Individual placement and support in Mexico: barriers and facilitators

Objectives – The Individual Placement and Support (IPS) model has proven effective in different high-income countries. However, its implementation in low- and middle-income countries presents a new challenge. This study identified potential barriers and facilitators for IPS implementation in the metropolitan area of Guadalajara, México, to prepare for a clinical trial. Methods – The study explored potential barriers and facilitators to implementing IPS in the metropolitan area of Guadalajara, Mexico, from the perspectives of 61 diverse stakeholders in mental health interest groups: policymakers, administrators, providers, service users, and potential employers. The study used semi-structured, qualitative interviews and structured questionnaires tailored to each participant group and their specific roles. Results – Major themes of barriers were stigma, limitations in treating people with serious mental illness, difficulties related to users and their support networks, and systems barriers. Potential facilitators included the effectiveness of programs and specific activities, institutional collaboration, patient-centered approach, and characteristics of IPS. Conclusion – The study provided critical information on challenges and potential strategies prior to an upcoming trial of IPS supported employment services in a large, middle-income country.