An initiative to improve mental health practice in primary care in Caribbean countries
Objectives. The aim of this initiative was to assess whether a novel training program – Understanding Stigma and Strengthening Cognitive Behavioral Interpersonal Skills – could improve primary health care providers’ confidence in the quality of mental health care they provide in the Caribbean settin...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
2023-06-01
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| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | https://iris.paho.org/handle/10665.2/57708 |
| _version_ | 1797796664416665600 |
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| author | Bianca Lauria-Horner Stephanie Knaak Claudina Cayetano Andrew Vernon Michael Pietrus |
| author_facet | Bianca Lauria-Horner Stephanie Knaak Claudina Cayetano Andrew Vernon Michael Pietrus |
| author_sort | Bianca Lauria-Horner |
| collection | DOAJ |
| description | Objectives. The aim of this initiative was to assess whether a novel training program – Understanding Stigma and Strengthening Cognitive Behavioral Interpersonal Skills – could improve primary health care providers’ confidence in the quality of mental health care they provide in the Caribbean setting by using the Plan-Do-Study-Act rapid cycle for learning improvement.
Methods. We conducted a prospective observational study of the impact of this training program. The training was refined during three cycles: first, the relevance of the program for practice improvement in the Caribbean was assessed. Second, pilot training of 15 local providers was conducted to adapt the program to the culture and context. Third, the course was launched in fall 2021 with 96 primary care providers. Pre- and post-program outcomes were assessed by surveys, including providers’ confidence in the quality of the mental health care they provided, changes in stigma among the providers and their use of and comfort with the tools. This paper describes an evaluation of the results of cycle 3, the official launch.
Results. A total of 81 participants completed the program. The program improved primary care providers’ confidence in the quality of mental health care that they provided to people with lived experience of mental health disorders, and it reduced providers’ stigmatization of people with mental health disorders.
Conclusions. The program’s quality improvement model achieved its goals in enhancing health care providers’ confidence in the quality of the mental health care they provided in the Caribbean context; the program provides effective tools to support the work and it helped to empower and engage clients. |
| first_indexed | 2024-03-13T03:36:28Z |
| format | Article |
| id | doaj.art-77cba7f6444844cabef664f897ff3021 |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-03-13T03:36:28Z |
| publishDate | 2023-06-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-77cba7f6444844cabef664f897ff30212023-06-23T17:49:08ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482023-06-01478911110.26633/RPSP.2023.89rpspAn initiative to improve mental health practice in primary care in Caribbean countriesBianca Lauria-Horner0Stephanie Knaak1Claudina Cayetano2Andrew Vernon3Michael Pietrus4Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, CanadaMental Health Commission of Canada (MHCC), Ottawa, CanadaDepartment of Noncommunicable Diseases and Mental Health, Mental Health Unit, Pan American Health Organization, Washington, DC, United States of AmericaDepartment of Noncommunicable Diseases and Mental Health, Mental Health Unit, Pan American Health Organization, Washington, DC, United States of AmericaMental Health Commission of Canada (MHCC), Ottawa, CanadaObjectives. The aim of this initiative was to assess whether a novel training program – Understanding Stigma and Strengthening Cognitive Behavioral Interpersonal Skills – could improve primary health care providers’ confidence in the quality of mental health care they provide in the Caribbean setting by using the Plan-Do-Study-Act rapid cycle for learning improvement. Methods. We conducted a prospective observational study of the impact of this training program. The training was refined during three cycles: first, the relevance of the program for practice improvement in the Caribbean was assessed. Second, pilot training of 15 local providers was conducted to adapt the program to the culture and context. Third, the course was launched in fall 2021 with 96 primary care providers. Pre- and post-program outcomes were assessed by surveys, including providers’ confidence in the quality of the mental health care they provided, changes in stigma among the providers and their use of and comfort with the tools. This paper describes an evaluation of the results of cycle 3, the official launch. Results. A total of 81 participants completed the program. The program improved primary care providers’ confidence in the quality of mental health care that they provided to people with lived experience of mental health disorders, and it reduced providers’ stigmatization of people with mental health disorders. Conclusions. The program’s quality improvement model achieved its goals in enhancing health care providers’ confidence in the quality of the mental health care they provided in the Caribbean context; the program provides effective tools to support the work and it helped to empower and engage clients.https://iris.paho.org/handle/10665.2/57708primary health carequality improvementmental healthcaribbean regionsocial stigma |
| spellingShingle | Bianca Lauria-Horner Stephanie Knaak Claudina Cayetano Andrew Vernon Michael Pietrus An initiative to improve mental health practice in primary care in Caribbean countries Revista Panamericana de Salud Pública primary health care quality improvement mental health caribbean region social stigma |
| title | An initiative to improve mental health practice in primary care in Caribbean countries |
| title_full | An initiative to improve mental health practice in primary care in Caribbean countries |
| title_fullStr | An initiative to improve mental health practice in primary care in Caribbean countries |
| title_full_unstemmed | An initiative to improve mental health practice in primary care in Caribbean countries |
| title_short | An initiative to improve mental health practice in primary care in Caribbean countries |
| title_sort | initiative to improve mental health practice in primary care in caribbean countries |
| topic | primary health care quality improvement mental health caribbean region social stigma |
| url | https://iris.paho.org/handle/10665.2/57708 |
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