The discharge of patients with enduring mental health problems into primary care: Patients’ preferences and views

2011 ◽  
Vol 26 (S2) ◽  
pp. 1696-1696
Author(s):  
V.I.O. Agyapong ◽  
T.B. Thekiso ◽  
A. Guerandel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Psychiatric Care ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Service Setting ◽  
Primary Care Patients

ObjectivesTo investigate the preferences of psychiatric patients regarding attendance for their continued mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting.Methods150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semi-structures questionnaire designed to assess the objectives of the study.Results145 patients completed the questionnaire giving a response rate of 97%. The majority of patients had a general practitioner (GP, 132, 94.3%) and most attended their GP every 3 months (68, 48.6%). Ninety-eight patients (70.0%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason was fear of substandard quality of psychiatric care from their GPs (68.4%), followed by inability to afford a GP appointment (23, 23.5%) and not having a GP (9, 9.2%). Thirty two patients (22.9%) preferred to attend their GP. Reasons for this included confidence in GPs providing same level of care as psychiatrist for mental illness (18, 56.3%), the advantage of managing both mental and physical health by GPs (13, 40.6%) and less stigma (28.1%).ConclusionAlthough most patients attended their GP more frequently than the psychiatry clinic, they preferred attending specialized psychiatric services once mentally stable than primary care with most reasons revolving around fears of inadequate psychiatric care from GPs.

scholarly journals Continuing Care for Mentally Stable Psychiatric Patients in Primary Care: Patients' Preferences and Views

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Vincent I. O. Agyapong
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Health Centre ◽  
Psychiatric Services ◽  
Community Mental Health Centre

Objective. To investigate the preferences of psychiatric patients regarding attendance for their continuing mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting. Methods. 150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semistructured questionnaire designed to assess the objectives of the study. Results. 145 patients completed the questionnaire giving a response rate of 97%. Ninety-eight patients (68%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason given by patients in this category was fear of substandard quality of psychiatric care from their general practitioners (GPs) (67 patients, 68.4%). Twenty-nine patients (20%) preferred to attend their GP for continuing mental health care. The reasons given by these patients included confidence in GPs, providing same level of care as psychiatrist for mental illness (18 patients or 62%), and the advantage of managing both mental and physical health by GPs (13 patients, 45%). Conclusion. Most patients who attend specialised psychiatric services preferred to continue attending specialized psychiatric services even if they become mentally stable than primary care, with most reasons revolving around fears of inadequate psychiatric care from GPs.

Psychological Problems in Christian and Moslem Primary Care Patients in Greece

2002 ◽  
Vol 32 (3) ◽  
pp. 285-294 ◽  
Author(s):  
C. Androutsopoulou ◽  
M. Livaditis ◽  
K. I. Xenitidis ◽  
G. Trypsianis ◽  
M. Samakouri ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Health Centre ◽  
Psychiatric Morbidity ◽  
Health Problems ◽  
Psychological Problems ◽  
Care Staff ◽  
Health Care Staff

Objective: Psychiatric problems are often expressed through, or coexist with, somatic symptoms. Cultural factors may influence this association. This study aims to 1) estimate the prevalence of mental health problems in a sample of primary care attendees in a rural area of Greece, and 2) investigate the differences in psychiatric symptomatology among patients from different religious/cultural backgrounds. Method: Over a three-month period, 300 consecutive adult patients (Christians and Moslems) at the rural Primary Care Health Centre of Iasmos in Thrace, Greece, were assessed with the 28-item General Health Questionnaire. Results: The probable prevalence of mental health problems was estimated at 32 percent. Only for a small minority of the patients (3.3 percent) psychological problems were the presenting complaint. Moslems scored significantly higher than Christians in the somatic complaints subscale ( p < 0.001). Conclusions: Mental health problems are common in primary care although they rarely constitute a reason for consultation. Sociocultural background may affect the presentation of psychological distress. Primary health care staff have a significant role in identifying hidden psychiatric morbidity.

Non-Attendance at Initial Appointments in an Outpatient Mental Health Centre

2016 ◽  
Vol 33 (S1) ◽  
pp. S485-S485
Author(s):  
S. Ramos Perdigues ◽  
S. Gasque Llopis ◽  
S. Castillo Magaña ◽  
Y. Suesta Abad ◽  
M. Forner Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Social Services ◽  
Mental Health Problems ◽  
Mental Health Center ◽  
Health Centre ◽  
Outpatient Mental Health ◽  
Use Of Resources ◽  
Mental Health Centre ◽  
Competing Interest

IntroductionNon-attendance at initial appointments is an important problem in outpatient settings and has consequences, such as decreased efficient use of resources and delayed attention to patients who attend their visits, and that compromises quality of care.ObjectivesTo identify and describe the characteristics of patients who do not attend the first appointment in an adult outpatient mental health center, located in Barcelona.MethodRetrospective study. The sample was made up from all patients who had a first appointment during 2014 in our outpatient mental health centre. Socio-demographic and clinical data (type of first appointment, reason for consultation, origin of derivation, priority, history of mental health problems) were described. The results were analyzed using the SPSS statistical package.ResultsA total of 272 patients were included. Twenty-six per cent did not attend their first appointment; with mean age 39.75 years and 51.4% were male. Most frequent problems were anxiety (41.7%), depression (26.4%) and psycosis and behavioural problems (11.2%). The origin was primary care (83.3%), social services (4.2%) and emergencies (2.8%). Most of them were not preferent or urgent (86.1%). The 51.4% of non-attendees had history or psychiatric problems and 13.9% nowadays are patients of our mental health centre.ConclusionsIt is important to develop mechanisms that can reduce the incidence of first non-attended appointments. In our case, most of them are attended by primary care so we can establish better communication with our colleagues and try to contact to the patients prior to the date of the appointment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Association of mental health problems in childhood with prenatal and postnatal physical growth

2005 ◽  
Vol 20 (3) ◽  
pp. 277-286 ◽  
Author(s):  
Nicole Gunther ◽  
Marjan Drukker ◽  
Frans Feron ◽  
Jim Van Os
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Centre ◽  
Health Problems ◽  
Children’S Mental Health ◽  
Mediating Effect ◽  
Physical Growth ◽  
Children's Mental Health ◽  
Community Mental Health Centre ◽  
The Impact

AbstractAimsThe present study was conducted to examine (i) prenatal and postnatal patterns of growth in relation to the risk of later mental health problems in children and (ii) the possible mediating effect of these patterns of growth in the association between parental socioeconomic status (SES) and children’s mental health.Subjects and methodsThe present study is part of a blinded, matched case control study, involving a retrospective analysis of prospectively collected data from routine examinations at community health services for children and adolescents. The sample comprised 80 patients, referred between the age of 6–13 years to the Community Mental Health Centre in Maastricht, and 320 matched population controls.ResultsChildren coming from unemployed families weighed less at birth, but postnatal growth was not associated with this or other indicators of SES. Although children using mental health care were somewhat smaller at birth, there was no evidence that leanness during childhood was a risk factor for the development of mental health problems.ConclusionsThe present results showed some evidence for the impact of intrauterine development on children’s mental health problems. In addition, neither prenatal nor postnatal physical growth were on the pathway between parental SES and children’s mental health problems.

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

scholarly journals Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale

2016 ◽  
Vol 18 (02) ◽  
pp. 188-193 ◽  
Author(s):  
Brian DeSantis ◽  
Miranda J. Jackson ◽  
Barry L. Duncan ◽  
Robert J. Reese
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Behavioral Health ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Medical Outcomes ◽  
Patient Health ◽  
Primary Care Patients ◽  
Outcome Rating Scale ◽  
Brief Screening

Introduction The integration of behavioral health services into primary care has led to enhanced use of brief screening measures to identify mental health problems. Although useful, such instruments are largely symptom based and diagnosis specific. This narrow focus can potentially limit the identification of broader social or relational distress in patients that affect medical outcomes, as well as present feasibility challenges using a multi-measure approach in identifying mental health comorbidities. Method This exploratory study of adult primary care patients compared an ultra-brief, and widely used measure of global distress across life functioning, the Outcome Rating Scale (ORS), with the Patient Health Questionnaire (PHQ-9 and PHQ-2). Results Correlations between the ORS and the PHQ-9 and PHQ-2 indicated agreement between the measures in classifying patients, and the ORS identified significantly more patients in the clinical range. Discussion Although results are preliminary, the ORS may cast a wider net in identifying patients with significant distress in primary care.

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