Social inclusion and vulnerable populations

Building capacities to offer gender-sensitive substance abuse treatment (GROW)

Duración:
01/05/2018 - 30/09/2020

Contacto:
eesquiche@webtesteo.com

Lugar de intervención:
Perú

Donante

Embassy of the United States in Peru.

Aliados estratégicos

Directorate of Mental Health of the Ministry of Health, National Commission for Development and Life without Drugs (Devida), Women's Emergency Centers (CEM) of the Ministry of Women and Vulnerable Populations (MIMP), Adolescent Guidance Service of the Judicial Power, Restorative Juvenile Justice Program of the Public Ministry and Universidad Peruana Cayetano Heredia (academic certification).

Objetivo del proyecto

Strengthen the capacity of the health sector through evidence-based programs to improve access and care for women, adolescents, and the vulnerable population (LGTBI) who abuse substances.

Grupo de impacto

Women and adolescents who abuse substances access mental health services and receive comprehensive care (it does not discriminate against other members of the family). In addition, population living in conditions of vulnerability (LGTBI).

Innovación

The trainings in the prioritized regions helped to generate a change in the paradigm of attention to cases of substance use, moving from a traditional approach towards a holistic treatment with a gender perspective. This resulted in changes in attitude and in the strengthening of work in multidisciplinary teams taking as an axis the specific needs of women.

Specifically, clinics were opened for care at schedules more suited to them and spaces were prepared so that their daughters and minor children can wait while they undergo consultation.

Likewise, multisectoral mobilization was also incorporated with other local institutions such as the CEM, the Judiciary, the Public Ministry, the education sector, and civil society organizations.

Fortalecimiento de la sociedad civil

Articulation with social organizations, women, adolescents, community health agents and LGTBI in order to receive training in the regions.

Establishing agreements for joint work and support with the identification of cases to refer them to services. The participating organizations are linked to the multisectoral mental health commissions at the local territorial level.

Modelos efectivos

The involvement of LGTBI organizations in the workshop with health personnel from the Ministry of Health, which was very challenging in the SOGI (LGTBI) initiative.

The participation of a sector of health professionals in Lima and Callao in the replication sessions was not necessarily well received. The project had to carry out several interventions, especially in national hospitals, to make them accept that the work carried out sought to improve access and use of mental health services, especially access to services for addiction problems in the LGTBI community.

The organization of the fundamentals of the right to health of the LGTBI population and the health reform, as well as the work to highlight the problem of drug use in people living with HIV and who belonged to the LGTBI population, which facilitated understanding by healthcare providers.

The design of an expansion plan for five new regions after learning from the intervention in Lima and Callao. This design included mental health, the HIV program and work with local LGTBI organizations in the regions.

Establishing a dialogue with each of the actors, as well as providing timely information and access to specialists, favored the LGTBI population to go to health services. This initiative is removing structures of thought, organization of services and encourages finding new ways and tools to meet the needs of the LGTBI population.

Aprendizajes

  • Developing the initiatives implemented by the project requires that CARE staff have sufficient capacities to work and mobilize sectors of the State nationwide. Likewise, it requires knowledge of the approaches, tools and methodologies that are being validated to respond to new challenges of taking interventions to scale.
  • The ability of the project to quickly adapt training programs to the virtual modality due to the situation of the COVID-19 pandemic. The proposals that CARE is conducting in this initiative show that recommendations are being collected, validated, adjustments made, and the pandemic is being faced. We were ready to successfully transition to virtual mode.
  • The implementation of the auxiliary file for the records of mental health care and addictions of the LGTBI population in public mental health services, during the preparation of this report, is receiving response from mental health professionals.
    Likewise, considering the “safe zone” in mental health services for the care of the LGTBI population allows improving access to services, registering them, and showing, for the first time in Peru, the care that is being achieved in public services. Finally, the LGTBI population can access group and individual therapies, access to medicines, home visits, etc.

Impacto del proyecto

Total beneficiarios directos

Total beneficiarios indirectos

Mujeres beneficiadas directas

Mujeres beneficiadas indirectas

Adaptó o implementó actividades en respuesta a la COVID-19