Common Elements Treatment Approach based on a Cognitive Behavioral Intervention: implementation in the Colombian Pacific
Open accessAbstract
Abstract Due to the limited supply of mental health services for Afro-Colombian victims of violence, a Common Elements Treatment Approach (CETA) intervention has been implemented in the Colombian Pacific. Given the importance of improvement in mental health interventions for this population, it is necessary to characterize this process. This article seeks to describe the implementation of CETA for Afro-Colombian victims of violence in Buenaventura and Quibdó, Colombia through case studieswith individual in-depth interviews with Lay Psychosocial Community Workers (LPCW), supervisors, and coordinators responsible for implementing CETA. From this six core categories were obtained: 1. Effect of armed conflict and poverty 2. Trauma severity 3. Perceived changes with CETA 4. Characteristics and LPCW’s performance 5. Afro-Colombian culturalapproach and 6. Strategies to promote users’ well-being.Colombian Pacific’s scenario implies several factors, such as the active armed conflict, economic crisis, and lack of mental health care resources, affecting the implementation process and the intervention effects. This implies the need to establish and strengthen partnerships between institutions in order to administer necessary mental health care for victims of violence in the Colombian Pacific.
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Within communities where gang violence was prevalent, clients feared for their safety traveling to and from intervention sessions and requested that their identities remain anonymous with providers.
“Within communities where gang violence was prevalent, clients feared for their safety traveling to and from intervention sessions and requested that their identities remain anonymous with providers [47].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [47]
The ‘effects of armed conflict and poverty’ section (page unavailable) describes violence and street threats in the communities where therapy took place. It does not report that clients feared traveling to sessions or requested anonymity from providers. The ‘Data collection’ section (page unavailable) says researchers anonymized interview information, which is different from the claimed client request. (LLM, conf=0.83)
Experimental — accuracy not yet measuredThese factors limited access to interventions and the ability to fruitfully engage in programs, including difficulty or inability to travel, unavailability due to income or childcare obligations, unwillingness due to lack of monetary incentive, or inability to understand program materials.
“Oftentimes, these factors limited access to interventions and the ability to fruitfully engage in programs (e.g., difficulty or an inability to travel to intervention locations [53], an unavailability to participate due to a necessity to generate income or childcare obligations [47, 48], an unwillingness to participate due to lack of monetary incentive, or an inability in understanding program”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [47]
The “effects of armed conflict and poverty” section (page unavailable) says users sometimes could not attend therapy because they needed to take work when it was available, supporting the income-related barrier. The passages found do not address childcare obligations, which the citing sentence also attributes to this citation group. (LLM, conf=0.86)
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References 24 · Cited by 25
Research works printed but not linked: 1
- Mels C. Between poverty and violence: how do daily stressors and exposure to violence affect Adolescents living in a war zone? Cienc Psicol 2012; 6(2):111-122.
- Authors
- Pacichana-Quinayáz, S. G., Osorio-Cuéllar, G. V., Bonilla-Escobar, F. J., Fandiño-Losada, A., & Gutiérrez-Martínez, M. I.
- Affiliations
- Universidad del Valle (CO)
- Universidad del Valle, Colombia
- ORCID
- Venue
- Ciência & Saúde Coletiva
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2016-06
- Volume
- 21
- Issue
- 6
- Pages
- 1947-1956
- ISSN
- 1413-8123 (ISSN-L)
- OpenAlex
- W2418805571
- Cited by
- 25
- References
- 24
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 8 · 2020: 2 · 2018: 3 · 2017: 2 · 2015: 1
- FWCI
- 4.75
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Ciência & Saúde Coletiva (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
- Funders
- Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS)
- Department of Science and Technology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Sociology and Political Science › Conflict, Peace, and Violence in Colombia
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- Common Elements Treatment Approach, cognitive-behavioral intervention, mental health services, implementation process, armed conflict, injury severity, poverty, well-being promotion, institutional partnerships, Colombian Pacific coast, Buenaventura, Quibdó
- MeSH terms
- Mental Disorders, Colombia, Humans, Cognitive Behavioral Therapy, Black People
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