Abstract
Abstract
Aim
Diagnosing and treating mental health problems in non-western migrants visiting general practice appears difficult. The Brief Cultural Interview (BCI) can help by providing insight into relevant cultural factors. We examined the effects of and experiences with the BCI as implemented by mental health nurses in general practice.
Methods
Clustered effect study among non-western migrants who visited their general practitioner with mental health problems. Eleven mental health nurses were trained to conduct the BCI and five mental health nurses provided care as usual. At the start of treatment and four months later, patients answered questions on trust in health care, the patient-nurse relationship, self-control, physical and mental health. We collected qualitative data on the experiences of mental health nurses and patients with the BCI.
Results
In total 84 patients were included. In the intervention group 31 patients participated at baseline and follow-up, in the control group 15. Seven out of eleven trained nurses included patients. Change scores on the outcomes did not differ significantly between groups. The eight mental health nurses and nine patients interviewed were positive about the usefulness of the BCI.
Conclusion
The study has to a limited extent added to our knowledge on the BCI implemented by mental health nurses. The BCI can be used to enhance culturally sensitive care, but is not easy to implement in daily care. Future research is needed on the effects of the BCI and the ease of implementation in general practice.
Aim
Diagnosing and treating mental health problems in non-western migrants visiting general practice appears difficult. The Brief Cultural Interview (BCI) can help by providing insight into relevant cultural factors. We examined the effects of and experiences with the BCI as implemented by mental health nurses in general practice.
Methods
Clustered effect study among non-western migrants who visited their general practitioner with mental health problems. Eleven mental health nurses were trained to conduct the BCI and five mental health nurses provided care as usual. At the start of treatment and four months later, patients answered questions on trust in health care, the patient-nurse relationship, self-control, physical and mental health. We collected qualitative data on the experiences of mental health nurses and patients with the BCI.
Results
In total 84 patients were included. In the intervention group 31 patients participated at baseline and follow-up, in the control group 15. Seven out of eleven trained nurses included patients. Change scores on the outcomes did not differ significantly between groups. The eight mental health nurses and nine patients interviewed were positive about the usefulness of the BCI.
Conclusion
The study has to a limited extent added to our knowledge on the BCI implemented by mental health nurses. The BCI can be used to enhance culturally sensitive care, but is not easy to implement in daily care. Future research is needed on the effects of the BCI and the ease of implementation in general practice.
| Original language | Dutch |
|---|---|
| Pages (from-to) | 82-91 |
| Journal | Tijdschrift voor Gezondheidswetenschappen |
| Volume | 98 |
| DOIs | |
| Publication status | Published - 4 Apr 2020 |
Keywords
- cultuursensitieve zorg
- ggz
- huisarts
- praktijkondersteuner