SynthesisSystematic reviews2018
Barriers and facilitators to the integration of mental health services into primary health care: a systematic review.
Synthesis in Systematic reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
114 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Healthcare provider experiences integrating mental illness screening and management into hypertension care: qualitative systematic review.Health promotion international · 2026Pooled it
- "It's more than just physical care": a systematic review and qualitative meta-synthesis of nurses' evolving role in providing mental health care within primary health care systems.BMC primary care · 2026Pooled it
- Context of data sharing practices in collaborative human genomic research in low and middle income countries: A systematic review.PloS one · 2026Pooled it
- Screening tools for ruling out mood and anxiety disorders in adults in primary care: a rapid systematic review.BMC primary care · 2025Pooled it
- Opportunities, challenges, and requirements for Artificial Intelligence (AI) implementation in Primary Health Care (PHC): a systematic review.BMC primary care · 2025Pooled it
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- The impact of integrating behavioral health services into pediatric subspecialty care: A systematic review.Journal of pediatric gastroenterology and nutrition · 2024Pooled it
- Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review.BMC oral health · 2023Pooled it
- Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks.Implementation science : IS · 2022Pooled it
- The Online Health Information Needs of Family Physicians: Systematic Review of Qualitative and Quantitative Studies.Journal of medical Internet research · 2020Pooled it
- A Low-Intensity Internet-Based Intervention Focused on the Promotion of Positive Affect for the Treatment of Depression in Spanish Primary Care: Secondary Analysis of a Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- A desire to be embraced - the lived experience of encountering primary health care for a person with mental health problems. A descriptive phenomenological study.Scandinavian journal of primary health care · 2026Article
- Article
- Factors that influence access to primary healthcare services for migrants with a pre-existing mental ill-health diagnosis: a scoping review.BMC primary care · 2026Article
- Behavioral intentions toward a mobile mental health screening and support tool suite for healthcare professionals in Ethiopia.BMC health services research · 2026Article
- Improving mental health literacy of frontline community health workers in a rural district of Pakistan: mPareshan project.BJPsych open · 2026Article
- Integration of specialised mental health services in an HIV clinic in a low resource setting.BMJ open quality · 2026Article
- PATIENT PATHWAYS TO UGANDA'S FIRST SPECIALISED EARLY INTERVENTION IN PSYCHOSIS SERVICE AND RELATION TO THEIR CLINICAL OUTCOMES.medRxiv : the preprint server for health sciences · 2026Article
- The Feasibility of Supporting Caregivers of Young Children With Disruptive Behaviors Through Nurse-Delivered Phone Coaching: Quality Improvement Study.JMIR pediatrics and parenting · 2026Article
54 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe objective of the review was to synthesize evidence of barriers and facilitators to the integration of mental health services into PHC from existing literature. The structure of the review was guided by the SPIDER framework which involves the following: Sample or population of interest-primary care providers (PCPs); Phenomenon of Interest-integration of mental health services into primary health care (PHC); Design-influenced robustness and analysis of the study; Evaluation-outcomes included subjective outcomes (views and attitudes); and Research type-qualitative, quantitative, and mixed methods studies.
methodsStudies that described mental health integration in PHC settings, involved primary care providers, and presented barriers/facilitators of mental health integration into PHC were included in the review. The sources of information included PubMed, PsycINFO, Cochrane Central Register of Controlled trials, the WHO website, and OpenGrey. Assessment of bias and quality was done using two separate tools: the Critical Appraisal Skills Program (CASP) qualitative checklist and the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies.
resultsTwenty studies met the inclusion criteria out of the 3353 search results. The most frequently reported barriers to integration of mental health services into PHC were (i) attitudes regarding program acceptability, appropriateness, and credibility; (ii) knowledge and skills; (iii) motivation to change; (iv) management and/or leadership; and (v) financial resources. In order to come up with an actionable approach to addressing the barriers, these factors were further analyzed along a behavior change theory. DISCUSSION: We have shown that the integration of mental health services into PHC has been carried out by various countries. The analysis from this review provides evidence to inform policy on the existing barriers and facilitators to the implementation of the mental health integration policy option. Not all databases may have been exhausted. SYSTEMATIC REVIEW REGISTRATION: PROSPERO 2016 (Registration Number: CRD42016052000 ) and published in BMC Systematic Reviews August 2017.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.