title: Aiming to improve the quality of primary mental health care: developing an intervention for underserved communities.
abstract: BACKGROUND
  The purpose of the study was to improve the quality of primary mental healthcare in underserved communities through involvement with the wider primary care team members and local community agencies.
  
  
  METHODS
  We developed training intended for all GP practice staff which included elements of knowledge transfer, systems review and active linking. Seven GP Practices in four localities (North West England, UK) took part in the training. Qualitative evaluation was conducted using thirteen semi-structured interviews and two focus groups in six of the participating practices; analysis used principles of Framework Analysis.
  
  
  RESULTS
  Staff who had engaged with the training programme reported increased awareness, recognition and respect for the needs of patients from under-served communities. We received reports of changes in style and content of interactions, particularly amongst receptionists, and evidence of system change. In addition, the training program increased awareness of - and encouraged signposting to - community agencies within the practice locality.
  
  
  CONCLUSIONS
  This study demonstrates how engaging with practices and delivering training in a changing health care system might best be attempted. The importance of engaging with community agencies is clear, as is the use of the AMP model as a template for further research.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Chew-Graham
authors.affiliation: Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. h.burroughs@keele.ac.uk.
authors.forename: Heather
authors.initials: H
authors.lastname: Burroughs
authors.forename: Derek
authors.initials: D
authors.lastname: Hibbert
authors.forename: Linda
authors.initials: L
authors.lastname: Gask
authors.forename: Susan
authors.initials: S
authors.lastname: Beatty
authors.forename: Katja
authors.initials: K
authors.lastname: Gravenhorst
authors.forename: Waquas
authors.initials: W
authors.lastname: Waheed
authors.forename: Marija
authors.initials: M
authors.lastname: Kovandžić
authors.forename: Mark
authors.initials: M
authors.lastname: Gabbay
authors.forename: Chris
authors.initials: C
authors.lastname: Dowrick
mesh_terms: D002983:Clinical Competence; D018864:Cultural Diversity; D004739:England; D058005:General Practitioners / Q000193:education* / Q000592:standards; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D007318:Inservice Training / Q000379:methods; D007407:Interviews as Topic; D008507:Medically Underserved Area; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards; D009936:Organizational Innovation; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D018794:Problem-Based Learning; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000592:standards*; D013597:Systems Analysis
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