| Summary: | Background: Mental disorders experienced by approximately 25% of the entire
population at least once in a period of time on their lifetime, and more than 40% of
diagnosed inappropriately. General practitioners have a very important role in early
detection and management of mental disorders. But the role is not running optimally.
One of the reasons is lack of their self confidence in managing mental disorders.
Literature study suggests that in-service training is a way to improve their skills in
managing mental disorders. It is based on the assumption that during their education
period, they had not got an adequate psychiatric knowledge as a capital in providing
mental health services in primary health care and their private practice as well.
Objective: To know the relationships between in-service training and general
practitioners level of self confidence in managing mental disorders in Gunungkidul
Yogyakarta.
Methods: A descriptive, cross sectional analytic. The data analysis process began
immediately after data collection. Questionnaires that had been collected and then
processed with STATA program to get an overview of descriptive items of questions.
Then look for relationships between related variables.
Results: P values that higher than 0.05 found on the correlation between in-service
training and level of confidence in the management of general practitioner mental
disorder. Doctors who ever received previous in-service training had a higher level
of confidence consecutive 5.8 X, 4X, and 2.9 X in terms of prescribing skills, doing
counseling and conduct timely referrals with correct indications, than physicians
group that never had training or additional formal education at all, but not in the
diagnostic skill. There is potential for considerable stigma behavior towards patients
with mental disorders among the doctors (approximately 30%). There were 87% of
doctors believed in doing diazepam overprescribing, and 83% of them felt that their
knowledge gained during lectures in medical faculty, was not enough as a capital to
play a role in the community.
Conclusion: no statistically significant correlation found between in-service training
and general practitioners level of confidence in the management of mental disorder.
Doctors who ever received previous in-service training appeared to have a higher
confidence in prescribing psychotropic drugs, doing mental disorder counseling,
doing timely referral actions with correct indications, but not in terms of diagnosis
skills. The high perception of general practitioners that undergraduate training they
get in College was very inadequate as a capital in providing service, became a
justification that a qualified in-service training remains necessary in order to
overcome the gap.
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