Sistematización y resultados cuatro años después del proceso de alistamiento territorial para la implementación de la Política Nacional de Salud Mental en el Departamento de Boyacá 2023

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2025-10-01 Epub Date: 2024-02-27 DOI:10.1016/j.rcp.2023.12.006

Daniela Assis Fierro , Laura Restrepo-Escudero , María José Correa-Méndez , Mariana Vásquez-Ponce , Giancarlo Zuliani-Escalante , Lina María González Ballesteros

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引用次数: 0

Abstract

Introduction

Boyacá was chosen for the pilot implementation of the National Mental Health Policy (NMHP). The aim of this study was to reconstruct the process of territorial enlistment for the adoption and adaptation of the NMHP during the 2019-2020 period in Boyacá and to describe its current situation, evidencing the challenges and results obtained in the short term.

Methods

A qualitative, interpretative, observational, and non-participant methodology was used. An open survey was conducted on 116 key actors of the process and then a semi-structured interview to 14 people chosen with a purposive sampling based on the type of interaction they had in the implementation of the NMHP, with a thematic categorical qualitative analysis.

Results

The main problems were psychoactive substances (PAS) and alcohol use, and domestic violence. The participants considered that the policy was well designed and was fitting for the territory, and highlighted as a strength the political will. They indicated as weaknesses the shortage of resources, institutional capacity and human capital, and the lack of a territorial approach by not considering its conditions of rurality.

Conclusion

Even though some of the main concerns mentioned still persist and the impact of the NMHP has not been evidenced in indicators, its results are notable in terms of the direction and budget allocation in favor of mental health in the region.

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博亚卡省 2023 年国家心理健康政策实施地区准备进程四年后的系统化和成果。

国家精神卫生政策（NMHP）的试点实施选择了boyac。本研究的目的是重建2019-2020年期间boyacac采用和适应NMHP的领土征召过程，并描述其现状，证明短期内面临的挑战和取得的成果。方法采用定性、解释性、观察性和非参与性方法。对该过程的116个关键行为者进行了公开调查，然后对14人进行了半结构化访谈，这些人是根据他们在实施NMHP过程中的互动类型进行有目的抽样选择的，并进行了主题分类定性分析。结果主要问题为精神活性物质（PAS）和酒精使用，以及家庭暴力。嘉宾认为该政策设计精良，适合香港，并强调政治意愿是一项优势。他们指出，缺乏资源、体制能力和人力资本以及没有考虑到农村条件而缺乏地域办法是弱点。结论尽管上述的一些主要问题仍然存在，NMHP的影响尚未在指标上得到证明，但在有利于该地区心理卫生的方向和预算分配方面，其结果是显著的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.