[Attitudes of primary care health staff to the mentally ill patient, psychiatry and the mental health team]

[基层医疗卫生人员对精神病患者、精神病学和精神卫生团队的态度]

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Abstract

OBJECTIVES: To measure the reliability of a questionnaire on attitudes and knowledge of mental health and the mental health team (MHT). To find out what these attitudes are and their associations with demographic and work variables. DESIGN: Observational, transversal. SETTING: Primary care (PC) centres in an urban environment. PARTICIPANTS: Health staff (n=141) of PC centres whose mental health centres (MHC) for referral are in an area of Guipuzcoa. MAIN MEASUREMENTS: Self-administered, anonymous questionnaire including a section with social, demographic and work data. Survey including items on attitudes towards the mentally ill, psychiatry, the MHCs, staff's perception of their own knowledge and their attitude towards attending courses on the subject. RESULTS: The reply rate was 70%. The factorial analysis had 5 factors whose measurements and scores were: "attendance at courses", 30.8 (8-40); "knowledge", 17.5 (7-35); "more treatment", 12.2 (6-30); "less treatment", 14.4 (5-25); "care through the MHC", 11.5 (4-20). The internal consistency of the 5 scales was 0.95, 0.92, 0.85, 0.83, and 0.65, respectively. 13% did not think you had to be on the look out for the mentally ill. CONCLUSIONS: No negative attitude towards the mentally ill was perceived. PC health staff perceived their lack of psychiatric knowledge and that they did not have sufficient dealings with the MHC, and showed good predisposition towards improving both questions.

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