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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.

EV0898

Precision psychiatry and neurointerventions: barriers to implementation in low- and middle-income countries

PRECISION PSYCHIATRY AND NEUROINTERVENTIONS: BARRIERS TO IMPLEMENTATION IN LOW- AND MIDDLE-INCOME COUNTRIES

The expansion of precision psychiatry and neurointerventions in low- and middle-income countries is constrained by infrastructure limitations, costs, workforce shortages, regulatory frameworks, inequities in access, and a lack of integration into health systems.

The aim of this study is to examine the barriers to implementing precision psychiatry and neurointerventions in low- and middle-income countries (LMICs). A narrative review was conducted covering transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), neurofeedback, and other emerging approaches related to precision psychiatry. Six interconnected structural and health system barriers were identified in the literature: limited infrastructure for neurointerventions and the concentration of services in a small number of academic and tertiary care centers; high acquisition, maintenance, and treatment costs that hinder adoption in resource-constrained public health systems; a shortage of clinicians and researchers trained in neuromodulation, neurotechnology, computational approaches, and precision psychiatry; fragmented regulatory frameworks, limited research funding, insufficient local datasets, and weak research infrastructure; geographic and socioeconomic inequities in Latin America resulting from the concentration of interventions in major urban and tertiary care centers; and insufficient incorporation of emerging neurotechnologies into national mental health strategies and public health systems. Proposed opportunities for Latin America include regional collaboration models that pool expertise, infrastructure, and research capacity across institutions and countries, multicenter research networks, portable EEG and low-cost neurotechnologies, telepsychiatry, open and representative datasets, and international partnerships based on reciprocal capacity building. The authors conclude that, although promising, these technologies are unevenly distributed globally, and note that overcoming these barriers requires investment in local capacity, regional collaboration, culturally appropriate research, workforce development, and integration into national mental health systems. No numerical results were reported in the poster.

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