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
Bibliographic Data
| ID | 8906789 |
|---|---|
| Authors | Tasneem Kathree (0000-0002-8451-9197, University of KwaZulu-Natal, corresponding author), M Bachmann (0000-0003-1770-3506, University of East Anglia), Arvin Bhana (0000-0003-4235-0108, South African Medical Research Council), Merridy Grant (0000-0002-7790-5102, University of KwaZulu-Natal), Ntokozo Mntambo (0000-0002-3056-0944, University of KwaZulu-Natal), Sithabisile Gugulethu Gigaba (0000-0003-1919-1241, University of KwaZulu-Natal), Sithabisile Gigaba, Christopher G Kemp (0000-0003-1231-1546, Johns Hopkins University), Deepa Rao (0000-0003-4076-0170, University of Washington), Inge Petersen (0000-0001-8057-8336, University of KwaZulu-Natal) |
| Year | 2023 |
| Volume | 59 |
| Issue | 7 |
| Pages | 1261-1274 |
| Publication date | 2023-03-24 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-023-01108-y |
| OpenAlex | W4360828040 |
| Language | EN |
| Citations received | 7 |
| References cited | 42 |
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
Cohort · Cohort study · Collaborative Care · Depression (economics · Family medicine · Intervention (counseling · Management of depression · Mental health · Primary care · Psychiatry · Referral · Shared care · Family Caregiving in Mental Illness · Family Support in Illness · Internal Medicine · Medicine · Mental Health Treatment and Access
Implementation strategies for integrating non-communicable disease care into primary healthcare settings in sub-Saharan Africa
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Training Approaches for HIV-Associated Neurocognitive Impairment Screening in Primary Healthcare during the Fourth Industrial Revolution
A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa
Revisiting health systems to integrate perinatal mental health into maternal and child health services
The integration of communicable and non-communicable disease (CD-NCD) health services in Africa
Do Integrated Community Psychiatry Services in Primary Health Care Settings Improve Continuity of Care? A Mixed-methods Study of Health Care Users’ Experiences in South Africa
Common Mental Disorders among HIV-Infected Individuals in South Africa
Negative life events, social support and gender difference in depression
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales
Prime
The PHQ-9
Pushing the bench
Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings
Patient-level predictors of detection of depressive symptoms, referral, and uptake of depression counseling among chronic care patients in KwaZulu-Natal, South Africa
Development and implementation of an integrated chronic disease model in South Africa
Mental Disorder in People Living with HIV/Aids in South Africa
Development of the Alcohol Use Disorders Identification Test (Audit)
A Global Measure of Perceived Stress
| Unique citing works | 7 |
|---|---|
| Citations per year | 2.33 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |