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Mental health in primary care : integration through in-service training in a South African rural clinic

dc.contributor.authorMaconick, Lucyen_ZA
dc.contributor.authorJenkins, Louis S.en_ZA
dc.contributor.authorFisher, Henrietteen_ZA
dc.contributor.authorPetrie, Anthonyen_ZA
dc.contributor.authorBoon, Lynnieen_ZA
dc.contributor.authorReuter, Hermannen_ZA
dc.date.accessioned2019-09-13T11:12:05Z
dc.date.available2019-09-13T11:12:05Z
dc.date.issued2018-05
dc.identifier.citationMaconick, L. et al. 2018. Mental health in primary care: Integration through in-service training in a South African rural clinic. African Journal of Primary Health Care & Family Medicine, 10(1):a1660, doi:10.4102/phcfm.v10i1.1660.en_ZA
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.otherdoi:10.4102/phcfm.v10i1.1660
dc.identifier.urihttp://hdl.handle.net/10019.1/106464
dc.descriptionCITATION: Maconick, L. et al. 2018. Mental health in primary care: Integration through in-service training in a South African rural clinic. African Journal of Primary Health Care & Family Medicine, 10(1):a1660, doi:10.4102/phcfm.v10i1.1660.en_ZA
dc.descriptionThe original publication is available at https://phcfm.orgen_ZA
dc.description.abstractBackground: Integrating mental health into primary care is a global priority. It is proposed to ‘task-share’ the screening, diagnosis and treatment of common mental disorders from specialists to primary care workers. Key to facilitating this is training primary care workers to deliver mental health care. Mental health training in Africa shows a predominance of short-term, externally driven training programmes. Locally, a more sustainable delivery system was needed. Aim: The aim of the study was to develop and evaluate a locally delivered, long-term, inservice training programme to facilitate mental health care in primary care. Methods: This was a quasi-experimental study using mixed methods. The in-service training programme was delivered in weekly 1-h sessions by local psychiatry staff to 20 primary care nurses at the clinic over 5 months. The training was evaluated using quantitative data from participant questionnaires and analysis of the referrals from primary to specialist care. Qualitative data were collected via semi-structured interviews and 14 observed training sessions. Results: The training was feasible and well received. Referrals to the mental health nurse increased in quality and participants’ self-rated competence improved. Additional benefits included the development of supervision skills of mental health nurses and providing a forum for staff to discuss service improvement. The programme acted as a vehicle to pilot integration in one clinic and identify unanticipated barriers prior to rollout. Conclusions: Long-term, in-service training, using existing local staff had benefits to the integration of mental health into primary care. This approach could be relevant to similar contexts elsewhere.en_ZA
dc.description.urihttps://phcfm.org/index.php/phcfm/article/view/1660
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.subjectMental health careen_ZA
dc.subjectPrimary careen_ZA
dc.subjectPrimary health careen_ZA
dc.subjectRural clinicen_ZA
dc.subjectMental disorders -- Mental healthen_ZA
dc.subjectMental health training -- In-service trainingen_ZA
dc.titleMental health in primary care : integration through in-service training in a South African rural clinicen_ZA
dc.typeArticleen_ZA
dc.description.versionPublishers versionen_ZA
dc.rights.holderAuthors retain copyrighten_ZA


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