Integration of mental health care into primary care. Preliminary observations of continuing implementation phase.

OBJECTIVE The authors mainly focus on the initial observations of the implementation phase of a health project that aims to integrate mental health into primary care. METHODS In the light of specific aims and objectives of both planning and curriculum development phases, 2- weeks of intensive psychiatric training consisting of basic theoretical and clinical concepts of psychiatry was imparted to a group of general practitioners and paramedical staff. In addition to assessing their pre-and post-training knowledge, attitude, and practice toward psychiatry, 2 internal Consultant Psychiatrists and participants evaluated the training course providing appropriate feedback to the organizers and trainers for modifying several adopted training methods, as well as a curriculum for subsequent courses. RESULTS The 2-week psychiatric training of the medical personnel resulted in identifying several pros and cons of implementing this project at primary health care centers. Additionally, the immediate and the post-training evaluations of trainees by numerous methods were characterized by favourable changes in their attitude, knowledge and enhanced motivation to practice psychiatry at primary health care centers. CONCLUSION The implementation of this project by training the first 3 groups of health personnel was successful, as evidenced both by the healthy encouraging comments of the evaluators and the post-training favourable positive responses of the trainees. The incorporation of mental health into primary care by offering condensed psychiatric courses to general practitioners should be the top training agenda as it is in line with the World Health Organization recommendations.