Integrating Mental Health Services into Primary Care: A Crucial Step for Nigeria

The Society of Family Physicians of Nigeria (SOFPON) has emphasized the importance of integrating mental health services into primary care, highlighting the pivotal role family physicians play in improving mental health outcomes for patients. According to Dr. Blessing Chukwukelu, SOFPON's President, primary care is uniquely positioned to promote mental wellness due to its emphasis on long-term relationships, continuity of care, and a person-centred approach. Chukwukelu noted that integrating primary care aligned with the World Health Organisation's (WHO) recommendations for low and middle-income countries like Nigeria is essential for improving mental health outcomes.

Key Takeaways:

• The burden of mental illness in Nigeria is substantial, with a stated one psychiatrist to 700,000 patients ratio exacerbating access to specialized care, particularly in rural and underserved areas.
• Routine screening for mental health conditions in primary care settings is unmet due to the absence of standardized screening tools culturally appropriate for the Nigerian context.
• The lack of adequate training in mental healthcare for primary care staff leaves a significant gap in the early identification and management of common mental disorders at the community level.
• Family physicians are strategically positioned to address mental health challenges, promote awareness, and reduce stigma surrounding mental health issues.
• Initial mental health screening using validated tools like the General Health Questionnaire (GHO-12) or the Patient Health Questionnaire (PHO-9) can help identify individuals at risk of mental health problems, enabling early intervention and timely referral to specialized services when needed.
• Targeted training in mental health for family physicians equips them with the skills and knowledge to manage common mental disorders effectively.
• SOFPON is championing a conversation from an unattainable idea of perfect mental health to one of building resilience, adaptability, and balance in an ever-changing world.

Statistics:

• The ratio of one psychiatrist to 700,000 patients highlights the massive shortage of psychiatrists in Nigeria.
• Routine screening for mental health conditions in primary care settings is currently unmet due to the absence of standardized screening tools.
• The lack of adequate training in mental healthcare for primary care staff results in a significant gap in the early identification and management of common mental disorders.

Sources:

• News Agency of Nigeria (2025)
• World Health Organisation (no date)
• Society of Family Physicians of Nigeria