Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study
Background. Primary health care system provides appropriate prevention and primary mental care services only for rural population. Therefore, the Community Mental Health Center (CMHC) was developed to provide mental health services in urban areas. The present study aimed to outline the performance,...
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| Format: | Article |
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Tabriz University of Medical Sciences
2022-09-01
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| Series: | Taṣvīr-i salāmat |
| Subjects: | |
| Online Access: | https://doh.tbzmed.ac.ir/PDF/doh-13-311.pdf |
| _version_ | 1828086535325483008 |
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| author | Ali Fakhari Jafar Sadegh Tabrizi AbbasAli Dorosti Vahab Asl-Rahimi Mostafa Farahbakhsh Habibeh Barzegar Laleh Gaem Magami Hosein Azizi |
| author_facet | Ali Fakhari Jafar Sadegh Tabrizi AbbasAli Dorosti Vahab Asl-Rahimi Mostafa Farahbakhsh Habibeh Barzegar Laleh Gaem Magami Hosein Azizi |
| author_sort | Ali Fakhari |
| collection | DOAJ |
| description | Background. Primary health care system provides appropriate prevention and primary mental care services only for rural population. Therefore, the Community Mental Health Center (CMHC) was developed to provide mental health services in urban areas. The present study aimed to outline the performance, achievements, and challenges of CMHC in Tabriz, Iran. Methods. This was a qualitative pilot study with in-depth interview approach. The outcomes, implications, and challenges of CMHC in Tabriz city were evaluated from 2015 to 2019 using three methods, including conducting in-depth interviews with two executive managers, holding focus group discussion (FGD) with managers and mental healthcare providers, and collecting mental health care indicators from the patients’ health records. After evaluating the challenges, appropriate recommendations to improve mental health services in urban areas were presented. Results. A total of 17 specialists and general medical doctors collaborated in this study. During the study, 1053 initial visits and/or screenings and 2313 patients with psychological disorders were identified and recorded. Moreover, a total of 988 mental training sessions were held for patients and their families. Five main themes, including the necessity for establishment and objectives, implementation process, achievements, challenges, and recommendations, were identified during in-depth interviews and FGDs. Conclusion. It seems that CMHC is an appropriate strategy and model for providing basic mental health services, especially in metropolitan cities. Longitudinal studies with a randomized controlled trial design as well as cost-effectiveness evaluation studies are required to confirm CMHC in the Iranian context |
| first_indexed | 2024-04-11T04:56:43Z |
| format | Article |
| id | doaj.art-999dae74f133457f830557330b070110 |
| institution | Directory Open Access Journal |
| issn | 2008-9058 2423-6640 |
| language | fas |
| last_indexed | 2024-04-11T04:56:43Z |
| publishDate | 2022-09-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Taṣvīr-i salāmat |
| spelling | doaj.art-999dae74f133457f830557330b0701102022-12-26T11:25:19ZfasTabriz University of Medical SciencesTaṣvīr-i salāmat2008-90582423-66402022-09-0113331132110.34172/doh.2022.36doh-1586Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case StudyAli Fakhari0Jafar Sadegh Tabrizi1AbbasAli Dorosti2Vahab Asl-Rahimi3Mostafa Farahbakhsh4Habibeh Barzegar5Laleh Gaem Magami6Hosein Azizi7 Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Department of Mental Health, Office of Health Vice-chancellor, Tabriz University of Medical Sciences, Tabriz, Iran Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Background. Primary health care system provides appropriate prevention and primary mental care services only for rural population. Therefore, the Community Mental Health Center (CMHC) was developed to provide mental health services in urban areas. The present study aimed to outline the performance, achievements, and challenges of CMHC in Tabriz, Iran. Methods. This was a qualitative pilot study with in-depth interview approach. The outcomes, implications, and challenges of CMHC in Tabriz city were evaluated from 2015 to 2019 using three methods, including conducting in-depth interviews with two executive managers, holding focus group discussion (FGD) with managers and mental healthcare providers, and collecting mental health care indicators from the patients’ health records. After evaluating the challenges, appropriate recommendations to improve mental health services in urban areas were presented. Results. A total of 17 specialists and general medical doctors collaborated in this study. During the study, 1053 initial visits and/or screenings and 2313 patients with psychological disorders were identified and recorded. Moreover, a total of 988 mental training sessions were held for patients and their families. Five main themes, including the necessity for establishment and objectives, implementation process, achievements, challenges, and recommendations, were identified during in-depth interviews and FGDs. Conclusion. It seems that CMHC is an appropriate strategy and model for providing basic mental health services, especially in metropolitan cities. Longitudinal studies with a randomized controlled trial design as well as cost-effectiveness evaluation studies are required to confirm CMHC in the Iranian contexthttps://doh.tbzmed.ac.ir/PDF/doh-13-311.pdfcommunity mental health centermental healthcase study |
| spellingShingle | Ali Fakhari Jafar Sadegh Tabrizi AbbasAli Dorosti Vahab Asl-Rahimi Mostafa Farahbakhsh Habibeh Barzegar Laleh Gaem Magami Hosein Azizi Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study Taṣvīr-i salāmat community mental health center mental health case study |
| title | Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study |
| title_full | Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study |
| title_fullStr | Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study |
| title_full_unstemmed | Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study |
| title_short | Studying the Performance, Achievements, and Challenges of Providing Community-Oriented Mental Health Services: A Case Study |
| title_sort | studying the performance achievements and challenges of providing community oriented mental health services a case study |
| topic | community mental health center mental health case study |
| url | https://doh.tbzmed.ac.ir/PDF/doh-13-311.pdf |
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