TY - JOUR
T1 - The complexity of mental health care for people with COPD
T2 - a qualitative study of clinicians’ perspectives
AU - Wang, Juliet
AU - Willis, Karen
AU - Barson, Elizabeth
AU - Smallwood, Natasha
N1 - Funding Information:
We thank the participants who contributed their time, experience and insights to this study. N.S. holds an Australian National Health and Medical Research Council Emerging Leader Investigator grant and Windermere Foundation VALE research fellowship, which provide salary support for her research time.
Publisher Copyright:
© 2021, The Author(s).
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/7/22
Y1 - 2021/7/22
N2 - Anxiety and depression are common mental health illnesses in people with chronic obstructive pulmonary disease (COPD). However, patients often decline formal mental health care with barriers identified at the patient, health provider and health system levels. Currently clinicians’ perspectives on this issue are not well understood. A qualitative study using semi-structured interviews was undertaken to explore clinician perceived barriers and facilitators to acceptance of psychological care amongst people with COPD. Twenty-four Australian respiratory health professionals participated. Interview transcripts were analysed thematically. An overarching theme of ‘complexity’ was identified, which was evident across five domains: (1) physical and mental health illnesses; (2) psychosocial circumstances; (3) community views and stigma; (4) educational needs and knowledge gaps; (5) navigating the health system. Targeted patient education around psychological interventions and integration of mental health clinicians within multidisciplinary outpatient respiratory services are needed to address the current challenges.
AB - Anxiety and depression are common mental health illnesses in people with chronic obstructive pulmonary disease (COPD). However, patients often decline formal mental health care with barriers identified at the patient, health provider and health system levels. Currently clinicians’ perspectives on this issue are not well understood. A qualitative study using semi-structured interviews was undertaken to explore clinician perceived barriers and facilitators to acceptance of psychological care amongst people with COPD. Twenty-four Australian respiratory health professionals participated. Interview transcripts were analysed thematically. An overarching theme of ‘complexity’ was identified, which was evident across five domains: (1) physical and mental health illnesses; (2) psychosocial circumstances; (3) community views and stigma; (4) educational needs and knowledge gaps; (5) navigating the health system. Targeted patient education around psychological interventions and integration of mental health clinicians within multidisciplinary outpatient respiratory services are needed to address the current challenges.
UR - http://www.scopus.com/inward/record.url?scp=85111140693&partnerID=8YFLogxK
U2 - 10.1038/s41533-021-00252-w
DO - 10.1038/s41533-021-00252-w
M3 - Article
C2 - 34294727
AN - SCOPUS:85111140693
SN - 2055-1010
VL - 31
JO - npj Primary Care Respiratory Medicine
JF - npj Primary Care Respiratory Medicine
IS - 1
M1 - 40
ER -
