RecruitingNot ApplicableNCT06635486

Improving Mental Health in Forcibly Displaced Populations

Adaptation of an Open Source Cognitive Behavioral Treatment Protocol Designed to Improve Mental Health in Forcibly Displaced Populations

Sponsor

Boston Medical Center

Enrollment

90 participants

Start Date

Apr 15, 2025

Study Type

INTERVENTIONAL

Conditions

Depression Anxiety Post Traumatic Stress Disorder

Summary

This project aims to improve mental health support for Venezuelan migrants living in Lima, Peru, who often face challenges like anxiety, depression, and post-traumatic stress disorder (PTSD). Since 2015, millions of Venezuelans have fled their country due to a severe humanitarian crisis, including extreme inflation, food shortages, and political unrest. Many of these individuals now live in Peru, where they struggle to access mental health services. A new type of intervention that is both evidence-based and culturally adapted to meet the specific needs of Venezuelan migrants is the focus of this research. The intervention is designed to be delivered by trained lay providers-people from the community who have received special training but are not professional mental health workers. The intervention consists of 6 to 12 weekly online sessions, each lasting about an hour. These sessions will cover various therapeutic techniques, including cognitive restructuring (changing negative thought patterns), behavioral activation (encouraging positive activities), and emotional regulation (managing feelings). The sessions will be conducted remotely, allowing participants to join from the comfort of their homes.This approach is intended to make mental health care more accessible and relatable for migrants, who may feel more comfortable receiving help from someone who understands their cultural background and experiences.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

To be eligible to participate in this study, an individual must meet all of the following criteria:
have Venezuelan nationality
have arrived in Lima in years 2014 to the present
be 18 years of age or older
In addition, in order to be eligible to participate in this study, an individual must meet one of the following criteria:
score 10 points or more at the Patient Health Questionnaire (PHQ-9) or
score 10 points or more at the General Anxiety Disorder (GAD-7) or
have a history of trauma exposure as listed in the Life Events Checklist (LEC-5) and score 31 points or more in the PTSD Checklist (PCL-5)

Exclusion Criteria4

An individual is excluded from the study if they respond positively to one or more of the following questions during screening:
Suicidal ideation: "When someone feels as upset as you do, they may have thoughts that life isn't worth living. What thoughts have you had like this?"
Homicidal ideation: "When someone feels as upset as you do, they may have thoughts about hurting the person who has upset or hurt them. What thoughts have you had like this?"
Psychosis: "Do you have a diagnosis of psychosis or schizophrenia?"

Interventions

BEHAVIORALAdapted cognitive-behavioral (CBT) intervention

The intervention is 6-12 sessions, depending on the symptom presentation of the participant. The weekly sessions last 60 minutes and will be delivered remotely and individually via Meet or a similar platform by trained lay providers. Intervention methods include cognitive re-structuring, behavioral activation, exposure to memories and situations, problem solving, and emotional regulation.