View from the front line: Diagnosis and treatment of mental health problems among primary care physicians

1980 ◽  
Vol 15 (3) ◽  
pp. 131-136 ◽  
Author(s):  
Virginia Aldig� Hiday
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Mental Health Problems ◽  
Health Problems ◽  
Diagnosis And Treatment ◽  
Front Line

scholarly journals Clinical decisions and stigmatizing attitudes towards mental health problems in primary care physicians from Latin American countries

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206440 ◽  
Author(s):  
Angel O. Rojas Vistorte ◽  
Wagner Ribeiro ◽  
Carolina Ziebold ◽  
Elson Asevedo ◽  
Sara Evans-Lacko ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Latin American ◽  
Primary Care Physicians ◽  
Mental Health Problems ◽  
Health Problems ◽  
Clinical Decisions ◽  
Stigmatizing Attitudes ◽  
Latin American Countries

scholarly journals Detecting child psychiatric disorders during routine clinic work: A pre-interventional study of primary care physicians in Ilorin, Nigeria

2011 ◽  
Vol 17 (3) ◽  
pp. 5
Author(s):  
O A Abiodun ◽  
M F Tunde-Ayinmode ◽  
B A Ayinmode ◽  
O A Adegunloye
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Mental Health Problems ◽  
School Attendance ◽  
Health Problems ◽  
Physician Education ◽  
Specialist Care ◽  
Child Psychiatric ◽  
Primary Care Doctors

<p>Back-ground Primary care physicians (PCP) are accessible health care provider for most patients and are gatekeepers to specialist care. The extent to which they can identify children with mental health problems need to be explored.</p><p><strong>Objective:</strong> To explore the extent to which primary care physicians can identify children with mental health problems. Study setting The study was carried out at the Paediatric Clinic of the department of Family Medicine, University of Ilorin teaching Hospital, Ilorin, Nigeria.</p><p><strong>Method:</strong> A 2 staged study in which 350 children aged 7-14 years were screened with child behaviour questionnaire (Rutter Scale A2). A stratified sub-sample of 157 (all high scorers and about 30% of low scorers) were further interviewed with children version of Schedule for Affective Disorders and Schizophrenia (K-SADS) by the psychiatrists. They were also evaluated by primary care physicians for the presence of mental health problems.</p><p><strong>Results:</strong> Out of the 157 children interviewed in the second stage, primary care doctors identified 12 children as having mental health problems. K-SADS identified 40 as cases, this includes 8 of the 12 identified by primary care doctors; that is, they identified 8 cases. They were poor in discriminating between cases and non- cases (P=0.012). Poor school attendance (P=0.001), frequent hospital visit (P=0.009) and long standing illness (P=0.039) were associated with case-ness. <strong></strong></p><p><strong>Conclusion:</strong> This study suggests that primary care physicians had difficulties in identifying mental health problems in the children. Interventions such as guideline protocols, primary care physician education and educational programmes to increase mental health literacy, may be effective in improving detection by primary care physicians.</p>

scholarly journals Managing common mental health problems: contrasting views of primary care physicians and psychiatrists

2015 ◽  
Vol 32 (5) ◽  
pp. 538-544 ◽  
Author(s):  
Kai Sing Sun ◽  
Tai Pong Lam ◽  
Kwok Fai Lam ◽  
Tak Lam Lo
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Mental Health Problems ◽  
Health Problems ◽  
Common Mental Health Problems

Maternal mental health: a shared care approach

2015 ◽  
Vol 17 (02) ◽  
pp. 175-183 ◽  
Author(s):  
Hua Li ◽  
Angela Bowen ◽  
Michael Szafron ◽  
John Moraros ◽  
Nazeem Muhajarine
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Primary Care Physicians ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Shared Care ◽  
Care Approach

BackgroundMaternal mental health problems affect up to 20% of women, with potentially deleterious effects to the mother and family. To address this serious problem, a Maternal Mental Health Program (MMHP) using a shared care approach was developed. A shared care approach can promote an efficient use of limited specialized maternal mental health services, strengthen collaboration between the maternal mental health care team and primary care physicians, increase access to maternal mental health care services, and promote primary care provider competence in treating maternal mental health problems.AimThe purpose of this research was to evaluate the impact of a MMHP using a shared care approach on maternal anxiety and depression symptoms of participants, the satisfaction of women and referring physicians, and whether the program met the intents of shared care approach (such as quick consultation, increased knowledge, and confidence of primary care physicians).MethodsWe used a pre and post cross-sectional study design to evaluate women’s depression and anxiety symptoms and the satisfaction of women and their primary care health provider with the program.FindingsDepression and anxiety symptoms significantly improved with involvement with the program. Women and physicians reported high levels of satisfaction with the program. Physician knowledge and confidence treating maternal mental health problems improved.ConclusionsShared care can be an effective and efficient way to provide maternal mental health care in primary health care settings where resources are limited.

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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