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Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment
BACKGROUND: About 1468 Syrian and Turkish doctors, serving in primary health care, have received the mhGAP training during 2016–2019. As additional training needs were identified, MoH and WHO wanted to understand the usefulness of the training and its impact in responding to the mental health needs...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661162/ https://www.ncbi.nlm.nih.gov/pubmed/33292399 http://dx.doi.org/10.1186/s13033-020-00416-0 |
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author | Karaoğlan Kahiloğulları, Akfer Alataş, Esra Ertuğrul, Fatmagül Malaj, Altin |
author_facet | Karaoğlan Kahiloğulları, Akfer Alataş, Esra Ertuğrul, Fatmagül Malaj, Altin |
author_sort | Karaoğlan Kahiloğulları, Akfer |
collection | PubMed |
description | BACKGROUND: About 1468 Syrian and Turkish doctors, serving in primary health care, have received the mhGAP training during 2016–2019. As additional training needs were identified, MoH and WHO wanted to understand the usefulness of the training and its impact in responding to the mental health needs of Syrian refugees in Turkey. METHODS: A five component assessment was done in 2019, consisting of feedback of trainees, assessment of increase in knowledge; utilization of service; compliance to treatment guidelines and service user satisfaction. The purpose was to understand the perception of participants on the training; estimate the knowledge gained—attributable to the training; estimate the increase in mental health cases identified and treated; compliance with treatment guidelines; as well as perception of the services received by end-beneficiaries. RESULTS: Results indicate that most of the respondents were happy with the training, but preferred additional mhGAP training as a refresher course in the future. There was knowledge gained due to the training, 9% for the Syrian and 5% for Turkish doctors. The knowledge gained has helped the practicing doctors to be more attentive and increase the numbers of cases diagnosed after the training for almost all groups of diagnoses. Most doctors, observed during practice, comply with the guidelines shared during the training, but improvement is still needed when it comes to prescription and treatment of certain conditions. The average number of mental health cases identified increased by 38 (%27) cases in the year following the training. We observed over 70% compliance with guidelines for 9 out of 12 criteria in question. The results of the patient exit interviews indicate a high level of satisfaction with the MHPSS services provided. About 95% of beneficiaries were happy with the quality of the service, and 92% having their needs met. CONCLUSIONS: The mhGAP training was found useful. More training should be conducted to fill in the gap in service provision and meet the mental needs of Syrian refugees in Turkey. |
format | Online Article Text |
id | pubmed-7661162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76611622020-11-13 Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment Karaoğlan Kahiloğulları, Akfer Alataş, Esra Ertuğrul, Fatmagül Malaj, Altin Int J Ment Health Syst Research BACKGROUND: About 1468 Syrian and Turkish doctors, serving in primary health care, have received the mhGAP training during 2016–2019. As additional training needs were identified, MoH and WHO wanted to understand the usefulness of the training and its impact in responding to the mental health needs of Syrian refugees in Turkey. METHODS: A five component assessment was done in 2019, consisting of feedback of trainees, assessment of increase in knowledge; utilization of service; compliance to treatment guidelines and service user satisfaction. The purpose was to understand the perception of participants on the training; estimate the knowledge gained—attributable to the training; estimate the increase in mental health cases identified and treated; compliance with treatment guidelines; as well as perception of the services received by end-beneficiaries. RESULTS: Results indicate that most of the respondents were happy with the training, but preferred additional mhGAP training as a refresher course in the future. There was knowledge gained due to the training, 9% for the Syrian and 5% for Turkish doctors. The knowledge gained has helped the practicing doctors to be more attentive and increase the numbers of cases diagnosed after the training for almost all groups of diagnoses. Most doctors, observed during practice, comply with the guidelines shared during the training, but improvement is still needed when it comes to prescription and treatment of certain conditions. The average number of mental health cases identified increased by 38 (%27) cases in the year following the training. We observed over 70% compliance with guidelines for 9 out of 12 criteria in question. The results of the patient exit interviews indicate a high level of satisfaction with the MHPSS services provided. About 95% of beneficiaries were happy with the quality of the service, and 92% having their needs met. CONCLUSIONS: The mhGAP training was found useful. More training should be conducted to fill in the gap in service provision and meet the mental needs of Syrian refugees in Turkey. BioMed Central 2020-11-11 /pmc/articles/PMC7661162/ /pubmed/33292399 http://dx.doi.org/10.1186/s13033-020-00416-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Karaoğlan Kahiloğulları, Akfer Alataş, Esra Ertuğrul, Fatmagül Malaj, Altin Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title | Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title_full | Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title_fullStr | Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title_full_unstemmed | Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title_short | Responding to mental health needs of Syrian refugees in Turkey: mhGAP training impact assessment |
title_sort | responding to mental health needs of syrian refugees in turkey: mhgap training impact assessment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661162/ https://www.ncbi.nlm.nih.gov/pubmed/33292399 http://dx.doi.org/10.1186/s13033-020-00416-0 |
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