Ability and Preparedness of Family Physicians to Recognise and Treat Adolescent Mental Health Disorders in Nigeria and Ghana.

Journal: Health services insights

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Family Medicine, Ambrose Alli University, Ekpoma, Nigeria. Department of Family Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana. Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria. Department of Family Medicine, University College Hospital, Ibadan, Nigeria. Department of Family Medicine, Geriatric Medicine Subdivision, Federal Medical Centre, Keffi, Nigeria. Department of Family Medicine, Greater Accra Regional Hospital, Accra/Faculty of Family Medicine, Ghana College of Physicians and Surgeons, Accra, Ghana. African Palliative Care Association, Kampala, Uganda. Department of Family Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.

Abstract summary 

Management of mental health disorders has not been fully integrated into primary care despite been advocated by the World Health Organisation (WHO) and the World Organisation of Family Doctors (WONCA). This study therefore seeks to assess the ability and preparedness of Family Physicians to recognise and treat mental health disorders in adolescents.A descriptive cross-sectional study of 233 randomly selected Physicians Practicing in Family Medicine Clinics in Nigeria and Ghana was conducted using a semi structured self-administered questionnaire that was developed by the researchers and validated with a Cronbach's alpha coefficient of .85. Data analysis was done with the Statistical Package for Social Sciences™ (IBM Corp, Armonk, NY, USA) version 22.0.Respondents had a mean age of 43 ± 8 years, were mostly males 130 (55.79%), practised in Nigeria 168 (72.10%) and have been in practice for over 10 years 149 (63.95%). Majority of respondents 153 (65.67%) received at least one Medical Education sessions in mental health in the preceding 12 months of the study. Out of these, 146 (95.42%) said the sessions enhanced their knowledge of mental health, and 121 (79.08%) said the sessions enhanced their abilities and preparedness to attend to patients with mental disorders. Barriers included stigmatisation 156 (66.95%), poor facilities 136 (58.37%), non-conducive environment 135 (57.94%) and non-cooperation from patients 133 (57.08%).This study showed that a lot of family physicians in Ghana and Nigeria are able and prepared to manage adolescent mental health disorders. They however cited stigmatisation, poor facilities and non-conducive environment as barriers to management of adolescent mental health disorders in primary care. Considering the severity of the disorder, there is a need to increase the training of Family Physicians in the management of adolescent mental health.

Authors & Co-authors:  Oseni Tijani Idris Ahmad TIA Mensah-Bonsu Magdalene M Damagun Fatima Mohammed FM Salam Tawakalit Olubukola TO Sonny Kumbert John KJ Opare-Lokko Edwina Beryl Addo EBA Namisango Eve E Ephraim Onyenwe Chibuike OC

Study Outcome 

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Statistics
Citations :  Beckman K, Mittendorfer-Rutz E, Lichtenstein P, et al.. Mental illness and suicide after self-harm among young adults: long-term follow-up of self-harm patients, admitted to hospital care, in a national cohort. Psychol Med. 2016;46:3397-3405.
Authors :  8
Identifiers
Doi : 11786329231166366
SSN : 1178-6329
Study Population
Males
Mesh Terms
Other Terms
Adolescent;Ghana;Nigeria;disorders;mental health
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
United States