Güden Emel, Borlu Arda, Yelen Akpinar Yeliz, Olguner Eker Özlem, Özsoy Saliha, Baykan Zeynep
Department of Public Health, Erciyes University, Health Sciences Institute, Kayseri, Türkiye.
Department of Public Health, Faculty of Medical, Erciyes University, Kayseri, Türkiye.
Alpha Psychiatry. 2024 Sep 1;25(5):617-625. doi: 10.5152/alphapsychiatry.2024.241605. eCollection 2024 Sep.
Mental health services are a neglected problem within primary care. Quality mental health service delivery at the primary level hinges on identifying and addressing related questions. The aim of this study was to evaluate the issues and solution proposals regarding service delivery based on the experiences of primary care workers in managing mental illnesses.
This research was conducted using the focus group interview method, which is one of many qualitative research techniques. The study sample consisted of 8 physicians and 9 healthcare workers providing primary healthcare (PHC) services in a city. The data collection process was carried out using a semi-structured interview form and a personal information form. The interviews were recorded and later transcribed. Subsequently, main themes and subthemes were identified through content analysis and a detailed content analysis was conducted based on these themes.
Themes from interviews with PHC workers included education/training needs, service delivery barriers, and recommendations. The study revealed that PHC workers lack current knowledge on mental illnesses. There was fear of stigma regarding mental illness within the community. Workers experienced systemic issues such as heavy workloads, inadequate physical space, and inability to access data.
To reduce the treatment gap in primary mental health services and enhance access to high-quality mental health care, it would be beneficial to regularly update healthcare personnel training in mental health and increase public mental health literacy to prevent stigma and promote help-seeking behavior.
心理健康服务是初级保健中一个被忽视的问题。初级层面高质量的心理健康服务提供取决于识别和解决相关问题。本研究的目的是根据初级保健工作者管理精神疾病的经验,评估有关服务提供的问题及解决方案建议。
本研究采用焦点小组访谈法,这是众多定性研究技术之一。研究样本包括该市8名医生和9名提供初级卫生保健(PHC)服务的医护人员。数据收集过程使用半结构化访谈表和个人信息表进行。访谈进行了录音,随后进行了转录。随后,通过内容分析确定了主要主题和子主题,并基于这些主题进行了详细的内容分析。
对初级卫生保健工作者访谈的主题包括教育/培训需求、服务提供障碍和建议。研究表明,初级卫生保健工作者缺乏关于精神疾病的最新知识。社区内存在对精神疾病的耻辱感恐惧。工作者经历了诸如工作量大、物理空间不足和无法获取数据等系统性问题。
为缩小初级心理健康服务中的治疗差距并增加获得高质量心理健康护理的机会,定期更新医护人员的心理健康培训并提高公众心理健康素养以防止耻辱感并促进求助行为将是有益的。