Abstract

Although urbanization is linked to modernization and economic growth, it is also associated with overcrowding, population density, poverty, inadequate social services, and violence, all of which put the urban poor at risk of environmental health problems and other dangers. Moreover, experiences of environmental and psychological adversity increase vulnerability to mental health disorders. Unfortunately, in low resource countries, mental health treatment is largely inaccessible to the poor. This paper describes the challenges in the development and implementation of community-based mental health interventions in the Philippines. It summarizes the internal and external resilience factors and vulnerabilities of clients. It also highlights the key drivers and barriers to establishing community-based mental health interventions in the Philippines.

Highlights

  • With an urbanization rate of 45.3%, the Philippines is considered a highly urbanized nation

  • This paper seeks to contribute to the literature by describing the development and implementation of community-based mental health interventions in the Philippines

  • Using the psycho-ecological systems model (PESM) model, this study investigated the design and implementation of community-based mental health interventions in the Philippines; one in the context of postdisaster and the other in the context of substance abuse

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Summary

Introduction

With an urbanization rate of 45.3%, the Philippines is considered a highly urbanized nation. The first tier include specialized interventions delivered by mental health professionals. The second tier includes focused, non-specialized interventions delivered by trained community mental health workers. Community-Based Interventions in The Philippines health care because of the lack of resources and mental health professionals (De Silva, Samele, Saxena, Patel & Darzi, 2014). This paper seeks to contribute to the literature by describing the development and implementation of community-based mental health interventions in the Philippines. Socio-ecological theories, such as that of Bronfenbrenner (1979), view individual behaviors as a product of individual knowledge, values, and attitudes, but as a result of a host of social influences This type of theory suggests that individuals are embedded within interdependent systems, including the people they associate with, the organizations they belong to, and the communities where they live. A final layer is the macrosystem that includes cultural beliefs, customs and rituals, and political dynamics

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