PMID- 25161270
OWN - NLM
STAT- MEDLINE
DCOM- 20170112
LR  - 20211021
IS  - 1460-2237 (Electronic)
IS  - 0268-1080 (Print)
IS  - 0268-1080 (Linking)
VI  - 30
IP  - 7
DP  - 2015 Sep
TI  - Supporting mental health in South African HIV-affected communities: primary 
      health care professionals' understandings and responses.
PG  - 917-27
LID - 10.1093/heapol/czu092 [doi]
AB  - How do practitioners respond to the mental distress of HIV-affected women and 
      communities? And do their understandings of patients' distress matter? The World 
      Health Organization (WHO) along with advocates from the Movement for Global 
      Mental Health (MGMH) champion a primary mental health care model to address 
      burgeoning mental health needs in resource-poor HIV-affected settings. Whilst a 
      minority of studies have begun to explore interventions to target this group of 
      women, there is a dearth of studies that explore the broader contexts that will 
      likely shape service outcomes, such as health sector dynamics and competing 
      definitions of mental ill-health. This study reports on an in-depth case study of 
      primary mental health services in a rural HIV-affected community in Northern 
      KwaZulu-Natal. Health professionals identified as the frontline staff working 
      within the primary mental health care model (n = 14) were interviewed. Grounded 
      thematic analysis of interview data highlighted that practitioners employed a 
      critical and socially anchored framework for understanding their patients' needs. 
      Poverty, gender and family relationships were identified as intersecting factors 
      driving HIV-affected patients' mental distress. In a divergence from existing 
      evidence, practitioner efforts to act on their understandings of patient needs 
      prioritized social responses over biomedical ones. To achieve this whilst working 
      within a primary mental health care model, practitioners employed a series of 
      modifications to services to increase their ability to target the sociostructural 
      realities facing HIV-affected women with mental health issues. This article 
      suggests that beyond attention to the crucial issues of funding and human 
      resources that face primary mental health care, attention must also be paid to 
      promoting the development of policies that provide practitioners with increased 
      and more consistent opportunities to address the complex social realities that 
      frame the mental distress of HIV-affected women.
CI  - Published by Oxford University Press in association with The London School of 
      Hygiene and Tropical Medicine (c) The Author 2014; all rights reserved.
FAU - Burgess, Rochelle Ann
AU  - Burgess RA
AD  - Health, Community and Development Research Group, Department of Social 
      Psychology, London School of Economics, Houghton Street, WC2A 2AE, London, UK and 
      Health Economics and HIV/AIDS Research Division (HEARD), University of 
      KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa r.a.burgess@lse.ac.uk.
LA  - eng
GR  - MDR179139/Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140826
PL  - England
TA  - Health Policy Plan
JT  - Health policy and planning
JID - 8610614
MH  - *HIV Seropositivity
MH  - *Health Knowledge, Attitudes, Practice
MH  - Health Personnel/*psychology
MH  - Humans
MH  - *Mental Health
MH  - *Primary Health Care
MH  - Rural Population
MH  - South Africa
MH  - Women's Health
PMC - PMC4524341
OTO - NOTNLM
OT  - HIV
OT  - South Africa
OT  - practitioner understandings
OT  - primary mental health care
OT  - women's mental health
EDAT- 2014/08/28 06:00
MHDA- 2017/01/14 06:00
PMCR- 2016/09/01
CRDT- 2014/08/28 06:00
PHST- 2014/07/13 00:00 [accepted]
PHST- 2014/08/28 06:00 [entrez]
PHST- 2014/08/28 06:00 [pubmed]
PHST- 2017/01/14 06:00 [medline]
PHST- 2016/09/01 00:00 [pmc-release]
AID - czu092 [pii]
AID - 10.1093/heapol/czu092 [doi]
PST - ppublish
SO  - Health Policy Plan. 2015 Sep;30(7):917-27. doi: 10.1093/heapol/czu092. Epub 2014 
      Aug 26.