Evidence map›Paper›PMID 32969273›Full record

ArticleJournal of health services research & policy2021

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.

Katherine Sorsdahl, Tracey Naledi, Crick Lund, Naomi S Levitt, John A Joska, Dan J Stein, Bronwyn Myers

Abstract read
In one paragraph

Article in Journal of health services research & policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. "Global mental health (Cambridge, England) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Katherine SorsdahlCo-Director, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, South Africa.ORCID 0000-0002-5517-1697
Tracey NalediSenior Lecturer, Public Health Medicine, School of Public Health & Family Medicine, University of Cape Town, South Africa.
Crick LundProfessor of Public Mental Health, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry & Mental Health, University of Cape Town, South Africa.
Naomi S LevittHead of HIV and Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, South Africa.
John A JoskaHead 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.
Dan J SteinHead 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.
Bronwyn MyersDeputy Director, Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council & Department of Psychiatry & Mental Health, University of Cape Town, South Africa.ORCID 0000-0003-0235-6716

Funding

Medical Research Council MR/M014290/1Wellcome Trust
6 · The paper itself

Abstract

objectiveTo 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.

methodsFourteen 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.

resultsFindings 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.

conclusionAlthough 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.

Indexed as

CounselingMental HealthChronic DiseaseHumansPrimary Health CareSouth Africacounsellinghealth services researchmental health

Identifiers

PMID32969273
PMCPMC7619420

What OpenQuestion holds

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Registered trials

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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.