Tools
Tools
Kathree, Tasneem, Bachmann, Max O. 
ORCID: https://orcid.org/0000-0003-1770-3506, Bhana, Arvin, Grant, Merridy, Mntabo, Ntokozo, Kemp, C. G., Rao, Deepa and Petersen, Inge
(2023)
Management of depression in chronic care patients using a task‑sharing approach in a real‑world primary health care setting in South Africa: Outcomes of a cohort study.
Community Mental Health Journal, 59 (7).
1261–1274.
ISSN 0010-3853
Preview |
PDF (Kathree_etal_2023_CommunityMentalHealthJ)
- Published Version
Available under License Creative Commons Attribution. Download (652kB) | Preview |
Abstract
Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care (PHC) patients in a real-world setting. Existing HIV clinic counsellors provided a manualised depression counselling intervention with stepped-up referral pathways to PHC doctors for initiation of anti-depressant medication and/ or referral to specialist mental health services. Using a comparative group cohort design, adult PHC patients in 10 PHC facilities were screened with the Patient Health Questionnaire-9 with those scoring above the validated cut-off enrolled. PHC nurses independently assessed, diagnosed and referred patients. Referral for treatment was independently associated with substantial improvements in depression symptoms three months later. The study confirms the viability of task-shared stepped-up collaborative care for depression treatment using co-located counselling in underserved real-world PHC settings.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: Research reported in this article was supported by the National Institute of Mental Health (NIMH) (U19MH113191-01). Open access funding provided by University of KwaZulu-Natal. |
| Uncontrolled Keywords: | chronic disorders,depression,evaluation,implementation science,integrated collaborative care,primary health,scale-up,south africa,health(social science),public health, environmental and occupational health,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3300/3306 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 12 Oct 2023 00:43 |
| Last Modified: | 19 Oct 2023 03:40 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/93268 |
| DOI: | 10.1007/s10597-023-01108-y |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |