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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/itemClientProviderNon-MH staffDirector
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