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A mental health training program for community health workers in India: impact on recognition of mental disorders, stigmatizing attitudes and confidence

机译:印度社区卫生工作者的心理健康培训计划:对识别精神障碍的影响,侮辱态度和信心

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摘要

Unmet needs for mental health treatment in low and middle-income countries are pervasive. For mental health to be effectively integrated into primary health care in low-income countries, grass roots workers need to acquire knowledge and skills to be able to recognize, refer and support people experiencing mental disorders. A controlled pre-test post-test study design evaluated a training intervention for community health workers in India, designed to educate about types of mental disorders and their causes, and to provide training on how to manage symptomatic individuals. Primary aims of the training were to increase recognition of mental disorders, to reduce stigmatizing attitudes regarding mental illness, and to increase self-perceived competence in providing care to people with mental health problems. Participants were 56 community health workers from rural India. A total of 34 individuals formed an intervention group, 22 comprised a control group. There was a statistically significant increase in the ability of the intervention group to recognize mental disorders in vignettes, a decrease in stigmatizing opinions and an increase in self-perceived competence in working with people who have poor mental health. The findings from this study indicate that the training was effective in achieving modest-to-large improvements on most outcome measures.
机译:低收入和中等收入国家心理健康治疗的未满足需求是普遍存在的。对于低收入国家的初级医疗保健有效地融入了心理健康,基层工人需要获得知识和技能,以便能够认识到,参考和支持体育精神障碍的人。受控预测后测试设计设计评估了印度社区卫生工作者的培训干预,旨在教育精神障碍类型及其原因,并为如何管理有症的人提供培训。培训的主要目标是增加对精神疾病的识别,以减少对精神疾病的侮辱态度,并增加自我感知的能力,为有心理健康问题的人提供护理。来自印度农村的参与者是56名社区卫生工作者。共有34个个体形成干预组,22项组成了对照组。干预群能够在匍匐茎中识别精神障碍的能力存在统计学上显着的增加,减少了侮辱性的意见,以及与患心理健康状况不佳的人的自我感知能力增加。本研究的调查结果表明,培训有效地实现了对大多数结果措施的谦虚改善。

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