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BMC Psychiatry
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Five-year outcomes of western mental health training for Traditional Chinese Medicine practitioners

Authors: Tai Pong Lam, Ki Yan Mak, Kwok Fai Lam, Hoi Yan Chan, Kai Sing Sun

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

There are increasing expectations for primary care practitioners to deal with mental health problems. In Hong Kong, 15 % of the general public consult Traditional Chinese Medicine (TCM) practitioners regularly for their primary health care needs. This study investigated the 5-year outcomes of a western mental health training course for TCM practitioners in Hong Kong.

Method

Structured questionnaire surveys were conducted to compare the TCM practitioners’ confidence and engagement in mental health care before and after the Course. The data collected during 2011–2015 were analyzed.

Results

A total of 151 TCM practitioners returned both pre- and post-Course questionnaires, with a response rate of 95.6 %. After the course, there were significant increases in the proportions of participants being confident of recognizing patients with psychological problems (62.9 % before the course vs 89.4 % after), diagnosing common mental health problems (47.7 % vs 77.5 %), and managing them (31.2 % vs 64.3 %). Overall, 66.9 % of the participants reported some increase in their confidence in recognizing patients with psychological problems, diagnosing or/and managing patients with common mental health problems. Qualitative responses illustrated the major improvements were increased awareness of mental symptoms, better understanding of classification of mental disorders and management approaches. On the other hand, barriers included difficulties in understanding medical terms in English, consultation time constraints, and a lack of formal referral system to psychiatrists.

Conclusions

The Course has positive impact on TCM practitioners in handling mental health patients. The findings are useful for designing similar trainings on complementary and alternative medicine practitioners in other countries.
Appendix
Available only for authorised users
Literature
1.
World Health Organization. Integrating mental health into primary care: a global perspective. Geneva: World Health Organization; 2008.
2.
Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, Angermeyer MC, Bernert S, de Girolamo G, Morosini P, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291(21):2581–90.CrossRefPubMed
3.
Jackson JL, Passamonti M, Kroenke K. Outcome and impact of mental disorders in primary care at 5 years. Psychosom Med. 2007;69(3):270–6.CrossRefPubMed
4.
Hickie IB, Davenport TA, Scott EM, Hadzi-Pavlovic D, Naismith SL, Koschera A. Unmet need for recognition of common mental disorders in Australian general practice. Med J Aust. 2001;175(Suppl):S18–24.PubMed
5.
Lam TP, Goldberg D, Tse EY, Lam KF, Mak KY, Lam EW. What do primary care doctors get out of a year-long postgraduate course in community psychological medicine? Int J Psychiatry Med. 2011;42(2):133–49.CrossRefPubMed
6.
Naismith SL, Hickie IB, Scott EM, Davenport TA. Effects of mental health training and clinical audit on general practitioners’ management of common mental disorders. Med J Aust. 2001;175(Suppl):S42–47.PubMed
7.
Walters P, Tylee A, Fisher J, Goldberg D. Teaching junior doctors to manage patients who somatise: is it possible in an afternoon? Med Educ. 2007;41(10):995–1001.CrossRefPubMed
8.
Zakroyeva A, Goldberg D, Gask L, Leese M. Training Russian family physicians in mental health skills. Eur J Gen Pract. 2008;14(1):19–22.CrossRefPubMed
9.
Copty M, Whitford DL. Mental health in general practice: assessment of current state and future needs. Ir J Psychol Med. 2005;22(03):83–6.CrossRef
10.
Lam TP, Lam KF, Lam EW, Sun KS. Does postgraduate training in community mental health make a difference to primary care Physicians’ attitudes to depression and schizophrenia? Community Ment Health J. 2015;51(6):641–6.CrossRefPubMed
11.
Richards JC, Ryan P, McCabe MP, Groom G, Hickie IB. Barriers to the effective management of depression in general practice. Aust N Z J Psychiatry. 2004;38(10):795–803.CrossRefPubMed
12.
Chung V, Lau CH, Yeoh EK, Griffiths SM. Age, chronic non-communicable disease and choice of traditional Chinese and western medicine outpatient services in a Chinese population. BMC Health Serv Res. 2009;9:207.CrossRefPubMedPubMedCentral
13.
Census and Statistics Department, Hong Kong SAR Government. Thematic household survey report no. 45. 2010.
14.
Chung VC, Law MP, Wong SY, Mercer SW, Griffiths SM. Postgraduate education for Chinese medicine practitioners: a Hong Kong perspective. BMC Med Educ. 2009;9:10.CrossRefPubMedPubMedCentral
15.
Hadley J, Hassan I, Khan KS. Knowledge and beliefs concerning evidence-based practice amongst complementary and alternative medicine health care practitioners and allied health care professionals: a questionnaire survey. BMC Complement Altern Med. 2008;8:45.CrossRefPubMedPubMedCentral
16.
Frenkel M, Ben-Arye E, Geva H, Klein A. Educating CAM practitioners about integrative medicine: an approach to overcoming the communication gap with conventional health care practitioners. J Altern Complement Med. 2007;13(3):387–91.CrossRefPubMed
17.
Leach MJ, Gillham D. Are complementary medicine practitioners implementing evidence based practice? Complement Ther Med. 2011;19(3):128–36.CrossRefPubMed
18.
Mist S, Ritenbaugh C, Aickin M. Effects of questionnaire-based diagnosis and training on inter-rater reliability among practitioners of traditional Chinese medicine. J Altern Complement Med. 2009;15(7):703–9.CrossRefPubMedPubMedCentral
19.
Leung JP. Emotions and mental health in Chinese people. J Child Fam Stud. 1998;7(2):115–28.CrossRef
20.
Yang W, Meng F, Jiang Y. Diagnostics of traditional Chinese medicine. Beijing: Academy Press; 1998.
21.
Cai J. Advanced textbook on traditional Chinese medicine and pharmacology, vol. 1. Beijing: New World Press; 1995.
22.
Aung SK, Fay H, Hobbs 3rd RF. Traditional Chinese medicine as a basis for treating psychiatric disorders: a review of theory with illustrative cases. Med Acupunct. 2013;25(6):398–406.CrossRefPubMedPubMedCentral
23.
Lam TP, Mak KY, Goldberg D, Lam KF, Sun KS. Western mental health training for traditional Chinese medicine practitioners. Acta Psychiatr Scand. 2012;126(6):440–7.CrossRefPubMed
24.
Chowdhury MS, Amin MN. Personality and students’ academic achievement: interactive effects of conscientiousness and agreeableness on students’ performance in principles of economics. Soc Behav Pers. 2006;34(4):381–8.CrossRef
25.
Mills E, Hollyer T, Saranchuk R, Wilson K. Teaching Evidence-Based Complementary and Alternative Medicine (EBCAM); changing behaviours in the face of reticence: a cross-over trial. BMC Med Educ. 2002;2:2.CrossRefPubMedPubMedCentral
26.
Hadley JA, Davis J, Khan KS. Teaching and learning evidence-based medicine in complementary, allied, and alternative health care: an integrated tailor-made course. J Altern Complement Med. 2007;13(10):1151–5.CrossRefPubMed
27.
Sun KS, Lam TP, Lam KF, Lo TL. Obstacles in managing mental health problems for primary care physicians in Hong Kong. Adm Policy Ment Health. 2015;42(6):714–22.CrossRefPubMed
28.
Lam TP, Sun KS. Dilemma of integration with Western medicine - views of Traditional Chinese Medicine practitioners in a predominant Western medical setting. Complement Ther Med. 2013;21(4):300–5.CrossRefPubMed
29.
Carey M, Jones K, Meadows G, Sanson-Fisher R, D’Este C, Inder K, Yoong SL, Russell G. Accuracy of general practitioner unassisted detection of depression. Aust N Z J Psychiatry. 2014;48(6):571–8.CrossRefPubMedPubMedCentral
Metadata
Title
Five-year outcomes of western mental health training for Traditional Chinese Medicine practitioners
Authors
Tai Pong Lam
Ki Yan Mak
Kwok Fai Lam
Hoi Yan Chan
Kai Sing Sun
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1080-6

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