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gjnmid Ghana Journal of Nursing and Midwifery Ghana Registered Nurses and Midwives Association
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Integration of Mental Health Services in Primary Care:

Analysis of Case Detection and Treatment Rates in Ghana (2018-2023)

  • Michael Adu Ayeh 1
  • Abraham Mensah Okyere 2
  • Peter Kipo Leta 3
  • Naomi Kaba 4
  • Samuel Oppong Sr Asare-Duah 5
  1. 1 Health Tutor, College of Health, Yamfo
  2. 2 Senior Physician Assistant, Kyekyewere Health Center
  3. 3 Public Health Officer, Nkoranza South Municipal Health Directorate
  4. 4 Public Health Officer, Northern Regional Hospital
  5. 5 Medical Officer, Pentecost Hospital Kpassa, Oti Region
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Abstract

Purpose: This study analyzed the progression and effectiveness of mental health service integration in Ghana’s primary care system from 2018 to 2023, focusing on case detection rates, treatment outcomes, and screening tool performance.

Method: A mixed-methods systematic review approach was employed, incorporating quantitative data synthesis and temporal trend analysis. Data were collected from peer-reviewed publications, government reports, and health facility surveys, with validation through expert consultation and cross-verification.

Findings: Results showed improved case detection rates across mental health conditions, with depression reaching 13.2% by 2023. Treatment initiation rates achieved 75%, though completion rates remained at 50%. PHQ-9 screening sensitivity reached 94%. Community prevalence rates exceeded detection rates, indicating persistent treatment gaps.

Recommendations: Clinical practice should focus on strengthening treatment retention strategies and enhancing screening processes in primary care settings. Implementation of targeted interventions to bridge the detection-prevalence gap is recommended. Regular monitoring of integration metrics is crucial for continuous service improvement.

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Ayeh, M. A., Okyere, A. M., Leta, P. K., Kaba, N., & Asare-Duah, S. O. S. (2025). Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023). Ghana Journal of Nursing and Midwifery, 1(4), 87-106. https://doi.org/10.69600/gjnmid.2024.v01.i04.87-106

Ayeh, Michael Adu, et al. “Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023).” Ghana Journal of Nursing and Midwifery, vol. 1, no. 4, 2025, pp. 87-106. https://doi.org/10.69600/gjnmid.2024.v01.i04.87-106.

Ayeh, Michael Adu, et al. “Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023).” Ghana Journal of Nursing and Midwifery 1(4) (2025): 87-106. https://doi.org/10.69600/gjnmid.2024.v01.i04.87-106

Ayeh, M. A., Okyere, A. M., Leta, P. K., Kaba, N. and Asare-Duah, S. O. S. (2025) ‘Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023)’, Ghana Journal of Nursing and Midwifery, 1(4), pp. 87-106. doi:10.69600/gjnmid.2024.v01.i04.87-106.

Ayeh MA, Okyere AM, Leta PK, Kaba N, Asare-Duah SOS. Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023). GJNMID. 2025;1(4):87-106. doi:10.69600/gjnmid.2024.v01.i04.87-106

M. A. Ayeh, A. M. Okyere, P. K. Leta, N. Kaba, and S. O. S. Asare-Duah, “Integration of Mental Health Services in Primary Care:: Analysis of Case Detection and Treatment Rates in Ghana (2018-2023),” Ghana Journal of Nursing and Midwifery, vol. 1, no. 4, pp. 87-106, 2025, doi: 10.69600/gjnmid.2024.v01.i04.87-106.

Copyright © 2025 Ghana Journal of Nursing and Midwifery. This work is licensed under a Creative Commons Attribution 4.0 International License.