Abstract

A hallmark of Colombia is population-wide exposure to violence. To understand the realities of mental health in Colombia requires attention to the historical context of 60 years of unrelenting armed conflict overlaid upon high rates of homicide, gang activity and prevalent gender-based and intra-familial violence. The number of patients affected by trauma is extremely large, and the population burden of alcohol misuse and illicit drug use is significant. These patterns have brought the subspecialties of trauma and addiction psychiatry to the forefront, and highlight the need for novel treatments that integrate psychotherapeutic and psychopharmacological modalities.

Highlights

  • A hallmark of Colombia is population-wide exposure to violence

  • To understand the realities of mental health in Colombia requires attention to the historical context of 60 years of unrelenting armed conflict overlaid upon high rates of homicide, gang activity and prevalent gender-based and intra-familial violence

  • The Republic of Colombia occupies the northwest corner of the South American continent, bordered by Venezuela, Brazil, Peru and Ecuador. ­Colombia’s remarkable ecological diversity includes three ranges of towering Andes mountains, the expansive Eastern Plains, the large Amazonian basin, and extended coastlines along the Caribbean Sea and the northern Pacific Ocean, separated by the isthmus of Panama

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Summary

Mental health in Colombia

A hallmark of Colombia is population-wide exposure to violence. The number of patients affected by trauma is extremely large, and the population burden of alcohol misuse and illicit drug use is significant. These patterns have brought the subspecialties of trauma and addiction psychiatry to the forefront, and highlight the need for novel treatments that integrate psychotherapeutic and psychopharmacological modalities. In 2012, Colombia ranked 91 among 187 countries on the Human Development Index, with a designation of ‘high human development’. Colombia is among the nations in the western hemisphere with the greatest socio­ economic disparities (Gini index of 55.9) and corresponding inequalities in access to essential services, including healthcare

Epidemiology of mental disorders
Armed insurgency
Internal displacement
Healthcare financing
Mental health needs and care access
Mental health workforce
Bob Grove
Findings
Sheltered work
Full Text
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