ارزشیابی برنامه ادغام بهداشت روان در نظام مراقبت‌های بهداشتی اولیه روستایی شهرستان سنندج

Abstract Objectives: This study has aimed to evaluate the integration of mental health program into rural Primary Health Care (PHC) system in Sanandaj district. Method: In this cross-sectional study, data were collected from 330 people from rural population, 60 health workers (Behvarz), 33 health houses, 11 rural health centers, and 63 psychiatric patients and their families in Sanandaj district selected by a random sampling. Data were gathered through administering case finding questionnaires in the rural population, knowledge and attitude assessment of rural people and health workers, evaluation of mental health program in rural health care centers, and assessment of severe psychiatric and epileptic patients’ status. It was then analyzed using the descriptive statistics and c2 test. Results: Results indicated that knowledge and attitude of health workers towards psychiatric disorders are satisfactory however, they are weak at case finding. Physicians working in the rural centers as the key agents have weak surveillance on mental health programs. More than 46% of basic psychiatric medications are not available in the rural centers and during the last year, there have not been any surveillance over physicians working in the rural centers from the scientific advisor of the mental health program (psychiatrist). Conclusion: General practitioners do not contribute significantly to mental health program integration into the PHC.