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Feasibility and Preliminary Responses to a Screening and Brief Intervention Program for Maternal Mental Disorders Within the Context of Primary Care

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Abstract

There is little evidence of the feasibility and acceptability of integrating screening, brief intervention and referral to treatment services that address depression and alcohol, tobacco and other drug (ATOD) use into antenatal care in South Africa. Data were extracted from program records on the number of eligible women screened and number meeting criteria for depression and self-reported ATOD use. 70 women completed a questionnaire examining their preliminary responses and five MOU personnel were interviewed to identify potential barriers to implementation. Of the 3407 eligible women, 1468 (43 %) women were screened for depression or ATOD use, of whom 302 (21.4 %) screened at risk for depression, 388 (26.4 %) disclosed smoking tobacco, and 29 (2 %) disclosed alcohol or other drugs (AOD). Seventy participants completed the three month follow-up interview. Depression scores decreased significantly following the intervention (t (69) = 8.51, p < 0.001) as did self-reported tobacco use (t (73) = 3.45, p < 0.001), however self-reported AOD use remained unchanged.

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Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Alan. J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa

    Katherine Sorsdahl

  2. Alcohol, Tobacco and Other Drug Research Unit, Medical Research Council, Tygerberg, South Africa

    Petal Petersen Williams & Bronwyn Myers

  3. Chronic Disease Initiative for Africa, Department of Medicine, University of Cape Town, Cape Town, South Africa

    Kathy Everett-Murphy

  4. Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa

    Katherine Sorsdahl, Bavi Vythilingum, Bronwyn Myers & Dan J. Stein

  5. Western Cape Department of Health, Cape Town, South Africa

    Patricia de Villiers

  6. Unit on Anxiety and Stress Disorders, Medical Research Council, Tygerberg, South Africa

    Dan J. Stein

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  1. Katherine Sorsdahl
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  2. Petal Petersen Williams
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  3. Kathy Everett-Murphy
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  4. Bavi Vythilingum
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  5. Patricia de Villiers
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  6. Bronwyn Myers
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  7. Dan J. Stein
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Correspondence to Katherine Sorsdahl.

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Sorsdahl, K., Petersen Williams, P., Everett-Murphy, K. et al. Feasibility and Preliminary Responses to a Screening and Brief Intervention Program for Maternal Mental Disorders Within the Context of Primary Care. Community Ment Health J 51, 962–969 (2015). https://doi.org/10.1007/s10597-015-9853-9

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  • DOI: https://doi.org/10.1007/s10597-015-9853-9

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