Abstract
Despite the existing evidence of effective strategies to reduce mental health risks at a reasonable cost, their adoption is still not easy for health professionals, especially in low-resource settings. Barriers and facilitators identification is then relevant for the adoption of evidence-based interventions in mental health care. The purpose of this study was to identify the relationship between barriers, facilitators and the implementation strategies to face them, related to the adoption of mhGAP Intervention Guide in primary care Mexican staff. A sample of 125 health professionals participated, after accrediting an online booster course, by answering the Facilitators and Barriers for mhGAP Adoption Questionnaire about the implementation of the mhGAP Intervention Guide, the implementation strategies to face those barriers and the adoption dimensions of frequency, usefulness and effectiveness of the mhGAP core components. The results revealed that Material was the most frequent facilitator for the implementation of mhGAP program, Application issues were the main barrier to its implementation and the most frequent implementation strategies reported were Assumed the barrier and Tailor the intervention, which was reported as the most effective strategy for achieving successful implementation outcomes. Barriers are discussed as important triggers for the adoption and adaptation of evidence-based practice.