About 1468 Syrian and Turkish doctors, serving in primary health care, have received the mhGAP training during 2016–2019. As additional training needs were identified, MoH and WHO wanted to understand the usefulness of the training and its impact in responding to the mental health needs of Syrian refugees in Turkey. A five component assessment was done in 2019, consisting of feedback of trainees, assessment of increase in knowledge; utilization of service; compliance to treatment guidelines and service user satisfaction. The purpose was to understand the perception of participants on the training; estimate the knowledge gained—attributable to the training; estimate the increase in mental health cases identified and treated; compliance with treatment guidelines; as well as perception of the services received by end-beneficiaries. Results indicate that most of the respondents were happy with the training, but preferred additional mhGAP training as a refresher course in the future. There was knowledge gained due to the training, 9% for the Syrian and 5% for Turkish doctors. The knowledge gained has helped the practicing doctors to be more attentive and increase the numbers of cases diagnosed after the training for almost all groups of diagnoses. Most doctors, observed during practice, comply with the guidelines shared during the training, but improvement is still needed when it comes to prescription and treatment of certain conditions. The average number of mental health cases identified increased by 38 (%27) cases in the year following the training. We observed over 70% compliance with guidelines for 9 out of 12 criteria in question. The results of the patient exit interviews indicate a high level of satisfaction with the MHPSS services provided. About 95% of beneficiaries were happy with the quality of the service, and 92% having their needs met. The mhGAP training was found useful. More training should be conducted to fill in the gap in service provision and meet the mental needs of Syrian refugees in Turkey.

中文翻译：

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满足土耳其叙利亚难民的心理健康需求：mhGAP培训影响评估

在2016-2019年期间，大约有1468名在初级卫生保健中服务的叙利亚和土耳其医生接受了mhGAP培训。由于确定了其他培训需求，卫生部和世卫组织希望了解培训的用处及其对满足土耳其叙利亚难民的心理健康需求的影响。2019年进行了五部分评估，包括学员的反馈，知识增长的评估; 服务利用；遵守治疗准则和服务使用者满意度。目的是要了解参与者对培训的看法；估计由于培训而获得的知识；估计已查明和治疗的精神卫生病例的增加；遵守治疗准则；以及对最终受益者所提供服务的理解。结果表明，大多数受访者对培训感到满意，但将来希望将更多的mhGAP培训作为进修课程。通过培训获得了知识，叙利亚人为9％，土耳其医生为5％。所获得的知识已帮助执业医生更加专心，并增加了几乎所有诊断组的培训后诊断出的病例数。在实践中观察到的大多数医生都遵循培训中遵循的准则，但是在处方和治疗某些疾病时仍需要改进。培训后的一年中，发现的平均精神卫生病例数增加了38（％27）。我们观察到有问题的12条标准中有9条遵守指南的比例超过70％。患者出诊访谈的结果表明，他们对所提供的MHPSS服务的满意度很高。大约95％的受益人对服务质量感到满意，而92％的需求得到满足。发现mhGAP培训很有用。应该进行更多的培训，以填补服务提供方面的空白，并满足土耳其叙利亚难民的精神需求。