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Semi-structured interviews were conducted with psychologists, PHCPs, and patients working in or attending the selected facilities.\u00a0\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Results:<\/ns4:bold>\n                    A total of 4 psychologists, 22 PHCPs, and 37 patients were interviewed. A high perceived need for mental health care was noted. PHCPs acknowledged the emotional impact physical health conditions have on their patients and mentioned that referral to psychologists was reserved only for serious problems. Their approach to emotional problems was providing emotional support (includes listening, talk about their patients\u2019 feelings, provide advice). PHCPs identified system-level barriers about the specialized mental health care, including a shortage of psychologists and an overwhelming demand, which results in brief consultations and lack in continuity of care. Psychologists focus their work on individual consultations; however, consultations were brief, did not follow a standardized model of care, and most patients attend only once. Psychologists also mentioned the lack of collaborative work among other healthcare providers. Despite these limitations, interviewed patients declared that they were willing to seek specialized care if advised and considered the psychologist's care provided as helpful; however, they recognized the stigmatization related to seeking mental health care.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Conclusions:<\/ns4:bold>\n                    There is a perceived need of mental health care for primary care patients. To attend these needs, PHCPs provide emotional support and refer to psychology the most severe cases, while psychologists provide one-to-one consultations. Significant limitations in the care provided are discussed.\n                  <\/ns4:p>","DOI":"10.12688\/wellcomeopenres.13746.2","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T11:00:22Z","timestamp":1525086022000},"page":"9","update-policy":"https:\/\/doi.org\/10.12688\/wellcomeopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Provision of mental health care within primary care in Peru: A qualitative study exploring the perspectives of psychologists, primary health care providers, and patients"],"prefix":"10.12688","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4858-7165","authenticated-orcid":false,"given":"Victoria","family":"Cavero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7611-8190","authenticated-orcid":false,"given":"Francisco","family":"Diez-Canseco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5554-357X","authenticated-orcid":false,"given":"Mauricio","family":"Toyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Fl\u00f3rez Salcedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1565-718X","authenticated-orcid":false,"given":"Alessandra","family":"Ipince","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Araya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4738-5468","authenticated-orcid":false,"given":"J. Jaime","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2018,4,30]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"476-93","DOI":"10.1093\/ije\/dyu038","article-title":"The global prevalence of common mental disorders: a systematic review and meta-analysis 1980\u20132013.","volume":"43","author":"Z Steel","year":"2014","journal-title":"Int J Epidemiol."},{"key":"ref-2","article-title":"Investing in mental health: evidence for action","year":"2013"},{"key":"ref-3","first-page":"1-392","article-title":"Estudio epidemiol\u00f3gico de salud mental en Lima Metropolitana y Callao - Replicaci\u00f3n 2012. 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Control y prevenci\u00f3n en salud mental","year":"2015"}],"container-title":["Wellcome Open Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T07:17:17Z","timestamp":1589872637000},"score":1,"resource":{"primary":{"URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,30]]},"references-count":52,"URL":"https:\/\/doi.org\/10.12688\/wellcomeopenres.13746.2","relation":{"has-review":[{"id-type":"doi","id":"10.21956\/wellcomeopenres.15868.r33022","asserted-by":"subject"},{"id-type":"doi","id":"10.21956\/wellcomeopenres.15868.r33021","asserted-by":"subject"},{"id-type":"doi","id":"10.21956\/wellcomeopenres.15868.r33022","asserted-by":"object"},{"id-type":"doi","id":"10.21956\/wellcomeopenres.15868.r33021","asserted-by":"object"}]},"ISSN":["2398-502X"],"issn-type":[{"value":"2398-502X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,30]]},"assertion":[{"value":"Indexed","URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/wellcomeopenres.15868.r33021, Andrea Bruni, Pan American Health Organization (PAHO), Washington, DC, USA, 03 Jul 2018, version 2, indexed","URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2#referee-response-33021","order":0,"name":"referee-response-33021","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/wellcomeopenres.14937.r30767, Saroj Prasad Ojha, Department of Psychiatry\u00a0&\u00a0Mental Health, Institute of Medicine (IoM), Tribhuvan University Teaching Hospital\u00a0(TUTH), Kathmandu, Nepal, 02 Mar 2018, version 1, indexed","URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v1#referee-response-30767","order":1,"name":"referee-response-30767","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/wellcomeopenres.15868.r33022, Rub\u00e9n Alvarado, Institute of Health Sciences, Universidad de O'Higgins, Rancagua, Chile, 04 May 2018, version 2, indexed","URL":"https:\/\/wellcomeopenresearch.org\/articles\/3-9\/v2#referee-response-33022","order":2,"name":"referee-response-33022","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"This study was part of the project \u201cTackling the Elephant in the Room: Integration of Mental Health into Quotidian Routine Practices of Primary Health Care Providers\u201d, funded by Grand Challenges Canada (GMH-0335-04). JJM acknowledges receiving additional support from Wellcome Trust (205177, 103994, 107435, 074833), DFID\/MRC\/Wellcome Global Health Trials (MR\/M007405\/1), Fogarty International Center (R21TW009982, D71TW010877), International Development Research Center Canada (106887, 108167), Inter-American Institute for Global Change Research (IAI CRN3036), Medical Research Council (MR\/P008984\/1, MR\/P024408\/1, MR\/P02386X\/1), National Heart, Lung and Blood Institute (HHSN268200900033C, 5U01HL114180, 1UM1HL134590), National Institute of Mental Health (1U19MH098780), Swiss National Science Foundation (40P740-160366), and the World Diabetes Foundation (WDF15-1224). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}