Experiences of users and family members on the care received at community mental health centers in Lima and Callao during the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.17843/rpmesp.2023.403.12717

Keywords:

Attention, Mental Health, Users, Caregivers, Community Mental Health Center

Abstract

Objective. To understand the experiences of new and continuing users of Community Mental Health Centers (CMHC) of Lima and Callao, and their relatives, regarding the mental health care they received during the COVID-19 pandemic. Materials and methods. Qualitative study conducted between September 2021 and February 2022, in which we interviewed 24 users and family members who interacted with the services provided by three CMHCs in Lima and one in Callao during the COVID-19 pandemic. We carried out a thematic analysis of the transcribed interviews. Results. Participants perceived that the pandemic exacerbated the symptoms of people with mental health problems. During the pandemic, mental health care relied on the use of technology, mainly telephone calls, which were used to monitor the emotional state and pharmacological treatment of users, as well as to schedule and remember appointments. The users emphasized that frequent telephone calls made them feel accompanied and
highlighted the commitment of the CMHC workers. Among the difficulties, they reported an increase in the demand for care, problems in accessing video calls, and low quality in virtual care. Conclusions. COVID-19 had an emotional impact on people with mental health problems; in turn, CMHC services were affected by the type of care (face-to-face or virtual), resources, frequency, time and quality of care, finding limitations and benefits in the use of technology.

Downloads

Download data is not yet available.

References

Ministerio de Salud. Documento técnico: Plan de salud mental Perú. 2020- 2021. [Internet]. Lima: MINSA; 2020. [Citado el 16 de marzo del 2023]. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/5092.pdf.

Decreto Supremo N.° 008-2020-SA [Internet]. Lima; 2020 [citado 16 de marzo de 2023]. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/483010-008-2020-sa.

El Peruano. Suspenden consultas externas en hospitales del Minsa y Essalud [Internet]. 2020 [citado 16 de marzo de 2023]. Disponible en: https://elperuano.pe/noticia/93120-suspenden-consultas-externas-en-hospitales-del-minsa-y-essalud.

Una de cada ocho personas ha sufrido algun trastorno mental en Lima debido a la COVID-19[Internet]. Lima: MINSA; 2021 [citado 16 de marzo de 2023]. Disponible en: https://www.gob.pe/institucion/minsa/noticias/542921-minsa-una-de-cada-ocho-personas-ha-sufrido-alguntrastorno-mental-en-lima-debido-a-la-covid-19.

Conocer los centros de salud mental comunitaria en el Perú [Internet]. Lima: MINSA; 2023 [citado 16 de marzo de 2023]. Disponible en: https://www.gob.pe/10942-conocer-los-centros-de-salud-mental-comunitaria-en-el-peru.

Resolución ministerial N.° 186-2020-SA [Internet]. Lima: MINSA; 2020 [citado 16 de marzo de 2023]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/581977/RM_186-2020-MINSA.PDF?v=1586881246.

Centros de salud mental comunitarios han brindado 431795 atenciones a traves delservicio-de telemedicina [Internet]. Lima: MINSA; 2020 [citado 16 de marzo de 2023]. Disponible en: https://www.gob.pe/institucion/minsa/noticias/302551-centros-de-salud-mental-comunitarios-han-brindado-431-795-atenciones-a-traves-del-servicio-de-telemedicina.

Minervino AJ, Oliveira MB de, Cunha KAL da, Bereza YTA. Desafíos en salud mental durante la pandemia: informe de experiencia. Rev Bioét. 2021; 28:647-54.

Reyes VE, Castillo ALT, Jiménez NH, Zapata SA, Sterckx ES. Salud mental, virtualidad y pandemia: Experiencias de Psico Escucha PUCE.

Mundos Plurales - Revista Latinoamericana de Políticas y Acción Pública. 2020;7(2):55-74.

Martínez Sosa JB, González Guerra A, Carreño Martínez G, Fonseca Fernández M, Calderín Quiñones BC, Serrano ILM, et al. Experiencia de trabajo mediante psicogrupo WhatsApp en pacientes con trastornos neuróticos y sus familiares en tiempos de COVID19. MediSur. 2021;19(4):551-63.

Guillen F, Elida D. Investigación cualitativa: Método fenomenológico hermenéutico. Propos Represent. 2019;7(1):201-29. doi: 10.20511/pyr2019.v7n1.267.

do Prado ML, de Souza ML, Monticelli M, Cometto MC, Gómez PF. Investigación cualitativa

Diez Canseco F, Cavero V, Vilela-Estrada AL. Proyecto RESPONSE: Atención en los Centros de Salud Mental Comunitaria durante la pandemia por COVID-19: Un estudio de métodos mixtos con tomadores de decisiones, trabajadores de salud, administrativos, usuarios y sus familiares [Internet]. Lima: CRONICAS; 2020 [citado el 23 de junio de 2023]. Disponible en: https://cronicas-upch.pe/proyecto-response-atencion-en-los-centros-de-salud-mental-comunitaria-durante-la-pandemia-por-covid-19-un-estudio-de-metodos-mixtos-con-tomadores-de-decisiones-trabajadores-de-salud-administrativo/.

Instituto Nacional de Estadística e Informática. Lima supera los 10 millones de habitantes al año 2022. Lima: INEI; 2022 [citado 16 de marzo de 2023]. Disponible en: https://m.inei.gob.pe/prensa/noticias/lima-supera-los-10-millones-de-habitantes-al-ano-2022-13297/.

Fowks J. Perú registra la mayor tasa de mortalidad del mundo por la covid [Internet]. El País. 2021 [citado 16 de marzo de 2023]. Disponible en: https://elpais.com/internacional/2021-06-01/peru-eleva-de- 68000-a-180000-los-muertos-por-la-pandemia-de-la-covid-19.html.

Patton M. Qualitative evaluation and research methods. [Internet]. Sage; 1990 [Citado 15 de marzo de 2023]. Disponible en: https://legacy.oise.utoronto.ca/research/field-centres/ross/ctl1014/Patton1990.pdf.

Virginia Braun; Victoria Clarke. Thematic Analysis: A Practical Guide [Internet]. SAGE Publications Inc. 2021 [citado 16 de marzo de 2023]. Disponible en: https://us.sagepub.com/en-us/nam/thematic-analysis/book248481.

González Gil T, Cano Arana A. Introducción al análisis de datos en investigación cualitativa:: Tipos de análisis y proceso de codificación (II). NURE investigación: Revista Científica de enfermería. 2010;(45):9.

Atlas.ti Versión 9 [Internet]. ATLAS.ti. [citado 16 de marzo de 2023]. Disponible en: https://atlasti.com.

Fowks J. Perú restringe la salida a la calle por género [Internet]. El País. 2020 [citado 16 de marzo de 2023]. Disponible en: https://elpais.com/internacional/2020-04-04/peru-restringe-la-salida-a-la-calle-por-genero.html.

Hao F, Tan W, Jiang L, Zhang L, Zhao X, Zou Y, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020;87:100-6. doi: 10.1016/j.bbi.2020.04.069.

Salcedo Gómez M, Morales Chainé S, Treviño Santa Cruz CL, Ramírez Valdés B, López Montoya A, Robles García R, et al. Riesgos a la Salud Mental de las Personas Cuidadoras durante la Pandemia por COVID-19 en México. Acta de Investigación Psicológica. 2022;12(3):18-31. doi: 10.22201/fpsi.20074719e.2022.3.459.

World Health Organization. COVID-19 disrupting mental health services in most countries, WHO survey [Internet]. Geneva: WHO;

[citado el 16 de marzo de 2023]. Disponible en: https://www.who.int/news/item/05-10-2020-covid-19-disrupting-mental-healthservices-in-most-countries-who-survey.

Monraz-Pérez S, Pacheco-López A, Castorena-Maldonado A, Benítez-Pérez RE, Thirión-Romero I, López-Estrada E del C, et al. Telemedicina durante la pandemia por COVID-19. Neumol Cir Torax. 2021;80(2):132-40. doi: 10.35366/100996.

Kavoor AR, Chakravarthy K, John T. Remote consultations in the era of COVID-19 pandemic: Preliminary experience in a regional

Australian public acute mental health care setting. Asian J Psychiatr. 2020;51:102074. doi: 10.1016/j.ajp.2020.102074.

Schriger SH, Klein MR, Last BS, Fernandez-Marcote S, Dallard N, Jones B, et al. Community Mental Health Clinicians’ Perspectives on

Telehealth During the COVID-19 Pandemic: Mixed Methods Study. JMIR Pediatr Parent. 2022;5(1):e29250. doi: 10.2196/29250.

Scott Kruse C, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare. 2018;24(1):4-12. doi: 10.1177/1357633X16674087.

Jacobson Vann JC, Jacobson RM, Coyne-Beasley T, Asafu-Adjei JK, Szilagyi PG. Patient reminder and recall interventions to improve immunization rates. Cochrane Database Syst Rev. 2018;1(1):CD003941. doi: 10.1002/14651858.CD003941.pub3.

Sun Y, Ji M, Leng M, Li X, Zhang X, Wang Z. Comparative efficacy of 11 non-pharmacological interventions on depression, anxiety, quality of life, and caregiver burden for informal caregivers of people with dementia: A systematic review and network meta-analysis. Int J Nurs Stud. 2022;129:104204. doi: 10.1016/j.ijnurstu.2022.104204.

Published

2023-09-25

Issue

Section

Original Article

How to Cite

1.
Cusihuaman-Lope N, Vilela-Estrada AL, Cavero V, Villarreal-Zegarra D, Diez-Canseco F. Experiences of users and family members on the care received at community mental health centers in Lima and Callao during the COVID-19 pandemic. Rev Peru Med Exp Salud Publica [Internet]. 2023 Sep. 25 [cited 2024 May 25];40(3):278-86. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/12717

Most read articles by the same author(s)

1 2 > >>