Severity of mental health impairment and trajectories of improvement in an integrated primary care clinic.

2012 ◽  
Vol 80 (3) ◽  
pp. 396-403 ◽  
Author(s):  
Craig J. Bryan ◽  
Meghan L. Corso ◽  
Kent A. Corso ◽  
Chad E. Morrow ◽  
Kathryn E. Kanzler ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Integrated Primary Care ◽  
Care Clinic ◽  
Health Impairment ◽  
Mental Health Impairment

scholarly journals Mental Health Trauma Center Integrated with a Primary Care Clinic

2010 ◽  
Vol 25 (S1) ◽  
pp. S49-S49
Author(s):  
N. Laor ◽  
A. Louden ◽  
S. Shachar ◽  
Z. Wiener
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Trauma Center ◽  
Primary Care Clinic ◽  
Care Clinic

Primary Care Patients' Reactions to Mental Health Screening

1996 ◽  
Vol 26 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Mark Zimmerman ◽  
David T. Lush ◽  
Neil J. Farber ◽  
Jon Hartung ◽  
Gary Plescia ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Psychiatric Treatment ◽  
Primary Care Clinic ◽  
Empirical Support ◽  
Medical Patients ◽  
Care Clinic ◽  
History Of ◽  
Primary Care Patients ◽  
High Level

Objective: The authors examined whether there is empirical support for the notion that medical patients are upset by being asked questions about psychiatric disorders. Method: Six hundred and one patients attending a primary care clinic completed the SCREENER—a newly developed, brief self-administered questionnaire that surveys a broad range of psychopathology. In addition, they completed a second questionnaire that assessed their attitudes toward the SCREENER. Results: We found a high level of acceptance by patients. The questions were judged easy to answer, and they rarely aroused significant negative affect. Fewer than 2 percent of the patients judged the questions difficult to answer, and fewer than 3 percent were “very much” embarrassed, upset, annoyed, or uncomfortable with the questions. Individuals with a history of psychiatric treatment and poorer current mental health reacted more unfavorably to the questionnaire. Conclusions: From the patient's perspective, it is feasible and acceptable to use self-administered questionnaires for routine screening of psychiatric problems in primary care settings.

Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic.

2012 ◽  
Vol 30 (1) ◽  
pp. 60-71 ◽  
Author(s):  
Bobbie N. Ray-Sannerud ◽  
Diana C. Dolan ◽  
Chad E. Morrow ◽  
Kent A. Corso ◽  
Kathryn E. Kanzler ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Intervention ◽  
Integrated Primary Care ◽  
Care Clinic ◽  
Longitudinal Outcomes ◽  
Behavioral Health Intervention

Pregnant Hispanic Women: A Mental Health Study

1992 ◽  
Vol 73 (9) ◽  
pp. 515-521 ◽  
Author(s):  
Luis H. Zayas ◽  
Nancy A. Busch-Rossnagel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Low Income ◽  
Mental Health Problems ◽  
Hispanic Women ◽  
Primary Care Clinic ◽  
Health Study ◽  
Community Based ◽  
Care Clinic ◽  
Mental Health Study

By most accounts, pregnant Hispanic women are a population at risk for perinatal health and mental health problems. In this article, the authors report on a pilot study of the mental health status of 86 low-income, pregnant Hispanics. Three cases drawn from a community-based, primary care clinic demonstrate how Hispanic women may appear in the clinical setting and how interventions can be designed.

Pediatrician Interview Style and Mothers' Disclosure of Psychosocial Issues

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 289-295
Author(s):  
Lawrence S. Wissow ◽  
Modena E.H. Wilson ◽  
Debra L. Roter
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
Primary Care Clinic ◽  
Health Problems ◽  
Physical Punishment ◽  
Pediatric Primary Care ◽  
Psychosocial Issues ◽  
City Hospital ◽  
Care Clinic

Objective. Primary care pediatricians play an important role in the detection, diagnosis, treatment, and referral of children with mental health problems. Some parents, however, are reluctant to discuss behavioral and emotional symptoms with their child's pediatrician. Studies of patient-physician communication suggest that specific aspects of pediatrician interview style (asking questions about psychosocial issues, making supportive statements, and listening attentively) increase disclosure of sensitive information. We hypothesized that disclosures of parent and child psychosocial problems would be more likely to occur during visits when pediatricians used these techniques. Design. Cross-sectional analysis of a systematic sample of pediatric primary care visits. Population. Two hundred thirty-four children ages 6 months to 14 years and their mothers or female guardians attending an inner-city hospital-based pediatric primary care clinic; 52 physicians in their second or third year of pediatric residency training. Methods. Visits audiotaped and dialogue coded using the Roter Interactional Analysis System. Independent variables included counts of pediatrician utterances in the following categories: (a) questions about psychosocial issues, (b) statements of support and reassurance, and (c) statements indicating sympathetic and attentive listening. Dependent variables were the disclosure of information about: (a) parental medical or emotional impairment, (b) family disruption, (c) use of physical punishment, and (d) aggressive or overactive child behavior. Results. Use of psychosocially oriented interviewing techniques was associated with a greater likelihood of disclosure for all four of the topic areas studied. Odds ratios for disclosure, adjusted for parental concerns and child age, ranged from 1.09 to 1.22 depending on the interview technique and outcome involved. Positive associations were observed both for topics raised primarily in response to pediatrician questions (family and parent problems) and for topics raised primarily by mothers (behavior and punishment). Conclusions. Three simple communication skills were associated with disclosure of specific concerns relevant to child mental health. Training pediatricians to use these skills would help to better detect and diagnose children's mental health problems.

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