Barriers and facilitators to the integration of mental health services into primary health care: a systematic review protocol.

Journal: Systematic reviews

Volume: 6

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  Office of Research Administration, Mbarara University of Science and Technology, Mbarara, Uganda. ediwakida@must.ac.ug. Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda. Africa Center for Systematic Reviews and Knowledge Translation, College of Health Sciences, Makerere University, Kampala, Uganda. Department of Anatomy, Mbarara University of Science and Technology, Mbarara, Uganda. Office of Research Administration, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Pharmacology and Therapeutics and Vice Chancellor, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Medicine & of Health Policy, George Washington University, Washington DC, USA.

Abstract summary 

Mental health is an integral part of health and well-being and yet health systems have not adequately responded to the burden of mental disorders. Integrating mental health services into primary health care (PHC) is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. PHC was formally adapted by the World Health Organization (WHO), and they have since invested enormous amounts of resources across the globe to ensure that integration of mental health services into PHC works.This review will use the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework approach to identify experiences of mental health integration into PHC; the findings will be reported using the "Best fit" framework synthesis. PubMed, EMBASE, PsycINFO, and Cochrane Central Register of Controlled trials (CENTRAL) will be searched including other sources like the WHO website and OpenGrey database. Assessment of bias and quality will be done at study level using two separate tools to check for the quality of evidence presented. Data synthesis will take on two synergistic approaches (qualitative and quantitative studies). Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled. The findings will be useful to a wide array of stakeholders involved in the implementation of the mental health integration into PHC.The SPIDER framework has been chosen for this review because of its suitable application to qualitative and mixed methods research and will be used as a guide when selecting articles for inclusion. Data extracted will be synthesized using the "Best fit" framework because it has been used before and proved its suitability in producing new conceptual models for explaining decision-making and possible behaviors. Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled.PROSPERO CRD42016052000.

Authors & Co-authors:  Wakida Edith K EK Akena Dickens D Okello Elialilia S ES Kinengyere Alison A Kamoga Ronald R Mindra Arnold A Obua Celestino C Talib Zohray M ZM

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization. Mental health: a state of well-being 2014 [updated August 2014. Available from: http://www.who.int/features/factfiles/mental_health/en/.
Authors :  8
Identifiers
Doi : 171
SSN : 2046-4053
Study Population
Male,Female
Mesh Terms
Delivery of Health Care, Integrated
Other Terms
Barriers and facilitators;Integration;Mental health services;Primary health care
Study Design
Cross Sectional Study
Study Approach
Quantitative,Qualitative,Mixed Methods,Systemic Review
Country of Study
Publication Country
England