Subthreshold personality disorder: how feasible is treatment in primary care?

2021 ◽  
Vol 14 ◽  
Author(s):  
William Barber ◽  
Frances Apps ◽  
Clara Strauss ◽  
Helen Startup ◽  
Juliet Couche
Keyword(s):  
Primary Care ◽  
Personality Disorder ◽  
Preliminary Evidence ◽  
Retention Rates ◽  
List Type ◽  
Emotional Intensity ◽  
Care Services ◽  
Primary Care Settings ◽  
Care Intervention ◽  
Primary Care Services

Abstract Individuals with subthreshold borderline personality disorder (BPD) are commonly encountered in primary care settings, yet the psychological treatments they receive are rarely tailored to their needs. In an effort to capture and treat this group of individuals in a targeted and meaningful way, some primary care settings offer Systems Training for Emotional Predictability and Problem Solving – Emotional Intensity (STEPPS-EI). This evaluation sought to assess the feasibility of STEPPS-EI within NHS primary care services. Employing an uncontrolled design, the evaluation examined recruitment, retention, effectiveness and group appraisal. Findings supported three out of four evaluation objectives for feasibility: uptake of the group was high at 74%, the group was well received by the group and significantly effective at reducing symptoms of BPD, depression and anxiety. However, retention rates were low, with only 43% classed as ‘completers’ of the programme. The results indicate preliminary evidence for STEPPS-EI as a potentially feasible intervention with possible modification to enhance retention and avenues for further study. Key learning aims After reading this paper, the reader will be aware of: (1) Recent developments in the classification and diagnosis of personality disorder leading to the conceptualisation of subthreshold presentations. (2) The feasibility of conducting a primary care intervention for individuals with emotional intensity difficulties. (3) The preliminary beneficial outcomes of utilising a primary care intervention for individuals with emotional intensity difficulties. (4) Potential issues for participants and providers of primary care programmes with future direction for improvement and implementation.

A Comparison of Waiting Times, Patient Choice and Satisfaction in Three Primary Care Settings

2003 ◽  
Vol 9 (1) ◽  
pp. 68 ◽  
Author(s):  
Patrick Boltonl ◽  
Michael Mira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Waiting Times ◽  
Patient Choice ◽  
Care Services ◽  
Primary Care Settings ◽  
Primary Care Services ◽  
Choice Of Care

The objective of this study was to examine the interaction between patients' choice of care, their satisfaction with that care, and waiting time. Patient satisfaction and waiting times were recorded in three primary care settings in Sydney. The results show that patients in Australian primary care services do not like to wait, and those for whom waiting time is a determinant of choice are easier to satisfy than those for whom it is not, irrespective of the wait. Primary care services may be made be made more satisfying for consumers if consumers are better engaged in choosing their health care.

scholarly journals Preface

2021 ◽  
Vol 3 (3) ◽  
pp. 1
Author(s):  
Hari Kusnanto
Keyword(s):  
Primary Care ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Health Care Workers ◽  
Remote Consultation ◽  
Care Services ◽  
Primary Care Settings ◽  
Primary Care Services ◽  
Care Workers ◽  
Information And Communication

The Roles of Primary Care Services in the Midst of Covid-19 PandemicsIt is generally understood that the majority of health problems could be solved in primary care settings. Pandemics due to Covid-19 brings about more complexities in primary care services. Health care workers should protect themselves by minimizing physical contacts with patients and coworkers. A frequent option now is teleconsultation or remote consultation, typically using internet. Teleconsultation is asynchronous or synchronous consultation using information and communication technology, mainly for diagnostic and therapeutic purposes.

scholarly journals Screening Neurocognitive Disorders in Primary Care Services: The Quick Mild Cognitive Impairment Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-158
Author(s):  
Constanca Paul ◽  
Susana Sousa ◽  
Pedro Santos ◽  
Rónán O’Caoimh ◽  
William Molloy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Community Sample ◽  
Neurocognitive Disorders ◽  
Cognitive Status ◽  
Health Concerns ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Concerns

Abstract Neurocognitive Disorders (NCD) is an increasingly common condition in the community. The General Practitioner (GP) in Primary Care Services (PCS), have a crucial role in early detection of NCD and is usually the first professional to detect the signs of MCI. The objective of this study was to test the feasibility and utility of the cognitive screening instrument QMCI in Primary Care. A community sample of 436 people 65+ living in the community was randomly selected from a larger group of old people with mental health concerns (N=2734), referred by their GPs. The mean age of the sample was 75.2 years (sd 7.2), with 41.3% men and 58.7% women; 60.4% married followed by 28.7% widows. The education level was low with 21% illiterate and 69,8% people with 4 years education. The QMCI mean was 37.1/100 (sd 16.2). The amount of people screening positive for cognitive impairment QMCI (<62/100) was 94.2%. In the distribution of people with cognitive impairment by Global Deterioration Scale (GDS) three recoded categories, of the 286 people 76,1% where classified as having very mild or mild impairment, 19,4% moderate or moderately serious and 4,5% severe or very severe impairment. These results confirm the perception of GPs about their clients having mental health concerns and the ability of QMCI accurately discriminate MCI. The QMCI is very brief (3-5mins) fitting the short time of GPs to assess cognitive status and timely refer clients to nonpharmacological interventions that could postpone NCD symptoms.

Supplier-induced demand for urgent after-hours primary care services

2018 ◽  
Vol 27 (10) ◽  
pp. 1594-1608 ◽  
Author(s):  
Thomas Longden ◽  
Jane Hall ◽  
Kees van Gool
Keyword(s):  
Primary Care ◽  
Induced Demand ◽  
Care Services ◽  
Primary Care Services ◽  
After Hours
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