Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the COVID-19 Pandemic: A Mixed-Methods Pilot Study
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Published:2024-01-31
Issue:2
Volume:21
Page:166
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ISSN:1660-4601
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Container-title:International Journal of Environmental Research and Public Health
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language:en
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Short-container-title:IJERPH
Author:
Greene M. Claire1ORCID, Muro Mayra2, Kane Jeremy C.1, Young Erin3, Paniagua-Avila Alejandra1ORCID, Miller-Suchet Lucy1, Nouel Maria2, Bonz Annie G.4, Cristobal Maria4, Schojan Matthew4, Ventevogel Peter5ORCID, Cheng Bryan3, Martins Silvia S.1, Ponce de Leon Jose Carlos2, Verdeli Helen3
Affiliation:
1. Mailman School of Public Health, Columbia University, New York, NY 10032, USA 2. HIAS Peru, Lima 15034, Peru 3. Teachers College, Columbia University, New York, NY 10026, USA 4. HIAS, Silver Spring, MD 20910, USA 5. United Nations High Commissioner for Refugees, 1201 Geneva, Switzerland
Abstract
Refugees and migrants experience an elevated risk for mental health problems and face significant barriers to receiving services. Interpersonal counseling (IPC-3) is a three-session intervention that can be delivered by non-specialists to provide psychological support and facilitate referrals for individuals in need of specialized care. We piloted IPC-3 delivered remotely by eight Venezuelan refugee and migrant women living in Peru. These counselors provided IPC-3 to Venezuelan refugee and migrant clients in Peru (n = 32) who reported psychological distress. Clients completed assessments of mental health symptoms at baseline and one-month post-intervention. A subset of clients (n = 15) and providers (n = 8) completed post-implementation qualitative interviews. Results showed that IPC-3 filled a gap in the system of mental health care for refugees and migrants in Peru. Some adaptations were made to IPC-3 to promote its relevance to the population and context. Non-specialist providers developed the skills and confidence to provide IPC-3 competently. Clients displayed large reductions in symptoms of depression (d = 1.1), anxiety (d = 1.4), post-traumatic stress (d = 1.0), and functional impairment (d = 0.8). Remote delivery of IPC-3 by non-specialists appears to be a feasible, acceptable, and appropriate strategy to address gaps and improve efficiency within the mental health system and warrants testing in a fully powered effectiveness study.
Funder
National Center for Advancing Translational Sciences National Institute of Mental Health
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
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