scholarly journals Barriers to Integrating Mental Health Services in Community-Based Primary Care Settings in Mexico City: A Qualitative Analysis

2017 ◽  
Vol 68 (5) ◽  
pp. 497-502 ◽  
Author(s):  
William Martinez ◽  
Jorge Galván ◽  
Nayelhi Saavedra ◽  
Shoshana Berenzon
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Qualitative Analysis ◽  
Mexico City ◽  
Community Based ◽  
Primary Care Settings

Integrating Mental Health Services Within Primary Care Settings

2011 ◽  
Vol 34 (2) ◽  
pp. 174-182 ◽  
Author(s):  
Nick Kates ◽  
Catherine McPherson-Doe ◽  
Lindsey George
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Primary Care Settings

Telepsychiatry integration of mental health services into rural primary care settings

2015 ◽  
Vol 27 (6) ◽  
pp. 525-539 ◽  
Author(s):  
John C. Fortney ◽  
Jeffrey M. Pyne ◽  
Eric E. Turner ◽  
Kellee M. Farris ◽  
Tre M. Normoyle ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Primary Care ◽  
Primary Care Settings

scholarly journals Counsellors in Primary Care: Benefits and Lessons Learned

2002 ◽  
Vol 47 (9) ◽  
pp. 857-862 ◽  
Author(s):  
Nick Kates ◽  
Anne-Marie Crustolo ◽  
Sheryl Farrar ◽  
Lambrina Nikolaou
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Family Physicians ◽  
Lessons Learned ◽  
Primary Care Settings

Objective: To describe a program that integrates mental health counsellors within primary care settings, to present data on the program's impact, and to discuss lessons learned that may apply in other communities. Methods: This paper describes a Canadian program that brings counsellors and psychiatrists into the offices of 87 family physicians in 36 practices in a community of 460 000 in Southern Ontario. It describes the goals and organization of the program and the activities of counsellors when working in primary care. In addition, it summarizes data from the program's evaluation, including demographic data and the individual problems seen and services delivered (all from the program's database) as well as data on patient outcomes using the General Health Questionnaire (GHQ), the Centre for Epidemiological Studies Depression (CESD) Rating Scale, and consumer-satisfaction questionnaires. Results: Each counsellor sees an average of 161 new cases yearly. The major problems are depression, anxiety, and family problems. In fact, over 70% of individuals who are seen show significant improvements in outcomes. The program has led to a significant increase in access to mental health services, a reduction in the use of traditional mental health services, high levels of satisfaction with counsellors and family physicians, and significant improvements in symptoms and functioning of individuals seen. Conclusion: This program has effectively integrated counsellors within primary care settings, increasing the capacity of primary care to handle mental health problems, strengthening links between providers from different sectors, and making mental health care more accessible.

scholarly journals Predicting Women’s Utilization of Primary Care Mental Health Services in Mexico City

2016 ◽  
Vol 8 (2) ◽  
pp. 83-88
Author(s):  
Karla Mendoza ◽  
Arianna Ulloa ◽  
Nayelhi Saavedra ◽  
Jorge Galván ◽  
Shoshana Berenzon
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mexico City ◽  
Primary Care Providers ◽  
Mental Health Provider ◽  
Care Providers ◽  
Chi Square ◽  
Primary Care Mental Health

Objective: To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization. Method: We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model. Results: Women referred to a mental health provider (MHP; odds ratio [OR] = 10.81, 95% CI = 3.59-32.51), whose coping mechanisms included talking to a MHP (OR = 5.53, 95% CI = 2.10-14.53), whose primary worry is loneliness (OR = 8.15, 95% CI = 1.20-55.10), and those who follow doctor’s orders; were more likely to seek PCMHS (OR = 0.28, 95% CI = 0.09-0.92). Conclusions: Primary care providers play a fundamental role in women’s decisions to seek PCMHS. Proper referrals to PCMHS should be encouraged.

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