Task Sharing or Task Dumping: Counsellors Experiences of Delivering a Psychosocial Intervention for Mental Health Problems in South Africa.

Task Sharing or Task Dumping: Counsellors Experiences of Delivering a Psychosocial Intervention for Mental Health Problems in South Africa.
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DOI:
10.1007/s10597-020-00734-0
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发表时间:
2021-08
影响因子:
2.7
通讯作者:
Sorsdahl K
Sorsdahl K
中科院分区:
医学4区
文献类型:
--
作者:
Jacobs Y;Myers B;van der Westhuizen C;Brooke-Sumner C;Sorsdahl K

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鉴于向非专家提供者分担心理健康咨询任务是一项公认的提高服务能力的战略,确保他们的培训、监督和支持需求得到满足是促进可持续提供高质量服务的必要条件。使用深入访谈,我们定性地探讨了18个设施为基础的辅导员(FBCs)的经验,他们的任务是在参与MIND项目集群随机对照试验的初级保健设施内提供的慢性病服务中提供咨询干预。研究结果表明,项目MIND培训,重点是角色扮演和技能演练,提高了FBCs的信心和能力,辅以高度结构化的监督和由注册辅导员提供的汇报,是支持实施任务分担的心理健康咨询的关键战略。FBCs认为在初级保健中提供心理健康咨询有许多好处,但需要系统的干预措施才能持续实施。
Given task-sharing mental health counselling to non-specialist providers is a recognised strategy to increase service capacity, ensuring that their training, supervision, and support needs are met is necessary to facilitate the sustainable delivery of a high-quality service. Using in-depth interviews, we qualitatively explored the experiences of 18 facility-based counsellors (FBCs) tasked with delivering a counselling intervention within chronic disease services offered within primary care facilities participating in the project MIND cluster randomised controlled trial. Findings show that project MIND training with a strong emphasis on role playing and skills rehearsal improved FBCs’ confidence and competence, complemented by highly structured supervision and debriefing provided by a registered counsellor, were key strategies for supporting the implementation of task-shared mental health counselling. FBCs perceived many benefits to providing mental health counselling in primary healthcare but systemic interventions are needed for sustained implementation.
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