Training models for psychiatry in primary care: a new frontier

Murrihy, Rachael C.; Byrne, Mitchell K.

doi:10.1111/j.1440-1665.2005.02205.x

Cited by 8 publications

(8 citation statements)

References 22 publications

(16 reference statements)

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“…Commentary W hile mental health disorders are a rising cause of disease burden internationally, 1 access to mental health care is limited by both the availability and accessibility of resources. 2 The article by Revicki et al provides a timely reminder of the efficacy and efficiency of traditional treatments for depression with specific reference to maximising resource utilisation and utility in marginalised populations. Specifically, the paper extends upon the earlier work of Miranda et al 3 by examining the cost effectiveness of pharmacotherapy or cognitive behaviour therapy (CBT) over community referral for depressed low income minority women across a 12 month follow up period.…”

Section: Discussionmentioning

confidence: 99%

Pharmacotherapy and cognitive behavioural therapy: similarly cost effective compared with community referral for disadvantaged women with major depression

Byrne

2006

Evidence-Based Mental Health

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Section: Discussionmentioning

confidence: 99%

Pharmacotherapy and cognitive behavioural therapy: similarly cost effective compared with community referral for disadvantaged women with major depression

Byrne

2006

Evidence-Based Mental Health

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“…GPs have been targets of many task-sharing initiatives worldwide because they are ideally placed in the healthcare system [29–31]. However, they often lack appropriate knowledge and skills to adequately detect, treat and manage mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Building system capacity for the integration of mental health at the level of primary care in Tunisia: a study protocol in global mental health

Spagnolo

Champagne

Leduc

et al. 2017

BMC Health Serv Res

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BackgroundIn low- and middle-income countries (LMICs), addressing the high prevalence of mental disorders is a challenge given the limited number and unequal distribution of specialists, as well as scarce resources allocated to mental health. The Mental Health Gap Action Programme (mhGAP) and its accompanying Intervention Guide (IG), developed by the World Health Organization (WHO), aim to address this challenge by training non-specialists such as general practitioners (GPs) in mental health care. This trial aims to implement and evaluate an adapted version of the mhGAP-IG (version 1.0) offered to GPs in 2 governorates of Tunisia (i.e., Tunis and Sousse), in order to uncover important information regarding implementation process and study design before country-wide implementation and evaluation.Methods/DesignFirst, a systematic review will be conducted to explore types and effectiveness of mental health training programs offered to GPs around the world, with a specific focus on programs implemented and evaluated in LMICs. Second, a cluster randomized controlled trial (RCT) will be conducted to evaluate the effectiveness of the implemented training based on the mhGAP-IG (version 1.0). Third, multiple case study design will be used to explore how contextual factors impact the successful implementation of the training and desired outcomes.DiscussionIn Tunisia, an important need exists to further develop proximity health services and to address the growing mental health treatment gap. One solution is to train GPs in the detection, treatment, and management of mental health problems, given their strategic role in the healthcare system. This trial thus aims to implement and evaluate an adapted version of a training based on the mhGAP-IG (version 1.0) in Tunis and Sousse before country-wide implementation and evaluation. Several contributions are envisioned: adding to the growing evidence on the mhGAP and its accompanying guide, especially in French-speaking nations; building research capacity in Tunisia and more generally in LMICs by employing rigorous designs; evaluating an adapted version of the mhGAP-IG (version 1.0) on a sample of GPs; generating important information regarding implementation process and study design before country-wide implementation; and complimenting the trial results with implementation analysis, a priority in global mental health.

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“…GPs (King et al, 2002), medical students (Kearley and Croft, 2010) and palliative care staff (Mannix et al, 2006). Two further studies concluded that training needs to focus on teaching skills that are feasible for use in the practitioner's routine setting (Murrihy and Byrne, 2005;Wiebe and Greiver, 2005).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of brief training in cognitive-behaviour therapy techniques for staff working with people with intellectual disabilities

Dodd

Austin

Baxter

et al. 2013

Advances in Mental Health and Intellectual Disabilities

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Purpose -There is little research addressing the delivery of training for health professionals who are interested in using cognitive-behaviour therapy (CBT) techniques as an adjunct to their current role. This paper describes the establishment and evaluation of a CBT training course to develop CBT skills in staff working with people with intellectual disabilities in Trust healthcare settings. The course would enable staff to learn how they could incorporate these skills into their daily practice to help them understand and work more effectively with people with intellectual disabilities. Design/methodology/approach -A CBT training course was designed to teach staff the use of a number of basic and specific CBT techniques and principles that staff could use within their current roles. Specific issues in relation to people with intellectual disabilities were included, e.g. understanding cognitive deficits as well as cognitive distortions. The course ran for six sessions on a fortnightly basis, followed by a twomonth follow-up session. Participants completed a pre-and post-assessment questionnaire and kept a reflective diary. Findings -The training clearly focused on teaching skills that were feasible for staff to use in their own work settings. The evaluations, especially from the reflective diaries and the post-course questionnaires clearly demonstrated that this aim was achieved. Originality/value -This was a pilot study as there has been no previously published evidence of using this approach within intellectual disabilities services. A further training course has been planned to continue evaluating the effectiveness of this approach.

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Training models for psychiatry in primary care: a new frontier

Cited by 8 publications

References 22 publications

Pharmacotherapy and cognitive behavioural therapy: similarly cost effective compared with community referral for disadvantaged women with major depression

Pharmacotherapy and cognitive behavioural therapy: similarly cost effective compared with community referral for disadvantaged women with major depression

Building system capacity for the integration of mental health at the level of primary care in Tunisia: a study protocol in global mental health

Effectiveness of brief training in cognitive-behaviour therapy techniques for staff working with people with intellectual disabilities

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