Evidence map›Paper›PMID 39717430›Full record

ArticleLancet regional health. Americas2025

Integrated programs for common mental illnesses within primary care and community settings in Latin America: a scoping review of components and implementation strategies.

Alejandra Paniagua-Avila, Charles Branas, Ezra Susser, Meredith P Fort, Rachel Shelton, Lourdes Trigueros, Barbara Camara, Elen Costigan, Lina Demis, Ana Florence and 5 more

Abstract readScoping Review
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Alejandra Paniagua-AvilaDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Charles BranasDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Ezra SusserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Meredith P FortColorado School of Public Health, University of Colorado Denver, Denver, CO, USA.
Rachel SheltonDepartment Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Lourdes TriguerosMédicos Sin Fronteras Latinoamérica, Guatemala City, Guatemala.
Barbara CamaraNew York Psychiatric Institute, Columbia University Irving Medical Center, New York City, NY, USA.
Elen CostiganDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Lina DemisDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Ana FlorenceDepartment of Psychiatry, Columbia University, New York City, NY, USA.
Maria FloresHospital de Salud Mental Dr. Federico Mora, Guatemala City, Guatemala.
Lucy Miller-SuchetHIAS, New York City, NY, USA.
Angela Paredes-MonteroGlobal Mental Health Lab, Teachers College, Columbia University, New York City, NY, USA.
Mariana RodriguesDepartment of Social and Behavioral Sciences, School of Global Public Health, New York University, New York City, NY, USA.
Jeremy KaneDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, NY, USA.

Funding

RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

Integrated programs for common mental illnesses are evidence-informed practices yet to be routinely implemented in Latin America. It synthesizes the literature on integrated programs for common mental illnesses (anxiety, depression, and posttraumatic stress disorder) in Latin American primary care and community settings. It maps program components (the 'what') to the collaborative care model core components and implementation strategies (the 'how') to the Expert Recommendations for Implementing Change (ERIC) taxonomy. Results from 18 programs across six countries (Belize, Brazil, Chile, Colombia, Mexico, Peru) show wide heterogeneity in component and strategy combinations. Overall, provider-level components and strategies were more common than family- or community-level ones. 'Team-based care' was the most commonly reported component, and 'family/user engagement' the least. The most common implementation strategy was 'supporting clinicians,' while 'changing infrastructure' was the least. Programs commonly addressed depression and only four followed experimental designs. We found limited evidence on the potential mechanisms of integrated program components and strategies.

Indexed as

AnxietyCollaborative careDepressionImplementation researchImplementation strategiesIntegrated serviceLatin AmericaPrimary carePTSDScoping review

Identifiers

PMID39717430
PMCPMC11665371

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.