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dc.contributor.authorMyers-Franchi, Bronwyn
dc.contributor.authorJoska, J.A.
dc.contributor.authorLund, C.
dc.contributor.authorLevitt, N.S.
dc.contributor.authorButler, C.C.
dc.contributor.authorNaledi, T.
dc.contributor.authorMilligan, P.
dc.contributor.authorStein, D.J.
dc.contributor.authorSorsdahl, K.
dc.date.accessioned2021-09-24T07:14:06Z
dc.date.available2021-09-24T07:14:06Z
dc.date.issued2018
dc.identifier.citationMyers, B. and Joska, J.A. and Lund, C. and Levitt, N.S. and Butler, C.C. and Naledi, T. and Milligan, P. et al. 2018. Patient preferences for the integration of mental health counseling and chronic disease care in South Africa. Patient Preference and Adherence. 12: pp. 1797-1803.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/85657
dc.identifier.doi10.2147/PPA.S176356
dc.description.abstract

Purpose: To describe patient perceptions of the acceptability of integrating mental health counseling within primary care facilities in the Western Cape province of South Africa and their preferences for the way in which this care is delivered.

Patients and methods: Qualitative interviews with 30 purposively selected patients receiving treatment for HIV or diabetes within primary care facilities who screened positive for depression using the Center for Epidemiological Studies Depression Scale or hazardous alcohol use through the Alcohol Use Disorders Identification Test.

Results: Participants articulated high levels of unmet need for mental health services and strong associations between poor mental health and the challenges of living with a chronic disease. Consequently, they considered it acceptable to offer screening and mental health counseling within the context of chronic disease care. They thought counseling would be highly relevant if it helped patients develop adaptive strategies for coping with stress and negative emotions. Irrespective of chronic disease, patients indicated a preference for lay counselors rather than existing clinicians as potential delivery agents, supporting a task-shared approach to mental health counseling delivery in primary care settings. Some expressed concern about the feasibility of using lay counselors already present in facilities to deliver this service, suggesting that additional counselors might be needed.

Conclusion: Findings demonstrate a need for mental health counseling within the context of chronic disease care in South Africa. Task-shared approaches, using lay counselors, seem acceptable to patients – provided counselors are selected to ensure they possess the qualities associated with effective counselors. Findings have informed the design of a task-shared mental health program that is responsive to the preferences of patients with chronic diseases.

dc.languageEnglish
dc.publisherDOVE MEDICAL PRESS LTD
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectMedicine, General & Internal
dc.subjectGeneral & Internal Medicine
dc.subjectintegration
dc.subjectmental health
dc.subjectchronic disease care
dc.subjectcounseling preferences
dc.subjectprimary health care
dc.subjectSouth Africa
dc.subjectglobal mental health
dc.subjecttask sharing
dc.subjectalcohol
dc.subjectdepression
dc.subjectMIDDLE-INCOME COUNTRIES
dc.subjectHUMAN-IMMUNODEFICIENCY-VIRUS
dc.subjectRANDOMIZED CONTROLLED-TRIAL
dc.subjectPROBLEM-SOLVING THERAPY
dc.subjectSUBSTANCE USE
dc.subjectWESTERN CAPE
dc.subjectINTERVENTION
dc.subjectSERVICES
dc.subjectDISORDERS
dc.subjectPERSPECTIVES
dc.titlePatient preferences for the integration of mental health counseling and chronic disease care in South Africa
dc.typeJournal Article
dcterms.source.volume12
dcterms.source.startPage1797
dcterms.source.endPage1803
dcterms.source.issn1177-889X
dcterms.source.titlePatient Preference and Adherence
dc.date.updated2021-09-24T07:14:05Z
curtin.departmentEnAble Institute
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidMyers-Franchi, Bronwyn [0000-0003-0235-6716]
dcterms.source.eissn1177-889X
curtin.contributor.scopusauthoridMyers-Franchi, Bronwyn [7202684194]


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