Presentation Information
[SY-19-03]Community-informed perspectives of implementing interpersonal psychotherapy for couples to reduce situational intimate partner violence and improve common mental disorders in Mozambique
*Palmira Fortunato dos Santos1, Jennifer Mootz2,7, Leyly Moridi3, Kátia Santos6, Myrna Weissman2,7, John Oliffe4, Sandra Stith5, Saida Khan6, Paulino Feliciano6, António Suleman6, Stephanie A Rolin2, Ali Giuto2,7, Milton L Wainberg2,7 (1.Mental Health Trauma and Violence Program, National Institute of Health(Mozambique), 2.Department of Psychiatry, Columbia University, New York(United States of America), 3.School of Global Affairs, Yale University, New Haven(United States of America), 4.School of Nursing, University of British Columbia, Vancouver(Canada), 5.Couple and Family Therapy Program, Kansas State University, Manhattan(United States of America), 6.Mental Health Department, Ministry of Health of Mozambique.(Mozambique), 7.Division of Translational Epidemiology and Mental Health Equity, New York State Psychiatric Institute, New York(United States of America))
Keywords:
CFIR,LMIC,common mental disorders,domestic violence,interpersonal psychotherapy
Background: High rates of intimate partner violence (IPV) and mental disorders are present in Mozambique where there is a significant treatment gap. We aimed to report Mozambican community stakeholder perspectives of implementing couple-based interpersonal psychotherapy (IPT-C) in preparation for a pilot trial in Nampula City.
Methods: We conducted 11 focus group discussions (6-8 people per group) and seven in-depth interviews with key informants in mental health or gender-based violence (n = 85) using purposive sampling. We used grounded theory methods to conduct an inductive coding and then deductively applied the consolidated framework for implementation research (CFIR).
Results: For the outer setting, local attitudes that stigmatize mental health conditions and norm IPV as well as an inefficient legal system were barriers. Stakeholders expressed high acceptability of IPT-C, although a lack of resources was a structural challenge for the inner setting. Adaptation of the approach to screen for and address potential mediators of IPV was important for adopting a multisectoral response to implementation and planning. Delivering IPT-C in the community and in collaboration with community stakeholders was preferable.
Conclusion: Stakeholders recommended multilevel involvement and inclusion of community-based programming. Task shifting and use of technology can help address these resource demands.
Methods: We conducted 11 focus group discussions (6-8 people per group) and seven in-depth interviews with key informants in mental health or gender-based violence (n = 85) using purposive sampling. We used grounded theory methods to conduct an inductive coding and then deductively applied the consolidated framework for implementation research (CFIR).
Results: For the outer setting, local attitudes that stigmatize mental health conditions and norm IPV as well as an inefficient legal system were barriers. Stakeholders expressed high acceptability of IPT-C, although a lack of resources was a structural challenge for the inner setting. Adaptation of the approach to screen for and address potential mediators of IPV was important for adopting a multisectoral response to implementation and planning. Delivering IPT-C in the community and in collaboration with community stakeholders was preferable.
Conclusion: Stakeholders recommended multilevel involvement and inclusion of community-based programming. Task shifting and use of technology can help address these resource demands.