Table 3.

Key quotations: successes of the intervention

Theme	Quote
Clinical improvement	Not falling into depression, being more animated, like having more energy, thinking about good things too, positive things… That is mainly how it has helped me
Patient feels supported	Well, lately I have been calmer, I feel a support on your behalf, and that is the change I feel. Before, I felt that I did not have support…I feel that someone cares about what I feel
Behavior change	I have tried to change the drinking habits. About three months ago we started with [the intervention], and I already have in my mind doing other things. Friday does not arrive so I can go drinking, no. It is no longer the desire that Friday arrives, now the desire is that Friday comes so I can go with my family
Patient feels heard	It was simply giving him space to let him vent. Sometimes it is what we need, sometimes the problem here is that we are not allowed [to vent], and sometimes that is what a patient needs, more than just filling them with pills
Strengthens practice of medicine	All of this [the intervention] also helped to strengthen their professional and intellectual level
Early detection/improved outcomes	Advantages, clearly the detection of mental health problems that are sometimes under-diagnosed and are not visible, sometimes neither for patients nor for the doctors who treat them [patients]. So, I think they [patients] win, that’s why, and they win because obviously this means a much more comprehensive care of all their health
Patient–provider relationship	I have seen that with screening they [patients] open more like they had never spoken in the consultation, because they can talk openly. That seems to me to increase the uptake and detection of patients in the depression part
Improves patient health	So in the long term it [the intervention] is going to have an effect, because it is a patient that will be better, in general, the patient will have well-being … this implies fewer hospitalizations, less mortality, less consumption of resources, since it will be a patient who does not consult so much, for example, in primary care because your real problem is really solved, yes?
Improves mental health network	For us the impact, operationally, has helped to review the issue, to improve our contacts to where we refer in psychiatry,… to say ‘Come, we have to strengthen that link with our network of allies’
Data to understand patient needs	For us total advantages, because it is a population that did not have a measurement of mental health pathologies and that now we can quantify it, know how much is the prevalence … and to be able to follow up on the patients is a total advantage