442 Community mental health for migrant women in Barcelona (“self-care among women”): a mixed-methods process evaluation of a pilot psychological intervention

Abstract OP 22: Mental Health 4, B302 (FCSH), September 4, 2025, 14:45 - 15:45 Aim This study aims to assess the contextual fit, acceptability and feasibility of the “Self-Care Among Women” community-based group psychological intervention, inspired by Group Problem Management Plus, targeting migrant women in Barcelona, Spain. Methods A mixed-methods process evaluation study was conducted from November 2023 to December 2024 to evaluate the pilot implementation of the intervention. Eligibility for participation was assessed through GHQ-12, WHODAS 2.0 and clinical observations. Process outcome measures were collected through structured observation and logsheets, as well as focus group discussions with women and interviews with facilitators – community psychologists and intercultural mediators. Clinical outcomes were measured at three time points. A grounded theory approach was employed to analyse the qualitative data. Results A total of 30 migrant women participated in four multicultural intervention groups, with a retention of 90%. Our results showed that the intervention addressed the diverse needs of migrant women through an intersectional lens, providing resources to cope with adversity while genuinely promoting social ties among women with diverse cultural backgrounds. Clinical outcomes showed a considerable improvement. Mechanisms of change suggested the need for integrating intercultural mediators in the facilitation of such interventions to bridge communication and cultural perspectives, and generate bonds. However, this requires strong institutional commitment to ensure their presence at public services. Further, established community-based referral networks can facilitate migrant women’s navigation through relevant resources. In a highly culturally diverse urban context, community-based mental health can enhance reachability. Such approaches can amplify migrants’ perspectives of wellbeing while breaking stereotypes around women’s position in certain communities. Conclusions Within the framework of prevention of psychiatric disorders and?mental health promotion, “Self-Care among Women” proposes mechanisms of innovative change in migrant mental health.