Referral Challenges in the Mental Health Program in the Primary Health Care System: A Qualitative Study

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

KARIMI FATEMEH; MEMARYAN NADEREH; GHAHARI SHAHRBANOO; LOTFI MOZHGAN

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Depiction of Health Year:2022 | Volume:13 | Issue:3 Page(s): 347-360

Download Full-Text

Persian Verion

View:

645

Download:

222

Cites:

Information Journal Paper

Title

Referral Challenges in the Mental Health Program in the Primary Health Care System: A Qualitative Study

Author(s)

KARIMI FATEMEH | MEMARYAN NADEREH | GHAHARI SHAHRBANOO | LOTFI MOZHGAN | Issue Writer Certificate

Keywords

Primary Health Care

Mental Health

Referral and Consultation

Abstract

Background. One of the main activities that plays a significant role in the prevalence of mental illnesses is the issue of referral. According to the evidence, the lack of proper implementation of the referral system is one of the obvious weaknesses of the Primary Health Care (PHC) system. Therefore, this study aimed to investigate the challenges of referring Mental Health clients in the PHC system in Iran. We also examined the weaknesses in this process from the perspective of Mental Health experts. Methods. The present study is a qualitative study with conventional content analysis approach. Data were collected through semi-structured interviews with 15 PHC psychologists selected through purposive sampling. After transcribing the interviews, the data were analyzed based on the Graneheim and Landman model. Results. We identified two main themes and 12 categories. The theme of intra-centered referential challenges included categories such as weaknesses in health care providers screening and low referrals, clients' lack of trust in health care providers, clients' lack of cooperation, physicians' poor cooperation, and barriers to clients' desire to visit a psychologist. Meanwhile, outer-centered referential challenges included a shortage of referral centers, lack of transparency in referrals, lack of direct referrals, poor follow-up, barriers regarding referral to a higher level, and barriers to clients’,referral to the institute. Conclusion. The findings of the present study showed that poor intra-sectoral and inter-sectoral communication is one of the main challenges that has disrupted the referral process in the field of Mental Health in the PHC system. Many challenges such as the lack of designated referral centers, poor follow-up due to lack of referral feedback, and clients' financial inability to refer to a higher level can be improved by strengthening cross-sectoral communications such as two-way communication with support organizations and psychiatric and psychotherapy centers.

Cites

Criticism and Evaluation of Social Health Contents of the Primary Health Care Prepared in the Office of Mental, Social and Addiction Health of the Ministry of Health and Medical Education

References

No record.

Cite

APA: Copy

KARIMI, FATEMEH, MEMARYAN, NADEREH, GHAHARI, SHAHRBANOO, & LOTFI, MOZHGAN. (2022). Referral Challenges in the Mental Health Program in the Primary Health Care System: A Qualitative Study. DEPICTION OF HEALTH, 13(3 ), 347-360. SID. https://sid.ir/paper/1020524/en

Vancouver: Copy

KARIMI FATEMEH, MEMARYAN NADEREH, GHAHARI SHAHRBANOO, LOTFI MOZHGAN. Referral Challenges in the Mental Health Program in the Primary Health Care System: A Qualitative Study. DEPICTION OF HEALTH[Internet]. 2022;13(3 ):347-360. Available from: https://sid.ir/paper/1020524/en

IEEE: Copy

FATEMEH KARIMI, NADEREH MEMARYAN, SHAHRBANOO GHAHARI, and MOZHGAN LOTFI, “Referral Challenges in the Mental Health Program in the Primary Health Care System: A Qualitative Study,” DEPICTION OF HEALTH, vol. 13, no. 3 , pp. 347–360, 2022, [Online]. Available: https://sid.ir/paper/1020524/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops