Development of an intercultural mental health care model using digital tools
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1
1 Digital Health Hub, Federal University of São Paulo, São Paulo, Brazil
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2 Federal University of São Paulo, São Paulo, Brazil
Popul. Med. 2026;8(Supplement Supplement 1):A971
ABSTRACT
BACKGROUND:
International guidelines for mental health, alcohol, and other drugs policies emphasize the need to address stigma and discrimination, with care models in community settings that reduce barriers and access gaps that result from from inequality 1-4. This study aims to describe the development of an intercultural mental health care model for indigenous, rural, and homeless populations, using digital technologies.
METHODS:
Process evaluation, using qualitative and quantitative methods, on the implementation of a mental health care model for specific populations, included in the project "Innovations in care and management from the perspective of Digital Health," carried out in partnership with the Brazilian Ministry of Health. The analysis included data from monitoring reports of actions carried out during the project´s first year, report of team meetings, and field diaries of articulation and planning activities in the territories.
RESULTS:
the project´s implementation initially included the planning of a peer-to-peer, non-specialized care model, based on a process of listening and problem-solving, carried out by 16 Territory Supporters, 4 Supervisors, a technical reference, and coordinators. The actions were coordinated with local leaders and representatives of the health system in 5 territories. Continuing training and supervision processes were developed, with activities on digital platforms. A digital tool with accessibility and cultural adaptation resources was developed for registering information and managing meetings. The planning of actions in the territories was carried out with the participation of the entire team in weekly meetings.
CONCLUSIONS:
An intercultural care model was implemented in indigenous, rural, and homeless populations communities, with participatory planning and based on human rights, individual autonomy, anti-asylum, anti-racist, and decolonial perspective of mental health. Analysis of the initial phase point toward implementation of actions to reduce barriers to access, providing qualified listening in mental health, and articulated care by strengthening the community and building networks.