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Integrating mental health into primary care in Sverdlovsk

By Rachel Jenkins, Zinaida Bobyleva, David Goldberg, Linda Gask, Alla G. Zacroeva, Angelina Potasheva, Valery Krasnov and David McDaid

Abstract

Introduction: Mental disorders occur as frequently in Russia as elsewhere, but the common mental disorders, especially depression, have gone largely unrecognised and undiagnosed by policlinic staff and area doctors. Methods: This paper describes the impact and sustainability of a multi-component programme to facilitate the integration of mental health into primary care, by situation appraisal, policy dialogue, development of educational materials, provision of a training programme and the publication of standards and good practice guidelines to improve the primary care of mental disorders in the Sverdlovsk region of the Russian Federation. Results: The multi-component programme has resulted in sustainable training about common mental disorders, not only of family doctors but also of other cadres and levels of professionals, and it has been well integrated with Sverdlovsk's overall programme of health sector reforms. Conclusion: It is possible to facilitate the sustainable integration of mental health into primary care within the Russian context. While careful adaptation will be needed, the approach adopted here may also hold useful lessons for policy makers seeking to integrate mental health within primary care in other contexts and settings

Topics: RA Public aspects of medicine
Publisher: Radcliffe Publishing
Year: 2009
OAI identifier: oai:eprints.lse.ac.uk:32683
Provided by: LSE Research Online
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