Psychotherapy in a resource-constrained setting: Understanding context for adapting and integrating a brief psychological intervention into primary care.
Psychotherapy in a resource-constrained setting: Understanding context for adapting and integrating a brief psychological intervention into primary care.
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DOI：
10.1037/pst0000364
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Ng LC
中科院分区：
文献类型：
--
作者：
Hook K;Ametaj A;Cheng Y;Serba EG;Henderson DC;Hanlon C;Ng LC
低收入和中等收入国家几乎没有精神卫生专业人员，努力增加获得治疗的机会是全球优先事项。一个关键的差距是缺乏整合的心理治疗干预措施，作为一个部分，可获得的循证护理。目前的建议表明，将心理健康治疗，包括心理治疗，纳入现有的初级保健途径可能是解决这一差距的一种手段。了解影响这一过程的文化和背景因素是确定必要适应的关键步骤。这项定性研究的目的是确定与整合心理治疗在初级保健在埃塞俄比亚中南部的主要农村地区的背景因素。目的抽样被用来招募48精神卫生服务的用户，照顾者，卫生保健提供者和社区领袖。半结构化的访谈进行，记录，并在阿姆哈拉语转录和翻译成英语。虽然挑战（例如，耻辱，工作压力，对正规治疗缺乏信心），其他现有的优势（例如，寻求治疗的开放性，增加对心理健康治疗的知识，熟悉类似于治疗的做法）支持随后的心理治疗适应和实施。这些发现提出了改善提供和适应的可能机制，以缩小现有的全球治疗差距。
Low- and middle-income countries have few mental health professionals, and efforts to increase access to treatment are a global priority. A key gap is the lack of integration of psychotherapy interventions as a part of accessible evidence-based care. Current recommendations suggest that the integration of mental health treatments, including psychotherapy, into existing primary care pathways may serve as a means to address this disparity. Understanding the cultural and contextual factors that affect this process is a critical step in identifying necessary adaptations. The aim of this qualitative study was to identify contextual factors associated with integrating psychotherapy in primary care in a predominantly rural district in south-central Ethiopia. Purposive sampling was used to recruit 48 mental health service users, caregivers, health care providers, and community leaders. Semi-structured interviews were conducted, recorded, and transcribed in Amharic and translated into English. While challenges (e.g., stigma, job strain, lack of belief in formal treatments) are present, other existing strengths (e.g., openness to seeking treatment, increasing knowledge about mental health treatment, familiarity with practices similar to therapy) support subsequent psychotherapy adaptation and implementation. These findings suggest possible mechanisms to improve delivery and adaptation in the effort to lower the existing global treatment gap.
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影响因子：
1.8
作者：
Buckton, Amanda Rosso
通讯作者：
Buckton, Amanda Rosso
影响因子：
120.7
作者：
Bolton, P;Bass, J;Weissman, M
通讯作者：
Weissman, M
DOI：
10.1007/s10488-017-0815-0
发表时间：
2018-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Barnett ML;Gonzalez A;Miranda J;Chavira DA;Lau AS
通讯作者：
Lau AS
影响因子：
64.8
作者：
Collins, Pamela Y.;Patel, Vikram;Joestl, Sarah S.;March, Dana;Insel, Thomas R.;Daar, Abdallah S.
通讯作者：
Daar, Abdallah S.
影响因子：
2.8
作者：
Galarraga, Omar;Gao, Burke;Papas, Rebecca K.
通讯作者：
Papas, Rebecca K.