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Patient-level predictors of detection of depressive symptoms, referral, and uptake of depression counseling among chronic care patients in KwaZulu-Natal, South Africa.

Christopher Galloway KempNtokozo MntamboMax BachmannArvin BhanaDeepa RaoMerridy GrantJames P HughesJane M SimoniBryan J WeinerSithabisile Gugulethu GigabaZamasomi Prudence Busisiwe LuvunoInge Petersen
Published in: Global mental health (Cambridge, England) (2020)
Nurses detected patients with depressive symptoms at rates comparable to primary care providers in high-resource settings, though gaps in referral and uptake persist. Nurses were more likely to detect symptoms among patients in more severe mental distress. Implementation strategies for integrated mental health care in low-resource settings should target improved rates of detection, referral, and uptake.
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