Integrating tuberculosis and mental health services: global receptivity of national tuberculosis program directors.

Journal: The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease

Volume: 23

Issue: 5

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry, Columbia Vagelos College of Physicians and Surgeons, New York State Psychiatric Institute, New York, New York. School of Social Work, College of Behavioral and Community Sciences, University of South Florida, Tampa, Florida. Sue & Bill Gross School of Nursing, University of California at Irvine, Irvine, California. Vital Strategies, New York, New York, USA. International Union Against Tuberculosis and Lung Disease, Bulawayo, Zimbabwe.

Abstract summary 

SETTING A global survey of National Tuberculosis Program (NTP) directors. OBJECTIVES To assess the perceived mental health needs of persons with tuberculosis (TB), current practices, and receptivity to integrating evidence-based mental and substance use treatment into national TB guidelines. DESIGN Semi-structured survey of NTP directors from 26 countries of all income levels using a standardized questionnaire. RESULTS Of the 26 countries, 21 were classified as high incidence and/or burden countries for TB, TB and human immunodeficiency virus coinfection, and/or drug-resistant TB. Two NTPs included routine screening for any mental disorder, four assessed alcohol or drug use, and five had standard protocols for the co-management of disorders. If effective and low-cost integrated care models were available, 17 NTP directors felt that it was highly likely, and five somewhat likely, that their NTPs would integrate mental health treatment into national TB guidelines and services. The main perceived barriers to service integration were limited capacity, not recognizing mental health as a problem, insufficient resources, and TB-related social stigma. CONCLUSIONS NTPs currently do not address mental disorders as part of routine practice. Nevertheless, receptivity is high, which creates a ripe opportunity to integrate the management of TB and mental disorders into the policies and guidelines of NTPs worldwide. .

Authors & Co-authors:  Sweetland A C AC Galea J J Shin S S SS Driver C C Dlodlo R A RA Karpati A A Wainberg M L ML

Study Outcome 

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Statistics
Citations :  Doherty AM, Kelly J, McDonald C, O’Dywer AM, Keane J, Cooney J. A review of the interplay between tuberculosis and mental health. Gen Hosp Psychiatry 2013; 35: 398–406.
Authors :  7
Identifiers
Doi : 10.5588/ijtld.18.0530
SSN : 1815-7920
Study Population
Male,Female
Mesh Terms
Cross-Sectional Studies
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
France