Cargando…

Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review

General primary care workers and family physicians are a crucial work force in managing the mental health of people in any given region. However, the barriers they face in low- and middle-income countries (LMICs) may be worsened by the pandemic. This review aims to bring together evidence about ment...

Descripción completa

Detalles Bibliográficos
Autores principales: Rameez, Sahar, Nasir, Almas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521856/
https://www.ncbi.nlm.nih.gov/pubmed/37767443
http://dx.doi.org/10.4103/jfmpc.jfmpc_391_22
_version_ 1785110231429152768
author Rameez, Sahar
Nasir, Almas
author_facet Rameez, Sahar
Nasir, Almas
author_sort Rameez, Sahar
collection PubMed
description General primary care workers and family physicians are a crucial work force in managing the mental health of people in any given region. However, the barriers they face in low- and middle-income countries (LMICs) may be worsened by the pandemic. This review aims to bring together evidence about mental health treatment challenges experienced by people in LMICs in primary care settings. The review focuses on the shortage of essential mental healthcare services, stigma and lack of competent primary care professionals in establishing these services and their importance in the COVID-19 pandemic context. The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the search strategy included keyword search terms (MeSH) to perform a search across three electronic databases - Critical Appraisal Skills Program assessed PubMed, SpringerLink, and Cochrane and quality of the articles. The articles selected were analyzed through thematic analysis to identify the main themes and conclude our findings. Findings indicate that out of 1792 publications found, 14 studies matched the desired criteria for the studies. Endnotes, database search filters, and Covidence data extraction tools were used to generate the relevant articles in this study. This study shows that primary care institutions have financial and management issues in providing mental health services and a shortage of competent mental health experts in primary care, especially mental health–trained family physicians. The study also identifies community stigma as the most prevalent barrier to seeking mental health therapy, reflecting the lack of community health education in LMICs.
format Online
Article
Text
id pubmed-10521856
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-105218562023-09-27 Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review Rameez, Sahar Nasir, Almas J Family Med Prim Care Review Article General primary care workers and family physicians are a crucial work force in managing the mental health of people in any given region. However, the barriers they face in low- and middle-income countries (LMICs) may be worsened by the pandemic. This review aims to bring together evidence about mental health treatment challenges experienced by people in LMICs in primary care settings. The review focuses on the shortage of essential mental healthcare services, stigma and lack of competent primary care professionals in establishing these services and their importance in the COVID-19 pandemic context. The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the search strategy included keyword search terms (MeSH) to perform a search across three electronic databases - Critical Appraisal Skills Program assessed PubMed, SpringerLink, and Cochrane and quality of the articles. The articles selected were analyzed through thematic analysis to identify the main themes and conclude our findings. Findings indicate that out of 1792 publications found, 14 studies matched the desired criteria for the studies. Endnotes, database search filters, and Covidence data extraction tools were used to generate the relevant articles in this study. This study shows that primary care institutions have financial and management issues in providing mental health services and a shortage of competent mental health experts in primary care, especially mental health–trained family physicians. The study also identifies community stigma as the most prevalent barrier to seeking mental health therapy, reflecting the lack of community health education in LMICs. Wolters Kluwer - Medknow 2023-08 2023-08-29 /pmc/articles/PMC10521856/ /pubmed/37767443 http://dx.doi.org/10.4103/jfmpc.jfmpc_391_22 Text en Copyright: © 2023 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Rameez, Sahar
Nasir, Almas
Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title_full Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title_fullStr Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title_full_unstemmed Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title_short Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review
title_sort barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521856/
https://www.ncbi.nlm.nih.gov/pubmed/37767443
http://dx.doi.org/10.4103/jfmpc.jfmpc_391_22
work_keys_str_mv AT rameezsahar barrierstomentalhealthtreatmentinprimarycarepracticeinlowandmiddleincomecountriesinapostcovideraasystematicreview
AT nasiralmas barrierstomentalhealthtreatmentinprimarycarepracticeinlowandmiddleincomecountriesinapostcovideraasystematicreview