Current state of mental health and substance use in Toledo, Belize: A mixed methods study

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Հրատարակված է:Cambridge Prisms : Global Mental Health vol. 12 (2025)
Հիմնական հեղինակ: Kirsch, Jaclyn
Այլ հեղինակներ: Fabbri, Megan, Kerr, Kristen, Gomez, Lynette
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Cambridge University Press
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022 |a 2054-4251 
024 7 |a 10.1017/gmh.2025.10007  |2 doi 
035 |a 3215728905 
045 2 |b d20250101  |b d20251231 
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100 1 |a Kirsch, Jaclyn  |u School of Social Work, University of Texas at Arlington, Arlington, TX, USA 
245 1 |a Current state of mental health and substance use in Toledo, Belize: A mixed methods study 
260 |b Cambridge University Press  |c 2025 
513 |a Journal Article 
520 3 |a Mental health and substance use are increasingly pressing issues in communities across low-and-middle income countries, including Belize, particularly Toledo, the country’s most rural and resource-limited district. Using community-based participatory research methods, this preliminary mixed methods study (quantitative n = 163; qualitative n = 10) aims to (1) investigate mental health symptoms and substance use patterns in a non-randomized sample of individuals from southern Belize and (2) explore community perspectives on mental health among community stakeholders. Findings show high levels of depression, anxiety, and suicidal ideation among survey participants, which were supported by qualitative interviews. While low levels of substance use were reported by survey participants, qualitative findings diverged and showed alcohol use to be of significant concern among participants. Our study highlights the critical need for increased research, advocacy, and policy implementation regarding mental health and substance use in Toledo and across Belize. Given the scarcity of mental health resources in Toledo, findings underscore the urgent need for policy interventions that expand access to psychiatric services, integrate community-based mental health approaches, and address socioeconomic drivers of poor mental health outcomes. 
610 4 |a Pan American Health Organization 
651 4 |a Belize 
651 4 |a Central America 
653 |a Trends 
653 |a Clinics 
653 |a Mental disorders 
653 |a Drug use 
653 |a Nurse practitioners 
653 |a Primary care 
653 |a Community 
653 |a Rural areas 
653 |a Mental health 
653 |a Colonialism 
653 |a Nonprofit organizations 
653 |a Community based action research 
653 |a Mental depression 
653 |a Health status 
653 |a Participatory research 
653 |a Community mental health services 
653 |a Research methodology 
653 |a Anxiety 
653 |a Alcohol use 
653 |a Substance abuse 
653 |a Suicidal ideation 
653 |a Advocacy 
653 |a Psychiatric services 
653 |a Polls & surveys 
653 |a Community-based programs 
653 |a Qualitative research 
653 |a Mental health services 
653 |a Suicide 
653 |a Mixed methods research 
653 |a Scarcity 
653 |a Community research 
653 |a Policy implementation 
653 |a Low income groups 
700 1 |a Fabbri, Megan  |u School of Social Work, West Virginia University, Morgantown, WV, USA 
700 1 |a Kerr, Kristen  |u School of Social Work, University of Texas at Arlington, Arlington, TX, USA 
700 1 |a Gomez, Lynette  |u Hillside Health Care, Eldridge, Toledo, Belize 
773 0 |t Cambridge Prisms : Global Mental Health  |g vol. 12 (2025) 
786 0 |d ProQuest  |t Social Science Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3215728905/abstract/embedded/BH75TPHOCCPB476R?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3215728905/fulltext/embedded/BH75TPHOCCPB476R?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3215728905/fulltextPDF/embedded/BH75TPHOCCPB476R?source=fedsrch