BD - Earth day 2024

Integrating Mental Health into Primary Healthcare

Exploring the benefits and rationale for integrating mental health services into primary healthcare

Tanjina Ashraf Khan Mou

Tanjina Ashraf Khan Mou

More about Author

Tanjina Ashraf Khan Mou is an award winning, certified mental health professional, writer, entrepreneur and CEO of one of the leading private psychology centers in Kuala Lumpur, Malaysia. As an integrative therapist, she possesses a solid foundation in a wide variety of theoretical approaches and over time has developed her own way of working as a result. Tanjina specializes in positive psychology methods, resilience training, behavior analysis, mindfulness based therapies and has been actively advocating mental health and wellbeing for the past 4 years worldwide.

Integration of mental health into primary care improves patient outcomes and makes medical practice more satisfying. Primary healthcare is intended to improve the overall health and well-being of a community.

The main purpose of primary healthcare is to improve people's health by facilitating access to medical care. It also focuses on the individual as a whole rather than the disease of a specific organ or a particular concern. This system is intended towards improving overall health and wellbeing of a person in a community by preventing or resolving health problems that exist or may exist. It basically refers to care that is focussed on the needs of a population and can be accessed easily by a certain community. Oftentimes, the physical healthcare services like: treatment for common illnesses, cancer-related treatments, management of diabetes and heart disease and prevention of future health through advice, immunisation and awareness programmes are the basis of primary healthcare and are prioritised depending on the needs of the families. Hence, mental health, behavioral health and emotional health etc. becomes secondary or tertiary even though it is well-recommended by WHO (WHO,2001).

Mental disorders affect millions of individuals across the world and, if left untreated or unmanaged, create an enormous toll of suffering, pain and even economic loss. Concurring withNational Institute of Health (nd), persistent ailments such as cancer, heart conditions, or even diabetes might lead to psychological conditions. Despite research showing positive results of mental health therapies, it continues to get low priority. Only a small minority of people receive even the most basic treatment. Now, this could be lack of awareness and more obviously the lack of availability within primary healthcare services. Most of the mental health services provided are limited in nature and often considered secondary or tertiary healthcare. At primary healthcare level, there is still inadequacy that requires urgent attention.

Fully integrating mental health in primary care is the gold standard for care as it is one of the most practical and applicable means of closing the treatment gap and ensuring that every individual receive the healthcare they need as a whole. It ensures that everyone has the opportunity to address both their physical and their mental health needs as a part of primary care.

Benefits of integrating mental health services in primary healthcare

There are numerous examples of successful applications and practices where primary healthcare and mental health professionals have come together to integrate physical and mental health provision. There are several beneficial aspects that come out, some of which include:

  • Having mental health professionals in the loop, provides opportunity for psychological support at an early stage, helping to secure improvements in both physical and mental health in the initial stages. Hence, a better and faster recovery process can take place.
  • A reduction in stigma related to mental health disorders can be seen when it is prioritised and made easily available as physical health services.
  • Since majority of primary care related services are not related to any particular disease or conditions, stigmatisation is further diminished when looking for psychological assistance from a primary care provider, because it comes as a holistic package, making this level of care more worthy as a whole.
  • Research shows that behavioural therapies help improve patients’ physical health outcomes before or after operations or therpaies. This helps patients become more resilient. This holistic support can also help patients to self-manage their long-term conditions more confidently.
  • The availability of mental health therapy in primary care settings means people can expect to be treated for common conditions such as anxiety or depression at the same time with their physical health needs.
  • It fulfills the promise of primary care as a holistic approach.
  • Talk therapies and group discussions can be readily available and people will learn to socialise as well as self-manage in the form of sharing sessions.
  • As stated in Mental Health Family Medicine Journal (nd), mental health is often comorbid with many physical health problems such as cancer, HIV/AIDS, diabetes and tuberculosis etc. When primary healthcare providers are equipped with psychological trainings, they would be able to diagnose and examine the basic issues related to mental health. Also, they would be able to better understand physical health needs of people with mental concerns along with the psychological needs of those suffering from chronic illnesses.
  • Primary healthcare specialists are frontliners, making them the foremost level of contact for any individual seeking diagnosis. Preparing these workers with mental wellbeing aptitudes can advance a more all encompassing approach and guarantee better prevention as well as early detection of mental health disorders or concerns.

--Issue 61--