Title |
Patient preferences for the integration of mental health counseling and chronic disease care in South Africa
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Published in |
Patient preference and adherence, September 2018
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DOI | 10.2147/ppa.s176356 |
Pubmed ID | |
Authors |
Bronwyn Myers, John A Joska, Crick Lund, Naomi S Levitt, Christopher C Butler, Tracey Naledi, Peter Milligan, Dan J Stein, Katherine Sorsdahl |
Abstract |
To describe patient perceptions of the acceptability of integrating mental health counseling within primary care facilities in the Western Cape province of South Africa and their preferences for the way in which this care is delivered. Qualitative interviews with 30 purposively selected patients receiving treatment for HIV or diabetes within primary care facilities who screened positive for depression using the Center for Epidemiological Studies Depression Scale or hazardous alcohol use through the Alcohol Use Disorders Identification Test. Participants articulated high levels of unmet need for mental health services and strong associations between poor mental health and the challenges of living with a chronic disease. Consequently, they considered it acceptable to offer screening and mental health counseling within the context of chronic disease care. They thought counseling would be highly relevant if it helped patients develop adaptive strategies for coping with stress and negative emotions. Irrespective of chronic disease, patients indicated a preference for lay counselors rather than existing clinicians as potential delivery agents, supporting a task-shared approach to mental health counseling delivery in primary care settings. Some expressed concern about the feasibility of using lay counselors already present in facilities to deliver this service, suggesting that additional counselors might be needed. Findings demonstrate a need for mental health counseling within the context of chronic disease care in South Africa. Task-shared approaches, using lay counselors, seem acceptable to patients - provided counselors are selected to ensure they possess the qualities associated with effective counselors. Findings have informed the design of a task-shared mental health program that is responsive to the preferences of patients with chronic diseases. |
X Demographics
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Geographical breakdown
Country | Count | As % |
---|---|---|
South Africa | 4 | 40% |
United Kingdom | 1 | 10% |
Unknown | 5 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 80% |
Scientists | 2 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 127 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 18 | 14% |
Student > Master | 15 | 12% |
Student > Ph. D. Student | 10 | 8% |
Student > Bachelor | 7 | 6% |
Student > Doctoral Student | 7 | 6% |
Other | 19 | 15% |
Unknown | 51 | 40% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 20 | 16% |
Medicine and Dentistry | 18 | 14% |
Nursing and Health Professions | 12 | 9% |
Social Sciences | 10 | 8% |
Agricultural and Biological Sciences | 3 | 2% |
Other | 8 | 6% |
Unknown | 56 | 44% |