The delivery of smoking cessation interventions to primary care patients with mental health problems

Addiction ◽  
2013 ◽  
Vol 108 (8) ◽  
pp. 1487-1494 ◽  
Author(s):  
Lisa Szatkowski ◽  
Ann McNeill
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Smoking Cessation ◽  
Mental Health Problems ◽  
Health Problems ◽  
Primary Care Patients

scholarly journals Primary care patients with mental health problems: outcome of a randomised clinical trial

2007 ◽  
Vol 57 (544) ◽  
pp. 886-891 ◽  
Author(s):  
Bettine Schreuders ◽  
Harm van Marwijk ◽  
Jan Smit ◽  
Frank Rijmen ◽  
Wim Stalman ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Clinical Trial ◽  
Mental Health Problems ◽  
Randomised Clinical Trial ◽  
Health Problems ◽  
Primary Care Patients

Challenging care work: General practitioners’ perspectives on caring for young adults with complex psychosocial problems

2019 ◽  
pp. 136345931987410
Author(s):  
Julie Høgsgaard Andersen ◽  
Tine Tjørnhøj-Thomsen ◽  
Susanne Reventlow ◽  
Annette Sofie Davidsen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Young Adults ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
Health Problems ◽  
Care Work ◽  
Psychiatric Nurses ◽  
Provision Of Care

The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They are also in regular contact with their general practitioners, the Danish municipalities and psychiatric services. However, little is known about general practitioners’ perspectives on caring for this vulnerable group of patients. In this article, we investigate how general practitioners’ care work is shaped by the bureaucratic management of care in a complex infrastructure network comprising the general practitioners, psychiatry, the municipalities and the young adults. The analysis is based on interviews and focus groups with general practitioners, psychiatric nurses and social workers. We employ Tronto’s concept of care and the concept of boundary work as a theoretical framework. We argue that general practitioners strive to provide care, but they are challenged by the following: contested diagnostic interpretations and the bureaucratic significance of diagnoses for the provision of care from psychiatry and the municipalities, systemic issues with handling intertwined social and mental health problems, and the young adults’ difficulties with accessing and receiving available care.

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