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Listening to the Shenzhen Primary Healthcare Context to Adapt the mhGAP-IG.v2 for the Assessment of Depression: Qualitative Workshops with Primary Healthcare Leaders

Author

Listed:
  • Kendall Searle

    (Global and Cultural Mental Health Unit, Centre for Mental Health, School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia)

  • Grant Blashki

    (Nossal Institute for Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Ritsuko Kakuma

    (Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London WC1E 7HTE, UK)

  • Hui Yang

    (Monash Institute for Health & Clinical Education, School of Primary Health Care, Monash University, Melbourne, VIC 3168, Australia)

  • Harry Minas

    (Global and Cultural Mental Health Unit, Centre for Mental Health, School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia)

Abstract

In Shenzhen, despite recent primary and mental healthcare reform, Primary healthcare doctors (PHC) have limited access to diagnostic tools and a significant mental health treatment gap presides. The World Health Organization’s (WHO) mental health gap intervention guide (mhGAP-IG.v2) offers a non-specialist and evidence-based guide for the assessment of depression however requires adaptation to the context of use. Bilingual (Mandarin and English) qualitative research was undertaken with 30 PHC leaders from Shenzhen to compare their assessment approach for depression against the mhGAP-IG.v2 in order to identify context-specific modifications for a local guide. Local assessment differentiators included: a need for culturally sensitive translation of depression symptoms; a preference for a broad, non-hierarchical symptom presentation (including somatic, behavioural and anxiety items); national prioritisation of suicide patients; the integration of family into the cycle of care; limited primary care awareness of a depressive episode in Bipolar Disorder; and China’s specialist-led diagnostic approach. Contextual modification of mhGAP-IG.v2 is recommended to take account of China’s unique cultural and primary health system response to depression. Ongoing mental health training is required to develop professional confidence in the recognition of mental disorders.

Suggested Citation

  • Kendall Searle & Grant Blashki & Ritsuko Kakuma & Hui Yang & Harry Minas, 2022. "Listening to the Shenzhen Primary Healthcare Context to Adapt the mhGAP-IG.v2 for the Assessment of Depression: Qualitative Workshops with Primary Healthcare Leaders," IJERPH, MDPI, vol. 19(5), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2570-:d:756463
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    References listed on IDEAS

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    1. Corrado Barbui & Tarun Dua & Mark van Ommeren & M Taghi Yasamy & Alexandra Fleischmann & Nicolas Clark & Graham Thornicroft & Suzanne Hill & Shekhar Saxena, 2010. "Challenges in Developing Evidence-Based Recommendations Using the GRADE Approach: The Case of Mental, Neurological, and Substance Use Disorders," PLOS Medicine, Public Library of Science, vol. 7(8), pages 1-8, August.
    2. Min Yang & Martin Dijst & Marco Helbich, 2018. "Mental Health among Migrants in Shenzhen, China: Does it Matter Whether the Migrant Population is Identified by Hukou or Birthplace?," IJERPH, MDPI, vol. 15(12), pages 1-11, November.
    3. Qun Wang & Wenyao Tian, 2018. "Prevalence, awareness, and treatment of depressive symptoms among the middle‐aged and elderly in China from 2008 to 2015," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 1060-1070, October.
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