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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




Non-MH staff



Mental health care decisions are made by others in the family



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


Services are a priority for the government


Services are acceptable to the community


Your job negatively affects your family life



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