# Improving Mental Health Knowledge Among Brazilian Community Health Agents in a Training Program for a Self‐Reported Mental Health Assessment

## TL;DR

A training program using the interRAI SAMH tool improved Brazilian health agents' mental health knowledge and ability to identify psychiatric issues.

## Contribution

The study demonstrates the feasibility and acceptability of using the interRAI SAMH tool to enhance mental health knowledge among community health agents.

## Key findings

- Training with interRAI SAMH increased perceived knowledge on topics like psychiatric reform and suicide risk factors.
- CHAs felt more capable of recognizing psychiatric pathologies and emergencies after the training.
- The tool is feasible and acceptable for use in primary health care to improve mental health referrals.

## Abstract

This study aimed to evaluate a mental health training process that included the implementation of the interRAI Self‐Reported Assessment for Mental Health (SAMH) tool among Community Health Agents (CHAs), to improve knowledge of mental health issues, as well as to assess the tool's feasibility and acceptability.

This is a quasi‐experimental study. The participants were 24 CHAs from a municipality in the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil. The instruments used were a sociodemographic and work‐related questionnaire; a pre‐test and post‐test questionnaire to assess the knowledge of mental health, and a questionnaire assessing the feasibility and accessibility of interRAI SAMH, which was part of the training process. To compare knowledge before and after the process, a paired‐sample t‐test was used. Feasibility and acceptability of the SAMH were evaluated using a questionnaire and qualitative data.

The training, combined with the SAMH data collection process, contributed to increased perceived knowledge of the following topics: psychiatric reform, human rights in mental health, Mental Health National Policy, Mental Health Care Models, Psychiatric Reform Law, risk factors for suicide, depression, alcohol and drugs, personalized therapeutic plan, psychoses, anxiety disorders, psychiatric urgences and emergencies, and interdisciplinary work. The results of feasibility and acceptability evidenced that CHAs feel more capable of recognizing psychiatric pathologies and emergencies, such as individuals at risk of suicide.

The findings support the feasibility and acceptability of the interRAI SAMH tool and its potential to enhance CHAs’ knowledge and ability to identify and refer individuals with mental health conditions in Primary Health Care.