WHO-mhGAP Training in Mexico: Increasing Knowledge and Readiness for the Identification and Management of Depression and Suicide Risk in Primary Care
| Autor: | Alfredo Rizo, Pilar Lopez-Garcia, Marta Miret, José Luis Ayuso-Mateos, María Elena Medina-Mora, Maria Cabello, Ester Cisneros, Rebeca Robles |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Mental Health Services Suicide Prevention 0301 basic medicine medicine.medical_specialty Health Personnel Poison control World Health Organization Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine Mexico Depression (differential diagnoses) Primary Health Care Depression business.industry Mental Disorders Human factors and ergonomics General Medicine Middle Aged Mental health 030104 developmental biology 030220 oncology & carcinogenesis Family medicine Education Medical Continuing Female business Management of depression |
| Zdroj: | Archives of Medical Research. 50:558-566 |
| ISSN: | 0188-4409 |
| DOI: | 10.1016/j.arcmed.2019.12.008 |
| Popis: | Backgound In order to reduce the treatment gap of mental disorders, the World Health Organization (WHO) has proposed the mhGAP guidelines to be implemented globally. Aim of the study To examine the effectivity of a training course based on the WHO-mhGAP guidelines to increase knowledge and readiness for identification and management of depression and suicide risk in primary care (PC) in Mexico. Methods PC clinicians were invited to participate in a traning course; before and after it, all completed an evaluation of knowledge of mhGAP and depression (0-10 points), and self-efficacy in suicide risk management (0–40 points), and were classified according to Prochaska and Diclemente transtheorical model in their particular stage of readiness for identification and management of these conditions. Results The sample included 60 health professionals. Before training, clinicians had adequate knowledge of depression and its treatment (8.1 ± 1.66), but not on the mhGAP model and/or suicide risk management, which increased by the end of training (mhGAPpre:7.91 ± 2.19 vs. mhGAPpost:8.77 ± 1.34, p = 0.01; SuicidePRE:29.16 ± 9.35 vs. SuicidePOST:39.24 ± 6.83, p = 0.0001). Before training, most clinicians were at the contemplation stage (42.6% vs. 37.7% at the action and 19.7% at the precontemplation stage). By the end of the training, a decrease in the number of clinicians at both the contemplation and precontemplation stages (to 36.1% and to zero, respectively) and a significant increase of clinicians at the action stage (to 63.9%) was observed. Conclusions: A training course based on the WHO-mhGAP could be an effective tool for increasing PC clinicians’ willingness to implement mental health services. |
| Databáze: | OpenAIRE |
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