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Table 2 Quantitative Items with average scores less than 50% () or 67% () of the optimal scorea indicating potential barriers

From: Stakeholder perspectives on integration of mental health services into primary care: a mixed methods study in Northern Iraq

Domain/item Client Provider Non-MH staff Director
Autonomy
Mental health care decisions are made by others in the family    
Accessibility
Service accessibility for most people in the community  
Service accessibility for the poorest people in the community  
Service accessibility for women who need them
Service accessibility for men who need them    
There are groups in the community that are unable to access the servicesb
Acceptability
Services are a priority for the government  
Services are acceptable to the community  
Your job negatively affects your family life    
Feasibility
Difficulty attending weekly treatment sessions for 8–12 weeks    
Sufficient access to computer/internet equipment     
Sufficient access to private space to meet with clients  
Enough counselors to implement step-by-step psychotherapy   
Enough counselor time to implement step-by-step psychotherapy   
Sufficient budget to implement step-by-step psychotherapy   
Enough other necessary resources (e.g.: support staff, administrative time, transportation money, etc.)   
Feasibility of integrating step-by-step psychotherapy into primary health centers   
Positive organizational structure (not included in client interviews)
Feeling overworked  
Satisfaction with salary     
Enough learning opportunities available   
Clinic promotes professional growth     
Positive working environment    
Regularly paid on time  
  1. aMost items were on a response scale of 0-3 (“not at all” to “a lot”)
  2. bBinary 0/1 (“no”/”yes”) item