Professional perspectives on the care of people with schizophrenia in Colombia

Purpose This study aims to explore mental health professionals’ perspectives on caring for individuals diagnosed with schizophrenia in Bogotá, Colombia. It aims to understand challenges and experiences related to healthcare access, social inclusion, recovery and quality of life. The study identifies barriers and facilitators in professional management and provides insights for improving comprehensive care and social integration for this population. Design/methodology/approach A qualitative study with a concurrent nested design was conducted, emphasizing the qualitative component. Semistructured interviews were held with 25 purposively selected mental health professionals to ensure diversity in therapeutic approaches. Thematic analysis was applied to identify recurring patterns, experiences and perceptions regarding clinical care, rehabilitation, social inclusion and challenges faced by both patients and professionals. Findings Patients face barriers such as limited access to specialized services, medication delays, shortage of trained professionals, social stigma and exclusion from education and work. Professionals emphasize the importance of early diagnosis, combined pharmacological and psychosocial interventions and empathetic, patient-centered care. Social and family support, public education and inclusive policies are crucial for improving outcomes and quality of life. Research limitations/implications This study is limited to professionals in Bogotá, which may reduce generalizability. Future research should include multiple regions, patients and caregivers, and assess interventions addressing access, stigma and social inclusion. Practical implications Enhancing healthcare infrastructure, community-based programs, professional training, interdisciplinary collaboration and integrated care can improve schizophrenia management. Social implications Reducing stigma, promoting public education and supporting inclusive policies in education and employment foster social integration and equity. Strengthening family and community support networks can enhance patient outcomes. Originality/value This study provides in-depth insights from professionals on schizophrenia care in Colombia, integrating clinical, social and policy perspectives to guide interventions, policy and education strategies for improved care and inclusion.