QI programs that foster collaboration between mental health specialists and primary care doctors enhance depression care

2002 ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depression Care ◽  
Primary Care Doctors

scholarly journals Mental health e-supervision for primary care doctors in Sudan using the WHO mhGAP Intervention Guide

2015 ◽  
Vol 12 (S1) ◽  
pp. S-16-S-19 ◽  
Author(s):  
Anne Aboaja ◽  
Puja Myles ◽  
Peter Hughes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
The World ◽  
Health Gap ◽  
Action Programme ◽  
Primary Care Doctors ◽  
Health Organization

This paper describes the evaluation of a pilot e-supervision programme, with a focus on feasibility. The findings suggest that e-supervision in mental health using the World Health Organization (WHO) Mental Health Gap Action Programme (mhGAP) Intervention Guide and case-based discussions is valued by participants and can improve the knowledge, confidence and beliefs of primary care doctors in low- and middle-income countries.

scholarly journals Primary Care–Mental Health Integration in the VA Health System: Associations Between Provider Staffing and Quality of Depression Care

2017 ◽  
Vol 68 (5) ◽  
pp. 476-481 ◽  
Author(s):  
Debra S. Levine ◽  
John F. McCarthy ◽  
Brittany Cornwell ◽  
Laurie Brockmann ◽  
Paul N. Pfeiffer
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health System ◽  
Depression Care ◽  
Primary Care Mental Health ◽  
Mental Health Integration

scholarly journals Collaborative care clinician perceptions of computerized cognitive behavioral therapy for depression in primary care

2020 ◽  
Vol 10 (3) ◽  
pp. 565-572
Author(s):  
Lucinda B Leung ◽  
Karen E Dyer ◽  
Elizabeth M Yano ◽  
Alexander S Young ◽  
Lisa V Rubenstein ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Behavioral Therapy ◽  
Collaborative Care ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mental Health Clinicians ◽  
Depression Care ◽  
Care Managers ◽  
Primary Care Patients

Abstract In Veterans Health Administration’s (VA) Primary Care–Mental Health Integration (PC-MHI) models, primary care providers, care managers, and mental health clinicians collaboratively provide depression care. Primary care patients, however, still lack timely, sufficient access to psychotherapy treatment. Adapting PC-MHI collaborative care to improve uptake of evidence-based computerized cognitive behavioral therapy (cCBT) may be a potential solution. Understanding primary care-based mental health clinician perspectives is crucial for facilitating adoption of cCBT as part of collaborative depression care. We examined PC-MHI mental health clinicians’ perspectives on adapting collaborative care models to support cCBT for VA primary care patients. We conducted 16 semi-structured interviews with PC-MHI nurse care managers, licensed social workers, psychologists, and psychiatrists in one VA health-care system. Interviews were audio-recorded, transcribed, coded using the constant comparative method, and analyzed for overarching themes. Although cCBT awareness and knowledge were not widespread, participants were highly accepting of enhancing PC-MHI models with cCBT for depression treatment. Participants supported cCBT delivery by a PC-MHI care manager or clinician and saw it as an additional tool to engage patients, particularly younger Veterans, in mental health treatment. They commented that current VA PC-MHI models did not facilitate, and had barriers to, use of online and mobile treatments. If effectively implemented, however, respondents thought it had potential to increase the number of patients they could treat. There is widespread interest in modernizing health systems. VA PC-MHI mental health clinicians appear open to adapting collaborative care to increase uptake of cCBT to improve psychotherapy access.

Process mapping appointments to identify improvements in care delivered to patients who screen positive for depression

2016 ◽  
Vol 4 (3) ◽  
pp. 433
Author(s):  
Bo Kim ◽  
Stephanie Rodrigues ◽  
Natalie S Dell ◽  
Rani Elwy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Treatment ◽  
Veterans Health ◽  
Health Administration ◽  
Depression Care ◽  
Positive Screen ◽  
Novel Approach ◽  
Using Data

Rationale, aims and objectives  After screening positive for depression, many patients do not receive effective medication or maintain optimal contact with practitioners.  Our objective was to examine how appointments that patients have after screening positive may affect the delivery of evidence-based and guideline-concordant depression care. Methods  We reviewed treatment records for 271 patients who screened positive for depression in primary care across three United States Veterans Health Administration medical facilities.  For each patient, we mapped the process of appointments that took place following the positive screen, noting the number of appointments, the service line in which each appointment was held, as well as whether guideline-concordant depression care was in turn received over four months. Results  We found that (i) approximately half of the patients who screened positive had no follow-up appointments, (ii) all patients who had two or more follow-up appointments received some – but not necessarily guideline-concordant – mental health treatment, and (iii) there were distinct patterns across the three facilities regarding which service lines’ appointments most often resulted in treatment. Conclusions  Our work offers a novel approach of using data on appointments that patients have after screening positive for depression to shed light on current care practices.  The number of post-screening appointments can be an informative process measure for improving depression care to become more guideline-concordant.  Facilities vary substantially in terms of which service lines they use to attain guideline-concordance, likely due to notable differences in how their primary care, integrated primary care behavioral health, and mental health services are organized.

scholarly journals Psychiatry in primary care and training: a Singapore perspective

2021 ◽  
Vol 62 (5) ◽  
pp. 210-212 ◽  
Author(s):  
ALH Peh ◽  
GCS Tan ◽  
WSW Soon ◽  
BSM Cheah ◽  
JWL Ng
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Early Recognition ◽  
Community Setting ◽  
Mental Healthcare ◽  
Healthcare Sector ◽  
Psychiatric Training ◽  
Public Healthcare ◽  
Primary Care Doctors ◽  
National Mental Health

Proactive steps have been taken by the public healthcare sector in Singapore to bring about awareness of mental health in terms of mental health promotion, early recognition and seeking help, with an increasing focus on making mental healthcare accessible and delivering it within the community setting where possible. Examples are the Mental Health General Practitioner Partnership Programme, National Mental Health Blueprint and Community Mental Health Masterplan. The current challenge is to train and involve more primary care doctors in the care of persons with mental health conditions. This paper describes the goals of psychiatric training in primary care and the avenues for training that are available to family medicine residents and family physicians.

scholarly journals A Report on Successful Introduction of Tele Mental Health Training for Primary Care Doctors during the COVID 19 Pandemic

2021 ◽  
pp. 102967
Author(s):  
Sharad Philip ◽  
Rahul Patley ◽  
Rakesh Chander ◽  
Prateek Varshney ◽  
Anu Chopra Dosajh ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Training ◽  
Health Training ◽  
Primary Care Doctors
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