Can a brief training intervention help improve mental health service delivery in South Africa?

Background: South Africa faces a number of significant challenges apropos mental health service delivery, including a large treatment gap, a high rate of readmission, over-burdened specialist tertiary facilities, and slow integration of mental health into general health services. The South African N...

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Autores principales:	Frances B. Slaven, Yvonne Erasmus, Margot Uys, Pierre-Emile Bruand, Beki Magazi, Rabia Wadvalla
Formato:	article
Lenguaje:	EN FR
Publicado:	AOSIS 2021
Materias:	primary care mental health capacity development integration of mental health care programme evaluation Medicine R Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e72b8e4c947e45aa844ac06ad3b7ae72
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spelling	oai:doaj.org-article:e72b8e4c947e45aa844ac06ad3b7ae722021-11-24T07:43:58ZCan a brief training intervention help improve mental health service delivery in South Africa?2071-29282071-293610.4102/phcfm.v13i1.2909https://doaj.org/article/e72b8e4c947e45aa844ac06ad3b7ae722021-10-01T00:00:00Zhttps://phcfm.org/index.php/phcfm/article/view/2909https://doaj.org/toc/2071-2928https://doaj.org/toc/2071-2936Background: South Africa faces a number of significant challenges apropos mental health service delivery, including a large treatment gap, a high rate of readmission, over-burdened specialist tertiary facilities, and slow integration of mental health into general health services. The South African National Mental Health Education Programme implemented between February 2019 and December 2019, aimed to upskill health workers to diagnose and manage mental disorders at primary and secondary levels of care. Aim: This study aimed to assess the evolution of training participants’ self-reported competency in mental health care and the number of referrals made to higher levels of care as well as to reflect on the possible broader effects of the training. Setting: The programme and study were conducted in South Africa with Medical Officers and Professional Nurses working at public sector primary and secondary level health care facilities. Methods: A descriptive observational study collected data from training participants through a pre- and post-course, and 3-month follow-up survey. Results: The average confidence ratings for performing mental health care activities and managing mental health conditions increased from pre- to post-course, and was either maintained or increased further at 3-month follow-up. A decrease in the self-reported percentage of patients being referred to a higher level of care was observed 3-months after the training. Conclusion: The evaluation suggests that a brief training intervention such this can go a long way in increasing the confidence of primary and secondary level health care workers in managing common mental health conditions and adhering to the provisions of legislation.Frances B. SlavenYvonne ErasmusMargot UysPierre-Emile BruandBeki MagaziRabia WadvallaAOSISarticleprimary caremental healthcapacity developmentintegration of mental health careprogramme evaluationMedicineRPublic aspects of medicineRA1-1270ENFRAfrican Journal of Primary Health Care & Family Medicine, Vol 13, Iss 1, Pp e1-e6 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	primary care mental health capacity development integration of mental health care programme evaluation Medicine R Public aspects of medicine RA1-1270
spellingShingle	primary care mental health capacity development integration of mental health care programme evaluation Medicine R Public aspects of medicine RA1-1270 Frances B. Slaven Yvonne Erasmus Margot Uys Pierre-Emile Bruand Beki Magazi Rabia Wadvalla Can a brief training intervention help improve mental health service delivery in South Africa?
description	Background: South Africa faces a number of significant challenges apropos mental health service delivery, including a large treatment gap, a high rate of readmission, over-burdened specialist tertiary facilities, and slow integration of mental health into general health services. The South African National Mental Health Education Programme implemented between February 2019 and December 2019, aimed to upskill health workers to diagnose and manage mental disorders at primary and secondary levels of care. Aim: This study aimed to assess the evolution of training participants’ self-reported competency in mental health care and the number of referrals made to higher levels of care as well as to reflect on the possible broader effects of the training. Setting: The programme and study were conducted in South Africa with Medical Officers and Professional Nurses working at public sector primary and secondary level health care facilities. Methods: A descriptive observational study collected data from training participants through a pre- and post-course, and 3-month follow-up survey. Results: The average confidence ratings for performing mental health care activities and managing mental health conditions increased from pre- to post-course, and was either maintained or increased further at 3-month follow-up. A decrease in the self-reported percentage of patients being referred to a higher level of care was observed 3-months after the training. Conclusion: The evaluation suggests that a brief training intervention such this can go a long way in increasing the confidence of primary and secondary level health care workers in managing common mental health conditions and adhering to the provisions of legislation.
format	article
author	Frances B. Slaven Yvonne Erasmus Margot Uys Pierre-Emile Bruand Beki Magazi Rabia Wadvalla
author_facet	Frances B. Slaven Yvonne Erasmus Margot Uys Pierre-Emile Bruand Beki Magazi Rabia Wadvalla
author_sort	Frances B. Slaven
title	Can a brief training intervention help improve mental health service delivery in South Africa?
title_short	Can a brief training intervention help improve mental health service delivery in South Africa?
title_full	Can a brief training intervention help improve mental health service delivery in South Africa?
title_fullStr	Can a brief training intervention help improve mental health service delivery in South Africa?
title_full_unstemmed	Can a brief training intervention help improve mental health service delivery in South Africa?
title_sort	can a brief training intervention help improve mental health service delivery in south africa?
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/e72b8e4c947e45aa844ac06ad3b7ae72
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Can a brief training intervention help improve mental health service delivery in South Africa?

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