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Using in-depth interviews, we qualitatively explored the experiences of 18 facility-based counsellors (FBCs) tasked with delivering a counselling intervention within chronic disease services offered within primary care facilities participating in the project MIND cluster randomised controlled trial. Findings show that project MIND training with a strong emphasis on role playing and skills rehearsal improved FBCs\u2019 confidence and competence, complemented by highly structured supervision and debriefing provided by a registered counsellor, were key strategies for supporting the implementation of task-shared mental health counselling. FBCs perceived many benefits to providing mental health counselling in primary healthcare but systemic interventions are needed for sustained implementation.<\/jats:p>","DOI":"10.1007\/s10597-020-00734-0","type":"journal-article","created":{"date-parts":[[2020,11,8]],"date-time":"2020-11-08T16:02:25Z","timestamp":1604851345000},"page":"1082-1093","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Task Sharing or Task Dumping: Counsellors Experiences of Delivering a Psychosocial Intervention for Mental Health Problems in South Africa"],"prefix":"10.1007","volume":"57","author":[{"given":"Y.","family":"Jacobs","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Myers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"van der Westhuizen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Brooke-Sumner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Sorsdahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,8]]},"reference":[{"issue":"1","key":"734_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s12992-016-0226-0","volume":"13","author":"B Acharya","year":"2017","unstructured":"Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., Hirachan, S., & Ekstrand, M. 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