A community center to mobilize public policies and human rights in mental health: “the door is always open”

Abstract

Purpose This study aims to describe the perceptions of some participants from a community mental health center in the Department of Chocó, Colombia. Design/methodology/approach A case study with a qualitative approach was carried out in 2023. Focus groups were conducted with mental health leaders and members of a community mental health center. The data were analyzed using a thematic analysis. Findings Two categories emerged: characterize the Community Mental Health Center of Chocó and Reaffirm human rights. In the first category, the community center is described as a place of recovery that mobilizes social services and works to increase agency capacity. In the second category, the human rights were assumed as part of community services, not only to eliminate coercive practices but also to support the increase of autonomy. Research limitations/implications The limitations of this study are the analysis of strategies from the perspective of global politics, without delving into the structure of community actions themselves, which are not necessarily based on global recommendations. Practical implications Despite the design and development of public policies the study of their implementation still poses several challenges. The strategies carried out by regions that follow evidence-based practices and participation routes are not officially recognized as good practices in mental health and, therefore, independently supported to be sustained. Originality/value A community mental health center is described that manages to be implement and deliver a service despite not being able to be financed by current national regulations. This indicates, apart from a need, the capacity of the regions to build their solutions beyond regulations.