Background About 1468 Syrian and Turkish doctors, serving in primary health care, have received the mhGAP training during 2016–2019. As additional training needs were identified, MoH and WHO wanted to understand the usefulness of the training and its impact in responding to the mental health needs of Syrian refugees in Turkey. Methods A five component assessment was done in 2019, consisting of feedback of trainees, assessment of increase in knowledge; utilization of service; compliance to treatment guidelines and service user satisfaction. The purpose was to understand the perception of participants on the training; estimate the knowledge gained—attributable to the training; estimate the increase in mental health cases identified and treated; compliance with treatment guidelines; as well as perception of the services received by end-beneficiaries. Results Results indicate that most of the respondents were happy with the training, but preferred additional mhGAP training as a refresher course in the future. There was knowledge gained due to the training, 9% for the Syrian and 5% for Turkish doctors. The knowledge gained has helped the practicing doctors to be more attentive and increase the numbers of cases diagnosed after the training for almost all groups of diagnoses. Most doctors, observed during practice, comply with the guidelines shared during the training, but improvement is still needed when it comes to prescription and treatment of certain conditions. The average number of mental health cases identified increased by 38 (%27) cases in the year following the training. We observed over 70% compliance with guidelines for 9 out of 12 criteria in question. The results of the patient exit interviews indicate a high level of satisfaction with the MHPSS services provided. About 95% of beneficiaries were happy with the quality of the service, and 92% having their needs met. Conclusions The mhGAP training was found useful. More training should be conducted to fill in the gap in service provision and meet the mental needs of Syrian refugees in Turkey.
Aim The objectives of the study were to determine the level of satisfaction with Mental Health and Psycho-social Support Services (MHPSS) provided to Syrians under temporary protection (SuTP) in Turkey and identify predictors that significantly determine the satisfaction with the MHPSS. This study is part of an effort by Ministry of Health (MoH) and World Health Organization (WHO) to evaluate the improvement in the MHPSS following capacity strengthening of social and health providers. Methods 357 Syrians under temporary protection were interviewed as they exited the Refugee Health Training Centers in 7 provinces in Turkey (Adana, Gaziantep, Hatay, Istanbul, Izmir and Sanliurfa), using patient exit interviews during mid-Oct – mid-Nov 2019. Uni and bivariate analysis for association was done using Chi square test for categorical variables, looking for significance at p < 0.05. Multivariate analysis (logistic regression) was used to determine the profile of service users and the predictors of satisfaction with MHPSS. Results Overall satisfaction with services was 93%. The profile of the MHPSS user suggests that the odds of using the service are twice as much for people aged 40+ years (OR 2.016, CI95% [1.129–3.601]), and five times less for married women (OR 0.180, CI95% [0.083–0.391]). The service characteristics that can predict service satisfaction are “having the needs met” (OR 138.73, CI95% [27.99–687.54]) and “satisfaction with the length of the appointments” (OR 54.50, CI95% [6.07–489.57]). There was no multicollinearity detected between the predictors. Conclusions MHPSS services provided by professionals trained by MoH and WHO, have a high satisfaction rate and are serving the SuTP population in need. The high satisfaction rate is predicted by having MHPSS needs met, which is a key indication of the usefulness of these services.
ÖZSon yıllarda, dünyada mülteci sayısının artmasıyla birlikte ruh sağlığı sorunları artmakta ve buna bağlı olarak ruh sağlığı ve psikososyal destek hizmetlerine olan ihtiyaçlar da artmaktadır. Kişilerin memleketlerini terk edip göçe zorlanmaları, yeni bir çevreye ve kültüre uyum sağlama süreçleri oldukça streslidir ve beraberinde birçok ruh sağlığı sorununu getirmektedir. Mülteci gruplarda TSSB, duygudurum bozuklukları ve anksiyete bozukluklarının sıklıkla görüldüğü belirtilmiştir. Bunun yanı sıra zorunlu göç ile birlikte sosyal/toplumsal yapının ve aile birliğinin bozulması gibi birçok psikososyal sorun da ortaya çıkmaktadır. Mültecilerin ruh sağlığı sorunlarının tespiti ve ardından çok katmanlı ruh sağlığı ve psikososyal destek hizmetleri içerisinde bu ihtiyaçlara cevap verilebilmesi son derece önemlidir. Öncelikle temel ihtiyaçların karşılanması ve toplum temelli psikososyal müdahalelerin gerçekleştirilmesi ile bireylerin ve toplumun iyilik halinin korunmasına yönelik çalışılmalı ve kendi kendilerine yardım kapasiteleri arttırılmalıdır. Bireysel desteğe ihtiyaç duyan kişiler için ise kısa süreli psikolojik müdahaleler sağlanmalı ve daha ileri düzeyde desteğe ihtiyaç duyan kişilerin klinik hizmetlerden yararlanmaları sağlanmalıdır.
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