Common mental disorders are not diagnosed commonly in community health centres

  • Tsepo Sechaba Motsohi University of Cape Town
  • A A Isaacs University of Cape Town
  • N Manga University of Cape Town
  • C Le Grange University of Cape Town
  • M Roelofse University of Cape Town
  • P Milligan University of Cape Town
  • D A Hellenberg University of Cape Town
  • A R Sayed Metro District Health Services
Keywords: noncommunicable diseases, prescriptions, primary health care, mental health, costs, co-morbidity

Abstract

Background: Very limited published data exist on the spectrum of mental health disorders encountered at primary health care (PHC) facilities in South Africa. Methods: The original data from a recent study were analysed with regard to its useful set of data on patients with mental disorders in primary care clinics in Cape Town. Results: Schizophrenia and bipolar disorder accounted for the majority of visits, with common mental disorders (depression, anxiety disorders, substance use disorders) accounting for only a minority of visits. Furthermore, the mental health population in the study had significantly fewer chronic disease co-morbidities than the non-mental health patients. Conclusion: There is an urgent need to screen better for common mental disorders in primary care patients in South Africa, and to screen for chronic medical diseases in patients with serious mental illness. (Full text available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2015; DOI: 10.1080/20786190.2014.978094

Author Biographies

Tsepo Sechaba Motsohi, University of Cape Town
BA, MBChB, MFamMed Senior Family Physician and Lecturer Family Physician Division of Family Medicine School of Public Health University of Cape Town
A A Isaacs, University of Cape Town
MBChB, MFamMed Senior Family Physician and Senior Lecturer Division of Family Medicine Faculty of Health Sciences University of Cape Town
N Manga, University of Cape Town
PhD Research Officer Division of Family Medicine Faculty of Health Sciences University of Cape Town
C Le Grange, University of Cape Town
MBChB Lecturer Division of Family Medicine Faculty of Health Sciences University of Cape Town
M Roelofse, University of Cape Town
Senior Diploma in Social Work Western Cape Provincial Mental Health Coordinator Division of Family Medicine Faculty of Health Sciences University of Cape Town
P Milligan, University of Cape Town
MBChB, FCPsych(SA) Head Clinical Unit Acute Services Valkenberg Hospital; and Senior Lecturer Department of Psychiatry and Mental Health Division of Family Medicine Faculty of Health Sciences University of Cape Town
D A Hellenberg, University of Cape Town
MBChB, MFamMed, FCFP(SA) Associate Professor and Divisional Head Division of Family Medicine Faculty of Health Sciences University of Cape Town
A R Sayed, Metro District Health Services
MSc Specialist Scientist and Biometrician Metro District Health Services Western Cape Cape Town
Published
2015-08-26
Section
Research Articles