المؤلفون: Patterson, Amy S¹ (AUTHOR), Clark, Mary A² (AUTHOR) maclark@tulane.edu, Rogers, Al-Varney³ (AUTHOR)

المصدر: Health Policy & Planning. Jun2024, Vol. 39 Issue 5, p486-498. 13p.

مصطلحات موضوعية: *HEALTH facilities, MENTAL health policy, MENTAL health services, RIGHT to health, ASSOCIATION of ideas

مصطلحات جغرافية: LIBERIA

مستخلص: This article traces the influence of network power on mental health policy in Liberia, a low-income, post-conflict West African country. Based on key informant interviews, focus group discussions and document analysis, the work uses an inductive approach to uncover how a network of civil society groups, government officials, diasporans and international NGOs shaped the passage, implementation and revision of the country's 2009 and 2016 mental health policies. With relations rooted in ties of information, expertise, resources, commitment and personal connections, the network coalesced around a key agent, the Carter Center, which connected members and guided initiatives. Network power was evident when these actors channelled expertise, shared narratives of post-war trauma and mental health as a human right, and financial resources to influence policy. Feedback loops appeared as policy implementation created new associations of mental health clinicians and service users, research entities and training institutes. These beneficiaries offered the network information from lived experiences, while also pressing their own interests in subsequent policy revisions. As the network expanded over time, some network members gained greater autonomy from the key agent. Network power outcomes included the creation of government mental health institutions, workforce development, increased public awareness, civil society mobilization and a line for mental health in the government budget, though concerns about network overstretch and key agent commitment emerged over time. The Liberian case illustrates how networks need not be inimical to development, and how network power may facilitate action on stigmatized, unpopular issues in contexts with low state capacity. A focus on network power in health shows how power can operate not only through discrete resources such as funding but also through the totality of assets that network linkages make possible. [ABSTRACT FROM AUTHOR]

: Copyright of Health Policy & Planning is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Krasnikov, Alexander V.¹ (AUTHOR) akrasnikov@luc.edu, Shultz II, Clifford J.² (AUTHOR) cjs2@luc.edu, Rebiazina, Vera A.³ (AUTHOR) rebiazina@hse.ru

المصدر: Journal of International Marketing. Dec2022, Vol. 30 Issue 4, p60-77. 18p. 1 Diagram, 4 Charts.

مصطلحات موضوعية: *COVID-19, *ECONOMIC liberty, *CONSUMER behavior, MENTAL health policy, SCHOOL closings

مستخلص: The authors examine the role of community resilience in consumer mental, behavioral, and attitudinal responses to policy interventions implemented in response to the worldwide COVID-19 pandemic. Three adaptive capacities (economic development, communication and information, and transformative potential) are used to capture community resilience in various geographies. Using a difference-in-difference approach in a large sample of consumers from multiple countries that introduced such interventions in March and April 2020, the authors assess the moderating effect of these capacities on the strength of the impact of interventions on mental health, personal protective behavior, and the perception of such policies. The measure of COVID policy intervention reflects mandatory closure of workplaces, transportation, and schools. Significant findings include robust empirical evidence that adaptive capacities mitigate the negative impact of COVID policy intervention on mental health. Furthermore, the policy's impact on personal protective behaviors was more substantial in countries with higher levels of economic equality, communication spending, social engagement, and human development. Economic development and communication and information capacities strengthened the positive impact of the intervention on the perception of such policies. This research offers actionable insights on individual responses during COVID for managers, marketers, and policy makers. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of International Marketing is the property of American Marketing Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المصدر: American Journal of Psychiatry. Jul2024, Vol. 181 Issue 7, p660-686. 27p.

مصطلحات موضوعية: *MENTAL health services, *MENTAL health policy, *MEDICAID, *MEDICAL personnel, *MEDICAL care, *PEOPLE with mental illness, *MARKETING, *VOICE disorders

مستخلص: This document provides a summary of the annual reports presented at the American Psychiatric Association (APA) Annual Meeting in May 2024. The reports cover a range of topics, including efforts to increase diversity in mental health care, discussions on the use of artificial intelligence in psychiatry, and improvements to the APA Board nomination process. The APA also addressed position statements on social media harms, decriminalization of illicit substances, and discriminatory policies. The Treasurer's report highlights the financial status of the APA, including a net income of $2.5 million in 2023. The CEO and Medical Director's report outlines the APA's accomplishments in promoting access to care, anti-racism in psychiatry, education, and fair treatment for members. The APA has been involved in advocacy efforts, testified before Congress, and participated in lobbying events to address various issues in mental health care. They have also supported legislation related to telehealth, maternal health, and workforce shortages. The APA supports efforts to enhance consumer health data protections and advocates for increased funding for mental health and substance use disorder programs. They have also been involved in advocating for safe prescribing, harm reduction, and digital health interventions. The APA has been advocating for permanent telehealth flexibilities and payment parity for telehealth services. In terms of membership, the APA has seen an increase in membership count and has awarded grants to researchers studying the impact of structural racism and discrimination on mental health. The DSM Steering Committee has received proposals for changes to the DSM-5 [Extracted from the article]

المؤلفون: Zabelski, Sasha¹ (AUTHOR) azabelsk@uncc.edu, Hollander, Mara¹ (AUTHOR), Alexander, Apryl¹ (AUTHOR)

المصدر: Administration & Policy in Mental Health & Mental Health Services Research. Jul2024, Vol. 51 Issue 4, p543-553. 11p.

مصطلحات موضوعية: *MENTAL health policy, *MENTAL health services, *POLICY analysis, *MENTAL health, *PUBLIC health, *GOVERNMENT programs, *MENTAL foramen

مصطلحات جغرافية: NORTH Carolina

مستخلص: Racial and ethnic minoritized uninsured populations in the United States face the greatest barriers to accessing mental healthcare. Historically, systems of care in the U.S. were set up using inadequate evidence at the federal, state, and local levels, driving inequities in access to quality care for minoritized populations. These inequities are most evident in community-based mental health services, which are partially or fully funded by federal programs and predominantly serve historically minoritized groups. In this descriptive policy analysis, we outline the history of federal legislative policies that have dictated community mental health systems and how these policies were implemented in North Carolina, which has a high percentage of uninsured communities of color. Several gaps between laws passed in the last 60 years and research on improving inequities in access to mental health services are discussed. Recommendations to expand/fix these policies include funding accurate data collection and implementation methods such as electronic health record (EHR) systems to ensure policies are informed by extensive data, implementation of evidence-informed and culturally sensitive interventions, and prioritizing preventative services that move past traditional models of mental healthcare. [ABSTRACT FROM AUTHOR]

المؤلفون: Reininghaus, Ulrich^1,2,3 (AUTHOR) ulrich.reininghaus@zi-mannheim.de, Schwannauer, Matthias⁴ (AUTHOR), Barne, Islay⁴ (AUTHOR), Beames, Joanne R.⁵ (AUTHOR), Bonnier, Rafaël A.⁵ (AUTHOR), Brenner, Manuel⁶ (AUTHOR), Breznoščáková, Dagmar⁵ (AUTHOR), Dančík, Daniel^7,8 (AUTHOR), De Allegri, Manuela⁹ (AUTHOR), Di Folco, Simona⁴ (AUTHOR), Durstewitz, Daniel^6,10,11 (AUTHOR), Gugel, Jessica¹ (AUTHOR), Hajdúk, Michal^7,8 (AUTHOR), Heretik, Anton⁷ (AUTHOR), Izáková, Ľubomíra⁸ (AUTHOR), Katreniakova, Zuzana¹² (AUTHOR), Kiekens, Glenn^5,13,14 (AUTHOR), Koppe, Georgia^6,10,11 (AUTHOR), Kurilla, Adam⁷ (AUTHOR), Marelli, Luca^15,16 (AUTHOR)

المصدر: BMC Psychiatry. 6/24/2024, Vol. 24 Issue 1, p1-11. 11p.

مصطلحات موضوعية: *MENTAL health services, *MENTAL health policy, *CLUSTER randomized controlled trials, *DIGITAL technology, *RESEARCH protocols

مصطلحات جغرافية: SCOTLAND, SLOVAKIA, BELGIUM

مستخلص: Background: Recent years have seen a growing interest in the use of digital tools for delivering person-centred mental health care. Experience Sampling Methodology (ESM), a structured diary technique for capturing moment-to-moment variation in experience and behaviour in service users' daily life, reflects a particularly promising avenue for implementing a person-centred approach. While there is evidence on the effectiveness of ESM-based monitoring, uptake in routine mental health care remains limited. The overarching aim of this hybrid effectiveness-implementation study is to investigate, in detail, reach, effectiveness, adoption, implementation, and maintenance as well as contextual factors, processes, and costs of implementing ESM-based monitoring, reporting, and feedback into routine mental health care in four European countries (i.e., Belgium, Germany, Scotland, Slovakia). Methods: In this hybrid effectiveness-implementation study, a parallel-group, assessor-blind, multi-centre cluster randomized controlled trial (cRCT) will be conducted, combined with a process and economic evaluation. In the cRCT, 24 clinical units (as the cluster and unit of randomization) at eight sites in four European countries will be randomly allocated using an unbalanced 2:1 ratio to one of two conditions: (a) the experimental condition, in which participants receive a Digital Mobile Mental Health intervention (DMMH) and other implementation strategies in addition to treatment as usual (TAU) or (b) the control condition, in which service users are provided with TAU. Outcome data in service users and clinicians will be collected at four time points: at baseline (t0), 2-month post-baseline (t1), 6-month post-baseline (t2), and 12-month post-baseline (t3). The primary outcome will be patient-reported service engagement assessed with the service attachment questionnaire at 2-month post-baseline. The process and economic evaluation will provide in-depth insights into in-vivo context-mechanism-outcome configurations and economic costs of the DMMH and other implementation strategies in routine care, respectively. Discussion: If this trial provides evidence on reach, effectiveness, adoption, implementation and maintenance of implementing ESM-based monitoring, reporting, and feedback, it will form the basis for establishing its public health impact and has significant potential to bridge the research-to-practice gap and contribute to swifter ecological translation of digital innovations to real-world delivery in routine mental health care. Trial registration: ISRCTN15109760 (ISRCTN registry, date: 03/08/2022). [ABSTRACT FROM AUTHOR]

المؤلفون: Mayo-Puchoc, Nikol¹ (AUTHOR) nikolmayo@ipops.pe, Bejarano-Carranza, Jenny¹ (AUTHOR), Paredes-Angeles, Rubí² (AUTHOR), Vilela-Estrada, Ana Lucía² (AUTHOR), García-Serna, Jackeline¹ (AUTHOR), Cusihuaman-Lope, Noelia² (AUTHOR), Villarreal-Zegarra, David¹ (AUTHOR), Cavero, Victoria² (AUTHOR), Ardila-Gómez, Sara^3,4 (AUTHOR)

المصدر: Health Policy & Planning. 2023 Supplement, Vol. 38, pii3-ii13. 11p.

مصطلحات موضوعية: *COVID-19 pandemic, MENTAL health policy, COMMUNITY mental health services, MENTAL health promotion, DIGITAL divide

مصطلحات جغرافية: PERU

مستخلص: Governments globally deployed various non-pharmacological public health measures to respond to the COVID-19 pandemic (i.e. lockdowns and suspension of transportation, amongst others); some of these measures had an influence on society's mental health. Specific mental health policies were therefore implemented to mitigate the potential mental health impact of the pandemic. We aimed to explore the implementation of mental health regulations adopted by the Peruvian health system by focusing on the care services at Community Mental Health Centres (CMHCs), based on the experiences of health workers. We conducted a phenomenological qualitative study to understand the implementation of mental health policies launched in Peru during the COVID-19 pandemic. Data were obtained from a document review of 15 national policy measures implemented during the pandemic (March 2020 to September 2021), and 20 interviews with health workers from CMHCs (September 2021 to February 2022). The analysis was conducted using thematic content analysis. Most implemented policies adapted CMHC care services to a virtual modality during the COVID-19 pandemic; however, various challenges and barriers were evidenced in the process, which prevented effective adaptation of services. Workers perceived that ineffective telemedicine use was attributed to a gap in access to technology at the CMHCs and also by users, ranging from limited access to technological devices to a lack of technological skills. Further, although mental health promotion and prevention policies targeting the community were proposed, CMHC staff reported temporary interruption of these services during the first wave. The disparity between what is stated in the regulations and the experiences of health workers is evident. Policies that focus on mental health need to provide practical and flexible methods taking into consideration both the needs of CMHCs and socio-cultural characteristics that may affect their implementation. [ABSTRACT FROM AUTHOR]

: Copyright of Health Policy & Planning is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Torales, Julio^1,2, Castaldelli‑Maia, João Mauricio^3,4, Ventriglio, Antonio⁵ a.ventriglio@libero.it, Barrios, Iván⁶, Almirón‑Santacruz, José⁷, García, Oscar⁷, Caycho‑Rodríguez, Tomás⁸, Day, Geraint⁹, Menon, Valsraj¹⁰, Sri, Anna¹¹, Persaud, Albert¹², Bhugra, Dinesh¹²

المصدر: Industrial Psychiatry Journal. 2023 Supplement, Vol. 32, pS15-S31. 17p.

مصطلحات موضوعية: *NATURAL disasters, MENTAL health policy, FAILED states, CLIMATE change, VICTIMS of terrorism, TORTURE, COMMUNITY organization, FOREIGN ministers (Cabinet officers)

مستخلص: Background: The CAPE Vulnerability Index serves as a worldwide foreign policy indicator that implies which countries should get assistance first. It provides an evidencebased, well-structured, and well-reasoned strategy for employing aid in bilateral arrangements with mental health as a basis. Objective: The second edition of the CAPE VI has been developed to identify which nations should get priority foreign aid. Materials and Methods: We considered various indices or measures at the country level reflecting the average national health status or factors influencing public health. To make our choice, we used 26 internationally accessible and verified indicators. For the study, we have scored the countries according to these indices and prioritized those with the worst scores. Results: The CAPE Vulnerability Index is based on the number of times a country is ranked among the low-scoring nations. It is based on nine parameters and is an independent measure even though there may be a correlation with similar indices such as life expectancy, disability-adjusted life years(DALYs), physician numbers, and gross domestic product(GDP). Conclusion: We concluded that low-scoring countries were fragile or failed states, such as nations where governments lack complete oversight or power, are often oppressive and corrupt, have allegations of violations of human rights, or are marked by political turmoil in different forms, drawbacks from severe environmental damage, severe impoverishment, inequalities, cultural and racial divisions, cannot supply fundamental amenities, are victims of terrorism, and so on. To address these essential problems impacting fragile nations, administrations, aid donors, local organizations, mental health specialists, and associations should collaborate. [ABSTRACT FROM AUTHOR]

: Copyright of Industrial Psychiatry Journal is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Ilyushina, Nataliya (AUTHOR) nataliya.ilyushina@rmit.edu.au

المصدر: Australian Economic Review. Dec2023, Vol. 56 Issue 4, p516-523. 8p.

مصطلحات موضوعية: MENTAL health policy, HOUSEKEEPING, VOLUNTEER fire departments, PARENTS, WELL-being, VOLUNTEER fire fighters

مصطلحات جغرافية: AUSTRALIA

مستخلص: Studies of the association between unpaid housework and wellbeing, especially for parents, has produced either negative or inconclusive results in previous studies. One potential oversight is that 'housework' often includes activities with a counteracting effect on mental health. By employing the Household, Income and Labour Dynamics in Australia (HILDA) data set that differentiates 'housework' from more routine tasks included in the 'errands' variable I illustrate the difference in the pattern of how these variables are linked to parents' mental health. By identifying specific groups of unpaid tasks that are most detrimental to mental health, policymakers can prioritise these areas, ensuring that negative associations are not wrongly attributed to all housework activities. [ABSTRACT FROM AUTHOR]

: Copyright of Australian Economic Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Salguero, Agustín¹ (AUTHOR), Pilatti, Angelina^2,3 (AUTHOR), Michelini, Yanina^2,3 (AUTHOR), Rivarola Montejano, Gabriela^2,3 (AUTHOR), Pautassi, Ricardo Marcos^1,2 (AUTHOR) rpautassi@immf.uncor.edu

المصدر: Alcohol. Aug2024, Vol. 118, p37-44. 8p.

مصطلحات موضوعية: *MENTAL health policy, *ALCOHOL drinking, *SENSATION seeking, *EMOTION regulation, *STATE regulation, *IMPULSIVE personality, *PSYCHOLOGICAL distress

مستخلص: Impulsivity and substance-related outcomes share a complex relationship, as various facets of impulsivity exhibit distinct associations with different drug-related outcomes. This study examines the associations between frequency and quantity of alcohol and marijuana use with impulsivity traits, psychological distress, and the utilization of emotion regulation strategies. A survey asked Argentinian citizens (n = 1507, 356 men) about frequency and quantity of alcohol or marijuana use on each day of a typical week, as well as anxiety, stress, and depression symptoms (DASS-21), impulsivity-like traits (UPPS-P), and emotion regulation strategies (ERQ). The 2-month prevalence of alcohol or marijuana use was 80.1%, and 27.2%, respectively. Premeditation was significantly (p < 0.05) and negatively associated with both frequency and quantity of alcohol consumed, whereas negative and positive urgency were positively and significantly (p < 0.05) associated with quantity of alcohol or marijuana use, respectively. Greater depression symptoms predicted greater quantity of alcohol use, whereas lower emotional suppression or lower cognitive reappraisal were significantly (p < 0.05) associated with a greater frequency of alcohol or marijuana use. Sensation seeking was significantly (p < 0.05) and positively associated with frequency of marijuana use. Individuals with higher levels of impulsivity-like traits, higher levels of depression, or lower use of emotional regulation abilities appeared to be at a higher risk of alcohol or marijuana use. In this sample, the use of alcohol (though not marijuana) seems to fit a negative reinforcement pathway. The study suggests that individuals with risk factors for drug misuse could benefit from interventions aimed at enhancing emotion regulation. • We assessed alcohol and marijuana use in 1507 Argentinian citizens. • Psychological distress, impulsivity, and use of emotion regulation were measured. • Negative urgency and depression predicted quantity, but not frequency, of alcohol use. • Sensation seeking predicted frequency, but not quantity, of marijuana use. • Quantity of alcohol consumed seemed to fit a negative reinforcement pathway. [ABSTRACT FROM AUTHOR]

المؤلفون: Udo, Sunday¹ (AUTHOR), Ogbu, Pius Sunday¹ (AUTHOR), Tsaku, Paul A¹ (AUTHOR) tsakup@tlmnigeria.org, Tukur, Aliyu² (AUTHOR), NewMarch, Andrew³ (AUTHOR)

المصدر: International Health (1876-3413). 2024 Supplement, Vol. 16, pi52-i59. 8p.

مصطلحات موضوعية: *NEGLECTED diseases, *MENTAL health policy, *MENTAL health services, *COMMUNITY mental health services, *MEDICAL personnel, *FILARIASIS, *ANXIETY disorders

مصطلحات جغرافية: NIGERIA

مستخلص: Background Mental health and neglected tropical diseases (NTDs) are critical in healthcare systems, especially in low- and middle-income countries. Several policies are planned or designed by health stakeholders to address the mental health needs of people affected by NTDs. Still, the impact of such policies seems to be of no consequence. Methods The GAD-7 and PHQ-9 tools were used to determine the rate of depression and anxiety, respectively, among people affected by skin NTDs (leprosy and lymphatic filariasis [LF]) in Zamfara State, North-west Nigeria. The study also evaluated the barriers to the uptake of mental health services for people affected by skin NTDs in the state. We assessed 48 people affected by NTDs (leprosy, 32; lymphatic filariasis, 16) along with a corresponding 48 people who served as controls in the study. Qualitative interviews were carried out with the participants to elicit the barriers to mental health services for people affected by NTDs. Additionally, 48 selected healthcare workers from the state were assessed for their skills and capacity to offer mental health services. Results We found anxiety disorder present in 100% of the people living with LF and in 62% of the people living with leprosy. Depression was also found in 56% and 75% of the people living with leprosy and LF, respectively. An assessment of the barriers to the uptake of mental health services reveals that most people with NTDs are constrained by a lack of money to visit hospitals, the fear of stigmatisation and discrimination and long distances to health centres. Regarding the healthcare workers, the skills and capacity to offer mental health services were very low. Conclusions We conclude that for mental health services to be integrated into the community health system for people with NTDs, there should be a concerted effort by all stakeholders and the intervention should be context specific instead of generalised. Contexte La santé mentale et les maladies tropicales négligées (MTN) sont des problématiques centrales dans la santé, en particulier dans les pays à revenu faible ou intermédiaire. Plusieurs politiques sont conçues par les acteurs de la santé publique pour répondre aux besoins de soins en santé mentale pour les personnes touchées par les MTN. Pourtant, le bilan reste mitigé quant à l'efficacité de ces soins. Méthodes Les outils GAD-7 et PHQ-9 ont été utilisés pour déterminer le taux de dépression et d'anxiété chez les personnes atteintes de MTN cutanées (lèpre et filariose lymphatique) dans l'État de Zamfara, au nord-ouest du Nigeria. L'étude a également évalué les obstacles à l'utilisation des services de santé mentale pour les personnes atteintes de MTN cutanées dans l'État. Nous avons évalué 48 personnes atteintes de MTN (lèpre : 32, filariose lymphatique : 16) ainsi que 48 personnes correspondantes qui ont servi de témoins dans l'étude. Des entretiens qualitatifs ont été menés avec les participants afin d'identifier les obstacles aux services de santé mentale pour les personnes atteintes de MTN. En outre, 48 professionnels de la santé sélectionnés dans l'État ont été évalués pour déterminer leurs compétences et leur capacité à offrir des services de santé mentale. Résultats Nous avons trouvé des troubles anxieux chez 100% des personnes atteintes de filariose lymphatique et chez 62% des personnes atteintes de lèpre. La dépression touche 56% et 75% des personnes vivant avec la lèpre et la filariose lymphatique respectivement. Une évaluation des obstacles à l'utilisation des services de santé mentale révèle que la plupart des personnes atteintes de MTN sont limitées par le manque d'argent pour se rendre à l'hôpital, la peur de la stigmatisation et de la discrimination, et les longues distances à parcourir pour se rendre dans les centres de santé. Les compétences et les capacités des professionnels de la santé à offrir des services de santé mentale sont très faibles. Conclusion L'efficacité d'un protocole de soins pour les patients atteints de MTN (traitant la pathologie physique et d'éventuelles pathologies psychiatriques associées) nécessite une intégration des services de santé mentale dans le système de santé communautaire. Antecedentes La salud mental y las enfermedades tropicales desatendidas (ETDs), son fundamentales en los sistemas sanitarios, especialmente en los países de renta baja y media. Las partes interesadas en la sanidad planean o diseñan varias políticas para abordar las necesidades de salud mental de las personas afectadas por ETDs. Sin embargo, el impacto de dichas políticas parece ser nulo. Métodos Se utilizaron las herramientas GAD-7 y PHQ-9 para determinar la tasa de depresión y ansiedad, respectivamente, entre las personas afectadas por ETDs cutáneas (lepra y filariasis linfática) en el Estado de Zamfara, al noroeste de Nigeria. El estudio también evaluó las barreras para la aceptación de los servicios de salud mental por parte de las personas afectadas por ETDs cutáneas en el Estado. Se evaluó a 48 personas afectadas por ETDs (lepra: 32; filariasis linfática: 16) y a otras 48 que sirvieron de control en el estudio. Se llevaron a cabo entrevistas cualitativas con los participantes para determinar las barreras a los servicios de salud mental para las personas afectadas por ETDs. Además, se evaluaron las habilidades y la capacidad para ofrecer servicios de salud mental de 48 profesionales sanitarios del Estado. Resultados Encontramos trastorno de ansiedad presente en el 100% de las personas que vivían con filariasis linfática y en el 62% de las personas que vivían con lepra. También se encontró depresión en el 56% y el 75% de las personas que vivían con lepra y filariasis linfática respectivamente. Una evaluación de los obstáculos para la utilización de los servicios de salud mental revela que la mayoría de las personas con ETDs se ven limitadas por la falta de dinero para acudir a los hospitales, el miedo a la estigmatización, la discriminación y las largas distancias hasta los centros sanitarios. Por parte del personal sanitario, los conocimientos y la capacidad para ofrecer servicios de salud mental eran muy escasos. Conclusiones Para que los servicios de salud mental para personas con ETD se integren en el sistema sanitario comunitario, debe haber una concertación entre todas las partes interesadas y la intervención debe ser específica para cada contexto en lugar de generalizada. [ABSTRACT FROM AUTHOR]