Integrating mental health in community health centers in Guinea (notice n° 587319)
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fixed length control field | 02491cam a2200253 4500500 |
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control field | 20250121143515.0 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Sow, Abdoulaye |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Integrating mental health in community health centers in Guinea |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2019.<br/> |
500 ## - GENERAL NOTE | |
General note | 27 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | This study investigates effects of integrating mental health on staff attitudes in 5 community health centers in Guinea: more specifically, on destigmatizing mental health problems and on adopting patient-centered care approaches. It is based on semi-structured interviews with 27 health workers from health centers having integrated mental health care (Santé Mentale +, with acronym SM+); and, as a comparison group, with 11 health workers working in facilities that do not have integrated mental health (SM–). Attitudinal change among SM+ health workers contrasts sharply with the stigmatizing discourse of SM– health workers. The former, strengthened by their successes in treating mental health patients, have overcome their fears and developed positive attitudes vis-à-vis mental health patients. Furthermore, part of the SM+ workers discovered and adopted a patient-centered approach to care, whereas others remained confined to a biomedical logic. A facilitating factor of change has been the organization of an in-service training program (joint consultations, teamwork and community action) taking into account health workers’ emotional needs and providing patient-centered role models. However, this training set-up only functioned optimally in the non-bureaucratic organizational context of a community health center staffed with a stable and qualified team. Our study indicates that, beyond improved access to psychiatric care, integrating mental health in health centers can also reinforce the quality of the therapeutic relationship in general. The contents and modalities of the training program in mental health are crucial; but so is the way the health services are being organized. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | attitudes |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | patient-centered care |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | mental health |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | primary health care |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Guinea |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Van Dormael, Monique |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Criel, Bart |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | de Spiegelaere, Myriam |
Relator term | author |
786 0# - DATA SOURCE ENTRY | |
Note | Santé Publique | 31 | 2 | 2019-07-11 | p. 305-313 | 0995-3914 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-sante-publique-2019-2-page-305?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-sante-publique-2019-2-page-305?lang=en&redirect-ssocas=7080</a> |
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