title: Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka.
abstract: BACKGROUND
  Specialist mental health care is out of reach for most Indians. The World Health Organisation has called for the integration of mental health into primary health care as a key strategy in closing the treatment gap. However, few studies in India have examined medical practitioners' mental health-related knowledge and attitudes. This study examined these facets of service provision amongst doctors providing primary health care in a rural area of Karnataka is Southern India.
  
  
  METHODS
  A mental health knowledge and attitudes questionnaire was self- administered by participants. The questionnaire consisted of four sections; 1) basic demographics and practice information, 2) training in mental health, 3) knowledge of mental health, and self-perceived competence in providing mental health care, and 4) attitudes towards mental health. Data was analysed quantitatively, primarily using descriptive statistics.
  
  
  RESULTS
  This study recruited 46 participants. The majority of participants (69.6%) felt competent in providing mental health services to their patients. However, there was a substantial level of endorsement for several statements that reflected negative attitudes. Almost one third of participants (28.0%) had not received any training in providing mental health care. Whilst three-quarters of participants correctly identified depression (76.1%) and psychosis (76.1%) in a vignette, fewer were able to name three common signs and symptoms of depression (50.0%) and psychosis (28.3%).
  
  
  CONCLUSIONS
  Integrating mental health into primary health care requires evidence-based up-skilling programs. Doctors in this study desired such training and would benefit from it, with a focus on both depth of knowledge and uncovering stigmatising attitudes towards people with mental health problems.
authors.affiliation: Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia. g.armstrong@unimelb.edu.au.
authors.forename: Joshua
authors.initials: J
authors.lastname: Cowan
authors.forename: Shoba
authors.initials: S
authors.lastname: Raja
authors.forename: Amali
authors.initials: A
authors.lastname: Naik
authors.forename: Gregory
authors.initials: G
authors.lastname: Armstrong