Abstract
Given the context and the number of armed conflict victims in the Colombian Pacific coast and their difficulties to access psycho-social care, Narrative Community-based Group Therapy appears as a viable mental health intervention. The objective of this study is to describe the process of implementation and results of the intervention in Afro-Colombian victims of violence, in the municipalities of Buenaventura and Quibdó. More specifically, we will be looking at the perspectives of workers and supervisors, through evaluative case studies and individual in-depth interviews. The therapy allows us to identify support and coping systems through coexistence, communication and interaction. It requires an adaptation process to the diversity of knowledge and expressions of victims of Colombian violence, greater empathy from care providers and rigor in their profiles selection, facilities ensuring security and confidentiality, and links with other educational, employment and recreational organizations. It is important to include these results while improving current and future intervention processes.
Highlights
Colombia has experienced violence, militarization, and human rights violations since half century ago[1]
In Colombia, in 2011, a law was passed for implementing mental health rehabilitation programs, which include individual and collective therapies, for promoting mental health and social relations among the population affected by violence[17]
Given the number of victims and their geographical spread, it is difficult to achieve an appropriate coverage of psychosocial repair services in the current Colombian context, a situation that occurs in other low-and middle-income countries[18]
Summary
Militarization, and human rights violations since half century ago[1]. The armed conflict has mainly affected rural communities, generating death, torture and displacement of survivors Such violence has intensified on the Pacific coast during recent years because it is a strategic zone of interest for armed actors and illegal-drugs trafficking groups. Several studies and models have documented the relationship between context, violence, and impact on deteriorating victims mental health, as well as the effects on quality of life of individuals and communities. These actions have historically generated symptoms of depression, anxiety, post-traumatic stress and isolation, loss of family and social roles and difficulties relating to others[2,3,4,5]. It is important to ensuring adequate and comprehensive care to victims of violence and their families[2]
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