"Most LPCWs lived traumatic experiences, they are also primary survivors, and they have to talk about these issues with people who experienced them too [...] [which] was an advantage, because
LPCWs could create empathy and emotional identification with the people "GQ003
For some LPCWs, mental health needs were not satisfied with this intervention, due to the sociopolitical context in which users live.
Similarly, factors like profiles and skills of LPCWs can affect the therapist-user relationship.
This study describes the CETA implementation process, based on perceptions of the therapy implementers (LPCWs) in Buenaventura and Quibdo, Colombia.
A case study of CETA implementation was conducted through individual in-depth interviews with ACOPLE staff (LPCWs, supervisors and coordinators) responsible for implementing and monitoring therapy in Buenaventura and Quibdo, Colombia, between 2011 and 2013.
Six core categories emerged from interviewees' perceptions: 1) Effects of armed conflict and poverty, 2) Trauma severity, 3) Perceived changes with CETA intervention, 4) Characteristics of LPCWs and their performance, 5) Afro-Colombian cultural approach, and 6) Strategies to promote users' wellbeing (See Figure 1.
Some LPCWs consider that traumas and their severity are different in each person, including their ways of coping which could indicate the need for differential treatment in mental health.
Some LPCWs mention that changes in family dynamics and generating a conciliatory atmosphere between parents and sons in some users were both possibly due to a decrease in feelings of anger and sadness.
Most respondents believed that intervention reduced stigma in mental health issues;this reduced stigma was not only observed in therapy users but also in the LPCWs. Also, it was identified that users recognizedthe benefits of therapy and sometimes expressed a desire to extend this service rather thanothers, which is consistent with an open attitude toward this type of intervention, making the community more active in seeking these services.
Regarding the LPCWs, positive findings havebeen reported regarding training such personnel on mental health issues due to the relatively low cost, greater availability and adequate effectiveness in assisting and accompanying people with mental disorders (26,27,29).