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. 2026 Jun 10;71:1609179. doi: 10.3389/ijph.2026.1609179

TABLE 3.

Analysis categories: Barriers and Facilitators. (Metropolitan area of Guadalajara, Mexico. 2023).

Barrier categories Definition
Stigma Experiences reported by all four levels of information when an individual with SMI seeks employment and how they perceive this process. Responses collected indicate a negative view towards people with SMI.
Limitations in SMI care services Limitations and deficiencies identified by the first three levels of information concerning the action plan, activities, and intervention strategies for people with SMI; particularly in those actions related to labor and social integration. Within this category, three aspects are highlighted: Lack of prioritization, inadequate resources and lack of knowledge
Patient-related barriers Responses were collected that suggest the patient also plays a responsible role in the employment inclusion process, and the problems perceived by the interviewees
Support network barriers Communication and experiences of the first three levels of information with the support networks of the users. Responses indicated that the support network is an important part in the patient’s process
Systems barriers Questions were raised to the initial levels of information regarding their knowledge and perceptions about laws and regulations related to mental healthcare and employment inclusion for individuals with SMI.
Facilitator categories Definition
Actions and programs Reach and facilitators identified by the first three levels of information about the action plan, activities, and intervention strategies intended for individuals with SMI; particularly in actions related to labor and social integration
Interinstitutional collaboration Links and agreements (formal or informal) that the interested institutions (Instituto Jalisciense de Salud Mental and SNE) have with other institutions or companies for the social and/or employment integration of individuals with SMI.
Patient-centered approach The initial levels were questioned about the attention and support they provide to meet the objectives and needs of the patients. Responses from the patients about how they perceive such attention and support were also collected
Viability of IPS Opinions from all four levels of information about IPS, identifying its strengths and compatibilities with the current service provided