Table 3 System-, provider- and patient-level facilitators and barriers to detection, referral and treatment for common mental disorders (CMDs) and experiences of domestic violence.

From: Facilitators and barriers to detection and treatment of depression, anxiety and experiences of domestic violence in pregnant women

 

Facilitators

Barriers

Detection of CMDs and experiences of domestic violence

 Availability of a mental health screening questionnaire

System-level

 

 Aspects of the mental health screening questionnaire

 

System-level

 Lack of a domestic violence screening questionnaire

 

System-level

 Perceived importance of detection

Provider-level

Patient-level

 

 Perceived lack of confidentiality

 

Patient-level

 Heavy workload

 

Provider-level

 Discomfort with mental health issues

 

Provider-level

Referral and treatment of CMDs and experiences of domestic violence

 Lack of availability of referral pathways

 

System-level

 Poor awareness of referral pathways

 

Provider-level

Patient-level

 Perceived importance of counselling

Provider-level

Patient-level

 

 Cultural beliefs and stigma

 

Patient-level