposed Integrated Intercultural Community Mental Health Model is presented as a feasible and scalable pathway for Guatemala's transition from chronic institutionalization to community-based mental health care. The poster does not report numerical results from the study.

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