TABLE 4.

Results from PHC nurses in-charge (N = 6).

Number	Items	Response	Frequency	Percentage
1	Are the policies and guidelines on mental health and Act available?	Yes	2	33.3
		No	4	66.7
2	Are services available daily: Known psychiatric patients?	Yes	4	66.7
		No	2	33.3
3	Are services available daily: People in emotional crisis?	Yes	6	100
4	Are services available daily for people requiring counselling?	Yes	6	100
5	Are services available daily for mental health care users referred from hospital to the PHC facility?	Yes	6	100
6	Does a mental health team visit this facility to consult and attend to referred patients?	Yes	1	16.7
		No	5	83.3
7	Are records of attendance of psychiatric patients kept to enable follow-up of defaulters?	Yes	4	66.7
		No	2	33.3
8	Are written referral criteria and routes available?	No	6	100
9	Could a client in a current crisis receive continuity of care from the same practitioner?	No	6	100
10	Are people with symptoms of mental illness, given a full physical examination including neurological system, blood glucose, signs of substance abuse?	No	6	100
11	Is medication available to patients who require medication on PHC EDL?	Yes	6	100
12	Does this facility take routine blood from patients requiring monitoring, e.g. patients on lithium, clozapine, tegretol, etc?	Yes	6	100
13	Is emergency treatment for side effects available?	Yes	5	83.3
		No	1	16.7
14	Are there local protocols on the administration of psychiatric drugs for psychiatric emergency?	Yes	1	16.7
		No	5	83.3
15	Is it possible for a psychiatric patient to see the same health worker, to provide continuity of care?	No	6	100
		No	6	100
16	Are there support groups for patients and their families?	Yes	4	66.7
		No	2	33.3
17	Are written annually updated referral protocols in line with the mental health care available?	Yes	4	66.7
		No	2	33.3
18	Is feedback received, informing the PHC facility of their role in continuation of care?	Yes	4	66.7
		No	2	33.3
19	Are written signed emergency treatment/management protocols for psychiatric patients in place?	Yes	3	50
		No	3	50