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
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 dis...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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SAGE PUBLICATIONS INC
2021
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/86109 |
| _version_ | 1848764784773693440 |
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| author | Sorsdahl, K. Naledi, T. Lund, C. Levitt, N.S. Joska, J.A. Stein, D.J. Myers-Franchi, Bronwyn |
| author_facet | Sorsdahl, K. Naledi, T. Lund, C. Levitt, N.S. Joska, J.A. Stein, D.J. Myers-Franchi, Bronwyn |
| author_sort | Sorsdahl, K. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:24:52Z |
| format | Journal Article |
| id | curtin-20.500.11937-86109 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:24:52Z |
| publishDate | 2021 |
| publisher | SAGE PUBLICATIONS INC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-861092021-11-19T04:20:57Z 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 Sorsdahl, K. Naledi, T. Lund, C. Levitt, N.S. Joska, J.A. Stein, D.J. Myers-Franchi, Bronwyn Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services counselling health services research mental health MIDDLE-INCOME COUNTRIES PSYCHIATRIC-DISORDERS PERSPECTIVES HIV/AIDS 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. 2021 Journal Article http://hdl.handle.net/20.500.11937/86109 10.1177/1355819620954232 English SAGE PUBLICATIONS INC restricted |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services counselling health services research mental health MIDDLE-INCOME COUNTRIES PSYCHIATRIC-DISORDERS PERSPECTIVES HIV/AIDS Sorsdahl, K. Naledi, T. Lund, C. Levitt, N.S. Joska, J.A. Stein, D.J. Myers-Franchi, Bronwyn 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services counselling health services research mental health MIDDLE-INCOME COUNTRIES PSYCHIATRIC-DISORDERS PERSPECTIVES HIV/AIDS |
| url | http://hdl.handle.net/20.500.11937/86109 |