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WHO-mhGAP Training in Mexico: Increasing Knowledge and Readiness for the Identification and Management of Depression and Suicide Risk in Primary Care

dc.creatorRobles, Rebecaes_ES
dc.creatorLopez-García, Pilares_ES
dc.creatorMiret, Martaes_ES
dc.creatorCabello, Mariaes_ES
dc.creatorCisneros, Esteres_ES
dc.creatorRizo, Alfredoes_ES
dc.creatorAyuso-Mateos, Jose Luises_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.date2019
dc.date.accessioned2023-10-16T19:30:39Z
dc.date.available2023-10-16T19:30:39Z
dc.date.issued2019
dc.identifierJC49DIEP20es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7779
dc.identifier.urihttps://doi.org/10.1016/j.arcmed.2019.12.008
dc.descriptionBackgound: In order to reduce the treatment gap of mental disorders, the World Health Organization (WHO) has proposed the mhGAP guidelines to be implemented globally. Aim of the study: To examine the effectivity of a training course based on the WHO-mhGAP guidelines to increase knowledge and readiness for identification and management of depression and suicide risk in primary care (PC) in Mexico. Methods: PC clinicians were invited to participate in a traning course; before and after it, all completed an evaluation of knowledge of mhGAP and depression (0-10 points), and self-efficacy in suicide risk management (0-40 points), and were classified according to Prochaska and Diclemente transtheorical model in their particular stage of readiness for identification and management of these conditions. Results: The sample included 60 health professionals. Before training, clinicians had adequate knowledge of depression and its treatment (8.1 ± 1.66), but not on the mhGAP model and/or suicide risk management, which increased by the end of training (mhGAPpre:7.91 ± 2.19 vs. mhGAPpost:8.77 ± 1.34, p = 0.01; SuicidePRE:29.16 ± 9.35 vs. SuicidePOST:39.24 ± 6.83, p = 0.0001). Before training, most clinicians were at the contemplation stage (42.6% vs. 37.7% at the action and 19.7% at the precontemplation stage). By the end of the training, a decrease in the number of clinicians at both the contemplation and precontemplation stages (to 36.1% and to zero, respectively) and a significant increase of clinicians at the action stage (to 63.9%) was observed. Conclusions: A training course based on the WHO-mhGAP could be an effective tool for increasing PC clinicians' willingness to implement mental health services.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation50(8):558-566
dc.rightsAcceso Cerradoes_ES
dc.titleWHO-mhGAP Training in Mexico: Increasing Knowledge and Readiness for the Identification and Management of Depression and Suicide Risk in Primary Carees_ES
dc.typeArtículoes_ES
dc.contributor.affiliationCentro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.
dc.contributor.emailreberobles@hotmail.com (Rebeca Robles)
dc.relation.jnabreviadoARCH MED RES
dc.relation.journalArchives of Medical Research
dc.date.published2019
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.doi10.1016/j.arcmed.2019.12.008


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