Experiences and views of clinical psychologists working in non-urban areas of KwaZulu-Natal, South Africa

The process of integrating mental health care into primary health care remains slow in many non-urban areas of low to middle-income countries. The present study explored clinical psychologists’ experiences of working in non-urban areas of KwaZulu-Natal to assess the progress of integrating mental health into primary health care. Twenty-nine clinical psychologists participated in this study and provided input on the following areas: clinical psychologists’ preparedness, through training, to work in resource-constrained non-urban areas; availability of mental health resources; and understanding of the clinical psychologists’ role in their work context. Over half (51.7%) of the participants reported that their training did not prepare them to work in resource-constrained non-urban areas and more than two-thirds (72.4%) reported a lack of basic resources needed for optimal mental health care in non-urban areas of KwaZulu-Natal. The findings reflect the need for comprehensive training of clinical psychologists to enhance their competency and confidence to work in resource-constrained settings. Furthermore, investment in the promotion of clinical psychology services and more conducive mental health service environments is necessary.