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At the symposium, psychiatrist Dení Álvarez Icaza González also presented her research in relation to the model of mental health care that can be applied in areas with a high level of collective violence, especially in the community of Guerrero. Dr. María Elena Medina-Mora explained that, according to this study, collective violence has different characteristics than individual violence and is generated in conditions of armed conflicts or wars, organized crime , gangs , state violence , terrorism and genocide .

The current Guerrero violence is more related to orga Phone Number List nized crime and state violence. Therefore, there is a destruction of community networks that leads people to stop collaborating with each other and generates normalization factors, for example, teachers in this area think that it is normal to hit students to correct them, which is becomes a form of collective violence.

"The risk factor is violence, which has an impact on mental health, people isolate themselves, they don't talk to anyone, there is mistrust, which in turn becomes a risk factor that fuels more mental illness." “This is known as the conflict trap .”

After the diagnosis in this community, Dr. Dení Álvarez Icaza González proposes four Mental Health Care Programs in Conflict Regions . The first is to take into account that the area requires basic services, such as water and food; The second is intervention in the community and with the family with psychosocial activities, which seek their well-being; the third is non-specialized intervention; and the fourth, refers to specialized services, people who require them have to be taken out of the community to be treated in an appropriate place with specialists.

According to the research proposal, to serve these communities it is important to begin with a diagnosis that allows us to know the mental health status of the community, the exposure and exercise of violence they have, in addition to contemplating the acceptance of violence, the problems and needs of the population. “ Girls have more significant depressive symptoms than boys , which is also seen in adults. In relation to the acceptance of violence, both populations considered between 58% and 56% that it is acceptable."



To reverse the pain of the population, Icaza González proposed a strategy that consisted of seeking assertive tools for parenting and discipline, working on the denormalization of violence and addressing mental disorders and sexual abuse. He constructed four elements of intervention: the establishment of local capacities for individual and community mental health care; strengthening family environments, through positive parenting tools and peace building at home; strengthening the school environment, through the promotion of a culture of peace and socio-emotional skills; and the construction of community spaces for youth participation, the Youth House.

“Yes, it is possible to carry out interventions in very problematic communities with a lot of pain, when professionals are committed to mental and psychosocial health and when violence intervention and prevention programs are developed that are close to the needs of the community,” concluded the member. María Elena Medina-Mora.
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