TY - JOUR
KW - Counselling
KW - Health Services Research
KW - Mental Health
AU - K. Sorsdahl
AU - T. Naledi
AU - C. Lund
AU - N. S. Levitt
AU - J. A. Joska
AU - D. J. Stein
AU - B. Myers
A1 - 
AB - OBJECTIVE: To explore health care providers' views on the acceptability and feasibility of two models for integrating facility-based counsellor delivered mental health counselling into chronic disease care, and how such an approach could be improved in South Africa. METHODS: Fourteen focus group discussions and 25 in-depth individual interviews were conducted with 109 health care workers and facility managers from 24 primary health clinics in the Western Cape, South Africa. RESULTS: Findings suggested that despite recent efforts to integrate mental health counselling into chronic disease services for common mental disorders, there remains limited availability of psychosocial and psychological counselling. Feedback on the two models of integration suggested equipoise and the potential of a hybrid approach where these approaches may be tailored to the specific needs and available resources of each facility. Participants identified constraints within the health system and broader social context that require consideration for integrating mental health counselling into chronic disease care. CONCLUSION: Although study participants unanimously agreed that counselling for common mental disorders should be integrated into chronic disease services, they had differing views on the type of model that should be adopted. There is a need for further testing of the two models and aspects of the health service that may require strengthening to implement any such model.
AD - Co-Director, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, South Africa.; Senior Lecturer, Public Health Medicine, School of Public Health & Family Medicine, University of Cape Town, South Africa.; Professor of Public Mental Health, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, South Africa.; Head of HIV and Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, South Africa.; Head of Department, Department of Psychiatry and Mental Health, University of Cape Town, South Africa & SA MRC Unit on Risk & Resilience in Mental Disorders, Cape Town, South Africa.; Head of Department, Department of Psychiatry and Mental Health, University of Cape Town, South Africa & SA MRC Unit on Risk & Resilience in Mental Disorders, Cape Town, South Africa.; Deputy Director, Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council & Department of Psychiatry & Mental Health, University of Cape Town, South Africa.
BT - Journal of health services research & policy
C5 - Education & Workforce; Healthcare Disparities
CP - 3
CY - England
DO - 10.1177/1355819620954232
IS - 3
JF - Journal of health services research & policy
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: To explore health care providers' views on the acceptability and feasibility of two models for integrating facility-based counsellor delivered mental health counselling into chronic disease care, and how such an approach could be improved in South Africa. METHODS: Fourteen focus group discussions and 25 in-depth individual interviews were conducted with 109 health care workers and facility managers from 24 primary health clinics in the Western Cape, South Africa. RESULTS: Findings suggested that despite recent efforts to integrate mental health counselling into chronic disease services for common mental disorders, there remains limited availability of psychosocial and psychological counselling. Feedback on the two models of integration suggested equipoise and the potential of a hybrid approach where these approaches may be tailored to the specific needs and available resources of each facility. Participants identified constraints within the health system and broader social context that require consideration for integrating mental health counselling into chronic disease care. CONCLUSION: Although study participants unanimously agreed that counselling for common mental disorders should be integrated into chronic disease services, they had differing views on the type of model that should be adopted. There is a need for further testing of the two models and aspects of the health service that may require strengthening to implement any such model.
PP - England
PY - 2021
SN - 1758-1060; 1355-8196
SP - 172
EP - 179
EP - 
T1 - Integration of mental health counselling into chronic disease services at the primary health care level: Formative research on dedicated versus designated strategies in the Western Cape, South Africa
T2 - Journal of health services research & policy
TI - Integration of mental health counselling into chronic disease services at the primary health care level: Formative research on dedicated versus designated strategies in the Western Cape, South Africa
U1 - Education & Workforce; Healthcare Disparities
U2 - 32969273
U3 - 10.1177/1355819620954232
VL - 26
VO - 1758-1060; 1355-8196
Y1 - 2021
Y2 - Sep 24
ER -