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Table 2 Frequency of recommendations made by the psychiatrist to improve mental healthcare delivered by primary care providers

From: Treatment recommendations made by a consultant psychiatrist to improve the quality of care in a collaborative mental health intervention in rural Nepal

Recommendations

Frequency n (% of total recommendations)

Clarification of Psychiatric Diagnosis

55 (25.7%)

 Revisit primary mental health diagnosis

34 (15.8%)

 Obtain more information from the patients/family

10 (4.6%)

 Rule out other medical illnesses (physical)

11 (5.1%)

Treatment optimization

111 (51.8%)

 Add or increase focus on counselling and psychosocial support

20 (9.3%)

 Increase antidepressants

20 (9.3%)

 Discontinue inappropriate medication(s)

12 (5.6%)

 Manage sleep problems using non-pharmacological strategies

12 (5.6%)

 Add “as-needed” medications

11 (5.1%)

 Decrease medication dose

11 (5.1%)

 Manage sleep problems using medication

9 (4.2%)

 Add propranolol

8 (3.7%)

 Add antipsychotic

8 (3.7%)

 Other

48 (22.4%)

Total

214

  1. aSee Additional file 1 for the breakdown of themes under “other” category