Evidence map›Paper›PMID 40556714›Full record

ArticleGlobal mental health (Cambridge, England)2025

Current state of mental health and substance use in Toledo, Belize: A mixed methods study.

Jaclyn Kirsch, Megan Fabbri, Kristen Kerr, Lynette Gomez

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jaclyn KirschSchool of Social Work, University of Texas at Arlington, Arlington, TX, USA.ORCID https://orcid.org/0000-0002-9764-0586
Megan FabbriSchool of Social Work, West Virginia University, Morgantown, WV, USA.ORCID https://orcid.org/0000-0001-7143-1447
Kristen KerrSchool of Social Work, University of Texas at Arlington, Arlington, TX, USA.
Lynette GomezHillside Health Care, Eldridge, Toledo, Belize.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health and substance use are increasingly pressing issues in communities across low-and-middle income countries, including Belize, particularly Toledo, the country's most rural and resource-limited district. Using community-based participatory research methods, this preliminary mixed methods study (quantitative n = 163; qualitative n = 10) aims to (1) investigate mental health symptoms and substance use patterns in a non-randomized sample of individuals from southern Belize and (2) explore community perspectives on mental health among community stakeholders. Findings show high levels of depression, anxiety, and suicidal ideation among survey participants, which were supported by qualitative interviews. While low levels of substance use were reported by survey participants, qualitative findings diverged and showed alcohol use to be of significant concern among participants. Our study highlights the critical need for increased research, advocacy, and policy implementation regarding mental health and substance use in Toledo and across Belize. Given the scarcity of mental health resources in Toledo, findings underscore the urgent need for policy interventions that expand access to psychiatric services, integrate community-based mental health approaches, and address socioeconomic drivers of poor mental health outcomes.

Indexed as

BelizeCaribbeanmental healthmixed methodssubstance use

Identifiers

PMID40556714
PMCPMC12186556

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.