Implementation of early psychosis services in Latin America: A scoping review

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dc.catalogadoraba
dc.contributor.authorAceituno Farías, David
dc.contributor.authorMena, C.
dc.contributor.authorVera, N.
dc.contributor.authorGonzález Valderrama, A.
dc.contributor.authorGadelha, A.
dc.contributor.authorDiniz, E.
dc.contributor.authorCrossley, Nicolás
dc.contributor.authorPennington, Mark
dc.contributor.authorPrina, M.
dc.date.accessioned2024-06-06T22:53:13Z
dc.date.available2024-06-06T22:53:13Z
dc.date.issued2021
dc.description.abstractThe evidence of the effectiveness and cost-effectiveness of early intervention for psychosis (EIP) services has motivated their implementation worldwide. However, complex interventions of such EIP services require local adaptations to successfully match population needs and cultural differences. Latin America is a heterogenous region where EIP services are progressively being adopted. Our aim is to map such initiatives in the region with a focus on implementation outcomes. Methods: A scoping review following the Preferred Reporting Items for Systematic review and Meta-Analysis extension for Scoping Reviews guidelines was conducted. International and regional databases were searched for publications describing EIP programmes in the region. Besides mapping the services, we described implementation outcomes based on the Standards for Reporting Implementation Studies Checklist. Results: Ten articles describing seven EIP initiatives from the region were found. Four countries were represented: Argentina, Brazil, Chile and Mexico. The implementation outcomes reporting was heterogenous, although it was possible to ascertain EIP services are feasible and adequate for the region's context. Also, there is some evidence of effectiveness in terms of reducing hospitalizations and improving symptoms. Information about fidelity measures was scarce and there was no information about costs or cost-effectiveness. Conclusions: Only a small proportion of Latin American countries have adopted EIP services. Although these programmes seem to be feasible and effective, data on other implementation outcomes, such as fidelity, cultural appropriateness, cost-effectiveness and affordability are not available. This might in part explain why this effective approach has not been yet scaled-up at nationwide levels.
dc.description.funderANID
dc.description.funderLatin American consortium ANDES
dc.description.funderNational Agency for Research and Development
dc.description.funderPrograma Iberoamericano de Ciencia y Tecnolog?a para el Desarrollo CYTED
dc.description.funderPrograma Iberoamericano de Ciencia y Tecnología para el Desarrollo CYTED
dc.fechaingreso.objetodigital2024-06-06
dc.fuente.origenScopus
dc.identifier.doi10.1111/eip.13060
dc.identifier.eissn1751-7893
dc.identifier.issn1751-7885
dc.identifier.pubmedid33047889
dc.identifier.scopusidSCOPUS_ID:85092535103
dc.identifier.urihttps://doi.org/10.1111/eip.13060
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86620
dc.identifier.wosidWOS:000578719800001
dc.information.autorucEscuela de Medicina; Aceituno Farías, David; 0000-0002-2967-5816; 142547
dc.information.autorucEscuela de Medicina; Crossley, Nicolás; 0000-0002-3060-656X; 11224
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final1114
dc.pagina.inicio1104
dc.publisherJohn Wiley and Sons Inc
dc.revistaEarly Intervention in Psychiatry
dc.rightsacceso abierto
dc.rights.licenseATTRIBUTION 4.0 INTERNATIONAL Deed
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectEarly medical intervention
dc.subjectHealth plan implementation
dc.subjectLatin America
dc.subjectMental health services
dc.subjectPsychotic disorders
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleImplementation of early psychosis services in Latin America: A scoping review
dc.typeartículo de revisión
dc.volumen15
sipa.codpersvinculados142547
sipa.codpersvinculados11224
sipa.trazabilidadScopus;12-10-2021
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