Mental health training for primary care physicians

AimTo compare the impact of three different approaches to primary care mental health on the prevalence of mental disorders.BackgroundMillions of people suffer from mental disorders. As entry point into the health service, primary healthcare plays an important role in providing mental health prevention and treatment.MethodsRandom sample of households in three different areas of the city of Ribeirão Preto (state of São Paulo, Brazil) were selected, and 20 trained medical students conducted interviews using a mental health screening instrument, the Mini-Screening of Mental Disorders, and a socio-demographic datasheet. Primary care mental health was provided in each area through a specific approach. The influence of the area of residence and the socio-demographic variables on the prevalence of mental disorder was explored and analyzed by univariate binary logistic regression and then by a multiple logistic regression model.FindingsA total of 1545 subjects were interviewed. Comparison between the three areas showed a significantly higher number of people with mental disorders in the area covered by the primary care team that did not have physicians with specific primary care mental health training, even when this association was adjusted for the influence of age, education, and socio-economic status.Our results suggest that residing in areas with family physicians with mental health training is associated with a lower prevalence of mental disorders.

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Improving Mental Health Training for Primary Care Residents

The Primary Care Companion For CNS Disorders ◽

10.4088/pcc.17m02210 ◽

2017 ◽

Vol 19 (5) ◽

Cited By ~ 1

Author(s):

Peter J. Ureste ◽

Tammy L. Duong ◽

Andreea L. Seritan ◽

Ana-Maria Iosif ◽

Donald M. Hilty

Keyword(s):

Mental Health ◽

Primary Care ◽

Mental Health Training ◽

Health Training

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Development of case vignettes to assess the mental health training of primary care medical officers

Acta Psychiatrica Scandinavica ◽

10.1111/j.1600-0447.1990.tb01377.x ◽

1990 ◽

Vol 82 (2) ◽

pp. 174-177 ◽

Cited By ~ 16

Author(s):

T. G. Sriram ◽

C. R. Chandrashekar ◽

M. K. Isaac ◽

R. Srinivasa Murthy ◽

K. V. Kishore Kumar ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Mental Health Training ◽

Health Training ◽

Case Vignettes

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Child and Adolescent Mental Health Training for Primary Care Staff

Clinical Child Psychology and Psychiatry ◽

10.1177/1359104501006002003 ◽

2001 ◽

Vol 6 (2) ◽

pp. 191-204 ◽

Cited By ~ 22

Author(s):

Dorothy Sebuliba ◽

Panos Vostanis

Keyword(s):

Mental Health ◽

Primary Care ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Care Staff ◽

Mental Health Training ◽

Health Training ◽

Primary Care Staff

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Evaluation of a mental health training project in the Republic of the Sudan using the Mental Health Gap Action Programme curriculum

International Psychiatry ◽

10.1192/s174936760000309x ◽

2012 ◽

Vol 9 (2) ◽

pp. 43-45

Author(s):

Sherese Ali ◽

Khalid Saeed ◽

Peter Hughes

Keyword(s):

Mental Health ◽

Primary Care ◽

Primary Care Physicians ◽

Positive Impact ◽

Field Tests ◽

World Health ◽

Mental Health Training ◽

Middle Income ◽

Health Gap ◽

Action Programme

This paper reports on the training of primary care physicians in the family medicine programme at the University of Gezira, Sudan, using the World Health Organization's Mental Health Gap Action Programme Intervention Guide (mhGAP-IG). The training had a positive impact on their knowledge of and attitudes to mental disorder. More field tests of the mhGAP-IG would be useful to make further recommendations on its cultural relevance and its adaptation for use in low- and middle-income countries. Distance supervision of training of primary care physicians by internal facilitators is seen as critical for the sustainability of the intervention.

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