scholarly journals Treatment of depression in a low-income primary care setting with colocated mental health care.

2009 ◽  
Vol 27 (2) ◽  
pp. 161-171 ◽  
Author(s):  
Lisa A. Uebelacker ◽  
Marcia Smith ◽  
Angelique W. Lewis ◽  
Ryan Sasaki ◽  
Ivan W. Miller
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Low Income ◽  
Care Setting ◽  
Primary Care Setting ◽  
Treatment Of Depression

scholarly journals Strategies to strengthen the provision of mental health care at the primary care setting: An Evidence Map

PLoS ONE ◽  
2019 ◽  
Vol 14 (9) ◽  
pp. e0222162 ◽  
Author(s):  
Witness Mapanga ◽  
Daleen Casteleijn ◽  
Carmel Ramiah ◽  
Willem Odendaal ◽  
Zolani Metu ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Evidence Map

scholarly journals Grounded Theory of Barriers and Facilitators to Mandated Implementation of Mental Health Care in the Primary Care Setting

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Justin K. Benzer ◽  
Sarah Beehler ◽  
Christopher Miller ◽  
James F. Burgess ◽  
Jennifer L. Sullivan ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Organizational Factors ◽  
Barriers And Facilitators ◽  
Health Staff ◽  
Provider Experiences

Objective. There is limited theory regarding the real-world implementation of mental health care in the primary care setting: a type of organizational coordination intervention. The purpose of this study was to develop a theory to conceptualize the potential causes of barriers and facilitators to how local sites responded to this mandated intervention to achieve coordinated mental health care.Methods. Data from 65 primary care and mental health staff interviews across 16 sites were analyzed to identify how coordination was perceived one year after an organizational mandate to provide integrated mental health care in the primary care setting.Results. Standardized referral procedures and communication practices between primary care and mental health were influenced by the organizational factors of resources, training, and work design, as well as provider-experienced organizational boundaries between primary care and mental health, time pressures, and staff participation. Organizational factors and provider experiences were in turn influenced by leadership.Conclusions. Our emergent theory describes how leadership, organizational factors, and provider experiences affect the implementation of a mandated mental health coordination intervention. This framework provides a nuanced understanding of the potential barriers and facilitators to implementing interventions designed to improve coordination between professional groups.

scholarly journals Integration of mental health care into primary care

2000 ◽  
Vol 176 (6) ◽  
pp. 581-588 ◽  
Author(s):  
D. Chisholm ◽  
S. James ◽  
K. Sekar ◽  
K. Kishore Kumar ◽  
R. Srinivasa Murthy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Disorder ◽  
Mental Health Care ◽  
Low Income ◽  
Common Mental Disorder ◽  
Low Income Countries

BackgroundTargeting resources on cost-effective care strategies is important for the global mental health burden.AimsTo demonstrate cost–outcome methods in the evaluation of mental health care programmes in low-income countries.MethodFour rural populations were screened for psychiatric morbidity. Individuals with a diagnosed common mental disorder were invited to seek treatment, and assessed prospectively on symptoms, disability, quality of life and resource use.ResultsBetween 12% and 39% of the four screened populations had a diagnosable common mental disorder. In three of the four localities there were improvements over time in symptoms, disability and quality of life, while total economic costs were reduced.ConclusionEconomic analysis of mental health care in low-income countries is feasible and practicable. Our assessment of the cost-effectiveness of integrating mental health into primary care was confounded by the naturalistic study design and the low proportion of subjects using government primary health care services.

scholarly journals Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting

PEDIATRICS ◽  
2016 ◽  
Vol 139 (1) ◽  
pp. e20151175 ◽  
Author(s):  
Stacy Hodgkinson ◽  
Leandra Godoy ◽  
Lee Savio Beers ◽  
Amy Lewin
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Low Income ◽  
Care Setting ◽  
Primary Care Setting ◽  
Health Access ◽  
Children And Families ◽  
Low Income Children ◽  
Mental Health Access

The ‘Research Magnificent’ in Late Life: Psychiatric Epidemiology and the Primary Health Care of Older Adults

1997 ◽  
Vol 27 (3) ◽  
pp. 185-204 ◽  
Author(s):  
Joseph J. Gallo ◽  
Peter V. Rabins ◽  
Steve Iliffe
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Primary Care Physicians ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Epidemiology ◽  
Primary Health ◽  
Mental Disturbances

Objective: Primary care occupies a strategic position in the evaluation, treatment, and prevention of the mental disturbances of later life. This article highlights four themes that are crucial to understanding mental disturbances among older adults: 1) subsyndromal depression, 2) coexisting depression and anxiety, 3) comorbidity of depression and chronic medical conditions, and 4) risk factors for cognitive impairment. Method: The literature was selectively reviewed for each theme to ask the central question, “What can primary care physicians learn about mental disturbances of their older patients from epidemiologic and community studies?” Results: The primary care setting itself is an important venue for an examination of aging issues and mental health. Workers in the “middle ground of psychiatric epidemiology”—primary health care—have not yet reached a full appreciation for the value of research in the primary care setting for enhancing our understanding of the mental disturbances of late life, and how these intersect with other salient factors. Conclusions: Primary care physicians and others who work in primary care should advocate for further mental health integration and research in primary care. Research is needed that will lead to new ways of maximizing the health and quality of life of older adults and their families.

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